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Spatial epidemiology of tuberculosis diagnostic delays, healthcare access disparities, and socioeconomic inequities in Nairobi County, Kenya

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  • David Majuch Kunjok
  • John Gachohi Mwangi
  • Salome Kairu-Wanyoike
  • Johnson Kinyua
  • Susan Mambo

Abstract

Introduction: Kenya ranks among the top 30 countries with a high tuberculosis (TB) burden globally. With a TB prevalence of 558 per 100,000, only 46% of TB cases are diagnosed and treated, leaving 54% undiagnosed and at risk of spreading the disease. This study analyzed the spatial distribution of tuberculosis diagnostic delays and their association with health care accessibility and socioeconomic inequalities in Nairobi County, Kenya. Materials and methods: The cross-sectional study included 222 newly diagnosed bacteriologically confirmed Mycobacterium tuberculosis (Mtb) patients from Mbagathi County Hospital (MCH), Mama Lucy Kibaki Hospital (MLKH), and Rhodes Chest Clinic (RCC) in Nairobi County, Kenya. Patients were recruited consecutively through census sampling and categorized into two groups: delayed diagnosis (≥21 days from symptom onset) and non-delayed ( 2.58, p

Suggested Citation

  • David Majuch Kunjok & John Gachohi Mwangi & Salome Kairu-Wanyoike & Johnson Kinyua & Susan Mambo, 2025. "Spatial epidemiology of tuberculosis diagnostic delays, healthcare access disparities, and socioeconomic inequities in Nairobi County, Kenya," PLOS ONE, Public Library of Science, vol. 20(8), pages 1-22, August.
    • Handle: RePEc:plo:pone00:0329984
    DOI: 10.1371/journal.pone.0329984
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