Tuberculosis: Lagos Govt restates commitment to changing narrative in state


The  Lagos State Government has revealed its commitment to change the high burden of tuberculosis (TB) narrative in the state by increasing awareness and ensuring effective service delivery.

According to the government, this will also include diagnosis, treatment, and care by improving access to TB diagnosis and treatment services.

The Permanent Secretary, Lagos State Ministry of Health, Dr Olusegun Ogboye, gave the assurance at a media parley in Lagos to commemorate the 2022 World TB Day in Lagos on Wednesday.

The theme for 2022 World TB Day was: “Invest to End TB.”

According to Ogboye,  Nigeria ranks 7th among the 20 Tuberculosis (TB) high-burdened countries in the world with  Lagos State having the highest TB burden in Nigeria.

“Lagos Government is determined now, more than ever, to change this narrative.

“Global efforts to combat TB have saved an estimated 63 million lives since the year 2,000.

“With a population of over 23 million people and a projected 3.2 per cent annual growth rate, the incidence rate of TB in Lagos State is 219 per 100,000 populations.

“Prevalence rate is 330 per 100,000 populations while the annual expected notification rate is about 50,000 TB cases.

“It has become pertinent to increase general awareness, ensure effective service delivery, including diagnosis, treatment, and care by improving access to TB diagnosis and treatment services.

“These are also to achieve Universal Health Coverage (UHC) and ensure equitable access.”

He said that as part of improvements to reduce the burden of TB, the Lagos State Ministry of Health, through the support of Global fund, has established DOTS Centres.

“There are community care workers, 18 X-ray machines, and Gene Xpert sites in all the 20 LGAs of the State.

“We have launched three mobile X-ray vans to increase active case search in the state, thereby increasing case finding and diagnosis.

“Also, free treatment of diagnosed cases is accessible to all,” he said.

Ogboye said that it was estimated that daily, approximately 30,000 people fall ill and over 4,100 lose their lives to this preventable and curable disease.

He noted that TB was also the leading cause of death amongst people with HIV and a major contributor to microbial resistance.

Ogboye said that TB, which is preventable and curable, could affect anybody regardless of status, religion, ethnicity, or position.

He said examples include the late great Nelson Mandela and late Bishop Desmond Tutu, who both struggled with TB and eventually overcame it.

He said that the theme for the 2022 World TB Day-  “Invest to End TB,” was very appropriate as it conveyed an urgent need to invest resources to ramp up the fight against TB and achieve the commitments to end TB.

He said that the theme also called on those involved in the fight against TB to unite under the theme, which decried the low levels of funding for the TB response.

The Lagos State Ministry of Health Permanent Secretary said that it was a known fact that without adequate financial resources, the fight against TB could not be won.

Also, the Managing Partner of DGI Consult, Dr Gafar Alawode, said it was not enough to mobilise more money for TB but that there was also need to ensure the effective utilisation of resources.

“Therefore, we need to raise the accountability bar for TB funding to ensure maximum value for the money.

“This is where civil societies need to do more toward ensuring more transparency in TB financing.

“As the paradigm of health financing is shifting from inefficient input-based financing to strategic purchasing, we need to ensure a paradigm shift in our budgeting instrument.

“This is toward programme-based budgeting where there is more emphasis on higher-level results obtainable from investment rather than focusing on inputs or budget line” he said.

“In the near future, it will be heartening to see a paradigm shift in TB budgeting where investment is tied to outcomes of interest.

“Outcomes such as the number of new presumptive and confirmed cases and the number of patients treated successfully,” he said.