There was a sudden jump in median CD4 count noted from 2007 to 2008 and this could be attributed to several factors that happened in 2007 including introduction of provider initiated HIV testing for TB patients and pregnant women resulting in increase in the number of clients tested for HIV by four times, doubling of HIV positive clients diagnosed and almost doubling of HIV testing centres and ART centres established (Figures 1 and 2). Here, CD4 is linked to tuberculosis.