Expanding DOTS to the remaining 17 states in the country, including the Federal Capital Territory, is the most pressing one. Quality assurance mechanisms are needed urgently. An effective information system is also required to facilitate planning and keep track of patients and their progress. As the TB service expands, training needs also increase. However, the central unit is short-staffed and lacks funding.
National funding is also in very short supply.
In short, Nigeria has a long way to go in order to seriously address the challenges posed by TBand to reach nationwide DOTS coverage and cure rate targets. Government commitment is increasingly strong as DOTS success becomes known. Integration with PHC system is a way to move forward. Partnership expansion is vital to building a demand for services and for bringing new resources for effective coverage given the size of the country. Technical assistance is required for TB advocacy, and the development of a reference laboratory and a TB information management system.