Effect of the COVID-19 pandemic on HIV, malaria and tuberculosis indicators in Togo: an interrupted time series analysis
| dc.rights.license | open | en_US |
| dc.contributor.author | KONU, Yao Rodion | |
| dc.contributor.author | DOGO, Fall | |
| dc.contributor.author | DAGNRA, Claver Anoumou | |
| dc.contributor.author | ATCHA-OUBOU, Tinah | |
| dc.contributor.author | GBEASOR-KOMLANVI, Fifonsi Adjidossi | |
| dc.contributor.author | AFANVI, Kossivi Agbelenko | |
| dc.contributor.author | DIALLO, Fatoumata Binta Tidiane | |
| dc.contributor.author | TEOURI, Mahmoud | |
| dc.contributor.author | MIJIYAWA, Moustafa | |
| hal.structure.identifier | Bordeaux population health [BPH] | |
| hal.structure.identifier | Global Health in the Global South [GHiGS] | |
| dc.contributor.author | EKOUEVI, Didier Koumavi | |
| dc.date.accessioned | 2024-08-21T09:08:38Z | |
| dc.date.available | 2024-08-21T09:08:38Z | |
| dc.date.issued | 2024-04-03 | |
| dc.identifier.issn | 2059-7908 | en_US |
| dc.identifier.uri | https://oskar-bordeaux.fr/handle/20.500.12278/201217 | |
| dc.description.abstractEn | Background Limited data are available on the effects of the COVID-19 pandemic on health-related indicators in sub-Saharan Africa. This study aimed to estimate the effect of the COVID-19 pandemic on nine indicators of HIV, malaria and tuberculosis (TB) in Togo. Methods For this interrupted time series analysis, national health information system data from January 2019 to December 2021 and TB programmatic data from the first quarter of 2018 to the fourth quarter of 2022 were analysed. Nine indicators were included. We used Poisson segmented regression to estimate the immediate impact of the pandemic and per-pandemic period trends through incidence rate ratios (IRRs) with 95% CIs. Results Overall, there was a decrease in six of the nine indicators, ranging from 19.3% (IRR 0.807, 95% CI 0.682 to 0.955, p=0.024) for the hospitalisation of patients for malaria to 36.9% (IRR 0.631, 95% CI 0.457 to 0.871, p=0.013) for TB diagnosis by Mycobacterium tuberculosis Xpert immediately after the declaration of the COVID-19 pandemic. A comparison of the observed and predicted trends showed that the trend remained constant between the prepandemic and pandemic periods of COVID-19 for all malaria indicators. A significant downward monthly trend was observed in antiretroviral therapy initiation (IRR 0.909, 95% CI 0.892 to 0.926, p<0.001) and positive TB microscopy (IRR 0.919, 95% CI 0.880 to 0.960, p=0.002). Conclusion HIV, malaria and TB services were generally maintained over time in Togo despite the COVID-19 pandemic. However, given the decline in levels immediately after the onset of the pandemic, there is an urgent need to improve the preparedness of the healthcare system. | |
| dc.language.iso | EN | en_US |
| dc.rights | Attribution 3.0 United States | * |
| dc.rights.uri | http://creativecommons.org/licenses/by/3.0/us/ | * |
| dc.subject.en | COVID-19 | |
| dc.subject.en | HIV | |
| dc.subject.en | Malaria | |
| dc.subject.en | Other study design | |
| dc.subject.en | Tuberculosis | |
| dc.title.en | Effect of the COVID-19 pandemic on HIV, malaria and tuberculosis indicators in Togo: an interrupted time series analysis | |
| dc.title.alternative | BMJ Glob Health | en_US |
| dc.type | Article de revue | en_US |
| dc.identifier.doi | 10.1136/bmjgh-2023-013679 | en_US |
| dc.subject.hal | Sciences du Vivant [q-bio]/Santé publique et épidémiologie | en_US |
| dc.identifier.pubmed | 38569659 | en_US |
| bordeaux.journal | BMJ Global Health | en_US |
| bordeaux.page | e013679 | en_US |
| bordeaux.volume | 9 | en_US |
| bordeaux.hal.laboratories | Bordeaux Population Health Research Center (BPH) - UMR 1219 | en_US |
| bordeaux.issue | 4 | en_US |
| bordeaux.institution | Université de Bordeaux | en_US |
| bordeaux.institution | INSERM | en_US |
| bordeaux.team | GHIGS_BPH | en_US |
| bordeaux.peerReviewed | oui | en_US |
| bordeaux.inpress | non | en_US |
| bordeaux.identifier.funderID | Agence Nationale de Recherches sur le Sida et les Hépatites Virales | en_US |
| bordeaux.identifier.funderID | Institut de Recherche pour le Développement | en_US |
| hal.identifier | hal-04674376 | |
| hal.version | 1 | |
| hal.date.transferred | 2024-08-21T09:08:40Z | |
| hal.popular | non | en_US |
| hal.audience | Internationale | en_US |
| hal.export | true | |
| dc.rights.cc | Pas de Licence CC | en_US |
| bordeaux.COinS | ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=BMJ%20Global%20Health&rft.date=2024-04-03&rft.volume=9&rft.issue=4&rft.spage=e013679&rft.epage=e013679&rft.eissn=2059-7908&rft.issn=2059-7908&rft.au=KONU,%20Yao%20Rodion&DOGO,%20Fall&DAGNRA,%20Claver%20Anoumou&ATCHA-OUBOU,%20Tinah&GBEASOR-KOMLANVI,%20Fifonsi%20Adjidossi&rft.genre=article |
