Inclusion Criteria:  Participants who are 18 years and older with a known HIV status or are willing to undergo HIV testing if unknown HIV status and meet the following criteria will be included in the study:  Presumptive TB patients defined as having any of the following:  ○ Cough, Weight loss, Night sweats, Fever  Household /close TB contacts regardless of symptoms Newly diagnosed HIV regardless of symptoms.  Exclusion Criteria:  Individuals who do meet the above inclusion criteria will be excluded. In addition, individuals with history of TB treatment within 365 days prior to enrolment will be excluded.