TUBERCULOSIS CONTROL IN SECURITY CHALLENGED STATES OF NORTH-EAST NIGERIA. ARE THERE SIGNIFICANT IMPACT?

Gidado M, Obasanya J.O, Onazi J, Eneogu R, Chukwueme N, Joseph K, Useni S, Adejumo A. O.

Available online Jul 19, 2018.

[ Original ] Volume 24, Issue 2, 2015, Pages 155-161


Abstract

BACKGROUND
Nigeria in the past few years is faced with various security challenges in different parts of the country.The most severe in the last three
years has been the crisis in northern Nigeria and specifically the north-eastern States, where three of the States have been under
emergency rule for a year.Health care delivery system is usually one of the major casualties in a security challenged environment leading
to unavailability or low utilization of services.The aim of this paper is to share the experience of TB services in states under emergency
rule.
METHODOLOGY
A retrospective review of program data (reportable indicators for TB case finding,TB/HIV and treatment outcome for periods of eight
years (2006-2013) comparing national data with north-east and the three states most affected by security challenges (Borno,Adamawa &
Yobe).
RESULTS
A national positive trend on case notification for all forms of TB and smear positive, with a declined in 2011 but generally the case
notification has remain low (59/100,000 in 2013 compared to estimated prevalence of 338/100,000).North east data is a negative trend
for case notification and this is worse for 2 states (Borno and Yobe) while Adamawa shows and increase CNR from 2012 because of TB
Reach active case finding.Treatment success rate has a positive trend both national,north east states and in the 3 challenged states (TSR
above 84%).TB/HIV indicators for north east are 81%, 75%, and 58% for HCT, CPT and ART respectively, these figures has serious
fluctuations within and among the three security challenged states with Borno most affected.
CONCLUSIONS
Insecurity can pose a challenge for TB control activities especially case finding, therefore the need for innovative approaches for case
finding in areas of insecurity. Chronic infectious diseases like TB and HIV should be incorporated into emergency responses offered by
organisations and agencies for internally displaced persons.


Keywords

Case notification, insecurity, TB and TB/HIV indicators,