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Descriptive Analysis of Tuberculosis Surveillance Data in the Bantama Sub Metropolis, Kumasi, Ghana - 2016-2020

Received: 25 June 2023    Accepted: 22 July 2023    Published: 5 August 2023
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Abstract

Introduction: Tuberculosis (TB) is an ancient bacterial disease characterized by coughs, fever and other symptoms. Globally, the disease affected about 10 million people in 2019, with about 1.4 million dying. It is transmitted through air and, mainly affects the lungs. Ghana recorded 44,000 cases in 2019 with 15,000 deaths. This study analyzed the cases registered from 2016-2020 in the Bantama Sub-metropolis, Kumasi by person, place and time and treatment outcomes. Methods: A descriptive cross-sectional design was used. A case was defined as any person registered for treatment, irrespective of diagnostic method. Secondary data was obtained manually from the TB register and entered into an excel sheet and analyzed descriptively using pivot table. ArcGIS version 13 was used to produce a map. Stata version 14 was used for multivariate analysis. Results were presented in tables and chart showing rates and frequencies. Results: A total of 537 TB cases, aged between 5 and 82 years, were recorded from 2016 to 2020. About 67.4% (362/537) were males. The cases detected per year were 121, 123, 98, 126, and 69 from 2016-2020 respectively. Less than 1% (0.74%, 4/537) were less than 15 years. The mean age was 42.2 (SD±15.1). Up to 36.3% (195/537) of the cases resided in the Kumasi Metropolis. Treatment success decreased from 81.8% (99/121) in 2016 to 72.5% (50/69) in 2020. Treatment success for 2018 was 93.9%, whiles the rest of the years fell below the 90% target. Case fatality rate among females was 15.6% (27/175) and 11.6% (42/362) among males. Also, mortality among cases resident in Kumasi was 11.3% (22/195) compared to 13.7% (47/342) among those outside Kumasi. Treatment success among cases without HIV co-infection (93%) was higher than those with co-infection (63%), p-value 0.001, CI. Conclusions: TB case detection in Bantama was stable from 2016 to 2019 but dipped in 2020. Majority of the cases were males. About two-thirds of the cases registered resided outside Kumasi. The treatment success rate was lower than the 90% target, except for 2018. Case fatality rates were higher among females, cases residing outside Kumasi and smear negative case. Regular home visits should be intensified by Community Health Officers to improve treatment success. HIV co-infection could negatively affect treatment outcomes.

Published in International Journal of Infectious Diseases and Therapy (Volume 8, Issue 3)
DOI 10.11648/j.ijidt.20230803.14
Page(s) 101-108
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Analysis, Tuberculosis Surveillance, Bantama, Kumasi

References
[1] WHO. (2020a). Global Tuberculosis Report. https://www.who.int/publications-detail-redirect/9789240013131
[2] WHO. (2020b). Tuberculosis. Fact Sheets. https://www.who.int/news-room/fact-sheets/detail/tuberculosis
[3] Stop Tb Partnership, “Tuberculosis Situation in Ghana,” TB Dashboard, 2019. stoptb.org/resources.
[4] Osei, E., Oppong, S., & Der, J. (2020). Trends of tuberculosis case detection, mortality and co infection with HIV in Ghana: A retrospective cohort study. PLoS One, 15 (6). https://doi.org/10.1371/journal.pone.0234878
[5] Bonsu, F., Addoo, K. K., Alebachew, Z., Gyapong, J., Badu-Peprah, A., Gockah, R., Hanso-Nortey, N., Tadolini, M., Onozaki, L., Sismaninidis, C., & Owusu-Dabo, E. (2013). National population-based tuberculosis prevalence survey in Ghana, 2013. Int Journal of Tuberculosis and Lung Disease, 24 (3), 321–328.
[6] Kumasi Metro Health Directorate. (2020). Annual Report. Unpublished report.
[7] Ashanti Regional Health Directorate. (2021). 2020 Annual Report- Ashant.
[8] World Health Organization, “Impact of the COVID-19 Pandemic on TB detection and Mortality in 2020,” 2021. https://www.who.int/teams/global-tuberculosis-programme/data (accessed Jun. 12, 2021).
[9] Gyan, R. A., & Dapaa, S. (2020). Tuberculosis Surveillance Data Analysis- Sene East District 2020. 3rd GFELTP Scientific Conference and Competency Graduation, 46.
[10] Osei, E., Oppong, S., Adanfo, D., Doepe, B. A., Owusu, A., Kupour, A. G., & Der, J. (2019). Reflecting on tuberculosis case notification and treatment outcomes in the Volta region of Ghana : a retrospective pool analysis of a multicentre cohort from 2013 to 2017. Global Health Research and Policy, 4 (37), 1–13. https://doi.org/10.1186/s41256-019-0128-9
[11] Ogyiri, L., Lartey, M., Ojewale, O., Adjei, A. A., Kwara, A., Adanu, R. M., & Torpey, K. (2019). Effect of HIV Infection on TB treatment outcomes and time to mortality in two urban hospitals in Ghana- a retrspective cohort study. Pan African Medical Journal, 32 (206). https://doi.org/10.11604/pamj.2019.32.206.18673
[12] Corva, A. B., Johnson, S., Wilson, H., Noora, C., Ameme, D., Bandoh, D., Kaburi, B. B., Sackey, S. O., & Kenu, E. (2020). Tuberculosis Surveillance Data Analysis, Montserrado County, Liberia, 2019. 3rd GFELTP Scientific Conference and Competency Graduation Book of Abtracts, p64.
[13] Hassan, A., Olukolade, R., Ogbuji, Q., Onyemocha, A., Okwuomye, L., Igbabul, S., Okechukwu, J., Kusimo, O., Osho, A., Osinowo, K., & Oladapo, L. (2016). Evaluation of Tuberculosis Outcome of TB/HIV co-infection: A four-year Retrspective Cohort Study in HIV-prevalent setting of North Central Nigeria. Journal of Tuberculosis Research, 4 (3). https://doi.org/10.4236/jtr.2016.43015
[14] UNDP. (2015). Discussion Paper: Gender and tuberculosis. https://www.aidsdatahub.org/resource/discussion-paper-gender-and-tuberculosis
[15] World Health Organization. (2018). Global strategy and targets for tuberculosis prevention, care and control after 2015.
[16] Alemu, M. A., Yesuf, A., Gimma, F., Adugna, F., Melak, K., Biru, M., Seyoum, M., & Abiye, T. (2021). Impact of HIV-AIDS on tuberculosis treatment outcomes in Southern Ethiopia- A retrsocpective cohort study. Journal of Clinical Tuberculosis and Other Mycobacterial. https://doi.org/10.1016/j.jctube.2021.100279
Cite This Article
  • APA Style

