Abstract

Tuberculosis poses a serious health threat, especially to people living with HIV (PLHIV), and is the leading cause of
death in people living with HIV. A person with latent tuberculosis and HIV infection is more likely to develop
tuberculosis during their lifetime than a person without HIV, because the immune system is already weak and without
treatment, tuberculosis can progression from illness to death.The study was conducted to determine the incidence of
tuberculosis in HIV-infected patients presenting for treatment at the ART clinic at Kabwohe HC IV, Sheema district. A
cross-sectional descriptive study on 160 patients aged 18-45 years visiting Kabwohe HC IV HIV/AIDS clinic, randomly
sampled and achieving a response rate of 100%. A self-administered questionnaire was used and data were coded, entered,
and analyzed using IBM SPSS version 20; presented in the form of frequency tables and percentages.The membership
rate stands at 86.3%.And 59.4%; followed timing and other recommendations compared to a minority (18.1%) who did it
only occasionally but not always.47 (29.4%), 43 (26.9%), and 22 (13.8%) forgot to take their medication (ART) twice,
once, and ≥ times in the past two weeks. 46 (28.8%) forgot, while 44 (27.5%) and 40 (25%) did not have transportation
to refuel compared to 7 (4.4%) were busy to use drugs. 60 (37.5%) were aged 41-50, 1,520 and 21-25, of which 18
(11.3%).53.1 men, of which men account for 46.9%.In addition, 56.2% were married, 20%, the rest were divorced (11.9%)
or widowed (11.9%).50%) are located 1-2 km from the hospital, 19.4% and 14.4% are >10 km and 8-10 km from Kabwohe
HC IV, respectively. 55% use taxis and only 18.8% walk from home to the hospital; 67.5% spend between 1000 and 2000
ugx per recharge, which means 56.9% have to recharge due to lack of transportation. With 89.4% saying their friends,
spouses and relatives know they are on ARV treatment, most (66.9%) reported encouraging contributions from those
around them, compared to 11.3% who said people close to them showed boredom, 21.9%) a lack of concern from their
immediate people. 21.9% waited about 4 hours and 41.9% said that waiting too long affected their work (time off duty)
while 3. 1% did not complete their shift on time. In short; Incidence of tuberculosis in HIV-infected patients visiting the
Kabwohe HC IV ART clinic. Sheema district stood at 56.9% while ART adherence among these patients was 86.3%,
which is quite good, especially among women but limited by the long distance to the hospital and the cost. Shipping
costs are incurred, but some people are not directly supported and have to wait for a long time and limited consultations
associated with poor doctor-patient relationships.