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
{"title":"通过数据使用改善结核病病例通报和治疗覆盖率。","authors":"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","doi":"10.5588/pha.22.0001","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>This was a study on national TB data.</p><p><strong>Objective: </strong>To assess improvement in TB case notification and treatment coverage through improved data use for action in Nigeria.</p><p><strong>Design: </strong>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 χ<sup>2</sup> test for linear trends.</p><p><strong>Results: </strong>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 (<i>P</i> < 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 (<i>P</i> < 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 (<i>P</i> < 0.001). Treatment coverage rate increased from 24% in 2018 to 27% in 2019 and 30% in 2020.</p><p><strong>Conclusion: </strong>TB service expansion, improved monitoring and the use of data for decision making are key in increasing TB treatment coverage.</p>","PeriodicalId":46239,"journal":{"name":"Public Health Action","volume":null,"pages":null},"PeriodicalIF":1.3000,"publicationDate":"2022-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9484588/pdf/","citationCount":"0","resultStr":"{\"title\":\"Improving TB case notification and treatment coverage through data use.\",\"authors\":\"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\",\"doi\":\"10.5588/pha.22.0001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>This was a study on national TB data.</p><p><strong>Objective: </strong>To assess improvement in TB case notification and treatment coverage through improved data use for action in Nigeria.</p><p><strong>Design: </strong>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 χ<sup>2</sup> test for linear trends.</p><p><strong>Results: </strong>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 (<i>P</i> < 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 (<i>P</i> < 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 (<i>P</i> < 0.001). Treatment coverage rate increased from 24% in 2018 to 27% in 2019 and 30% in 2020.</p><p><strong>Conclusion: </strong>TB service expansion, improved monitoring and the use of data for decision making are key in increasing TB treatment coverage.</p>\",\"PeriodicalId\":46239,\"journal\":{\"name\":\"Public Health Action\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2022-09-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9484588/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Public Health Action\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5588/pha.22.0001\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"RESPIRATORY SYSTEM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Public Health Action","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5588/pha.22.0001","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"RESPIRATORY SYSTEM","Score":null,"Total":0}
Improving TB case notification and treatment coverage through data use.
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.
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.