Operational indicators for pulmonary tuberculosis diagnosis in people living with HIV before and after Xpert MTB/RIF implementation in the state of São Paulo, Brazil.

Fig 1 illustrates that the coverage of Xpert gradually increased after 2014 in the state (represented by the pink line) and the NC-PTB diagnosis rate (green line) showed a decreasing trend during the study period, and more intense between late 2015 and mid-2017.

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The municipalities of Bauru and Guarulhos showed an increasing trend in NC-PTB diagnosis, but with a very irregular performance over the period, fluctuating with both increases and decreases in the rate.

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