@article{96764,
  keywords = {Public Health, Environmental and Occupational Health, General Medicine, Health (social science)},
  author = {ul Hassan E and Kelly M and Waititu T and Olobio N and Kabona G and Mkocha H and Kivumbi P and Mwale C and Mubangizi A and Mugume F and Baayenda G and Mayeku R and Massangaie M and Mbofana MA and Cumaio M and Sisay A and Mersha T and Courtright P},
  title = {Productivity, efficiency and gender equity of community mobilisation approaches in trichiasis campaigns: analysis of programmatic data from seven sub-Saharan African countries},
  abstract = {<p>Background</p>

<p>Achieving elimination of trachoma as a public health problem in trichiasis-endemic districts requires a systematic approach to trichiasis case finding and outreach.</p>

<p>Methods</p>

<p>Programme monitoring data from seven countries for 2017–2019 were used to explore the efficiency of different community mobilisation approaches and uptake of trichiasis surgical services.</p>

<p>Results</p>

<p>Three countries (Ethiopia, Kenya and Mozambique) using broad-based community mobilisation strategies had large numbers of people presenting at outreach but only 2.9% of them had trichiasis, while in four countries (Nigeria, Tanzania, Uganda and Zambia) using house-to-house case finding, 37.5% of outreach attendees had trichiasis. Countries using house-to-house case finding have proportionally more women attending outreach compared with countries using broad-based mobilisation. Among trichiasis cases offered surgery 86% accepted, which was similar for men and women.</p>

<p>Conclusions</p>

<p>In these settings, house-to-house case finding appears to be a more effective and efficient approach to ensure that trichiasis cases, particularly in women, obtain access to surgical services.</p>
},
  year = {2022},
  journal = {International Health},
  volume = {14},
  pages = {i24-i28},
  publisher = {Oxford University Press (OUP)},
  issn = {1876-3413, 1876-3405},
  url = {https://academic.oup.com/inthealth/article-pdf/14/Supplement_1/i24/43288563/ihab086.pdf},
  doi = {10.1093/inthealth/ihab086},
  language = {eng},
}