Only 9.2% TB patients opted out of screening, while 14.7% were not screened for unknown reasons. Patients not screened without explicitly opting out may have not wanted to be screened but did not say so, or the screening may have been delayed or postponed for diverse reasons (patient’s reasons such as not being sure, or fearing HIV screening, or health system reasons such as inadequate follow up of screening request). In South Africa, voluntary counseling and testing was adopted in 2007 but less than half of the TB patient’s accepted HIV screening . In India, 60% of TB patients were screened for HIV and 33% of new HIV diagnoses would have been missed if screening during the TB episode were not done .