Annals of Tropical Medicine and Public Health
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Year : 2013  |  Volume : 6  |  Issue : 5  |  Page : 491-500

A review of the national tuberculosis and leprosy control programme (ntblcp) of Nigeria: Challenges and prospects

Infectious and Tropical Diseases Unit, Department of Internal Medicine, University of Calabar Teaching Hospital, Calabar, Nigeria

Correspondence Address:
Akaninyene A Otu
Infectious and Tropical Diseases Unit, Department of Internal Medicine, University of Calabar Teaching Hospital, Calabar
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1755-6783.133685

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This review evaluates the National Tuberculosis and Leprosy Control Programme (NTBLCP) of Nigeria to identify challenges and prospects for reducing the burden of tuberculosis (TB) in Nigeria. TB remains the leading cause of death due to an infectious agent globally. Nigeria has the tenth largest burden of TB cases in the world. Rates of TB morbidity and mortality in Nigeria are spiralling despite expressions of political will to control TB and a clearly articulated NTBLCP policy. This is in contradistinction to the global decline in incidence and mortality from TB recorded from 2004. Information for this review was gotten from NTBLCP annual reports and peer reviewed articles. Literature search was conducted using various databases. Through review and analysis, NTBLCP of Nigeria was found to have sub-optimal Directly Observed Treatment Short course (DOTS) population coverage with shortage of skilled TB health workers at Primary Health Care (PHC) level. There were shortfalls in TB laboratories and quality assurance services with weak integration of TB and Human Immunodeficiency Virus (HIV) services. Multidrug-resistant (MDR) TB care services were fledgling and funding for TB control was inadequate. Also identified were weak Advocacy, Communication and Social Mobilization (ACSM) and Public-Private-Mix (PPM). There was poor implementation of TB infection control strategies in health facilities. Prospects for TB control in Nigeria included the existence of a 20 year old TB control programme. Others were the presence of political commitment by the Nigerian government and willingness of development partners to assist. Some effective TB control strategies were also examined.

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