Conference Abstract | Volume 9, Abstract 0005 (ConfProc7) | Published: 24 Mar 2026
Paul Angwaawie 1, 2,&, George Akowuah2, Evans Attivor1, Magdalene Akos Odikro2, Samuel Oko Sackey2
1Nkwanta South Municipal Heath Directorate, Ghana Health Service, Nkwanta, Ghana, 2Ghana Field Epidemiology and Laboratory Training Programme, University of Ghana, Accra, Ghana
&Corresponding author: Paul Angwaawie, Nkwanta South Municipal Health Directorate, Email: paalo2011@yahoo.com, ORCID: https://orcid.org/0000-0002-1086-9020
Received: 21 Jul 2025, Accepted: 28 Oct 2025, Published: 24 Mar 2026
Domain: Infectious Disease Epidemiology
This is part of the Proceedings of the 8th Ghana FELTP Scientific Conference and FELTP Competency Graduation, Accra, Ghana, 10 – 11 December, 2025
Keywords: Tuberculosis, surveillance, epidemiologic patterns, Oti Region
©Paul Angwaawie et al. Journal of Interventional Epidemiology and Public Health (ISSN: 2664-2824). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cite this article: Paul Angwaawie et al. Tuberculosis surveillance indicators and epidemiologic patterns, Oti Region, Ghana, 2020–2024. Journal of Interventional Epidemiology and Public Health. 2026;9(ConfProc7):0005. https://doi.org/10.37432/JIEPH-CONFPRO7-0005
Tuberculosis (TB) remains a significant public health threat in Ghana, particularly in underserved regions like Oti. The TB surveillance system is vital for tracking trends, guiding interventions, and improving case detection and treatment outcomes. This study aimed to assess TB surveillance performance indicators, demographic and geographic case distribution, temporal trends, and TB/HIV co-infection rates in the Oti Region between the periods of 2020 and 2024.
A cross-sectional study was conducted using secondary TB surveillance data extracted from the DHIMS2 database. The dataset included all reported TB cases across the nine districts in Oti Region from January 2020 to December 2024. Data were analyzed using Microsoft Excel, focusing on variables such as age, sex, district, diagnosis type, treatment outcome, and HIV status and results presented in tables and chart maps.
A total of 2,086 TB cases were recorded, with a male predominance of 63.1% (1317/2086) and the persons 65 years and above contributing the largest age-group 25.9% (540/2086). Pulmonary positive TB constituted 67.1% (1450/2086) of cases. TB/HIV co-infection rate was 7.3% (152/2086), with 85.5% (130/152) of co-infected cases initiated on ART. Case notification rate increased from 45.3/100,000 in 2020 to 63.5/100,000 in 2024.Treatment success rate increased from 86.2% (306/355) to 94.4% (471/499), while the case fatality rate declined from 7.0% (25/355) to 3.8% (19/499).
The region demonstrated progress in TB control, with improvements in case detection, treatment success, and cure rates, with a decline in case fatality. Cases were prdominantly males and older adults, with notable district-level disparities, particularly higher caseloads in Biakoye, Krachi Nchumuru, and Nkwanta South. Targeted interventions focus on high-burden districts and vulnerable groups; strengthening case finding, early diagnosis, and tailored health education in these populations will be essential to further reduce TB burden.
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