Sudan Journal of Medical Sciences

ISSN: 1858-5051

High-impact research on the latest developments in medicine and healthcare across MENA and Africa

Trends of Tuberculosis Treatment Outcomes of Notified Cases in Three Refugee Camps in Sudan: A Four-year Retrospective Analysis, 2014–2017

Published date: Jun 30 2021

Journal Title: Sudan Journal of Medical Sciences

Issue title: Sudan JMS: Volume 16 (2021), Issue No. 2

Pages: 259–275

DOI: 10.18502/sjms.v16i2.9293

Authors:

Tsegay LegesseInter-Governmental Authority on Development, Djibouti

Mohammed Hussein EldumaInter-Governmental Authority on Development, Djibouti

Nagi Masoud AwadNational TB program, Federal Ministry of Health, Sudan

Mousab Siddig ElhagCommunicable and Non-Communicable Disease Department (DCD), Federal Ministry of Health, Sudan

Israa AbushamaNational TB program, Federal Ministry of Health, Sudan

Hamdan Mustafa2National TB program, Federal Ministry of Health, Sudan

Kabashi HahimCommunicable and Non-Communicable Disease Department (DCD), Federal Ministry of Health, Sudan

Hassan MahmoedTB programme, White Nile, Sudan

Yassen MohamedTB programme, Kassala, Sudan

Ahmed E. DafallaUNHCR Office, Sudan

Fathia AlwanInter-Governmental Authority on Development, Djibouti

Desta kassaInter-Governmental Authority on Development, Djibouti

Abstract:

Background: Refugees are vulnerable to tuberculosis (TB) infection. Tracking of program performance is needed to improve TB care and prevention. The objective of this study was to assess the trends of TB treatment outcomes of notified cases in three refugee camps in Sudan from 2014 to 2017.

Methods: This study was a historical cohort study. Sex, age, type of TB, TB patient category, and treatment outcome of all TB cases registered in three refugee camps (Al Kashafa, Shagarab, Wadsherify) from January 1, 2014 to December 31, 2017 were collected from the TB register. Multivariable logistic regression was performed to explore factors for unsuccessful TB treatment.

Results: A total of 710 TB cases of which 53.4% were men, 22.1% children (<15 years), and 36.2% extrapulmonary TB (EPTB) were registered. Overall, the TB treatment success rate was 75.7% with a declining trend from 86.2% in 2015 to 63.5% in 2017. On average, 11.4% were lost to follow-up (LTFU), 6.6% died, 5.9% were not evaluated, and in 0.3% the treatment failed. Being 15–24 years old and having EPTB were significantly associated with unsuccessful treatment outcome.

Conclusion: The treatment success rate in the refugee camp in 2017 (63.5%) was far lower than the national treatment success rate (78%) and the End TB global target (≥90%) that needs to be improved. LTFU, died, and not evaluated outcomes were high which indicated the necessity to improve the TB treatment program.

Keywords: refugees, Sudan, treatment outcome, tuberculosis

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