Nigeria with an estimated population of over 192 million people in 2018 and TB incidence rate of 219/100,000, ranks 6th among 30 high TB burden countries of the world. The National

Tuberculosis, Leprosy and Buruli ulcer Control Programme (NTBLCP) has continued to make progress in the control of TB, Leprosy and Buruli Ulcer in Nigeria annually. The NTBLCP in line with the national health strategic plan commenced implementation of the revised National Strategic Plan for Tuberculosis Control 2016 – 2020 and revised the National Strategic plan for Leprosy and Buruli Ulcer control 2016 – 2020 with the aim to reduce the prevalence of TB, Leprosy and Buruli Ulcer to levels where they no longer constitute public health concern in the country.

In 2018 NTBLCP rolled out strategic interventions such as Active case finding, Free chest X-ray for child TB cases and OPD screening in 10 states.

This end term review was conducted in light of both National and Global events that occurred during the life plan of the current review such as the 2017 Global Ministerial Conference on TB, resulting in the Moscow Declaration to end TB; the 2018 Africa Continental Accountability Framework for Action to end TB in Africa endorsed by Heads of states, and the request to WHO and the AU Commission to produce an annual scorecard to track its implementation; the 2018 UN General Assembly High Level Meeting on TB which resulted in the UNGA Political Declaration to End TB; the development and implementation (starting in 2019) of a multisectoral accountability framework to end TB and the 2019 Multisectoral Accountability Framework to End TB (TB MAF).

The Federal Ministry of Health (FMoH) of Nigeria requested the technical assistance of the World Health Organization (WHO) to conduct an epidemiological review of TB in the country in preparation for an upcoming review of the tuberculosis programme. The country mission took place from 6th to 17th January 2020. The review was conducted by four external reviews jointly with National Tuberculosis & Leprosy Control Programme (NTBLCP) staff.