A lot of work was done by the TB clinic to have all TB patients testing for HIV. The co-infection rate for the TB patients at the Leah Makoena Clinic is 70.3 %. This was facilitated by the placement of a HBC care giver from HAPG place permanently in the TB clinic.
The caregiver is the only constant presence in the clinic as the nurses work on a rotational basis. In 2011 there was a professional nurse on a full time basis. In 2012 this was not the case, and the referral for HCT testing dropped from 70 % to 66 %. With the caregiver permanently in the clinic, the percentage rose again to 70 %.
As is observed worldwide, the number of new TB diagnoses is dropping slowly. This is also observed in Bela Bela township. Records for other clinics are not available at HAPG.