GFATM: Data should be recorded routinely at every visit on the person’s HIV care or antiretroviral therapy card and transferred onto the pre–antiretroviral therapy and antiretroviral therapy registers at all facilities providing routine HIV care. These data should be analyzed quarterly and reported on the quarterly cross- sectional reports to the national level. TB and HIV programs should collaborate to ensure that agreed criteria for identifying a person suspected of having TB and that the methods of TB screening used are consistent with TB control program protocols. A suggested method of conducting the screening would be to ask clients living with HIV whether they are currently receiving TB treatment. If not, they are then asked about the key symptoms of TB disease (such as cough lasting more than two weeks, persistent fever, night sweats, unexplained weight loss and lymphadenopathy). A simple checklist could be used, and any positive response would indicate that the individual may be suspected of having TB. If, on questioning, they are defined as suspected of having TB (in accordance with national protocols), treatment for latent TB infection should not be given and they should be investigated for TB (or referred to a TB service for investigation) and treated appropriately. Those found not to have TB should be offered six months of isoniazid preventive therapy. Tools: HIV care and antiretroviral therapy patient cards with data transferred to the pre–antiretroviral therapy and antiretroviral therapy registers and then quarterly reporting formats Frequency: data should be collected continuously and reported as part of the quarterly cross-sectional reports and analyzed quarterly or at least annually; these data could be cross-checked using card sorts during annual patient monitoring reviews WHO: WHO recommends the use of a simplified screening algorithm for intensified TB case findings that includes 4 clinical symptoms: (1) current cough, (2) fever, (3) weight loss and (4) night sweats. Using this simplified algorithm assessment of TB status at every visit during the reporting period (‘Yes’ if ‘no signs’, ‘suspect’ or ‘on treatment’ and ‘No’ if TB status not assessed) should be recorded on the patient HIV care/ART card, and transferred onto the pre-ART or ART registers as appropriate at all facilities providing routine HIV care. Enrolled in care includes all those continuing in care and those newly enrolled during the reporting period This data should be analysed and reported together with other cross sectional data at national level. The numerator is taken from the pre ART and ART registers by counting the number of patients who had their TB status assessed during the reporting period. For patients who started on ART during the reporting period, care should be taken to count them in the ART register and not in the pre-ART register. The denominator for pre-ART patients will be those seen for care during the reporting period. The denominator for ART patients will be those current on ART during the reporting period. The denominator is taken from the pre-ART and ART registers by counting the number of patients with a visit during the reporting period. This is then recorded on the cross sectional reporting form. TB and HIV programmes should collaborate to ensure that agreed criteria for identifying a TB suspect and methods of TB screening are used that are consistent with TB control programme protocols. Data Quality Control and Notes for the Reporting Tool • Please provide any comments on how this data was collected and any assumptions made in establishing a national estimate.