Prevalence of active trachoma two years after control activities

Hagan, Maria; Yayemain, Daniel; Ahorsu, Felix; Aboe, Agatha

doi:10.4314/gmj.v43i2.55311

Cited by 11 publications

(22 citation statements)

References 4 publications

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“…In contrast, the prevalence of active trachoma among children in our study is higher than the study findings of Ghana 5.6 and 3.5%, and Gambia 2.8% after control activities [25,26]. Besides, it is higher than the study findings of evaluation units of Welkait, Tsegedae, Tahtay, and Laelay-Adiabo even without any intervention according to the GTMP result of Tigray region [11].…”

Section: Discussioncontrasting

confidence: 92%

Prevalence and associated factors of active trachoma among 1–9 years old children in Deguatemben, Tigray, Ethiopia, 2018: community cross-sectional study

Reda¹,

Yemane

Gebreyesus

2020

BMC Ophthalmol

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Background: Trachoma is a contagious infection of the eye. World Health Organization recommended three rounds of mass drug administration in districts where the prevalence of trachomatous follicular (TF) is ≥10% in children aged 1-9 years. Mass drug distribution was given to residents for three consecutive years with more than 90% coverage. However, the prevalence and associated factors of active trachoma in the study community after the intervention was not yet determined. Thus, this deals with the prevalence and associated factors of active trachoma among children aged 1-9 years. Methods: We conducted a Community based cross-sectional study among 502 children aged 1-9 in March 2018 in Deguatemben. A multi-stage sampling technique was applied. Selected children were examined for trachoma using 2.5x binocular loupe and graded based on the WHO simplified grading system. Mothers were interviewed for factors associated with trachoma using a structured questionnaire. Data was entered on Epi-Info and exported to SPSS for analysis. Both descriptive and inferential analyses were done with 95% confidence intervals (CIs) at a pvalue < 0.05 for the final model. Results: The prevalence of active trachoma was found 21.5% (95% CI: 17.8-25.1%). Being 1 to 4 years old [AOR (95% CI) = 6.81(2.00-23.11)], not washing face [AOR (95% CI) =9.31(1.13-77.66)], not using soap [AOR (95% CI) = 5.84(1.87-18.21)], unclean face [AOR(95% CI) = 18.22(4.93-69.32)] and mother's knowledge [AOR (95% CI) = 0.06(0.02-0.19)] were found as independent predictors. Conclusion: The prevalence declined from the baseline, but it is still a public health problem in the district. Personal-related factors were found to be associated with the disease. Health education of "Facial cleanness" and related factors is recommended to increase knowledge of the mothers on their children's care in addition to the provision of antibiotics.

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Section: Discussioncontrasting

confidence: 92%

Prevalence and associated factors of active trachoma among 1–9 years old children in Deguatemben, Tigray, Ethiopia, 2018: community cross-sectional study

Reda¹,

Yemane

Gebreyesus

2020

BMC Ophthalmol

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“…Current data from the GAT confirm that countries with the highest burden of active trachoma and trichiasis remain in the Sahel and Savannah areas of Africa. Well established control programmes in several west and north African countries are likely to have had an impact on the burden of trachoma in the last decade, with successes in control activities documented in Burkina Faso, The Gambia [27], Ghana [28], [29], Mali [30]–[32], Mauritania [33] and Morocco and highlighted by comparison of current and historical maps available on the GAT website (www.trachomaatlas.org). The Gambia, Ghana and Morocco have now reported achievement of trachoma elimination targets and trachoma is believed to be no longer a public health concern in these countries.…”

Section: Discussionmentioning

confidence: 99%

The Geographical Distribution and Burden of Trachoma in Africa

et al. 2013

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BackgroundThere remains a lack of epidemiological data on the geographical distribution of trachoma to support global mapping and scale up of interventions for the elimination of trachoma. The Global Atlas of Trachoma (GAT) was launched in 2011 to address these needs and provide standardised, updated and accessible maps. This paper uses data included in the GAT to describe the geographical distribution and burden of trachoma in Africa.MethodsData assembly used structured searches of published and unpublished literature to identify cross-sectional epidemiological data on the burden of trachoma since 1980. Survey data were abstracted into a standardised database and mapped using geographical information systems (GIS) software. The characteristics of all surveys were summarized by country according to data source, time period, and survey methodology. Estimates of the current population at risk were calculated for each country and stratified by endemicity class.ResultsAt the time of writing, 1342 records are included in the database representing surveys conducted between 1985 and 2012. These data were provided by direct contact with national control programmes and academic researchers (67%), peer-reviewed publications (17%) and unpublished reports or theses (16%). Prevalence data on active trachoma are available in 29 of the 33 countries in Africa classified as endemic for trachoma, and 1095 (20.6%) districts have representative data collected through population-based prevalence surveys. The highest prevalence of active trachoma and trichiasis remains in the Sahel area of West Africa and Savannah areas of East and Central Africa and an estimated 129.4 million people live in areas of Africa confirmed to be trachoma endemic.ConclusionThe Global Atlas of Trachoma provides the most contemporary and comprehensive summary of the burden of trachoma within Africa. The GAT highlights where future mapping is required and provides an important planning tool for scale-up and surveillance of trachoma control.

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“…But integration also makes logistical and financial sense. In places where health services are weak and under-resourced, organising interventions that combine multiple health technologies can maximise delivery capacity, reduce costs and increase community acceptability (Blackburn et al, 2006, Sripa et al, 2015, Hagan et al, 2009, Kittayapong et al, 2008, Yuan et al, 2005, Kachani et al, 2003. Despite the fact that the rhetoric of integration appeals to "common sense" notions of project management, the literature on what types of integration works and when, how and why is surprisingly thin.…”

Section: Introductionmentioning

confidence: 99%