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Zambia
Zambia’s battles for equity in health,
with Delft Imaging
Zambia continues to face significant challenges across lung and maternal health, driven by gaps in early detection, access to care, and service delivery in hard-to-reach areas. While progress has been made in reducing preventable maternal deaths, tuberculosis remains a major public health concern, underscoring the need for integrated, people-centered screening and early risk-detection approaches.
66K+ people
developed TB in 2023
9K TB-related deaths
were recorded
9.2K people
remained missing from care
85 deaths
per 100,000 live births in 2023
Our work in Zambia
Zambia has been one of the earliest adopters of innovative technology.
2009
We installed our first semi-mobile X-ray system at Kanyama Clinic in Lusaka. Serving one of the busiest HIV/TB clinics in Zambia, the system provided free imaging services to a catchment of around 200,000 people, many of whom lacked access to diagnostic care.
2010
We delivered the first Delft OneStopTB X-ray Truck for a TB Reach project executed by the Center of Infectious Disease and Research in Zambia (CIDRZ). The clinic included a digital X-ray unit, CAD4TB, and a TB smear microscopy lab, and was deployed in four Zambian prisons. This marked one of the earliest examples of integrating digital solutions for fast and cost-effective TB screening.
2011
CAD4TB was introduced in a TB Reach-funded project by Zambart. Used as a triage solution ahead of confirmatory tests, CAD4TB helped identify more TB cases at a lower cost. Results from the project showed a strong correlation between abnormal CAD4TB scores and positive confirmatory test results.
2017
We leased a Delft OneStopTB X-ray truck to CIDRZ, equipped with our EasyDR digital X-ray and CAD4TB software.
2018
We delivered a containerized clinic to FHI360 under the Challenge TB project and supplied 4 more of these mobile clinics through an EDCTP grant, two of which were deployed in Zambia by Zambart.
2019
PATH procured a Delft OneStopTB X-ray Truck under the Eradicate TB Project funded by USAID. That same year, CIDRZ received 3 additional CAD4TB solutions to support their screening work.
2020
6 more CAD4TB systems were deployed in mobile clinics across the country.
2021
We also provided CIDRZ with 3 Delft Light portable X-ray systems to expand reach in remote areas.
2023
We deployed 4 BabyCheckers in Zambia with Dawa Health. Since then, they have assisted healthcare workers in facilitating early detection and referral, especially in hard-to-reach areas of Lusaka and border areas of Zimbabwe.
2025
Another CAD4TB system was delivered to CIDRZ to continue supporting their nationwide efforts in TB detection.
Co-creating the future of lung health.
Prof Helen Ayles
Professor of Infectious Dosease and International Health at the London School of Hygiene and Tropical Medicine, University of London, Director of Zambart
“Out of 40,000 adults, about 25% participated in screening. Most had a chest X-ray for TB screening. TB screening was based on symptoms and a CAD score greater than or equal to 50. This significantly increased the number of TB diagnoses. This integrated approach aims to improve TB screening and broader lung health in Zambia. The project emphasizes early detection, prevention, and community participation.”
Mr. Tafadzwa Kalisto Munzwa
Co-founder and executive director of Dawa Health, Zambia
“With BabyChecker, […] we were able to identify that this patient had a potentially low lying placenta, which is what I said, placenta previa, […] this is not a case you can manage at a low level health clinic. So we referred this patient to a teaching hospital where they were able to be assisted, […] you can see how in the real world a tool like BabyChecker is actually making a difference because we are able to identify some of these potentially high risk patients who would otherwise maybe succumb to whatever undiagnosed conditions they have.”
Making a difference
Case Study
Zambia – Detecting more TB cases effectively with CAD4TB
Read article
Case Study
South Africa and Zambia – Prevalence Survey using OneStopTB Clinic
Read article
Case Study
Zambia – Intensified TB case finding with OneStopTB Clinic
Read article 
Case Study
South Africa, Zambia and Zimbabwe – Finding asymptomatic TB in high-risk groups with Delft Ultra & CAD4TB
Read articleWebinar sessions
Watch these webinar sessions to gain insights and learn from field experience.
Webinar
Practical Considerations for Conducting a TB Prevalence Survey Using the OneStopTB Platform in South Africa and Zambia
Watch webinar 
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We work alongside Ministries of Health, implementing partners, and healthcare providers to ensure solutions are aligned with national strategies and local healthcare systems.
João Pedro Neves
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