Assessment of TB underreporting by level of reporting system in Lagos, Nigeria.

IF 1.3 Q4 RESPIRATORY SYSTEM Public Health Action Pub Date : 2022-09-21 DOI:10.5588/pha.22.0008

M Gidado, E M H Mitchell, A O Adejumo, J Levy, O Emperor, A Lawson, N Chukwueme, H Abdur-Razak, A Idris, A Adebowale

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引用次数: 3

Abstract

Background: Nigeria has an estimated TB prevalence of 219 per 100,000 population. In 2019, Nigeria diagnosed and notified 27% of the WHO-estimated cases of all forms of TB and contributed 11% of the missing TB cases globally.

Objective: To assess TB underreporting by type and level of health facility (HF), and associated factors in Lagos State, Nigeria.

Methodology: Quantitative secondary data analysis of TB cases was conducted in 2015. χ² test was used to assess the association between treatment initiation, TB underreporting, local government area (LGA) and HF characteristics.

Results: Overall, 2,064 persons with bacteriologically confirmed TB (15.5%) were not matched to patients in sampled TB registers. Treatment status was unknown for 86 cases (IQR 55-97) per LGA. LGAs with higher case-loads had higher proportions of cases with unknown TB status. Discrepant reporting of treated TB was also common (60% HFs). Primary-level TB treatment facilities and unengaged private facilities were less likely to notify.

Conclusion: There was TB under-reporting across all types and levels of HFs and LGAs. There is a need to revise or strengthen the process of supervision and data quality assurance system at all levels.

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尼日利亚拉各斯按报告系统级别对结核病漏报情况的评估。

背景:尼日利亚的结核病患病率估计为每10万人中有219人。2019年，尼日利亚诊断并通报了世卫组织估计的所有形式结核病病例的27%，占全球失踪结核病病例的11%。目的:评估尼日利亚拉各斯州按卫生设施类型和水平及其相关因素划分的结核病漏报情况。方法:对2015年结核病病例进行定量二次数据分析。采用χ2检验评估治疗开始、结核病漏报、地方政府面积(LGA)与HF特征之间的相关性。结果:总体而言，2,064名细菌学证实的结核病患者(15.5%)与抽样结核病登记册中的患者不匹配。每个LGA有86例(IQR 55-97)的治疗状况未知。病例负荷较高的地方行政区，结核病状况不明的病例比例较高。治疗后结核病的差异报告也很常见(60%的HFs)。初级结核病治疗机构和未参与的私人机构通报的可能性较低。结论:在所有类型和水平的HFs和LGAs中都存在结核病漏报。有必要修改或加强各级过程监督和数据质量保证体系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Public Health Action RESPIRATORY SYSTEM-

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期刊介绍： Launched on 1 May 2011, Public Health Action (PHA) is an official publication of the International Union Against Tuberculosis and Lung Disease (The Union). It is an open access, online journal available world-wide to physicians, health workers, researchers, professors, students and decision-makers, including public health centres, medical, university and pharmaceutical libraries, hospitals, clinics, foundations and institutions. PHA is a peer-reviewed scholarly journal that actively encourages, communicates and reports new knowledge, dialogue and controversy in health systems and services for people in vulnerable and resource-limited communities — all topics that reflect the mission of The Union, Health solutions for the poor.