Introduction: COVID-19 has had a devastating and disrupting effect on all health-care services across the globe, but tuberculosis (TB) services have been disproportionately affected. Downfall trend of TB notification, diagnosis, and treatment due to the COVID-19 pandemic in our district study was carried out. Aim: To assess COVID-19 effects on TB care during 2020-2021. Methodology: A cross-sectional study design comprising a secondary analysis of an existing dataset was carried out. Data on the total number of cases notified, diagnosed, and drug susceptibility in drug resistance and sensitivity were collected for 2020 and 2021. Result: A statistically significant difference in drug-resistant and drug-sensitive cases was observed during the first and second half of 2020 (P < 0.001). In 2021 similar to the earlier wave, there was a decline in case notification during the peak of the pandemic. Conclusion: We assessed that during COVID-19, TB care significantly plummeted in our district; however, with the rapid response plan gradually, there was a rise seen in TB notification, diagnosis, and treatment services.
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