The increasing number of cases of TB associated with HIV infection in Swaziland has greatly increased the demands on TB and HIV treatment programs. Swaziland has an estimated TB incidence of 1,155 cases per 100,000 population per year (nearly a six-fold increase compared to a 1990 level of 267), while the incidence among the infectious sputum smear positive cases tripled within the same period. To better inform the NTP on magnitude and risk factors, Women Together, SWANEPHA and HCI carried out intensified case finding that targeted PLWHIV and their households. The setting was eVembili, a rural constituency. An HIV-positive member of the Women Together PLWHIV group was the index case for whom household members were enrolled. A standard checklist was used to record symptoms and their duration, risk factors, and results from sputum smear and x-ray examinations. Participants were classified as either TB suspect or case or Not TB. Results were confidentially communicated to each participant, who was given appropriate medical advice, treatment or referral. Ethical clearance obtained from the national Scientific and Ethics Review Board, participation was voluntary, and informed consent was sought. Intensified case-finding helps identify TB suspects and risk factors for TB common among PLWHIV and household members in local settings and inform strategies for community TB screening, health education and household infection control. Of the 111 study subjects, 34 (30.6%) were HIV-positive, 20 (18%) were HIV-negative, and 57(51.4%) had unknown HIV status. Sputum samples were requested on all 111 study subjects; however, only 69 cases (62.1%) provided sputum samples. Of the 69 samples, one was saliva but still tested AFB-positive, one sample was AFB-positive, and 67 samples were AFB-negative. All 111 subjects were interviewed with the checklist on common TB symptoms and risk factors. The most common TB symptom reported by study participants was noticeable weight loss (reported by 37.4% of subjects), followed by persistent cough (over two weeks) (reported by 36.9%), night sweats (reported by 36.9%), malaise (30.6%), fever (27.0%) and loss of appetite (20.7%). Recommendations: • Active case-finding and household contact tracing should be implemented as a package of care for HIV-positives • Partnerships with local HIV support groups in intensified case-finding is an effective strategy to identify TB suspects and TB cases in communities with high TB/HIV co-infection.