02377nas a2200385   4500000000100000008004100001260003400042653005700076653002100133653002800154100001600182700001200198700001400210700001300224700001300237700001300250700001400263700001200277700001600289700001300305700001500318700001300333700001700346700001500363700001300378700001200391700001300403700001700416245018000433856009200613300001200705490000700717520124200724022002501966       2022                            d  bOxford University Press (OUP)10aPublic Health, Environmental and Occupational Health10aGeneral Medicine10aHealth (social science)1 aul Hassan E1 aKelly M1 aWaititu T1 aOlobio N1 aKabona G1 aMkocha H1 aKivumbi P1 aMwale C1 aMubangizi A1 aMugume F1 aBaayenda G1 aMayeku R1 aMassangaie M1 aMbofana MA1 aCumaio M1 aSisay A1 aMersha T1 aCourtright P00aProductivity, efficiency and gender equity of community mobilisation approaches in trichiasis campaigns: analysis of programmatic data from seven sub-Saharan African countries  uhttps://academic.oup.com/inthealth/article-pdf/14/Supplement_1/i24/43288563/ihab086.pdf  ai24-i280 v143 a<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>
  a1876-3413, 1876-3405