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...
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Format: | Article |
Language: | English |
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Medical and Dental Consultants Association of Nigeria, OOUTH Sagamu
2017-06-01
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Series: | Annals of Health Research |
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Online Access: | http://www.annalsofhealthresearch.com/index.php/ahr/article/view/48 |
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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. |
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issn | 2476-8642 2536-6149 |
language | English |
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publishDate | 2017-06-01 |
publisher | Medical and Dental Consultants Association of Nigeria, OOUTH Sagamu |
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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 |
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