TB/HIV Information Systems Support Portal

Critical Messages and Updates

Welcome to the THIS Support Portal.
A consolidated TB/HIV Information System refresher slide deck from sessions conducted by the National Health Informatics Directorate is available for download in the Resources and Tools section.

TB/HIV Information System: Overview

South Africa continues to confront a quadruple burden of disease, which includes a high HIV and TB burden. In line with National Development Plan 2030 (NDP) priorities, it is imperative that the health system manage patients in a comprehensive and coordinated way so that resources are efficiently used and patient care is maximised.

Integrated patient management is a key focus, significantly enabled by integrated health information systems. To redress health information systems fragmentation, the National Department of Health (NDoH) through its Health Informatics Directorate directed integration of the two vertical information systems previously underpinning HIV and TB service delivery. HIV and TB are pre-eminent public health priorities, with high rates of HIV-TB co-infection. The integration of information systems has been critical to improved care in particular among patients with HIV-TB co-morbidities.

Through considerable effort and investment by the NDoH and provincial Departments of Health, over 4000 health facilities nationwide now routinely digitise HIV, ART, presumptive-TB, DS-TB and PrEP data for individual patients, all in the same information system (TIER.Net). These digital data are stored together, with reports drawn and actioned to facilitate improved patient management. The maturation of all TB/HIV Information Systems related processes, including those related to the longitudinal patient record, is an important jumping off point for the evolution of broader digital health processes.

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Structure Of The Portal

This portal is structured as a resource for those who regularly manage, utilise, and interact with TB/HIV information system related processes. Currently, the portal has four primary functions:

This section includes answers to frequently asked questions, organized into thematic categories for ease of browsing.

This section is where critical files, including guidance materials, training slide decks, TIER.Net installers, and other resources can be found. Some files are available openly to any user, and some are available only to accredited users with login details.

This section is for logged in users to submit questions for the Health Informatics Directorate.

Authorised users have access to additional functionality, and are required to login. Further details are provided on approval of each account.

Additional functionality is to come, and communications will be sent out when that functionality is available.


The National Department of Health would like to thank the following organisations for contributing to the TB/HIV Information Systems processes: the Global Fund in the Fight Against HIV, TB and Malaria, USAID, CDC and PEPFAR.

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