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Democratic Republic of Congo: integrating tuberculosis screening into community-based HIV activities: case study

In the Democratic Republic of Congo (DRC), tuberculosis (TB) is a disease that is accompanied by a heavy socioeconomic and health burden. The DRC is among the 30 countries that bear 87% of the global TB burden (1). According to WHO estimates, 270 000 people fell ill with TB in 2018, which translates into an incidence of 321 cases per 100 000 population (1), of whom 31 000 (12%) were people living with HIV. Of the 270 000 people estimated to have TB in 2018, only 171 682 were notified, leaving 100 000 people (37%) undetected by the national health system. WHO estimates that around 53 000 people died from the disease in 2018 (1). TB and HIV coinfection is also a major health challenge in the DRC; according to UNAIDS, the percentage of people living with HIV and receiving TB treatment was 40% in 2017, compared with 22% in 2015 (2). Despite some progress, TB remains the number-one killer of people living with HIV in the DRC.