TB IN NIGERIA

A major issue with TB in Nigeria is the low TB case finding for both adults and children.

TB IN NIGERIA

TB IN NIGERIA:

Nigeria is among the 14 high burden countries for TB, TB/HIV and Multi Drug Resistant TB. The country is ranked seventh among the 30 high TB burden countries and second in Africa. The problem of TB in Nigeria has been made worse by the issues of drug resistant TB and the HIV/AIDS epidemic.

According to the World Health Organisation Nigeria is among the ten countries that account for 64% of the global gap in TB case finding. India, Indonesia and Nigeria account for almost half of the total gap.

A major issue with TB in Nigeria is the low TB case finding for both adults and children.

In 2017 only 104,904 TB cases were detected out of an estimated 407,000 of all TB cases expected to be detected in 2017.3

This indicates a treatment coverage of just 25.8 per cent. This leaves a gap of 302,096 cases which were either undetected or detected but the cases were not notified especially in “non DOTS sites”.

 “There are lots of missing TB cases that were either not diagnosed or reported”. Minister of health Isaac Adewole

TB FACTS IN NIGERIA

  • Nigeria ranks 6th among the 30 countries with highest TB burden in the world and 1st in Africa
  • Nigeria accounts for 4% of the global gap between new TB cases and notified cases (diagnosed, treated and reported)
  • Out of 429,000 estimated new TB cases in Nigeria only 106,533 were notified to the NTBLCP as at the end of 2018 with 24% treatment coverage
  • In Nigeria, of an estimated 21,000 drug-resistant TB cases recorded, only 2,275 (11%) were diagnosed and enrolled on second line treatment as at end of 2018
  • In Nigeria, 6% of all forms of notified TB cases are children less than 15 years
  • DOTS clinic is available in 27% of health facilities in Nigeria, while only 8% have TB diagnostic services
  • Of the $278 million needed for TB control in Nigeria in the year 2018, only 40% was available to all the implementers of TB control activities in Nigeria (8% domestic and 32% donor funds), with 60% funding gap
  • Low case detection and lack of adequate knowledge about TB due to low awareness creation are two of the major challenges facing TB response in Nigeria
  • In addition, only 50% of the LGAs in the country have the recommended rapid diagnostic machine (GeneXpert) for TB diagnosis in the country
  • To end TB in Nigeria, more domestic resources are needed especially from government at all levels and from corporate sector to support TB programs and services.