Improving TB case notification and treatment coverage through data use.

IF 1.3 Q4 RESPIRATORY SYSTEM Public Health Action Pub Date : 2022-09-21 DOI:10.5588/pha.22.0001

O O Chijioke-Akaniro, E Ubochioma, A Omoniyi, O Fashade, O Olarewaju, S Asuke, E C Aniwada, A N Uwaezuoke, J Sseskitooleko, N Workneh, E Masini, B Morris, A Lawanson, C Anyaike

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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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通过数据使用改善结核病病例通报和治疗覆盖率。

背景:这是一项关于国家结核病数据的研究。目的:通过改进数据使用来评估尼日利亚结核病病例报告和治疗覆盖率的改善情况。设计:我们分析了干预前和干预后的继发性结核病规划数据，包括增加监督访问、卫生工作者激励、DOTS扩展、外展和地理编码监测的数据。对线性趋势采用Cochran-Armitage χ2检验进行趋势分析。结果:病例发现从2017年的104,904例增加到2020年的138,591例。2017 - 2018年增长2.0%，2018 - 2019年增长13.0%，2019 - 2020年增长15.0% (P < 0.001)。DOTS覆盖范围从2017年的7389个设施增加到2020年的17699个设施。2018年增长30.0%，2019年增长31.0%，2020年增长40.0% (P < 0.001)。报告设施从2017年的5854个增加到2020年的12775个。与2017年相比，2018年增长20.0%，2019年增长38.0%，2020年增长32.0% (P < 0.001)。治疗覆盖率从2018年的24%提高到2019年的27%和2020年的30%。结论:扩大结核病服务、改进监测和利用数据进行决策是提高结核病治疗覆盖率的关键。

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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.