PLHIV who were not provided with an ADM package were provided with a routine standard of care that included other components of ADM such as screening and diagnosis of active TB with Nucleic Acid Amplification Test, cotrimoxazole prophylaxis, TB Preventive therapy, rapid ART initiation and intensive treatment adherence support along with CD4 and viral load monitoring which are a part of the routine program. Here, CD4 is linked to tuberculosis.