Hotspot outreach versus clinic screening to find tuberculosis in Uganda

Hotspot versus clinic-based active case finding for TB in Uganda: A pragmatic randomized trial

NIH-funded research Johns Hopkins University · NIH-11291229

This project compares two ways of finding people with tuberculosis in Ugandan communities—targeted outreach in high-risk hotspots or screening at clinics—to find and help people who may not know they have TB.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionJohns Hopkins University NIH-funded
Lab location1 site (Baltimore, United States)
Project IDNIH-11291229 on NIH RePORTER

What this research studies

You would be part of work that sends teams into selected high-risk neighborhoods (hotspots) or offers extra screening at clinics to find people with undiagnosed TB. Mobile chest X-rays read with AI and follow-up diagnostic tests would be used to identify TB quickly. People found to have TB would be offered treatment and others who are eligible could be offered short-course preventive therapy. The project randomly assigns communities or clinics to the two approaches and tracks which method finds more TB and links people to care and prevention.

Who could benefit from this research

Good fit: Ideal candidates are people living in the participating Ugandan communities or visiting the participating clinics, especially those with TB symptoms or known exposure to TB.

Not a fit: People who live outside the selected study areas, are already on TB treatment, or have conditions unrelated to TB are unlikely to benefit directly from participation.

Why it matters

Potential benefit: If successful, this could find more people with undiagnosed TB sooner and expand access to preventive therapy, lowering illness and transmission in the community.

How similar studies have performed: Previous active case-finding efforts in Vietnam and Zimbabwe showed that intensive outreach can reduce TB burden, and this project builds on that by adding mobile X-rays, AI reading, and linkage to preventive therapy.

Where this research is happening

Baltimore, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Communicable DiseasesCoronavirus Infectious Disease 2019
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.