TY - JOUR
T1 - Trachoma Mapping in Gombe State, Nigeria
T2 - Results of 11 Local Government Area Surveys
AU - for the Global Trachoma Mapping Project
AU - Mpyet, Caleb
AU - Muhammad, Nasiru
AU - Adamu, Mohammed Dantani
AU - Muazu, Habila
AU - Umar, Murtala Muhammad
AU - Alada, Joel
AU - Onyebuchi, Uwazoeke
AU - Olamiju, Fracisca
AU - Isiyaku, Sunday
AU - William, Adamani
AU - Willis, Rebecca
AU - Flueckiger, Rebecca Mann
AU - Pavluck, Alexandre
AU - Chu, Brian K.
AU - Mohammed, Danjuma
AU - Olobio, Nicholas
AU - Solomon, Anthony W.
AU - Aboe, Agatha
AU - Adamu, Liknaw
AU - Alemayehu, Wondu
AU - Alemu, Menbere
AU - Alexander, Neal D.E.
AU - Bero, Berhanu
AU - Brooker, Simon J.
AU - Bush, Simon
AU - Courtright, Paul
AU - Dejene, Michael
AU - Emerson, Paul M.
AU - Flueckiger, Rebecca M.
AU - Foster, Allen
AU - Gadisa, Solomon
AU - Gass, Katherine
AU - Gebre, Teshome
AU - Habtamu, Zelalem
AU - Haddad, Danny
AU - Harvey, Erik
AU - Haslam, Dominic
AU - Kalua, Khumbo
AU - Kello, Amir B.
AU - King, Jonathan D.
AU - Le Mesurier, Richard
AU - Lewallen, Susan
AU - Lietman, Thomas M.
AU - MacArthur, Chad
AU - Macleod, Colin
AU - Mariotti, Silvio P.
AU - Massey, Anna
AU - Mathieu, Els
AU - Muñoz, Beatriz
AU - West, Sheila K.
N1 - Publisher Copyright:
© 2016 The Authors. Published with license by Taylor & Francis.
PY - 2016/11/1
Y1 - 2016/11/1
N2 - 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.
AB - 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.
KW - Blindness
KW - prevalence
KW - sanitation
KW - trachoma
KW - trichiasis surgery
KW - water
UR - http://www.scopus.com/inward/record.url?scp=84991038007&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84991038007&partnerID=8YFLogxK
U2 - 10.1080/09286586.2016.1230633
DO - 10.1080/09286586.2016.1230633
M3 - Article
C2 - 27726459
AN - SCOPUS:84991038007
SN - 0928-6586
VL - 23
SP - 406
EP - 411
JO - Ophthalmic Epidemiology
JF - Ophthalmic Epidemiology
IS - 6
ER -