Intensified Case-Finding 1 Lessons learned Info needed Underway Elsewhere 3. to be collected Recommendation HIV+ persons identified in VCT centres have 5-8% prevalence of unrecognised TB Routine verification and recording in each VCT visit of symptoms of tuberculosis, mainly cough Cough register? Symptomatic screening for tuberculosis in VCT centres should be part of standard procedures in counseling process, and enhanced by appropriate IEC

Intensified Case-Finding 2 Lessons learned Info needed Underway Elsewhere 3. to be collected Recommendation Contribution of ICF in VCT setting to overal case-detection low; small scale project and selected goup of “worried well” Evaluate contribution of ICF in VCT centres with maximum coverage of ICF in VCT network and various VCT clients Expand ICF through symptomatic screening in all VCT centres

Intensified Case-Finding 3 Lessons learned Info needed Underway/elsewhere/ to be collected Recommendation ICF outside Stand-alone VCT sites not assessed (CB care, hospitals, high-risk groups, ANC clients, close contacts) Yield of ICF in other high HIV populations Enhance and monitor ICF activities in presumed high risk populations with HIV (Linking TB/HIV JAP to targets of DOTS expansion)

Intensified Case-Finding 4 Lessons learned Info needed Underway/elsewhere/ to be collected Recommendation Communication activities in ProTEST programs limited in scope and nature, and weakly developed Best practices on how best to maximize and synergize commu-nication (and IE) to community/ clients/ patients by TB and HIV/AIDS programs Collect best practice in Joint IEC strategy for TB and HIV/AIDS and communicate this to others