Background: Delay inTuberculosis (TB) diagnosis can contribute to late
presentation, severe disease, and
continued transmission. KNCV TB Foundation Nigeria through the United States
Agency for International Development (USAID) funded the TB Local Organization Network (LON) 1and 2
projects that explored
the availability of Tuberculosis services based on sector and levels of care. Methods: TB Patient Pathway Analysis was carried out in 14
states comprising 92 facilities. It involved primary, secondary, and tertiary
levels of health care in both the public and
private sectors. This was a cross-sectional study under program implementation.
Proforma was used to collect data on the available TB diagnostic services. Results: In public health facilities, GeneXpert was available at 100% in tertiary
facilities in 8 (57%) states; up to 82% in 4 (33%) states, 50% available at
secondary facilities in 2 states, and < 2% in 5 states. There is none at the primary facilities. Smear
microscopy was available at 100% in
tertiary facilities in 9 (64%) states and 3 (25%) states have 50% to 82%; secondary -10 (71%) states have > 70% at facilities; primary 1(7%) state has it in 61%
of facilities. Loop-mediated isothermal amplification (TB-LAMP) in tertiary 2(17%) states have 20% and
100% respectively; secondary 4
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