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The effect of the Covid-19 pandemic on Tuberculosis (TB) case notification in Ogun State, Nigeria


Olusoji J Daniel
Janet O Bamidele
Adekunle D Alabi
Musibau A Tijani
Callistus A Akinleye
Kolawole S Oritogun
Festus O Soyinka
Olusola A Adejumo

Abstract

Introduction: COVID-19 pandemic has resulted in disruptions in delivery of Tuberculosis services especially, in resource-limited settings. Provisional data by the WHO from 84 countries indicates that about 1.4 million fewer people received care for tuberculosis in 2020 than in 2019. This study assessed the effect of COVID-19 pandemic on tuberculosis case notification rates in Ogun state, Nigeria


Methods: A retrospective review of presumptive TB and diagnosed TB cases that were notified in 2019 and 2020. Analysis was done using Epi-info version 7.2.3.1. Level of statistical significance was p < 0.05


Results: A total of 3102 and 3326 confirmed cases were reported in 2019 and 2020 respectively with an increase of 7.2%. There was significant decline in total number of cases notified in Q2, 2020 compared to 2019 (p=0.001) with a significant increase in proportion of TB cases notified by private facilities from 11.65% in 2019 to 20.27% in 2020.


Conclusion: Total TB cases notified in Ogun state increased during the covid-19 pandemic. There was significant decline in TB cases during the lockdown but an increase in proportion of TB cases notified by private facilities demonstrating that private facilities can withstand disruptions to TB case notifications due to the Covid-19 pandemic.


Keywords: Tuberculosis; COVID-19; case notification; private-public mix; private sector.


Journal Identifiers


eISSN: 1729-0503
print ISSN: 1680-6905