Prevalence of Trachoma and Access to Water and Sanitation in Benue State, Nigeria: Results of 23 Population-Based Prevalence Surveys

Mpyet, Caleb; Tagoh, Selassie; Boisson, Sophie; Willis, Rebecca; Muhammad, Nasiru; Bakhtiari, Ana; Adamu, Mohammed Dantani; Pavluck, Alexandre L.; Umar, Murtala M; Alada, Joel; Isiyaku, Sunday; William, Adamani; Jande, Betty; Olobio, Nicholas; Solomon, Anthony W.; Mapping, Global Trachoma

doi:10.1080/09286586.2018.1467466

Cited by 3 publications

(2 citation statements)

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“…Even though it was planned to eliminate the disease by the year 2020, finding of this study calls the implementation of A, F, and E components of SAFE are mandatory till the prevalence meets the expected target. Similarly, the overall prevalence is higher than Global Trachoma Mapping Project studies before mass antibiotic initiation began in seven districts of the Republic of the Congo (TF prevalence was 2.5%) and in Benue State, Nigeria (TF prevalence was 0.3% to 5.3%) [35,36]. The later studies done in Congo and Nigeria were done as a baseline survey for mapping the diseases to initiate SAFE interventions.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and associated factors of active trachoma among children aged 1-9 years old in mass drug administration graduated and non-graduated districts in Northwest Amhara region, Ethiopia: A comparative cross-sectional study

Melkie¹,

Azage

Gedamu

2020

PLoS ONE

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Background Mass drug administration has implemented to reduce trachoma since 2001, however, trachoma is still the major public health problem in Amhara Region, Ethiopia. However, credible evidence on the prevalence of trachoma and its associated factors after the implementation of mass drug administration is limited. Objective To assess the prevalence and associated factors of active trachoma among children aged 1–9 years old in mass drug administration graduated and non-graduated districts in the Northwest Amhara Region. Methods A comparative cross-sectional study was conducted from October to November, 2019. A stratified multistage random sampling was used to select 690 households having children aged 1–9 years. Data were collected using a pretested structured questionnaire. Data were entered into Epi-data version 3.1 and exported to SPSS version 20.0 for analysis. Bivariate and multivariable logistic regressions were employed to identify factors associated with active trachoma. Crude and adjusted odds ratios with 95% confidence interval were computed to assess the degree of association between the independent variables and active trachoma. Results The overall prevalence of active trachoma was 8.3% (95% CI: 6.2% –10.5%) and showed a significant variation between graduated [3.5% (95% CI: 1.8% –5.6%)] and non-graduated [13% (95% CI: 9.7%–16.8%)] districts. Living in graduated districts (AOR = 7.39, 95% CI: 3.19, 17.09), fly presence in the house (AOR = 3.14, 95% CI: 1.43, 6.89), presence of more than two children in the family (AOR = 3.78, 95%CI: 1.79, 7.98), did not wash face daily (AOR = 6.31, 95% CI: 1.81, 21.98), did not use soap during face washing (AOR = 3.34, 95% CI: 1.37, 8.15), presence of sleep in eyes (AOR = 3.16, 95% CI: 1.42, 7.02) and presence of dirt on child face (AOR = 2.44, 95% CI: 1.08, 5.50) increased the odds of having active trachoma. Conclusion The prevalence of active trachoma was high in the study area and showed a significant variation between graduated and non-graduated districts with mass drug administration. Living in non-graduated districts, fly presence in the house, more than two children in a household, did not wash the face daily, did not use soap during face washing, presence of sleep in eyes, and dirt on the child’s face were the significant predictors of active trachoma. Therefore, the identified modifiable factors are the area of intervention to reduce the burden of active trachoma.

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Section: Discussionmentioning

confidence: 99%

Prevalence and associated factors of active trachoma among children aged 1-9 years old in mass drug administration graduated and non-graduated districts in Northwest Amhara region, Ethiopia: A comparative cross-sectional study

Melkie¹,

Azage

Gedamu

2020

PLoS ONE

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“…The disease affects the marginalized and deprived members of the communities [20]. The disease persists in communities with inadequate access to water and sanitation and in dry, dusty, and hot climates [15,21,22]. Other agents of transmission include dirty faces, eye-seeking flies (particularly, Musca sorbens), and fomites such as clothing.…”

Section: Race and Sexmentioning

confidence: 99%

Trachoma

James¹

2023

Eye Diseases - Recent Advances, New Perspectives and Therapeutic Options

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Trachoma is the most common infectious cause of blindness worldwide. In children, repeated episodes of infection within cohorts and family with Chlamydia trachomatis would lead to severe conjunctival inflammation, scarring, and potentially blinding trichiasis or entropion in later life. Trachoma is a disease associated with poverty, poor hygiene, and sanitation as well inadequate water supply. Collaborative control programs are implementing the “SAFE” strategy: surgery for trichiasis, mass distribution of antibiotics, promotion of facial cleanliness, and environmental improvement. The SAFE strategy has remained the cornerstone of WHO’s plan to eliminate trachoma as public health problem, and many countries and districts have eliminated trachoma by this means.

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Progress towards the elimination of trachoma in Nigeria

Mpyet,

Olobio,

Isiyaku

et al. 2024

International Health

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Trachoma is targeted for elimination as a public health problem worldwide by 2030. In Nigeria, elimination activities are implemented at the local government area (LGA) level. They started in 2002 by conducting baseline population-based prevalence surveys (PBPSs), which continued in a systematic manner with engagement from the Global Trachoma Mapping Project in 2013, and subsequently Tropical Data. The results led to the development of Nigeria's first trachoma action plan and its subsequent revision with additional information. Following 449 baseline PBPSs, 122 LGAs had an active trachoma prevalence above the elimination threshold, requiring interventions, while 231 LGAs required community-based interventions for trichiasis management. By 2021, >34 million antibiotic treatments had been provided in 104 LGAs, with 89 LGAs eliminating active trachoma. Nationally, water and sanitation coverages increased by 3% and 18%, respectively, in 7 y. Systematic trichiasis case finding and management were carried out in 231 LGAs, resulting in the management of 102 527 people. Fifty-four LGAs decreased trichiasis prevalence unknown to the health system to <0.2% in persons ≥15 y of age. Where this elimination prevalence threshold was reached, trichiasis services were transitioned to routine eye/healthcare systems. Such progress relied on strong leadership and coordination from the national trachoma program and tremendous support provided by partners. Attaining elimination of trachoma as a public health problem in Nigeria by 2030 is feasible if funding support is sustained.

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Prevalence of Trachoma and Access to Water and Sanitation in Benue State, Nigeria: Results of 23 Population-Based Prevalence Surveys

Cited by 3 publications

References 42 publications

Prevalence and associated factors of active trachoma among children aged 1-9 years old in mass drug administration graduated and non-graduated districts in Northwest Amhara region, Ethiopia: A comparative cross-sectional study

Prevalence and associated factors of active trachoma among children aged 1-9 years old in mass drug administration graduated and non-graduated districts in Northwest Amhara region, Ethiopia: A comparative cross-sectional study

Trachoma

Progress towards the elimination of trachoma in Nigeria

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