The Covid-19 pandemic has significantly impacted detection, treatment, and control of HIV and TB globally. Resources and focus have shifted towards Covid-19 testing and treatment, leading to an estimated 300,000 missed TB cases in Nigeria alone. Lockdowns and fear of infection have also reduced rates of HIV and TB testing and treatment. Supply chain disruptions from China, where many generic drug manufacturers obtain raw materials, risk shortages of antiretroviral drugs. This could lead to increased HIV-related deaths, as treatment interruptions reactivate the virus and increase susceptibility to opportunistic infections like TB. Increased use of telemedicine, multi-month drug dispensing, and supply chain diversification are recommended to mitigate these