Objective: In 2004 the WHO released the Interim Policy on Collaborative TB/HIV activities. For People living with HIV (PLWH), activities include intensified case finding, isoniazid preventive therapy (IPT) and infection control. For TB patients, activities include HIV counseling and testing (HCT), prevention messages, and cotrimoxazole preventive therapy (CPT); care and support, and antiretroviral treatment (ART) for those with HIV-associated TB. Implementation of collaborative activities in South Africa and globally remains sub-optimal. We aimed to quantify TB/HIV integration at three primary health care clinics in Johannesburg, South Africa. Methods: Routinely collected TB and HIV data from the HCT register, TB suspect register, TB treatment register, clinic file and HIV electronic database collected over a period of three months was reviewed. Results: Of 1104 people receiving HCT, 306 (28%) were HIV positive, only 57% of these had a CD4 count, few were screened for TB or offered IPT. Among all clinic encounters with PLWH, 921 (15%) had documented TB symptoms, but only 10% were assessed by smear microscopy, and few asymptomatic PLWH were offered IPT. Infection control was poorly documented and implemented. Among 208 TB patients, 155 (75%) had documented HIV status, of which 90% were HIV positive and 88% had a documented CD4 count. Provision of CPT and ART was poorly documented. Conclusion: Coverage of most TB/HIV collaborative activities was below global plan targets. The lack of standardized recording tools and incomplete documentation impeded assessment at facility level, and limits the accuracy of data compiled at district level.Master of Public Healt
