ArticleConflict and health2018
Conflict and tuberculosis in Sudan: a 10-year review of the National Tuberculosis Programme, 2004-2014.
Article in Conflict and health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impacts of armed conflicts on tuberculosis burden and treatment outcomes: a systematic review.BMJ open · 2024Pooled it
- Prevalence of extrapulmonary tuberculosis in Indonesia: protocol for systematic review and meta-analysis.BMJ open · 2025Article
- Analysis of the impact of crises tuberculosis incidence in Ukraine amid pandemics and war.Scientific reports · 2025Article
- Patterns and determinants of healthcare utilization and medication use before and during the COVID-19 crisis in Afghanistan, Bangladesh, and India.BMC health services research · 2024Article
- Global, regional and national trends in tuberculosis incidence and main risk factors: a study using data from 2000 to 2021.BMC public health · 2024Article
- Fungal infections in Sudan: An underestimated health problem.PLoS neglected tropical diseases · 2023Article
- Misconceptions and associated factors of COVID-19 infection among internally displaced persons in Sudan.Journal of public health in Africa · 2022Article
- Exploring Challenges to COVID-19 Vaccination in the Darfur Region of Sudan.The American journal of tropical medicine and hygiene · 2021Article
- Perspectives of Vietnamese, Sudanese and South Sudanese immigrants on targeting migrant communities for latent tuberculosis screening and treatment in low-incidence settings: A report on two Victorian community panels.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- Impact of political conflict on tuberculosis notifications in North-east Nigeria, Adamawa State: a 7-year retrospective analysis.BMJ open · 2020Article
- GeneXpert and Community Health Workers Supported Patient Tracing for Tuberculosis Diagnosis in Conflict-Affected Border Areas in India.Tropical medicine and infectious disease · 2019Article
- Isoniazid acetylation phenotypes in the Sudanese population; findings and implications.Journal of clinical tuberculosis and other mycobacterial diseases · 2019Article
- Predictors of Multidrug-Resistant Tuberculosis (MDR-TB) in Sudan.Antibiotics (Basel, Switzerland) · 2019Article
- Assessment of the risk factors associated with multidrug-resistant tuberculosis in Sudan: a case-control study.Epidemiology and health · 2019Article
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7 authors.
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Abstract
backgroundSudan is a fragile developing country, with a low expenditure on health. It has been subjected to ongoing conflicts ever since 1956, with the Darfur crisis peaking in 2004. The conflict, in combination with the weak infrastructure, can lead to poor access to healthcare. Hence, this can cause an increased risk of infection, greater morbidity and mortality from tuberculosis (TB), especially amongst the poor, displaced and refugee populations. This study will be the first to describe TB case notifications, characteristics and outcomes over a ten-year period in Darfur in comparison with the non-conflict Eastern zones within Sudan.
methodsA cross-sectional review of the National Tuberculosis Programme (NTP) data from 2004 to 2014 comparing the Darfur conflict zone with the non-conflict eastern zone.
resultsNew case notifications were 52% lower in the conflict zone (21,131) compared to the non-conflict zone (43,826). Smear-positive pulmonary TB (PTB) in the conflict zone constituted 63% of all notified cases, compared to the non-conflict zone of 32% (
conclusionA low TB case notification was found in the conflict zone from 2004 to 2014. High loss to follow up and falling treatment success rates were found in both conflict and non-conflict zones, which represents a significant public health risk. Further analysis of the TB response and surveillance system in both zones is needed to confirm the factors associated with the poor outcomes. Using context-sensitive measures and simplified pathways with an emphasis on displaced persons may increase access and case notification in conflict zones, which can help avoid a loss to follow up in both zones.
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