ArticlePublic health action2023
The TB Surge intervention: an optimized approach to TB case-finding in Nigeria.
Article in Public health action, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Modelling the impact of increasing tuberculosis treatment coverage and addressing determinants of risk in men.Communications medicine · 2026Article
- Time series analysis of pulmonary tuberculosis incidence in earthquake-affected and non-affected areas of Kermanshah Province.BMC infectious diseases · 2025Article
- Global status of policies and practices for systematic TB screening in high-burden countries.IJTLD open · 2025Article
- Outcome of active TB case finding among a nomadic population in Nigeria.Public health action · 2025Article
- Finding missing TB cases in Northern Nigeria.Public health action · 2025Article
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Authors and funding
16 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTB remains one of the leading causes of death in Nigeria, and despite progress in treatment coverage, a 56% gap in national case notifications remains. This gap is attributable in part to underdiagnosis due to missed cases in health facilities. The TB Surge intervention presented an opportunity to address barriers to optimal case detection in public health facilities.
methodsKNCV Nigeria implemented the TB Surge intervention under the USAID-funded TB-LON Project in 1,041 public facilities from June 2020 to September 2022. Trained ad-hoc staff screened hospital attendees, linked identified presumptive TB cases to diagnosis and confirmed TB cases to treatment. Data were reported using the Commcare application. Robust project monitoring was used to address gaps.
resultsOf a total of 12,195,874 hospital attendees screened for TB, 729,369 identified as presumptive TB were tested and 65,029 TB cases were diagnosed; 8% of the TB cases were children. Overall TB yield was 9%. Medical ward service delivery point had the highest TB yield of 21%. The number needed to test was 11 and the number needed to screen was 188.
conclusionThe TB Surge intervention was of strategic importance in addressing missed cases and barriers to prompt TB diagnosis in health facilities.
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