Nigeria ranks first in Africa and sixth in the world, accounting for about 4.8% of the global TB burden

An estimated 15 Nigerians die each hour due to TB, equivalent to about 347 deaths daily, 10,417 monthly

and 125,000 in a year.

• Nigeria’s estimated TB incidence rate was approximately 219 cases per 100,000 population, according to WHO data. In 2024, the WHO estimated that approximately 510,000 people developed TB in Nigeria, including 61,000 children. According to the NTBLCP 2023 Annual Report, Nigeria had an estimated 492,743 TB cases in 2023, of which 371,019 were notified, leaving approximately 24.7% of estimated cases unidentified or unnotified. This represents progress in closing the gap between estimated TB incidence and reported cases, although continued efforts are needed to ensure that everyone with TB is diagnosed and linked to treatment.

• In 2021, Nigeria notified 2,975 drug-resistant TB (DR-TB) cases against an estimated 21,000, leaving a case-finding gap of approximately 86%. In 2022, notifications increased to 3,932 against a revised estimate of 15,000, reducing the estimated gap to approximately 74%.

• Directly Observed Treatment short course (DOTs) clinics for TB treatment and care are available

  in up to 50% of health facilities in Nigeria, only 9% of these have facilities for laboratory diagnosis of TB

  infection and disease.

• TB Disease is often more severe in children less than 15 years, with higher mortality amongst those less

  than 5 years. The notification of children with active disease and latent TB has remained abysmally low,

  accounting for just 6% (out of the country’s total of 450,000) of all forms of notified TB cases in 2021.

• Only about 11% of children with TB disease out of the estimated country total of 77,000 cases were

  notified in 2021 by the NTBLCP.

• Of the $373 million needed for TB control in Nigeria in the year 2020, only 31% was available to all the

  implementers of TB control activities in Nigeria (7% domestic and 24% donor funds), with a 69% funding gap. The 7% domestic contribution is mainly for personnel.