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In 2023-2024, the National TB Programmes in Uganda and Zimbabwe and The Union conducted an implementation research project in six health facilities in each country to optimise household TB contact management through a comprehensive package of services.
The services included home visits to index patients’ households, screening of all household contacts (HHC) for TB symptoms, sputum collection on-the-spot from those found symptomatic and offer of rapid HIV testing. All HHC - symptomatic or not - were referred for a free chest X-ray (CXR) with a transport cost reimbursement.
Contacts found to have TB were initiated on TB treatment. Those without TB and who were eligible, were offered TPT.