Tuberculosis in the middle of COVID-19 in Morocco: efforts, challenges and recommendations

Bouaddi, Oumnia; Hasan, Mohammad Mehedi; Sahito, Abdul Moiz; Shah, Pritik A; Mohammed, Abdelrahman Zaki Ali; Essar, Mohammad Yasir

doi:10.1186/s41182-021-00388-y

Cited by 9 publications

(7 citation statements)

References 10 publications

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“…Several publications, across all themes, offered recommendations for combatting a wide range of TB issues [7, 54, 74, 83, 90, 108, 117, 127, 137, 139, 142, 153, 157, 172, 174, 180–181]. Some recommendations took a “glass half-full” approach by addressing the potential for positive, post-pandemic impacts on TB––leveraging and retrofitting aspects of the pandemic response, such as new developments in case-finding, diagnostics, and health education.…”

Section: Discussionmentioning

confidence: 99%

The Global Impact of COVID-19 on Tuberculosis: A Thematic Scoping Review, 2020-2023

Marco,

Ahmedov,

Castro

2024

Preprint

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Background: This thematic scoping review of publications sought to understand the global impact of COVID-19 on tuberculosis (TB), interpret the scope of resonating themes, and offer policy recommendations to stimulate TB recovery and future pandemic preparedness. Data Sources: Publications were captured from three search engines, PubMed, EBSCO, and Google Scholar, and applicable websites written in English from January 1, 2020, to April 30, 2023. Study Selection: Our scoping review was limited to publications detailing the impact of COVID-19 on TB. Original research, reviews, letters, and editorials describing the deleterious and harmful––yet sometimes positive–– impact of COVID-19 (sole exposure) on TB (sole outcome) were included. The objective was to methodically categorize the impacts into themes through a comprehensive review of selected studies to provide significant health policy guidance. Data Extraction: Two authors independently screened citations and full texts, while the third arbitrated when consensus was not met. All three performed data extraction. Data Synthesis/Results: Of 1,755 screened publications, 176 (10%) covering 39 countries over 41 months met the inclusion criteria. Ten principal themes were established, which encompassed TB’s care cascade, patient-centered care, psychosocial issues, and health services: 1) case-finding and notification (n=45; 26%); 2) diagnosis and laboratory systems (n=19; 10.7%) 3) prevention, treatment, and care (n=22; 12.2%); 4) telemedicine/telehealth (n=12; 6.8%); 5) social determinants of health (n=14; 8%); 6) airborne infection prevention and control (n=8; 4.6%); 7) health system strengthening (n=22; 13%); 8) mental health (n=13; 7.4%); 9) stigma (n=11; 6.3%); and 10) health education (n=10; 5.7%). Limitations: Heterogeneity of publications within themes. Conclusions: We identified ten globally generalizable themes of COVID-19’s impact on TB. These thematic areas will guide evidence-informed policies to strengthen comprehensive global responses, recovery for TB, and future airborne pandemic preparedness.

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Section: Discussionmentioning

confidence: 99%

The Global Impact of COVID-19 on Tuberculosis: A Thematic Scoping Review, 2020-2023

Marco,

Ahmedov,

Castro

2024

Preprint

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“…Keterbatasan sumber daya yang dimaksud meliputi sumber daya manusia (tenaga medis dan tenaga kesehatan), keuangan (anggaran) serta sarana dan prasarana yang mendukung pelayanan TB. Munculnya berbagai varian virus COVID-19 menjadi beban tambahan tersendiri dalam keterbatasan sumber daya untuk manajemen TB (16).…”

Section: Pembahasan Keterbatasan Sumber Daya Dalam Manajemen Tbunclassified

“…Upaya untuk mengatasi keterbatasan sumber daya adalah dengan mengembangkan rencana mitigasi yang lebih komperehensif dan pendekatan yang melibatkan seluruh stakeholder serta kolaborasi lintas sektoral jika terjadi kondisi darurat kesehatan pada saat pelaksanaan program pencegahan dan pengendalian TB, mengatur ketersediaan SDM sehingga program manajemen TB tetap berjalan. Selain itu dapat juga diupayakan untuk melakukan kemitraan dengan masyarakat sipil rangka mengatasi keterbatasan SDM dan keuangan dalam melakukan program pencegahan dan pengendalian TB (15) (16).…”

Section: Pembahasan Keterbatasan Sumber Daya Dalam Manajemen Tbunclassified

Tantangan dan Strategi Manajemen Pasien Tuberculosis di Negara Berkembang Selama Masa Pandemi COVID-19 : Literature Review

