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Trachoma Mapping in Gombe State, Nigeria: Results of 11 Local Government Area Surveys

Authors :
Brian K. Chu
Caleb Mpyet
Rebecca M. Flueckiger
Alexandre L. Pavluck
Rebecca Willis
Habila Muazu
Adamani William
Fracisca Olamiju
Sunday Isiyaku
Danjuma Mohammed
Uwazoeke Onyebuchi
Mohammed Dantani Adamu
Anthony W. Solomon
Nasiru Muhammad
Murtala M Umar
Nicholas Olobio
Joel Alada
Source :
Ophthalmic epidemiology
Publication Year :
2016
Publisher :
Informa UK Limited, 2016.

Abstract

PURPOSE: To determine the need or otherwise for establishment of a trachoma elimination program in Gombe State, Nigeria, by estimating the population-based prevalence of trachoma in each Local Government Area (LGA) of Gombe. METHODS: Using a multi-stage, systematic, random, and quasi-random sampling approach and Global Trachoma Mapping Project support, we selected 25 clusters in each LGA. In each cluster, we selected 25 households and all consenting residents aged 1 year and older were examined for trachomatous inflammation-follicular (TF) and trichiasis, using the World Health Organization simplified grading scheme. RESULTS: No LGA in Gombe State had a TF prevalence ≥5% in 1-9-year-olds. All LGAs had trichiasis prevalences above the elimination threshold and should be targeted for community-based delivery of trichiasis surgery. Only three LGAs had household-level improved wash water access of greater than 80%. Access to improved sanitation facilities was also poor as household access to improved sanitation facilities was above 80% in only one LGA. CONCLUSION: A trachoma program focused on delivery of trichiasis surgery is required in Gombe. Improvements in water and sanitation, through engagement with other sectors, are necessary.

Details

ISSN :
17445086 and 09286586
Volume :
23
Database :
OpenAIRE
Journal :
Ophthalmic Epidemiology
Accession number :
edsair.doi.dedup.....d7cd351e682179eb86c108e1376d2b09