An ecological study of the factors associated with childhood Tuberculosis in Nigeria

Background: Childhood tuberculosis (TB) account for about 6% of the global TB burden, but there is a paucity of data on childhood TB at the national and state level in many countries in Sub-Saharan Africa. Objective: To assess the childhood TB case notification rates and explore associated factor...

Full description

Bibliographic Details
Main Authors: Daniel OJ, Adejumo OA, Oritogun KS, Jaiyesimi EO, Ladi-Akinyemi TW, Jeminusi OA
Format: Article
Language:English
Published: Medical and Dental Consultants Association of Nigeria, OOUTH Sagamu 2017-06-01
Series:Annals of Health Research
Subjects:
Online Access:http://www.annalsofhealthresearch.com/index.php/ahr/article/view/48
_version_ 1818212025341313024
author Daniel OJ
Adejumo OA
Oritogun KS
Jaiyesimi EO
Ladi-Akinyemi TW
Jeminusi OA
author_facet Daniel OJ
Adejumo OA
Oritogun KS
Jaiyesimi EO
Ladi-Akinyemi TW
Jeminusi OA
author_sort Daniel OJ
collection DOAJ
description Background: Childhood tuberculosis (TB) account for about 6% of the global TB burden, but there is a paucity of data on childhood TB at the national and state level in many countries in Sub-Saharan Africa. Objective: To assess the childhood TB case notification rates and explore associated factors at the state level in Nigeria. Methods: A retrospective ecological study was carried out to determine the childhood TB case notification rates in the 36 states and the Federal Capital Territory (FCT) in Nigeria. TB data was retrieved from the National TB and Leprosy Control Programme (NTBLCP) 2014 Annual Report using a proforma. The association between TB case notification rate at the state level and the six selected explanatory variables (Human Development Index, Bacillus Calmette-Guerin [BCG] coverage, percentage underweight, HIV positivity rate, mean household size and population density) were carried out using negative binomial regression in R statistical software. Results: A total of 91, 353 TB patients were notified to the World Health Organization (WHO) in 2014 by the NTBLCP. Of these, 5463 (6%) were children aged 0-14 years. The childhood TB notification rate was 6.99/100,000 population. The highest childhood TB case notification rate was recorded in Nasarawa State followed by Lagos and Oyo States. There were significant associations between childhood TB case notification rate and HIV positivity rate, percentage underweight, household size, population density and BCG coverage. Conclusion: The study showed that childhood TB case notification rate in Nigeria was low. TB case notification rate was associated with high HIV rate, percentage underweight, household size, population density and BCG coverage. There is the urgent need to address the associated risk factors to effectively control childhood TB in Nigeria.
first_indexed 2024-12-12T05:41:50Z
format Article
id doaj.art-be8a83e29108421387a3c29c8d28ed65
institution Directory Open Access Journal
issn 2476-8642
2536-6149
language English
last_indexed 2024-12-12T05:41:50Z
publishDate 2017-06-01
publisher Medical and Dental Consultants Association of Nigeria, OOUTH Sagamu
record_format Article
series Annals of Health Research
spelling doaj.art-be8a83e29108421387a3c29c8d28ed652022-12-22T00:35:54ZengMedical and Dental Consultants Association of Nigeria, OOUTH SagamuAnnals of Health Research2476-86422536-61492017-06-01312634An ecological study of the factors associated with childhood Tuberculosis in NigeriaDaniel OJ0Adejumo OA1Oritogun KS2Jaiyesimi EO3Ladi-Akinyemi TW4Jeminusi OA5Department of Community Medicine and Primary Care, Olabisi Onabanjo University Teaching Hospital, Sagamu, NigeriaDepartment of Community Medicine, Lagos State University Teaching Hospital, Ikeja, Lagos, NigeriaDepartment of Community Medicine and Primary Care, Olabisi Onabanjo University, Sagamu, NigeriaDepartment of Community Medicine and Primary Care, Olabisi Onabanjo University Teaching Hospital, Sagamu, NigeriaDepartment of Community Medicine, Lagos University Teaching Hospital, Ikeja, Lagos, NigeriaDepartment