EPIDEMIOLOGICAL BURDEN OF TUBERCULOSIS IN NIGERIA August 2003 By Dr T.O Sofola National Coordinator, NTBLCP 4/10/2019
Nigeria:Background information Population: 126 m. 36 states + FCT 774 LGAs Life expectancy : 48 (02) Economy , mainly on Export of Crude Oil. 70% below poverty line (2002) GNP per capita. $280 (1998) Public Expend. On Health as % of GDP: 0.3% (’98) 4/10/2019
Background Information (continued ii) NTBLCP was established in 1991 Structured along the 3 tiers of government, Federal, State and LGA. Programme is implemented along with Partners (WHO, IUATLD, CIDA, USAID , ILEP, etc) 4/10/2019
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Background Information (continued iii) TB control based on WHO DOTS strategy. DOTS services offered as integral part of PHC. Nigeria is committed to global targets. - Detect 70% of smear positive TB - Successfully treat 85% of those detected - Expand DOTS to all areas (LGAs) by 2005 4/10/2019
Present situation Nigeria 5th among 22 high burden countries in the world WHO estimates for 2002 were 102 per 100,000 pop for smear positive cases 235 per 100,000 for all forms of TB TB burden is further compounded by the worsening HIV/AIDS epidemic. 4/10/2019
Progress in DOTS expansion June 2002 Present States implementing DOTS 21/37 (56%) 35/37 (94%) LGAs implementing DOTS 350/774 (45%) 400/774 (52%) Microscopy centres 417/774 (54%) 434/774 (56%) Treatment centres 1,605/5,000 (32%) 1,659/5,000 (33%) Population covered 69m/126m (55%) 75m/126m (60%) 4/10/2019
Map of Nigeria showing DOTS States Sokoto Katsina Jigawa Yobe Zamfara Borno Kano Kebbi Bauchi Gombe Kaduna Gombe Niger Adamawa Plateau Plateau FCT Kwara Nasarawa Oyo Taraba Kogi Osun Ekiti Benue Ondo Ogun Enugu Lagos Edo Ebony Anambra New DOTS States Cross River Abia Imo Delta Old DOTS States Akwa Ibom Bayeisa Rivers 4/10/2019
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Trend of National HIV Sero-prevalence by Year 1991-2000 Rising trend Epidemic threshold exceeded in 1999 4/10/2019
Trend of HIV prevalence among PTB, STD and ANC attendees 1991-2000 4/10/2019
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HIV Sentinel Sero-prevalence survey among Some States 4/10/2019
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Conclusion Accelerated DOTS expansion was hampered initially due to inadequate funding Improved funding and rapid progress in the last year . Continue with DOTS expansion drive. Implement PPM DOTs; TB-HIV Joint activities and Community DOTS to achieve global targets. 4/10/2019