 This study found that there are several barriers to effective TBHIV integration services in the Orr-Tambo District of South Africa. Patients reported a lack of health education about TB and HIV, insufficient counseling for HIV and ARVs, and poor quality of services from health care facilities. To address these issues, the district must strengthen its TBHIV integration efforts immediately. This article was authored by Ntendotso Glattu, Kalechi Elizabeth Aladimeji and Tikapalata.