* All the wards and outpatient departments are supplied with testing kits to offer rapid tests to admitted patients. * Unit managers have been trained on how to perform and interpret the results. * On the day of the visit, there were only three professional nurses on duty and they highlighted that they were short staffed and sometimes nurses have to attend meetings and also escort patients to Manapo Hospital when a need arises. * All patients and visitors that test positive for any of the abovementioned diseases, further tests are done to confirm the diagnosis and are then treated and referred accordingly. * Although Universitas Academic Hospital is a tertiary institution which did not render TB services, it is only available if a patient is identified and in need of the service. Each ward has a TB representative who is trained on basic TB management. * Should results be available after a patient has been discharged, the patient is contacted and treatment initiated via the local clinic near his/her local place or residence. Those who still have to come for follow up are called in and treatment initiated. * Upon discharge, patients are properly referred to their local clinics. * There is a system in place for reporting TB cases diagnosed in hospital to the district office and reporting is done on monthly basis. * A ward was identified in the hospital where TB and MDR patients are admitted. The infrastructure had been altered in such a manner that negative suction is created to minimise the risk of cross infection. This was created through the installation of extractor fans.