Chijioke-Akaniro OO, Ubochioma E, Omoniyi A, Fashade O, Olarewaju O, Asuke S, Aniwada EC, Uwaezuoke AN, Sseskitooleko J, Workneh N, Masini E, Morris B, Lawanson A, Anyaike C. Improving TB case notification and treatment coverage through data use.
Public Health Action 2022;
12:128-132. [PMID:
36160725 PMCID:
PMC9484588 DOI:
10.5588/pha.22.0001]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2022] [Accepted: 07/02/2022] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND:
This was a study on national TB data.
OBJECTIVE:
To assess improvement in TB case notification and treatment coverage through improved data use for action in Nigeria
DESIGN:
We analysed pre- and post-intervention secondary TB programme data comprising data on increased supervisory visits, incentives for health workers, DOTS expansion, outreaches and geo-code monitoring. Trend analysis was performed using Cochran-Armitage χ2 test for linear trends.
RESULTS:
Case-finding increased from 104,904 cases in 2017 to 138,591 in 2020. There was an increase of 2.0% from 2017 to 2018, 13.0% in 2018 to 2019 and 15.0% in 2019 to 2020 (P < 0.001). Facility DOTS coverage increased from 7,389 facilities in 2017 to 17,699 in 2020. There was an increase of 30.0% in 2018, 31.0% in 2019 and 40.0% in 2020 (P < 0.001). The number of reporting facilities increased from 5,854 in 2017 to 12,775 in 2020. Compared with 2017, there were an increase of 20.0% in 2018, 38.0% in 2019 and 32.0% in 2020 (P < 0.001). Treatment coverage rate increased from 24% in 2018 to 27% in 2019 and 30% in 2020.
CONCLUSION:
TB service expansion, improved monitoring and the use of data for decision making are key in increasing TB treatment coverage.
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