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TB/HIV co-infection is “bidirectional and synergistic in which HIV promotes the progression of latent tuberculosis infection to disease, and tuberculosis accelerates the progression of HIV disease to its advanced stage. HIV is the main reason for failure to meet Tuberculosis (TB) control targets in high HIV settings; as well TB is a major cause of death among people living with HIV. According to 2010 WHO report on TB profiles of different countries, Ethiopia is classified as high burden TB, High burden HIV and high burden MDR-TB. The prevalence rate was estimated to be 394 (173-623) per 100000 populations including those co-infected with HIV, and there were 152,030 new cases of which 3,190 are below 15 years of age.