of Community Medicine and Primary Care, Olabisi Onabanjo University Teaching Hospital, Sagamu, NigeriaBackground: Childhood tuberculosis (TB) account for about 6% of the global TB burden, but there is a paucity of data on childhood TB at the national and state level in many countries in Sub-Saharan Africa. Objective: To assess the childhood TB case notification rates and explore associated factors at the state level in Nigeria. Methods: A retrospective ecological study was carried out to determine the childhood TB case notification rates in the 36 states and the Federal Capital Territory (FCT) in Nigeria. TB data was retrieved from the National TB and Leprosy Control Programme (NTBLCP) 2014 Annual Report using a proforma. The association between TB case notification rate at the state level and the six selected explanatory variables (Human Development Index, Bacillus Calmette-Guerin [BCG] coverage, percentage underweight, HIV positivity rate, mean household size and population density) were carried out using negative binomial regression in R statistical software. Results: A total of 91, 353 TB patients were notified to the World Health Organization (WHO) in 2014 by the NTBLCP. Of these, 5463 (6%) were children aged 0-14 years. The childhood TB notification rate was 6.99/100,000 population. The highest childhood TB case notification rate was recorded in Nasarawa State followed by Lagos and Oyo States. There were significant associations between childhood TB case notification rate and HIV positivity rate, percentage underweight, household size, population density and BCG coverage. Conclusion: The study showed that childhood TB case notification rate in Nigeria was low. TB case notification rate was associated with high HIV rate, percentage underweight, household size, population density and BCG coverage. There is the urgent need to address the associated risk factors to effectively control childhood TB in Nigeria.http://www.annalsofhealthresearch.com/index.php/ahr/article/view/48ChildhoodEcological studyHIVTuberculosisNigeria
spellingShingle Daniel OJ
Adejumo OA
Oritogun KS
Jaiyesimi EO
Ladi-Akinyemi TW
Jeminusi OA
An ecological study of the factors associated with childhood Tuberculosis in Nigeria
Annals of Health Research
Childhood
Ecological study
HIV
Tuberculosis
Nigeria
title An ecological study of the factors associated with childhood Tuberculosis in Nigeria
title_full An ecological study of the factors associated with childhood Tuberculosis in Nigeria
title_fullStr An ecological study of the factors associated with childhood Tuberculosis in Nigeria
title_full_unstemmed An ecological study of the factors associated with childhood Tuberculosis in Nigeria
title_short An ecological study of the factors associated with childhood Tuberculosis in Nigeria
title_sort ecological study of the factors associated with childhood tuberculosis in nigeria
topic Childhood
Ecological study
HIV
Tuberculosis
Nigeria
url http://www.annalsofhealthresearch.com/index.php/ahr/article/view/48
work_keys_str_mv AT danieloj anecologicalstudyofthefactorsassociatedwithchildhoodtuberculosisinnigeria
AT adejumooa anecologicalstudyofthefactorsassociatedwithchildhoodtuberculosisinnigeria
AT oritogunks anecologicalstudyofthefactorsassociatedwithchildhoodtuberculosisinnigeria
AT jaiyesimieo anecologicalstudyofthefactorsassociatedwithchildhoodtuberculosisinnigeria
AT ladiakinyemitw anecologicalstudyofthefactorsassociatedwithchildhoodtuberculosisinnigeria
AT jeminusioa anecologicalstudyofthefactorsassociatedwithchildhoodtuberculosisinnigeria
AT danieloj ecologicalstudyofthefactorsassociatedwithchildhoodtuberculosisinnigeria
AT adejumooa ecologicalstudyofthefactorsassociatedwithchildhoodtuberculosisinnigeria
AT oritogunks ecologicalstudyofthefactorsassociatedwithchildhoodtuberculosisinnigeria
AT jaiyesimieo ecologicalstudyofthefactorsassociatedwithchildhoodtuberculosisinnigeria
AT ladiakinyemitw ecologicalstudyofthefactorsassociatedwithchildhoodtuberculosisinnigeria
AT jeminusioa ecologicalstudyofthefactorsassociatedwithchildhoodtuberculosisinnigeria