Of the 224 health workers, 55.4%(124) were male and the mean age was 32.6 ± 8.6 years. Regression analysis did not show TB case notification to increase with: the facility’s linkage to a public facility for TB notification; receiving suspected TB patients, nor having reporting tools. However, we found evidence indicating that the TB case notification was significantly lower among facilities that had no guide for TB screening and diagnosis (PR 0.50; 95%CI 0.25-0.97) and among facilities where the training of other health workers at the facility in TB diagnosis was unknown (PR 0.35; 95%CI 0.13-0.93). Qualitative data showed that while some health workers may know appropriate TB screening practices a few conduct them in line with guidelines. The main facilitators of TB case notification were; support supervision, engagement activities, motivation, and funding for community case-finding activities, while barriers included TB stigma, lack of TB training, and lack of diagnostic facilities.