关键词: 结核, TB/HIV双重感染, 负担, 尼日利亚

Abstract:

Objective: To explore the burden of tuberculosis (TB) and TB/HIV co-infection and the implementation of integrated TB control measures in Nigeria, to identify the challenge for TB control and to provide reference for TB elimination in Nigeria. Methods: The World Health Organization’s TB data between 2010 and 2020 were used to depict the trend of TB and TB/HIV burden in Nigeria. Results: Nigeria is a country with high burden of infection of tuberculosis and TB/HIV. The incidence rate of tuberculosis among HIV infected people decreased from 54/100000 in 2010 to 17/100000 in 2020; In 2020, the number of confirmed tuberculosis patients was 135000, and the estimated number of cases will be 452000, however, the detection rate of tuberculosis was only 30%. The antiretroviral treatment coverage rate of TB/HIV co-infection increased from 6.9% in 2010 to 26.0% in 2020; The successful treatment rate of tuberculosis increased from 81% in 2010 to 88% in 2019, and the successful treatment rate of TB/HIV double infection patients increased from 78.9% in 2012 to 81.1% in 2019. The total funds of tuberculosis in Nigeria increased, while the TB/HIV project funds little changed, from US $4.5 million in 2010 to US $5.4 million in 2020. Conclusion: The situation in Nigeria is far from the goal of the 2020 End TB Strategy. To reduce and eliminate the burden of TB and TB/HIV, priority must be given to implement integrated TB control measures, increasing necessary resources and funds for TB control, and strengthening diagnostic ability of TB.

Key words: Tuberculosis, TB/HIV co-infection, Burden, Nigeria