Damaranti

Hidayat

2023

Media Publ. Promosi Kesehat. Indones

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Latar Belakang: Penyakit Tuberculosis masih menjadi masalah terutama di negara berkembang. Dengan manajemen yang tepat dapat mengontrol insidensi kasus dan penularan TB. Disrupsi pada salah satu tahapan manajemen karena pandemi COVID-19 berpotensi mempengaruhi tahapan penanganan TB lainnya. Tujuan: Untuk mengetahui tantangan pada manajemen pasien TB di negara berkembang selama masa pandemi dan rekomendasi strategi yang efektif dalam mengatasi tantangan tersebut. Metode: Pencarian literatur secara sistematis dengan protokol PRISMA, menggunakan kata kunci pada 6 database online selama tahun 2020-2022. Penilaian kualitas studi untuk mendapatkan studi terpilih menggunakan daftar tilik JBI critical appraisal. Hasil: Didapatkan 10 studi terpilih dengan hasil yaitu tantangan manajemen TB di negara berkembang selama pandemi antara lain keterbatasan sumber daya, gangguan kontinuitas pengobatan, penurunan notifikasi kasus baru, kesulitan mengakses fasilitas kesehatan, adanya stigmatisasi masyarakat tentang pasien TB dan COVID-19, misdiagnosis TB dengan COVID-19, penurunan cakupan vaksinasi BCG anak dan peningkatan risiko transmisi TB. Kesimpulan: Tantangan terbesar manajemen TB di negara berkembang selama pandemi adalah keterbatasan sumber daya dan gangguan kontinuitas pengobatan, sebagai akibat penerapan kebijakan lockdown. Strategi yang direkomendasikan berupa inovasi pada layanan TB yang sudah ada dengan kolaborasi lintas sektoral, perubahan metode pemberian OAT, peningkatan edukasi dan optimalisasi pemanfaatan media virtual.

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“…In 2020, the World Bank-reported incidence rate in Tunisia was 36/100,000 and in Morocco was 98/100,000 (38). Morocco has made significant progress in the control and management of tuberculosis during the past 30 years, but with COVID-19 pandemic, new challenges resurfaced as health service delivery was disrupted (68).…”

Section: Other Vaccine Preventable Diseasesmentioning

confidence: 99%

Trends in Adult and Elderly Vaccination: Focus on Vaccination Practices in Tunisia and Morocco

Abouqal

Béji

Chakroun

et al. 2022

Front. Public Health

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Vaccine preventable diseases (VPDs) are a prevailing concern among the adult population, despite availability of vaccines. Unlike pediatric vaccination programs, adult vaccination programs lack the required reach, initiative, and awareness. Clinical studies and real-world data have proven that vaccines effectively reduce the disease burden of VPDs and increase life expectancy. In Tunisia and Morocco, the national immunization program (NIP) focuses more on pediatric vaccination and have limited vaccination programs for adults. However, some vaccination campaigns targeting adults are organized. For example, influenza vaccination campaigns prioritizing at risk adults which includes healthcare professionals, elderly, and patients with comorbidities. Women of childbearing age who have never been vaccinated or whose information is uncertain are recommended to receive tetanus vaccination. Tunisia NIP recommends rubella vaccine mainly for women of childbearing age, while in Morocco, national vaccination campaigns were organized for girls and women (up to 24 years of age) to eliminate rubella. Further, travelers from both countries are recommended to follow all requirements and recommendations in the travel destination. The objective of this manuscript is to provide an overview of the global disease burden of common VPDs including (but not limited to) meningococcal diseases, pneumococcal diseases, hepatitis, and influenza. The review also provides an overview of clinical data and guidelines/recommendations on adult vaccination practices, with special focus on Tunisia and Morocco. Some European and North American countries have concrete recommendations and strategies for adult vaccination to keep the VPDs in check. In Morocco and Tunisia, although, there are sporadic adult vaccination initiatives, the efforts still need upscaling and endorsements to boost vaccination awareness and uptake. There is a need to strengthen strategies in both countries to understand the disease burden and spread awareness. Additional studies are needed to generate economic evidence to support cost-effectiveness of vaccines. Integration of private and public healthcare systems may further improve vaccination uptake in adults.

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Tuberculosis in the middle of COVID-19 in Morocco: efforts, challenges and recommendations

Cited by 9 publications

References 10 publications

The Global Impact of COVID-19 on Tuberculosis: A Thematic Scoping Review, 2020-2023

The Global Impact of COVID-19 on Tuberculosis: A Thematic Scoping Review, 2020-2023

Tantangan dan Strategi Manajemen Pasien Tuberculosis di Negara Berkembang Selama Masa Pandemi COVID-19 : Literature Review

Trends in Adult and Elderly Vaccination: Focus on Vaccination Practices in Tunisia and Morocco

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