Evidence map›Paper›PMID 36337675›Full record

ArticleJournal of public health in Africa2022

Assessment of tuberculosis case notification rate: spatial mapping of hotspot, coverage and diagnostics in Katsina State, north-western Nigeria.

Makplang Milaham, Margo Van Gurp, Oluwafemi J Adewusi, Oluwaseun Chidera Okonuga, Hermen Ormel, Bayly Tristan, Solomon Adejo, Abdulrasheed Yusuf, Mustapha Gidado

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Article in Journal of public health in Africa, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
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3citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Makplang MilahamInstitute of Human Virology, Abuja, Nigeria.
Margo Van GurpKIT Royal Tropical Institute, Amsterdam, Netherlands.
Oluwafemi J AdewusiKIT Royal Tropical Institute, Amsterdam, Netherlands.
Oluwaseun Chidera OkonugaInstitute of Human Virology, Abuja, Nigeria.
Hermen OrmelKIT Royal Tropical Institute, Amsterdam, Netherlands.
Bayly TristanKIT Royal Tropical Institute, Amsterdam, Netherlands.
Solomon AdejoKIT Royal Tropical Institute, Amsterdam, Netherlands.
Abdulrasheed YusufKatsina STBLCP, Katsina, Nigeria.
Mustapha GidadoKNCV, Hague, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tuberculosis (TB) is prevalent in Nigeria, and Katsina, along with other 12 states in the country, accounts for a high proportion of unnotified TB cases: constituting the high priority-intervention States in the country. Interventions focused on TB detection and coverage in the state could benefit from a better understanding of hotspot Local Government Areas (LGAs) that trigger and sustain the disease. Therefore, this study investigated the spatial distribution of TB Case Notification Rates (CNRs), diagnostics and coverage across the LGAs. Using 2017 to 2019 TB case finding data, the geocoordinates of diagnostic facilities and shapefiles, a retrospective ecological study was conducted. The data were analysed with QGIS and GeoDa. Moran's I and LISA were used to locate and quantify hotspots. The coverage of microscopy and GeneXpert facilities was assessed on QGIS using a 5 km and 20 km radius, respectively. The CNR in the state, and 29 of the 34 LGAs, increased steadily from 2017 to 2019. Hotspots of high CNRs were also identified in 2017 (Moran's I=0.106, p-value=0.090) and 2018 (Moran's I=-0.020, p-value=0.370). While CNRs increased along with presumptive TB rates across most LGAs over the years, the positivity yield and bacteriological and Xpert diagnostic rates decreased. Bacteriological and GeneXpert coverage were 78% and 49% respectively. Additionally, only 51% of the state's population lived within 20km of a GeneXpert facility. These results suggest that TB program interventions had some positive impact on the CNR, however, diagnostic facilities need to be equitably distributed and more innovative approaches need to be explored to find the missing cases.

Indexed as

Case Notification RatesHotspotKatsina StateNigeriaSpatial AnalysisTuberculosis

Identifiers

PMID36337675
PMCPMC9627762

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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.