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Peer-Reviewed Publication
PLOS Glob Public Health2026;6(7):e0006874.January 1, 2026Journal Article

A mixed-method evaluation of the impact of introducing 52 digital X-ray systems in Ghanaian health facilities on tuberculosis case finding and quality of care.

Mirjam I Bakker1, John K Krugu2, Christina Mergenthaler1, Yaw Adusi-Poku3, Rita Patricia Frimpong Amenyo3, Bernard Wadie Adu3, Felix Kwami Afutu3, Mawuko Mensah3, Zeleke Alebachew3, Robert Asambobillah2, Benjamin Apam2, Chantale Lakis1, Maurits Verhagen4, Nwanneka Okere1
1KIT Royal Tropical Institute, Global Health, Amsterdam, The Netherlands.
2Design Health Consult Ltd, Accra, Ghana.
3National TB Program, Ministry of Health, Accra, Ghana.
4Delft Imaging, 's Hertogenbosch, The Netherlands.

Abstract

Between end 2016 and early 2018, 52 digital X-ray systems were installed in public health facilities across Ghana under the ORIO program, funded by the Dutch Ministry of Foreign Affairs and the Government of Ghana. The project aimed to detect more people with TB by expanding access to digital radiology, supported by training, maintenance, and project management. This evaluation assessed the projec…

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