Through close collaboration with the MOH and the National TB Programme, CIDRZ has scaled up screening, diagnosis and management of TB in 337 clinic sites in 12 districts in Lusaka, Western, Southern and Eastern provinces.
A key focus has been to improve the linkage between ART and TB services to increase screening and treatment initiation for both infections.
Introduction of Provider Initiated HIV Testing and Counseling (PITC) into TB Corners and Clinic Outpatient Departments received over 90% acceptance, ensuring that HIV-infected TB patients were rapidly linked to HIV care and treatment.
CIDRZ has also provided screening to other vulnerable populations through integration of routine TB screening of pregnant women in Maternal Child Health clinics, and initiation of a TB screening pilot in 6 Prisons in Lusaka Province.
CIDRZ has also been instrumental in piloting more sensitive and rapid TB diagnostic technology (Xpert MTB/RIF) for use in both rural, urban and prison settings.
CIDRZ Mycobacteriology Laboratory
The TB Lab is a regional reference facility with both culture and molecular diagnostic capacity that can process up to 16,000 primary specimens per year. Diagnostic modalities available include: fluorescence and ZN smear microscopy, liquid (MGIT 960) and solid (LJ) culture, line probe assay for rapid identification of mycobacterium and drug susceptibility testing, blood culture capacity, and first and second line drug susceptibility testing using liquid culture as well as Gene Xpert MTB/RIF.
Since 2007, the CIDRZ TB Department has trained almost 1900 healthcare workers in PITC, TB and HIV management and chest x-ray interpretation.
Our TB Department staff has extensive experience conducting TB and HIV trainings for community members, volunteer treatment supporters, peer educators and clinicians. We are also working with partners to develop an e-learning programme for X-ray interpretation.