Evidence map›Paper›PMID 42416998›Full record

ArticleSouth African family practice : official journal of the South African Academy of Family Practice/Primary Care2026

Tuberculosis (TB) service utilisation pre and peri-COVID-19 restrictions in Johannesburg, Gauteng.

Vongani H Maluleke, Lynn Smith

Abstract read
In one paragraph

Article in South African family practice : official journal of the South African Academy of Family Practice/Primary Care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Vongani H MalulekeDepartment of Environmental Health, Faculty of Health Sciences, University of Johannesburg, Johannesburg. 201413050@student.uj.ac.za.
Lynn Smith

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTuberculosis (TB) has remained a significant public health challenge for many years. Individuals with weakened immune systems because of other illnesses are particularly vulnerable to contracting TB. In March 2020, South Africa implemented a disease control strategy which ceased and disrupted daily routines, including healthcare services delivery. The study aimed to determine and describe the impact of coronavirus disease 2019 (COVID-19) lockdown restrictions on the utilisation of TB services, pre-COVID-19 and peri-COVID-19.

methodsA cross-sectional retrospective study using National Institute for Communicable Diseases (NICD) and National Department of Health (NDoH) data from Johannesburg, South Africa, was conducted to assess COVID-19 restrictions' impact on TB service use from January 2018 to December 2021, examining trends across periods and influencing factors. The study included individuals who sought TB services, showed TB symptoms, or tested positive or negative for TB during the study period.

resultsThe secondary data collected included children ( 10 years old), young adolescents (10-14 years old), older adolescents (15-19 years old), young adults (20-24 years old), adults (25-49 years old) and older adults (≥ 50 years old). Tuberculosis service use was highest among adult females aged 25-29 years old (51.3%) and lowest among females ≥ 50 years old (32.6%).

conclusionA marked decline in TB service use was observed during the peri-COVID-19 period. Results demonstrated that COVID-19 restrictions caused a substantial and sustained decline in TB service utilisation in Johannesburg, even when accounting for broader determinants of care-seeking.Contributions: This study provides valuable insight into the impact of COVID-19 restrictions on TB service utilisation and highlights the broader societal effects of a pandemic.

Indexed as

COVID-19Patient Acceptance of Health CareTuberculosisAdolescentAdultChildCross-Sectional StudiesFemaleHumansMaleMiddle AgedRetrospective StudiesSARS-CoV-2South AfricaYoung AdultCOVID-19health care accesspublic health serviceTB servicestuberculosis

Identifiers

PMID42416998
PMCPMC13347684

What Socratic holds

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.