    Kingsley Atuahene Ampratwum, Rita Asante, Akosua Gyimah Omari-Sasu, Samuel Oko Sackey, Magdalene Odikro, et al. (2023). Descriptive Analysis of Tuberculosis Surveillance Data in the Bantama Sub Metropolis, Kumasi, Ghana - 2016-2020. International Journal of Infectious Diseases and Therapy, 8(3), 101-108. https://doi.org/10.11648/j.ijidt.20230803.14

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    ACS Style

    Kingsley Atuahene Ampratwum; Rita Asante; Akosua Gyimah Omari-Sasu; Samuel Oko Sackey; Magdalene Odikro, et al. Descriptive Analysis of Tuberculosis Surveillance Data in the Bantama Sub Metropolis, Kumasi, Ghana - 2016-2020. Int. J. Infect. Dis. Ther. 2023, 8(3), 101-108. doi: 10.11648/j.ijidt.20230803.14

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    AMA Style

    Kingsley Atuahene Ampratwum, Rita Asante, Akosua Gyimah Omari-Sasu, Samuel Oko Sackey, Magdalene Odikro, et al. Descriptive Analysis of Tuberculosis Surveillance Data in the Bantama Sub Metropolis, Kumasi, Ghana - 2016-2020. Int J Infect Dis Ther. 2023;8(3):101-108. doi: 10.11648/j.ijidt.20230803.14

