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The World Health Organization (WHO) stresses the importance of active case-finding (ACF) for early detection of tuberculosis (T, especially in the 30 high-burden countries that account for almost 90% of cases globally. To describe the attitudes of National TB Programme (NTP) managers related to ACF policy development, implementation and scale-up in the 30 high-burden countries, and to review national TB strategic plans. This was a mixed-methods study with an embedded design A cross-sectional survey with NTP managers yielded quantitative and qualitative da