AI had good accuracy in detecting confirmed and unconfirmed paediatric PTB using CXRs. CXRs from children with previous history of TB were more prone to have inaccurate AI results. Accuracy was not affected by age, gender and contact history.

AI-enabled tools strengthen TB surveillance and patient management by optimizing existing workflows, improving real-time care coordination, and operational efficiency across PPSA agencies and the NTEP, without requiring additional infrastructure investments.

CAD was integrated within the PPSA initiative to facilitate intensified TB case finding in private hospitals using Chest X-rays. A significant increase in TB notifications was observed from these facilities at the end of the intervention period, thus showing promise for scale up of this approach at national level to improve yield and patient outcomes.