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ing retention rates of older adolescents. © 2020. The Authors.Background South Africa has one of the highest incidences of Tuberculosis (T globally. High co-morbid HIV prevalence complicates TB management and treatment outcomes. Growing evidence suggests that integrating the TB and HIV programmes will improve the overall results. Objectives To describe how TB programme staff at various levels of the South African health system responded to the transition from a paper-based to an electronic register of TB data integrated with HIV progr