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the proportion of patients with TB and HIV infection was 11.2%, which shows a small reduction, although progressive, of 5% since 2011. The provision of antiretroviral treatment and anti-TB drugs to patients with the co-infection in 2017 it was 60%. Only a third of people with HIV had access to preventive treatment with isoniazid. Overall, the death rate for people with TB and HIV coinfection has not changed since 2012, and has remained around 20%.
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The study showed that HIV seropositivity (adjusted instantaneous risk ratio [aHR]: 2.08, 95% CI: 1.48-2.92) and advanced age (aHR: 5.84, 95% CI: 3 , 00-11.4) are statistically associated with higher mortality. In TB / HIV co-infected patients, treatment of TB (aHR: 0.43, 95% CI: 0.35-0.53) reduces the risk of death. Similarly, initiation within 56 days of antiretroviral therapy (aHR: 0.15, 95% CI: 0.12-0.19) and delayed (aHR: 0.25, 95% CI: 0.13-0 , 47) carry a lower risk of mortality; Directly observed treatment (aOR: 0.16, 95% CI: 0.09-0.29) further reduces the risk
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Suriname's Ministry of Health should develop strategies for the early search for TB and HIV cases in key populations, such as men 60 years of age or older. Preventive treatment with isoniazid should be established in people with HIV. In order to reduce mortality from TB and HIV, it is essential to extend the treatment of both diseases, preferably in a supervised manner.

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