Digital health solutions and integrated COVID-19 and TB services to help recover TB care and prevention services in the COVID-19 pandemic: A descriptive study in four high TB burden countries

被引：0
|
作者：
Spruijt, Ineke [1 ]
Alam, Yalda [1 ]
Nguyen, Huong [2 ]
Myrzaliev, Bakyt [3 ]
Ahmatov, Muratbek [3 ]
Odume, Bethrand [4 ]
Mtei, Lillian [5 ]
Gebhard, Agnes [1 ]
Gidado, Mustapha [1 ]
Jerene, Degu [1 ]
机构：
[1] KNCV TB Fdn, Tech Div, The Hague, Netherlands
[2] Tech Div, KNCV Vietnam, Hanoi, Vietnam
[3] Tech Div, KNCV Kyrgyzstan, Bishkek, Kyrgyzstan
[4] Tech Div, KNCV Nigeria, Abuja, Nigeria
[5] Tech Div, KNCV Tanzania, Dar Es Salaam, Tanzania
来源：
PLOS ONE | 2023年 / 18卷 / 11期
关键词：
TUBERCULOSIS; IMPACT;
D O I：
10.1371/journal.pone.0293964
中图分类号：
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号：
07 ; 0710 ; 09 ;
摘要：
BackgroundThe measures undertaken to control COVID-19 have disrupted many platforms including tuberculosis (TB) healthcare services. Consequently, declines in TB notifications have been observed in various countries. We visualized changes over time in TB and SARS-CoV-2 infection notifications and reported on country-specific strategies to retain TB care and prevention services in Kyrgyzstan, Nigeria, Tanzania, and Vietnam.MethodsWe collected and visualized quarterly, retrospective, and country-specific data (Quarter (Q) 1 2018- Q1 2021) on SARS-CoV-2 infection and TB notifications. Additionally, we conducted a country-specific landscape assessment on COVID-19 measures, including lockdowns, operational level strategy of TB care and prevention services, and strategies employed to recover and retain those services. We used negative binomial regression models to assess the association between the installation of COVID-19 measures and changes in TB notifications.ResultsTB notifications declined in Kyrgyzstan and Vietnam, and (slightly) increased in Nigeria and Tanzania. The changes in TB notifications were associated with the installation of various COVID-19 prevention measures for Kyrgyzstan and Vietnam (declines) and Nigeria (increases). All countries reported reduced TB screening and testing activities. Countries reported the following strategies to retain TB prevention and care services: digital solutions for treatment adherence support, capacity building, and monitor & evaluation activities; adjustment in medication supply/delivery & quantity, including home delivery, pick up points, and month supply; integrated TB/COVID-19 screening & diagnostic platform; and the use of community health care workers.ConclusionFollowing the COVID-19 pandemic, we did not observe consistent changes in TB notifications across countries. However, all countries reported lower operating levels of TB prevention and care services. Digital health solutions, community-based interventions, and the integration of COVID-19 and TB testing services were employed to recover and retain those services.
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页数：12
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