Evidence map›Paper›PMID 35135769›Full record

ArticleBMJ open2022

Impact of COVID-19 pandemic on TB prevention and care in Addis Ababa, Ethiopia: a retrospective database study.

Balew Arega, Abebe Negesso, Betelhem Taye, Getachew Weldeyohhans, Bekure Bewket, Tesfaye Negussie, Ayele Teshome, Getabalew Endazenew

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Balew AregaYekatit 12 Hospital Medical College, Addis Ababa, Ethiopia balewmlt@gmail.com.ORCID 0000-0002-4222-8420
Abebe NegessoAddis Ababa City Administration Health Bureau, Addis Ababa, Ethiopia.
Betelhem TayeAddis Ababa City Administration Health Bureau, Addis Ababa, Ethiopia.
Getachew WeldeyohhansYekatit 12 Hospital Medical College, Addis Ababa, Ethiopia.
Bekure BewketYekatit 12 Hospital Medical College, Addis Ababa, Ethiopia.ORCID 0000-0002-8374-2477
Tesfaye NegussieYekatit 12 Hospital Medical College, Addis Ababa, Ethiopia.
Ayele TeshomeYekatit 12 Hospital Medical College, Addis Ababa, Ethiopia.
Getabalew EndazenewYekatit 12 Hospital Medical College, Addis Ababa, Ethiopia.
St. Paul's Hospital Millennium Medical College · ETAddis Ababa City Administration Health Bureau · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe current COVID-19 pandemic in Ethiopia could cause severe dysfunction in tuberculosis (TB) treatment, diagnostic services, and prevention and control efforts. In this study, we evaluated the effect of COVID-19 on TB service indicators in Addis Ababa, where more than two-thirds of the country's COVID-19 morbidity was recorded.

designWe performed a comparative retrospective study to evaluate the impact of COVID-19 on TB services during the pre-COVID-19 era (from April 2019 to March 2020) and the COVID-19 era (from April 2020 to March 2021) in Addis Ababa, Ethiopia. We extracted data on total TB detection rate, TB treatment success rate, isoniazid prophylaxis therapy, and drug susceptibility tests and others from the health information system. Using Poisson regression, we estimated the incidence rate ratios and the absolute number difference of the indicators (number per quarter and year) in the COVID-19 and pre-COVID-19 eras.

resultsCompared with the pre-COVID-19 era, the total TB detection, bacteriologically confirmed TB, TB treatment success rate, latent TB infection treatment and community health workers' engagement in TB detection decreased, respectively, by 11%, 11.8%, 17%, 44.7% and 77.2% during the COVID-19 period. Rifampicin resistance increased by 27.7% during the same period. Comparative analysis showed a significant decline in these TB service indicators (p<0.001)

conclusionThe COVID-19 pandemic has had a negative impact on TB service indicators in Addis Ababa. This highlights the importance of reinforcing TB services, including adopting alternative digital health technology to screen for TB and integrating TB and COVID-19 services to mitigate COVID-19's challenges to TB prevention and care.

Indexed as

COVID-19EthiopiaHumansPandemicsRetrospective StudiesSARS-CoV-2COVID-19epidemiologytuberculosis

Identifiers

PMID35135769
PMCPMC8829833
OpenAlexW4210937345

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.