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  • @article{10.11648/j.ijidt.20230803.14,
      author = {Kingsley Atuahene Ampratwum and Rita Asante and Akosua Gyimah Omari-Sasu and Samuel Oko Sackey and Magdalene Odikro and Eric Asiedu-Yeboah and Francisca Nkrumah},
      title = {Descriptive Analysis of Tuberculosis Surveillance Data in the Bantama Sub Metropolis, Kumasi, Ghana - 2016-2020},
      journal = {International Journal of Infectious Diseases and Therapy},
      volume = {8},
      number = {3},
      pages = {101-108},
      doi = {10.11648/j.ijidt.20230803.14},
      url = {https://doi.org/10.11648/j.ijidt.20230803.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijidt.20230803.14},
      abstract = {Introduction: Tuberculosis (TB) is an ancient bacterial disease characterized by coughs, fever and other symptoms. Globally, the disease affected about 10 million people in 2019, with about 1.4 million dying. It is transmitted through air and, mainly affects the lungs. Ghana recorded 44,000 cases in 2019 with 15,000 deaths. This study analyzed the cases registered from 2016-2020 in the Bantama Sub-metropolis, Kumasi by person, place and time and treatment outcomes. Methods: A descriptive cross-sectional design was used. A case was defined as any person registered for treatment, irrespective of diagnostic method. Secondary data was obtained manually from the TB register and entered into an excel sheet and analyzed descriptively using pivot table. ArcGIS version 13 was used to produce a map. Stata version 14 was used for multivariate analysis. Results were presented in tables and chart showing rates and frequencies. Results: A total of 537 TB cases, aged between 5 and 82 years, were recorded from 2016 to 2020. About 67.4% (362/537) were males. The cases detected per year were 121, 123, 98, 126, and 69 from 2016-2020 respectively. Less than 1% (0.74%, 4/537) were less than 15 years. The mean age was 42.2 (SD±15.1). Up to 36.3% (195/537) of the cases resided in the Kumasi Metropolis. Treatment success decreased from 81.8% (99/121) in 2016 to 72.5% (50/69) in 2020. Treatment success for 2018 was 93.9%, whiles the rest of the years fell below the 90% target. Case fatality rate among females was 15.6% (27/175) and 11.6% (42/362) among males. Also, mortality among cases resident in Kumasi was 11.3% (22/195) compared to 13.7% (47/342) among those outside Kumasi. Treatment success among cases without HIV co-infection (93%) was higher than those with co-infection (63%), p-value 0.001, CI. Conclusions: TB case detection in Bantama was stable from 2016 to 2019 but dipped in 2020. Majority of the cases were males. About two-thirds of the cases registered resided outside Kumasi. The treatment success rate was lower than the 90% target, except for 2018. Case fatality rates were higher among females, cases residing outside Kumasi and smear negative case. Regular home visits should be intensified by Community Health Officers to improve treatment success. HIV co-infection could negatively affect treatment outcomes.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Descriptive Analysis of Tuberculosis Surveillance Data in the Bantama Sub Metropolis, Kumasi, Ghana - 2016-2020
    AU  - Kingsley Atuahene Ampratwum
    AU  - Rita Asante
    AU  - Akosua Gyimah Omari-Sasu
    AU  - Samuel Oko Sackey
    AU  - Magdalene Odikro
    AU  - Eric Asiedu-Yeboah
    AU  - Francisca Nkrumah
    Y1  - 2023/08/05
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ijidt.20230803.14
    DO  - 10.11648/j.ijidt.20230803.14
    T2  - International Journal of Infectious Diseases and Therapy
    JF  - International Journal of Infectious Diseases and Therapy
    JO  - International Journal of Infectious Diseases and Therapy
    SP  - 101
    EP  - 108
    PB  - Science Publishing Group
    SN  - 2578-966X
    UR  - https://doi.org/10.11648/j.ijidt.20230803.14
    AB  - Introduction: Tuberculosis (TB) is an ancient bacterial disease characterized by coughs, fever and other symptoms. Globally, the disease affected about 10 million people in 2019, with about 1.4 million dying. It is transmitted through air and, mainly affects the lungs. Ghana recorded 44,000 cases in 2019 with 15,000 deaths. This study analyzed the cases registered from 2016-2020 in the Bantama Sub-metropolis, Kumasi by person, place and time and treatment outcomes. Methods: A descriptive cross-sectional design was used. A case was defined as any person registered for treatment, irrespective of diagnostic method. Secondary data was obtained manually from the TB register and entered into an excel sheet and analyzed descriptively using pivot table. ArcGIS version 13 was used to produce a map. Stata version 14 was used for multivariate analysis. Results were presented in tables and chart showing rates and frequencies. Results: A total of 537 TB cases, aged between 5 and 82 years, were recorded from 2016 to 2020. About 67.4% (362/537) were males. The cases detected per year were 121, 123, 98, 126, and 69 from 2016-2020 respectively. Less than 1% (0.74%, 4/537) were less than 15 years. The mean age was 42.2 (SD±15.1). Up to 36.3% (195/537) of the cases resided in the Kumasi Metropolis. Treatment success decreased from 81.8% (99/121) in 2016 to 72.5% (50/69) in 2020. Treatment success for 2018 was 93.9%, whiles the rest of the years fell below the 90% target. Case fatality rate among females was 15.6% (27/175) and 11.6% (42/362) among males. Also, mortality among cases resident in Kumasi was 11.3% (22/195) compared to 13.7% (47/342) among those outside Kumasi. Treatment success among cases without HIV co-infection (93%) was higher than those with co-infection (63%), p-value 0.001, CI. Conclusions: TB case detection in Bantama was stable from 2016 to 2019 but dipped in 2020. Majority of the cases were males. About two-thirds of the cases registered resided outside Kumasi. The treatment success rate was lower than the 90% target, except for 2018. Case fatality rates were higher among females, cases residing outside Kumasi and smear negative case. Regular home visits should be intensified by Community Health Officers to improve treatment success. HIV co-infection could negatively affect treatment outcomes.
    VL  - 8
    IS  - 3
    ER  - 

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Author Information
  • Disease Surveillance and Control Unit, Kumasi Metropolitan Health Directorate, Kumasi, Ghana

  • Ghana Field Epidemiology and Laboratory Training Programme, School of Public Health, University of Ghana, Accra, Ghana

  • Disease Surveillance and Control Unit, Kumasi Metropolitan Health Directorate, Kumasi, Ghana

  • Ghana Field Epidemiology and Laboratory Training Programme, School of Public Health, University of Ghana, Accra, Ghana

  • Ghana Field Epidemiology and Laboratory Training Programme, School of Public Health, University of Ghana, Accra, Ghana

  • Disease Surveillance and Control Unit, Kumasi Metropolitan Health Directorate, Kumasi, Ghana

  • Tuberculosis Control Unit, Suntreso Government Hospital, Kumasi, Ghana

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