Improving TB care and prevention in rural South Africa

SAIA-TB: Using the Systems Analysis and Improvement Approach (SAIA) to prevent TB in rural South Africa

NIH-funded research Boston College · NIH-11503046

This project will use a clinic-level systems approach to strengthen TB screening, treatment, and prevention for people in rural South Africa, especially household contacts and people living with HIV.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionBoston College NIH-funded
Lab location1 site (Chestnut Hill, United States)
Project IDNIH-11503046 on NIH RePORTER

What this research studies

If I live in rural South Africa, this project will help clinics use simple tools to find and follow people with TB and support home visits to screen household members. The team adapts a systems approach called SAIA to map where people are lost in care and changes clinic steps to close those gaps. They will work with local clinics and health workers to pilot the approach and measure whether more people are diagnosed, start treatment, and complete care, including preventive therapy for those at risk. The goal is to reduce missed diagnoses and stop TB from spreading in communities.

Who could benefit from this research

Good fit: Ideal participants are people in rural South Africa who are household contacts of someone with TB, people living with HIV, and patients attending participating local clinics.

Not a fit: People outside the participating clinics or regions, those in urban areas not included in the project, or individuals unable to engage with clinic or home-visit activities may not directly benefit.

Why it matters

Potential benefit: If successful, more people could be diagnosed and complete TB treatment or receive preventive care, reducing illness and transmission in rural communities.

How similar studies have performed: SAIA and related systems approaches have improved HIV and other care cascades in prior trials, so this builds on promising implementation work.

Where this research is happening

Chestnut Hill, 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 Acquired Immune Deficiency Syndrome VirusAcquired Immunodeficiency Syndrome Virus
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.