Case Study

Uganda – Health Facility & Community Screening

Delft Light and CAD4TB in Uganda

TB screening was conducted in high-burden districts in Uganda through both health facilities and community outreach to improve TB detection in priority populations.

Facility-based TB screening

Health facilities in high TB burden districts conducted TB screening using digital chest X-ray.

Community outreach in TB hotspots

Mobile X-ray screening was deployed in TB hotspots and high-risk community settings.

X-ray–guided TB testing

Individuals with abnormal chest X-rays were evaluated using GeneXpert testing.

Result

At health facilities from Jane 2020 to May 2021,

1 ,308 individuals
were screened with X-ray
28 1 people
had abnormal X-ray findings
24 1 people
were tested by GeneXpert
3 5 people
were confirmed with TB

At community settings (in March 2021),

1 ,403 clients
were screened with X-ray
18 9 people
had abnormal X-ray and were tested by GeneXpert
1 2 people
were confirmed to have TB
Delft Light and CAD4TB in Uganda
Conclusion
  • “TB screening using mobile digital X-ray has higher yield of TB when used at health facilities, compared to community setting, especially among PLHIV and TB contact.”

REFERENCE: The 52nd UNION conference “Optimizing use of mobile digital X-ray with CAD4TB among populations at increased risk for TB to increase Tuberculosis case detection in Uganda”, Dr. Aldo Burua, the National Tuberculosis and Leprosy Program, Uganda