1. EPIDEMIOLOGICAL BURDEN OF TUBERCULOSIS IN NIGERIA August 2003By
Dr T.O Sofola
National Coordinator,
NTBLCP
4/10/2019

2. 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)
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3. 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)
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5. 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
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6. 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.
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7. 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%)
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8. 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
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11. bb
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12. Trend of National HIV Sero-prevalence by Year 1991-2000
Rising trend
Epidemic threshold exceeded in 1999
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13. Trend of HIV prevalence among PTB, STD and ANC attendees 1991-2000
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15. HIV Sentinel Sero-prevalence survey among Some States
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22. 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.
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