People living with HIV (PLHIV) are at increased risk of developing TB and account for the highest TB-associated mortality. World Health Organization (WHO) recommends frequent symptom-based TB screening for active disease and provision of TB preventive therapy (TPT); however, TB remains under-diagnosed and TPT scale-up limited. Session summary: Overview of current WHO guidance for diagnosing TB in PLHIV, including current and future technologies which may improve TB case detection among PLHIV. In addition, sharing of individual country experiences from three different regions, including targeted universal test and treat (TUTT) as a potential TB case finding strategy at primary healthcare level, to inform future programme interventions.