Introduction:

The analysis of trends and inequalities in the occurrence of tuberculosis in Cuba is important for differentiated interventions.

Objective:

Assess the trends and inequalities of tuberculosis in the provinces of Havana, Mayabeque and Ciego de Ávila.

Methods:

Ecological study of time series of tuberculosis. notification rates in the period 2009-2017. The Tuberculosis surveillance database of the Ministry of Public Health was used. Trends in reporting rates in triennial periods were analyzed using simple linear regression. The following were calculated: total and annual variations in rates, proportions of tuberculosis by triennium in people with HIV and deprived of liberty, geometric means and inequalities of rates. The provinces and municipalities were categorized according to goals towards the elimination of the disease.

Results:

The trend in Mayabeque and Havana was upward, the total variation was 70.0% and 9.0%, respectively. Ciego de Ávila showed relative values twice as much as Cuba. In Havana, people with HIV predominated (38%); in Mayabeque the two vulnerable groups increased, while in Ciego de Ávila they were those deprived of liberty. Havana and Mayabeque categorized in advanced ultra control; Ciego de Ávila in consolidated satisfactory control; of the total of the 36 municipalities studied, 8 (22.2%) were in very advanced ultracontrol and none in pre-elimination.

Conclusions:

The results obtained on the trend of tuberculosis rates and their inequalities in the three provinces suggest the realization of differentiated interventions to advance towards the elimination of this disease.