Patient-pathway analysis of tuberculosis services in Cameroon

Collins N. Titahong, Gideon N. Ayongwa, Yvonne Waindim, Dubliss Nguafack, Albert Kuate Kuate, Irene Adeline Goupeyou Wandji, Alison Wringe, Vincent Mbassa, Melissa S. Sander, Ellen M. H. Mitchell

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In Cameroon, in 2019, tuberculosis (TB) treatment coverage was estimated at 53%, indicating that almost half of all people sick with TB were not diagnosed or linked to care. To inform strategies to improve access to TB services, we conducted an evaluation of the alignment between patient-initiated care-seeking behavior and spatial and institutional allocation of TB services. Data sources included the Cameroon Demographic and Health Survey (2018), the Health Facility List (2017), and routinely collected TB surveillance data. Data visualization was performed in Tableau and QGIS. The pathway analysis showed that only an estimated 9% of people attended a health facility providing TB services at initial care-seeking, with access varying from

Original languageEnglish
Article number171
JournalTropical Medicine and Infectious Disease
Issue number4
Number of pages10
Publication statusPublished - 2021


  • tuberculosis
  • patient-pathway analysis (PPA)
  • care-seeking
  • Cameroon
  • CARE


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