Table 3.
The impact of armed conflict on tuberculosis treatment outcomes
Author | Conflict status | Number treated | Treatment success | ↑/↓ | Poor treatment outcomes | ↑/↓ |
Improved treatment outcomes | ||||||
Hassanain et al (2018)*21 | Affected | 16 658 | 14 191 (85.2%) | ↑ | 2467 (14.8%) | ↓ |
Not affected | 35 990 | 29 556 (82.1%) | 6434 (17.9%) | |||
Ahmadzai et al (2008)16 | Affected | 24 579 | 21 263 (87.3%) | ↑ | 2291 (9.4%) | ↓ |
Not affected | 9209 | 7794 (84.6%) | 1168 (12.7%) | |||
Martins et al (2006)23 | Affected | – | 65% (2000), 73% (2001), 81% (2002 and 2003) | ↑ | 33% (2000), 21% (2001), 17% (2002), 16% (2003) | ↓ |
Not affected | – | 50% (1997) | 47.7% (1997) | |||
Pembi et al (2020)24 | Affected | 12 150 | – | – | 140 (1.2%)† | ↓ |
Not affected | 8826 | – | 184 (2.1%)† | |||
Worsened treatment outcomes | ||||||
Desta et al (2018)17 | Affected | – | 76% (2001), 76% (2002), 70% (2003) | ↓ | – | – |
Not affected | – | 74% (2004), 75% (2005), 81% (2006 & 2007), 67% (2008), 80% (2009), 82% (2010), 86% (2011), 87% (2012), 83% (2013) | – | |||
Daix et al (2013)25 | Affected | 16% (2002), 71% (2003), 50% (2004),66% (2005), 64% (2006), 66% (2007) | ↓ | – | – | |
Not affected | 69% (2002), 73% (2003), 73% (2004), 74% (2005), 77% (2006), 73% (2007) | – | ||||
M’Boussa et al (2002)*‡22 | Affected | 2048 | 1414 (69.0%) | ↓ | 578 (28.2%) | ↑ |
Not affected | 3503 | 2467 (70.4%) | 913 (26.1%) | |||
Gustafson et al (2001)19 | Affected | 143 | – | – | 20 (14.0%)§ | ↑ |
Not affected | 177 | – | 11 (6.2%)§ | |||
Gustafson et al (2007)20 | Affected | 484 | – | – | 95 (19.6%)¶ | ↑ |
Not affected | 225 | – | 30 (13.3%)¶ |
*Treatment outcome data were not available for all because of transfers and other reasons.
†Failure plus loss to follow-up.
‡Data for 1996–1998 were not available because of the conflict.
§Death.
¶Death plus loss to follow-up.