The Effect of the COVID-19 Pandemic on Pulmonary Tuberculosis Control in the Selected Upazila Health Complexes of Dhaka Division, Bangladesh

Despite the enormous disruption of tuberculosis (TB) services reported globally, Bangladesh’s impact is not well documented. We aimed to assess the effect of the COVID-19 pandemic on the TB control program in Bangladesh from patients’ and service providers’ perspectives. We conducted a cross-section...

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Main Authors: Fariha Alam Mihika, Md Abdullah Al Jubayer Biswas, Md Maruf Haque Khan, Syed Shariful Islam, M. Atiqul Haque, Sayera Banu, Md Zakiul Hassan
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Tropical Medicine and Infectious Disease
Subjects:
Online Access:https://www.mdpi.com/2414-6366/7/11/385
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author Fariha Alam Mihika
Md Abdullah Al Jubayer Biswas
Md Maruf Haque Khan
Syed Shariful Islam
M. Atiqul Haque
Sayera Banu
Md Zakiul Hassan
author_facet Fariha Alam Mihika
Md Abdullah Al Jubayer Biswas
Md Maruf Haque Khan
Syed Shariful Islam
M. Atiqul Haque
Sayera Banu
Md Zakiul Hassan
author_sort Fariha Alam Mihika
collection DOAJ
description Despite the enormous disruption of tuberculosis (TB) services reported globally, Bangladesh’s impact is not well documented. We aimed to assess the effect of the COVID-19 pandemic on the TB control program in Bangladesh from patients’ and service providers’ perspectives. We conducted a cross-sectional study from November–December 2021 at six conveniently selected Upazila Health Complexes (UHC) of the Dhaka division, Bangladesh. We conducted face-to-face interviews among 180 pulmonary TB service recipients and all TB service providers working in the selected UHC. We also reviewed TB registries from each UHC. All data were summarized using descriptive statistics tools. We found a 31% reduction in presumptive TB cases during 2021 compared to 2020. Other TB services, such as testing, were reduced by 16–36% during the same period. Service receivers reported a lack of transportation (95%), and a lack of adequate human resources (89%) as critical barriers to receiving and providing TB service, respectively. The findings of our study showed substantial interruption of TB service delivery during the COVID-19 pandemic, threatening the recent progress and pushback from achieving the 2035 End TB targets. Early mitigation of TB service delivery through adopting remote follow-ups using digital health technology and integrating COVID-19 and TB screening is essential for the continuity of essential TB services and achieving global TB targets.
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spelling doaj.art-b1cb6a63e01b4d8da16635e7b3479c732023-11-24T10:15:54ZengMDPI AGTropical Medicine and Infectious Disease2414-63662022-11-0171138510.3390/tropicalmed7110385The Effect of the COVID-19 Pandemic on Pulmonary Tuberculosis Control in the Selected Upazila Health Complexes of Dhaka Division, BangladeshFariha Alam Mihika0Md Abdullah Al Jubayer Biswas1Md Maruf Haque Khan2Syed Shariful Islam3M. Atiqul Haque4Sayera Banu5Md Zakiul Hassan6Programme for Emerging Infections, Infectious Disease Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Mohakhali, Dhaka 1212, BangladeshProgramme for Emerging Infections, Infectious Disease Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Mohakhali, Dhaka 1212, BangladeshDepartment of Public Health and Informatics, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka 1000, BangladeshDepartment of Public Health and Informatics, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka 1000, BangladeshDepartment of Public Health and Informatics, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka 1000, BangladeshProgramme for Emerging Infections, Infectious Disease Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Mohakhali, Dhaka 1212, BangladeshProgramme for Emerging Infections, Infectious Disease Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Mohakhali, Dhaka 1212, BangladeshDespite the enormous disruption of tuberculosis (TB) services reported globally, Bangladesh’s impact is not well documented. We aimed to assess the effect of the COVID-19 pandemic on the TB control program in Bangladesh from patients’ and service providers’ perspectives. We conducted a cross-sectional study from November–December 2021 at six conveniently selected Upazila Health Complexes (UHC) of the Dhaka division, Bangladesh. We conducted face-to-face interviews among 180 pulmonary TB service recipients and all TB service providers working in the selected UHC. We also reviewed TB registries from each UHC. All data were summarized using descriptive statistics tools. We found a 31% reduction in presumptive TB cases during 2021 compared to 2020. Other TB services, such as testing, were reduced by 16–36% during the same period. Service receivers reported a lack of transportation (95%), and a lack of adequate human resources (89%) as critical barriers to receiving and providing TB service, respectively. The findings of our study showed substantial interruption of TB service delivery during the COVID-19 pandemic, threatening the recent progress and pushback from achieving the 2035 End TB targets. Early mitigation of TB service delivery through adopting remote follow-ups using digital health technology and integrating COVID-19 and TB screening is essential for the continuity of essential TB services and achieving global TB targets.https://www.mdpi.com/2414-6366/7/11/385tuberculosis servicepresumptive tuberculosisCOVID-19BangladeshUpazila Health ComplexesNational Tuberculosis Control Program
spellingShingle Fariha Alam Mihika
Md Abdullah Al Jubayer Biswas
Md Maruf Haque Khan
Syed Shariful Islam
M. Atiqul Haque
Sayera Banu
Md Zakiul Hassan
The Effect of the COVID-19 Pandemic on Pulmonary Tuberculosis Control in the Selected Upazila Health Complexes of Dhaka Division, Bangladesh
Tropical Medicine and Infectious Disease
tuberculosis service
presumptive tuberculosis
COVID-19
Bangladesh
Upazila Health Complexes
National Tuberculosis Control Program
title The Effect of the COVID-19 Pandemic on Pulmonary Tuberculosis Control in the Selected Upazila Health Complexes of Dhaka Division, Bangladesh
title_full The Effect of the COVID-19 Pandemic on Pulmonary Tuberculosis Control in the Selected Upazila Health Complexes of Dhaka Division, Bangladesh
title_fullStr The Effect of the COVID-19 Pandemic on Pulmonary Tuberculosis Control in the Selected Upazila Health Complexes of Dhaka Division, Bangladesh
title_full_unstemmed The Effect of the COVID-19 Pandemic on Pulmonary Tuberculosis Control in the Selected Upazila Health Complexes of Dhaka Division, Bangladesh
title_short The Effect of the COVID-19 Pandemic on Pulmonary Tuberculosis Control in the Selected Upazila Health Complexes of Dhaka Division, Bangladesh
title_sort effect of the covid 19 pandemic on pulmonary tuberculosis control in the selected upazila health complexes of dhaka division bangladesh
topic tuberculosis service
presumptive tuberculosis
COVID-19
Bangladesh
Upazila Health Complexes
National Tuberculosis Control Program
url https://www.mdpi.com/2414-6366/7/11/385
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