Ex Post-Evaluation Brief Nigeria: Leprosy and TB Control Programme Project description: The programme intended to implement a comprehensive leprosy and tuberculosis (TB) control comprising 14 federal states in collaboration with the German Leprosy and Tuberculosis

Overall, the programme is attested satisfactory efficacy. At appraisal stage TB and leprosy prevalencies in Nigeria were very high and, accordingly, the programme was highly relevant. In the course of implementation, only limited results were achieved, despite the measures carried out. Case detection rates for both diseases fall far short of the targets recommended by WHO. The allocative efficiency of the programme is consequently unsatisfactory. Sustainability is only assured to a limited extent as TB and leprosy control is still heavily dependent on external funding. Objectives: The overall objective (impact) was to make a contribution to improving the health of leprosy and TB patients (measured by the decline in the incidence of both diseases, TB mortality and disabilities caused by leprosy). The programme objectives were defined as the improved registration and treatment of leprosy and TB cases (indicators: raising case detection and treatment completion rates).