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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 Organization, 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.
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.
THE STORY OF SANUSI ADAMU
The PMV (Patent medicine vendor) intervention under KNCV in Kano has been a huge success.
The use of informal private sector PMV was launched in the month of August in Kano. We engaged 150 PMVs across 5 LGAs, most of them are well-known community stalwarts when it comes to the provision of semi-formal health service.
The story of Sunusi Adamu who was diagnosed with TB from a visit to Habibu Ya’u Moh’d chemist shop (A PMV Vendor) located in Layin Fango Brigade Gawuna Area in Kano state, showcases the effectiveness of PPM (Public private mix) intervention in communities.
Sunusi Adamu, a 45-year-old family man who works as a Shoe Shiner in Nasarawa LGA, Kano had been coughing and feverish for over two months, he tried curing himself with traditional medicines which proved to be futile coupled with the fact that he is skeptical of hospitals and modern medicine.
He spent so much money on herbs, all in the bid to cure the debilitating cough.
Mr. Uwana's story of hope