Impact evaluation of community-led interventions in tuberculosis treatment shows improved outcomes in Nigeria, highlighting the potential for broader application.
Tuberculosis (TB) remains a significant public health challenge in Kogi State, Nigeria, with community-led treatment programmes emerging as potential solutions. A mixed-methods approach combining quantitative data from a randomized controlled trial (RCT) and qualitative insights from focus group discussions among patients and healthcare providers in Kogi State, Nigeria. Community-led treatment programmes achieved a 75% cure rate for TB cases within six months of intervention, with significant reductions in patient dropout rates compared to standard care groups. Qualitative data revealed positive perceptions towards community-led interventions but also highlighted challenges related to stigma and healthcare resource availability. The study underscores the potential of community-driven approaches in improving TB treatment outcomes and reducing health system burden in underserved regions. Further research should explore scalability and sustainability of these programmes, with a focus on addressing socio-cultural barriers and enhancing access to essential healthcare services. Treatment effect was estimated with logit(pᵢ)=β₀+β^ Xᵢ, and uncertainty reported using confidence-interval based inference.
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Adekoya et al. (2003) studied this question.
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