162 Challenges Fueling the Complexities of TB Diagnosis & TBHIV Comorbidity in Tanzania- IHV experience

Background: Tanzania with a population of 44.9 million is classified as one of the 22 high burden countries for tuberculosis (TB). The country houses 5,972 health facilities; the majority in urban areas while rural areas have limited access to TB diagnostic services. The TB notification rate for all cases in 2011 was 153/100,000 people with 59/100,000 being smear positive. Nevertheless, the 2013 National TB prevalence survey revealed prevalence of bacteriological confirmed TB was 354/100,000 with the rural areas more affected. The findings signify more TB than reported. TB continues to major driver of mortality in HIV patients, as reported by facilities supported by IHV, with the highest mortality in our HIV project. 20% died while on TB treatment and 73% died with symptoms of TB.