Tuberculosis Notification Surveillance System Evaluation in Bulilima District Zimbabwe, 2020

ntroduction: The World Health Organisation (WHO) recommends the detection of 90% of WHO´s estimated TB incidence. In 2020 Bulilima District detected 31% of Zimbabwe`s estimated incidence thereby failing to meet the WHO detection target. Low TB case detection negatively impacts patient management and TB programming. We assessed TB surveillance system attributes and determined the reasons for low TB case notification in Bulilima District. Methods: We conducted a descriptive cross-sectional study among 91 health workers involved in TB programming in all 16 health facilities in Bulilima District using updated US CDC guidelines for evaluation of the public health surveillance system, including document/records review and secondary data analysis.