The TB Surge intervention: an optimized approach to TB case-finding in Nigeria

IF 1.3 Q4 RESPIRATORY SYSTEM

Public Health Action Pub Date : 2023-12-01 DOI:10.5588/pha.23.0039

O. Chukwuogo, C. Ogoamaka, O. Bethrand, U. Lotanna, O. Chidubem, U. Sani, N. Nkiru, B. Mamman, E. Daniel, O. Chijioke, N. Oloruntobi, I. Austin, N. Debby, E. Rupert, O. Omosalewa, U. Emperor, A. Chukwuma

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Abstract

INTRODUCTION: TB remains one of the leading causes of death in Nigeria, and despite progress in treatment coverage, a 56% gap in national case notifications remains. This gap is attributable in part to underdiagnosis due to missed cases in health facilities. The TB Surge intervention presented an opportunity to address barriers to optimal case detection in public health facilities. METHODS: KNCV Nigeria implemented the TB Surge intervention under the USAID-funded TB-LON Project in 1,041 public facilities from June 2020 to September 2022. Trained ad-hoc staff screened hospital attendees, linked identified presumptive TB cases to diagnosis and confirmed TB cases to treatment. Data were reported using the Commcare application. Robust project monitoring was used to address gaps. RESULTS: Of a total of 12,195,874 hospital attendees screened for TB, 729,369 identified as presumptive TB were tested and 65,029 TB cases were diagnosed; 8% of the TB cases were children. Overall TB yield was 9%. Medical ward service delivery point had the highest TB yield of 21%. The number needed to test was 11 and the number needed to screen was 188. CONCLUSION: The TB Surge intervention was of strategic importance in addressing missed cases and barriers to prompt TB diagnosis in health facilities.

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结核病突发干预：尼日利亚结核病病例调查的优化方法

在尼日利亚，结核病仍然是导致死亡的主要原因之一，尽管在治疗覆盖率方面取得了进展，但在全国病例通报方面仍然存在56%的差距。造成这一差距的部分原因是由于卫生设施的漏诊病例导致诊断不足。结核病激增干预措施提供了一个机会，以解决公共卫生设施中实现最佳病例发现的障碍。方法:从2020年6月到2022年9月，KNCV尼日利亚在美国国际开发署资助的TB- lon项目下在1041个公共设施中实施了结核病激增干预。训练有素的临时工作人员筛选医院就诊人员，将已确定的推定结核病病例与诊断联系起来，将确诊结核病病例与治疗联系起来。使用Commcare应用程序报告数据。采用了强有力的项目监测来解决差距。结果:在接受结核病筛查的12,195,874名医院参与者中，检测了729,369例推定结核病，诊断了65,029例结核病病例;8%的结核病病例是儿童。结核病总产量为9%。病房服务提供点结核病发病率最高，达21%。需要测试的人数是11，需要筛选的人数是188。结论:结核病激增干预在解决卫生机构遗漏病例和及时诊断结核病障碍方面具有战略意义。

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.