Despite the efforts to halt TB and HIV co-infection, there are still preventable cases of co-infection in Kibungo. Failure to adhere to ARV might have attributed to these cases of co-infection. These results were presented to hospital management with recommendations to strengthen awareness of efficient use of ARV drugs, and to determine factors associated with developing TB-HIV co-infection.  Thus, ARV department has implemented regular follow up of ARV uptake. 