The optimal HIV screening strategy has been debated since the availability of HIV screening tests in 1985. Initially, HIV screening was mainly done in blood banks. In 1987, counseling and screening was recommended to persons at risk of HIV infection such as those with risk behaviors and those seeking care for sexually transmitted infections (STI). In 1993, screening was extended to patients attending hospitals that reported an HIV prevalence above 1% among their patients. In 1995, learning that zidovudine could prevent HIV vertical transmission prompted the implementation of universal screening among pregnant women . Despite these efforts, a low proportion of persons infected with HIV were aware of their status, and a high proportion of patients were diagnosed in late stages of HIV infection. To increase HIV diagnosis, a voluntary counseling and testing strategy required scaling up . In 2005, the Center for Disease Control (CDC), recommended provider-initiated counseling and testing to all persons between 13 and 64 years unless the person opts out [9, 11]. The World Health Organization (WHO) recommends HIV voluntary counseling and testing as a standard practice among TB patients to increase HIV status awareness . However, in 2016, the WHO estimated that 57% of notified cases of TB were aware of their HIV status .