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Low rates of tuberculosis (TB) testing have been reported in Southern Africa. Evidence has also shown discrepancies between case notifications and incident TB cases in South Africa. There is also limited evidence on TB rates, especially on adolescents and most particularly on adolescents living with HIV (ALHIV). Therefore, there is a need to evaluate the potential of using the self-reported clinical diagnosis of TB and self-reported TB symptoms to describe the burden of TB among ALHIV.