02757nas a2200445   4500000000100000008004100001260003400042653001600076653001200092653001300104653003900117653001500156100001300171700001300184700001400197700002100211700001200232700001300244700001400257700001100271700001300282700001500295700001200310700001100322700001400333700001400347700001600361700001100377700001200388700001400400700001300414700001500427700002000442700001700462245006000479856011000539300000900649520162800658022002502286       2024                            d  bOxford University Press (OUP)10aElimination10aNigeria10aTrachoma10aNeglected tropical diseases (NTDs)10aTrichiasis1 aMpyet CD1 aOlobio N1 aIsiyaku S1 aWamyil-Mshelia T1 aAjege G1 aOgoshi C1 aOlamiju F1 aAchu I1 aAdamu MD1 aMuhammad N1 aJabo AM1 aOrji P1 aWilliam A1 aRamyil AV1 aBakhtiari A1 aBoyd S1 aKelly M1 aJimenez C1 aKello AB1 aSolomon AW1 aHarding-Esch EM1 aCourtright P00aProgress towards the elimination of trachoma in Nigeria  uhttps://academic.oup.com/inthealth/advance-article-pdf/doi/10.1093/inthealth/ihae035/57874968/ihae035.pdf  a1-103 a<p>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, &amp;gt;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&nbsp;y. Systematic trichiasis case finding and management were carried out in 231 LGAs, resulting in the management of 102&nbsp;527 people. Fifty-four LGAs decreased trichiasis prevalence unknown to the health system to &amp;lt;0.2% in persons ≥15&nbsp;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.</p>
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