Implementation of evidence-based multiple focus integrated intensified TB screening to end TB (EXIT-TB) package in East Africa: a qualitative study

Authors: Kahabi Isangula, Doreen Philbert, Florence Ngari, Tigest Ajeme, Godfather Kimaro, Getnet Yimer, Nicholaus P Mnyambwa, Winters Muttamba, Irene Najjingo, Aman Wilfred, Johnson Mshiu, Bruce Kirenga, Steve Wandiga, Blandina Theophil Mmbaga, Francis Donard, Douglas Okelloh, Benson Mtesha, Hussen Mohammed, Hadija Semvua, James Ngocho, Sayoki Mfinanga, Esther Ngadaya

The purpose of this paper was to present the accounts of participants from Tanzania, Kenya, Uganda, and Ethiopia regarding the implementation of EXIT-TB, and suggestions for scaling up the initiative. EXIT-TB is an evidence-based, multiple focus integrated intensified TB screening package in the East African region, aimed at increasing TB case detection and the number of patients receiving care. A qualitative study design was utilized to gather insights from purposefully selected healthcare workers, CHWs, and other stakeholders. The results demonstrated that the EXIT-TB project contributed to increased TB case detection, improved detection of multidrug-resistant TB, reduced delays and waiting time for diagnosis, and improved decision-making among CHWs. These findings suggest that programs like the EXIT-TB package may be an effective strategy to increase TB case detection, reduce delays in TB treatment, and increase the overall work capacity of healthcare workers and CHWs.