Trachoma control: the SAFE strategy

doi:10.18240/ijo.2018.12.01

Cited by 6 publications

(6 citation statements)

References 14 publications

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“…This may be due to a lack of time to guardians to take care as the number of school-age children, and families are rising within the household. Besides, the infection rate and severity of trachoma are closely related to the overcrowded living conditions of the households [ 46 , 47 ]. The probability of direct human contact, sharing sleeping places, towels, and clothing might be increased for ocular Chlamydia to spread[ 48 ].…”

Section: Discussionmentioning

confidence: 99%

“…This might be due to the fact that an unclean face attracts eye- seeking flies that transmit trachoma mechanically. Children with unclean faces could be more likely to spread nasal and ocular secretions infected with Chlamydia trachomatis among one another, particularly if they are sharing fomites and cross infection through contaminated fingers [ 18 , 46 ].…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of active trachoma and associated factors among school age children in Debre Tabor Town, Northwest Ethiopia, 2019: a community based cross-sectional study

et al. 2022

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Background Trachoma is an infectious eye disease caused by Chlamydial trachomatis. It is a major health problem in poor nations, notably in Sub-Saharan Africa. Despite the severity of the problem, there was a scarcity of data on trachoma prevalence and associated factors among school-aged children in Debre Tabor town following SAFE and MDA. Objectives The goal of this study was to determine the prevalence of active trachoma and its associated factors among school-aged children in Debre Tabor, Northwest Ethiopia, in 2019. Methods A community-based cross-sectional study was used among school-aged children. Structured interview questionnaires, an observational checklist, and a physical examination were used to collect data from study participants who were chosen using a systematic random sampling procedure. IBM SPSS 20 was used to enter data, which was then transferred to IBM SPSS 20 for bivariate and multivariable logistic regression analysis. Result A total of 394 children aged 5–15 had been screened and took part in the study, with 9.9% (95% CI: 6.9, 12.7) testing positive for active trachoma. Having an unimproved larine type (AOR = 5.18; 95%CI: 1.96, 13.69), improper solid waste disposal (AOR = 3.026; 95%CI: 1.17, 7.8), family size greater than four (AOR = 3.4; 95%CI: 1.22, 9.49), not using soap for face washing (AOR = 4.48; 95%CI: 1.46, 13.72) and an unclean face of the child during examination (AOR = 23.93; 95%CI: 8.25, 69.38) were found to be significant predictors of active trachoma. Conclusion Active trachoma among school-age children was high compared to the WHO’s definition of trachoma as a public health problem. A family size of four, poor solid waste management, an unimproved type of latrine, an unclean child's face, and not using soap when washing one's face were all significant predictors of active trachoma. Promotion of behavioral determinants through health education programs like keeping facial cleanliness by washing their child’s face with soap, managing solid waste properly, and installing improved latrines to reduce active trachoma needs to be in place.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prevalence of active trachoma and associated factors among school age children in Debre Tabor Town, Northwest Ethiopia, 2019: a community based cross-sectional study

et al. 2022

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“…Trachoma studies were least common and were reported only as a single species, never in combination with other parasites. This is presumably due to different control methods, as Azithromycin is administered in accordance with the SAFE strategy for Trachoma control [ 27 ]. No trachoma compliance studies have been published since 2019.…”

Section: Resultsmentioning

confidence: 99%

Individual longitudinal compliance to neglected tropical disease mass drug administration programmes, a systematic review

et al. 2023

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Repeated distribution of preventative chemotherapy (PC) by mass drug administration forms the mainstay of transmission control for five of the 20 recognised neglected tropical diseases (NTDs); soil-transmitted helminths, schistosomiasis, lymphatic filariasis, onchocerciasis and trachoma. The efficiency of such programmes is reliant upon participants swallowing the offered treatment consistently at each round. This is measured by compliance, defined as the proportion of eligible participants swallowing treatment. Individually linked longitudinal compliance data is important for assessing the potential impact of MDA-based control programmes, yet this accurate monitoring is rarely implemented in those for NTDs. Longitudinal compliance data reported by control programmes globally for the five (PC)-NTDs since 2016 is examined, focusing on key associations of compliance with age and gender. PubMed and Web of Science was searched in January 2022 for articles written in English and Spanish, and the subsequent extraction adhered to PRISMA guidelines. Study title screening was aided by Rayyan, a machine learning software package. Studies were considered for inclusion if primary compliance data was recorded for more than one time point, in a population larger than 100 participants. All data analysis was conducted in R. A total of 89 studies were identified containing compliance data, 57 were longitudinal studies, of which 25 reported individually linked data reported by varying methods. The association of increasing age with the degree of systematic treatment was commonly reported. The review is limited by the paucity of data published on this topic. The varying and overlapping terminologies used to describe coverage (receiving treatment) and compliance (swallowing treatment) is reviewed. Consequently, it is recommended that WHO considers clearly defining the terms for coverage, compliance, and longitudinal compliance which are currently contradictory across their NTD treatment guidelines. This review is registered with PROSPERO (number: CRD42022301991).

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“…The Fred Hollows Foundation began working in Vietnam in 1992 and since then has developed key partnerships to perform 282,000 trichiasis surgeries [ 45 ]. Additionally, WHO SAFE strategy has improved health practices significantly, which contributed to the reduction of trachoma [ 46 ]. The SAFE strategy was initiated in 1996 as part of WHO Alliance for Global Elimination of Trachoma by 2020, which worked to help countries reduce trachoma through training staff and improving health practices and programs [ 47 , 48 ].…”

Section: Ntds Decliningmentioning

confidence: 99%