Improving TB case notification and treatment coverage through data use
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.
Document Type: Research Article
Affiliations: 1: National Tuberculosis, Leprosy and Buruli Ulcer Control Programme, Abuja, Nigeria 2: World Health Organization Country Office, Nigeria 3: Bingham University, New Karu, Nigeria 4: University of Nigeria Teaching Hospital, Ituku Ozalla, Enugu, Nigeria 5: The Global Funds to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland
Publication date: September 21, 2022
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