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Reflecting on tuberculosis case notification and treatment outcomes in the Volta region of Ghana:a retrospective pool analysis of a multicentre cohort from 2013 to 2017

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Global Health Research and Policy 2019年第1期4卷 1-13页

作者： Eric Osei Samuel Oppong Daniel Adanfo Bless Ativor Doepe Andrews Owusu Augustine Goma Kupour Joyce Der Department of Population and Behavioural Sciences School of Public HealthUniversity of Health and Allied SciencesHoGhana Department of Epidemiology School of Public HealthUniversity of Health and Allied SciencesHoGhana

Background:Tuberculosis(TB)remains a petrified condition with a huge economic and health impact on families and health systems in *** of TB programme performance indicators can provide reliable data for direct measurement of TB incidence and *** study reflects on the trends of TB case notification and treatment outcomes and makes comparison among 10 districts of the Volta region of ***:This was a retrospective analysis of surveillance data of a cohort of TB cases from 2013 to *** of case notification and treatment outcomes were examined and *** regression was used to determine the independent relationship between patients and disease characteristics and unsuccessful treatment *** ratios,95%confidence intervals and p-values were ***:A gradual declining trend of case notification of all forms of TB was noticed,with an overall case notification rate(CNR)of 65 cases per 100,000 population during the period.A wide variation of case notification of TB was observed among the districts,ranging from 32 to 124 cases per 100,000 ***,treatment success rate decreased slightly from 83.1%during the first year to 80.2%in 2017,with an overall treatment success rate of 82.5%(95%CI:81.3-83.8%).Treatment failure,death,and lost to follow up rates were 0.8%(range 0.5-1.2%),13.5%(range 12.4-14.7%),and 3.1%(range 2.6-3.8%)*** treatment success rate among districts ranged from 70.5%in South Tongu to 90.8%in Krachi West *** after treatment interruption(Adjusted odds ratio[AOR]:3.62;95%CI:1.66-7.91;Pcase notification and successful treatment outcomes did not significantly *** district variations in CNR was *** overall treatment success rate observed in this study is below the target of>90%set by the World Health Organiz

关键词： Tuberculosis case notification Treatment outcomes Volta region Ghana

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Strategic Engagement of Private Facilities to Increase Public-Private Mix (PPM) Contribution to Nigeria Tuberculosis case notification

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Journal of Tuberculosis Research 2022年第3期10卷 99-110页

作者： Obioma Chijioke-Akaniro Emperor Ubochioma Amos Omoniyi Oluwafunmilayo Omosebi Olawumi Olarewaju Mary Etolue Sunday Asuke Elias Aniwada Anyaele Uwaezuoke Ndubuisi Victor Ombeka Aderonke Agbaje Adebola Lawanson Chukwuma Anyaike National Tuberculosis Leprosy and Buruli Ulcer Control Programme (NTBLCP) FCT Nigeria World Health Organisation (WHO) FCT Nigeria Bingham University Karu Nigeria University of Nigeria Nsukka Nigeria Institute of Human Virology Nigeria FCT Nigeria

Introduction: Finding the missing Tuberculosis (TB) cases remains the single most important priority for TB control in Nigeria. Between 66% - 92% of all cases of respiratory diseases including those with symptoms suggestive of TB are first seen byprivate health providers. Dependable, quality surveillance systems and notification are key roles in health services delivery, particularly as it is related to TB control. However, poor notification has been a challenge. This study was to assess the contribution of the public private mix (PPM) to Nigeria Tuberculosis national case notification. Methods: It was a national cross-sectional study. Data were extracted from the National database and reviewed. Private facilities were engaged in 2017 and assessed over 2018-2020. Interventions included: enrolling private practitioners (Private-For-Profit, Faith Based Organization, Private Medicine Vendors and Community Pharmacists), engaging a private standalone Laboratory for Gene Xpert testing within the network of private facilities, use of Mobile App for easy screening and reporting, instituting a HUB and spoke, and incentives to private providers for participating. Each private provider had a customized approach. Trend analysis was performed using Cochran-Armitage χ2 test for linear trends. Level of significance was at a p value of Results: Total case notification increased from 104,904 cases in 2017 to 138,591 in 2020. There were 2.0% increase in 2018, 13.0% in 2019 and 15.0% in 2020 (p case notification increased from 10,699 cases in 2017 to 12,625 in 2018, then 17,250 in 2019 and 38,865 in 2020. There were 18.0% increase in 2018, 36.6% in 2019 and 125.3% increase in 2020 (p ). Conclusion: Effective engagement of the private sector in TB control efforts in Nigeria using a variety of approaches resulting in improved TB notification is possible. The National TB Programme should engage all private practitioners such that each practitioner

关键词： Strategic Engagement Public-Private Mix case notification Tuberculosis Nigeria

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Tuberculosis case notification and Treatment Outcomes in West Gojjam Zone, Northwest Ethiopia: A Five-Year Retrospective Study

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Journal of Tuberculosis Research 2016年第1期4卷 23-33页

作者： Senedu B. Gebreegziabher Solomon A. Yimer Gunnar A. Bjune Amhara Regional State Health Bureau Bahir Dar Ethiopia Department of Community Medicine Institute of Health and Society University of Oslo Oslo Norway Oslo University Hospital Oslo Norway Department of Bacteriology and Immunology Division of Infectious Disease Control Norwegian Institute of Public Health Oslo Norway

Introduction: Tuberculosis (TB) is a major public health concern in Ethiopia. Analysis of TB case notification and treatment outcomes is crucial to understand the TB control program performance. The current study was carried out to assess trends of TB case notifications, treatment success rate and factors associated with unsuccessful treatment outcome among TB patients in West Gojjam Zone of Amhara Region, Ethiopia. Method: A retrospective cohort study was conducted in West Gojjam Zone. Demographic and clinical data were reviewed for all TB patients registered between July 2007 and June 2012 at 30 randomly selected public health facilities of the study zone. In addition, annual case notification reports of the study zone were used to analyze trends in TB case notifications. Logistic regression analysis was used to assess the association between potential predictor variables and unsuccessful treatment outcomes. Results: Tuberculosis case notification for all forms of TB decreased from 203/100,000 population in 2007 to 155/100,000 population in 2012. Among patients whose treatment outcomes were evaluated, 94.4% were successfully treated, 0.3% had treatment failure, 1.5% defaulted and 3.7% died. In multivariate analysis, the odds of unsuccessful treatment outcome was higher among retreatment cases than new cases (adjusted OR, 3.44;95% CI: 1.92, 6.19). HIV co-infected cases were more likely to have unsuccessful treatment outcome compared to HIV negatives (adjusted OR, 2.68;95% CI: 1.92, 3.72). Conclusion: Tuberculosis case notification rates showed a decreasing trend between 2007 and 2012. The treatment success rate exceeded the 90% treatment success rate target as set by the WHO. Special attention is required for patients with high risk of unsuccessful treatment outcome. Therefore, retreatment cases, and HIV positive cases need strict follow up throughout their treatment period.

关键词： Tuberculosis case notification Treatment Outcome Ethiopia

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