02743nas a2200469   4500000000100000008004100001260003400042653005700076653002100133653002800154653001300182653001500195653001800210653001300228653001500241653001800256100002000274700001300294700001400307700001500321700001300336700001500349700002000364700001200384700001500396700001100411700001600422700001400438700001400452700001300466700001500479700001400494700001200508700001200520700001300532245010600545856009300651300001400744490000700758520148300765022002502248       2023                            d  bOxford University Press (OUP)10aPublic Health, Environmental and Occupational Health10aGeneral Medicine10aHealth (social science)10aEthiopia10aPrevalence10aSomali Region10aTrachoma10aTrichiasis10aTropical Data1 aGebreselassie G1 aNegash K1 aTsegaye S1 aMakonnen M1 aDeneke B1 aDesalegn M1 aHarding-Esch EM1 aHarte A1 aSolomon AW1 aBoyd S1 aBakhtiari A1 aHassen MA1 aHambali A1 aDejene M1 aBeckwith C1 aTadesse F1 aSeifu F1 aKiflu G1 aKebede F00aPrevalence of trachoma in Somali region, Ethiopia: results from trachoma impact surveys in 50 woredas  uhttps://academic.oup.com/inthealth/article-pdf/15/Supplement_2/ii30/53979162/ihad063.pdf  aii30-ii370 v153 a<p><strong>Background:&nbsp;</strong>Following interventions to eliminate trachoma in Somali region, Ethiopia, we aimed to re-estimate the prevalence of trachomatous trichiasis (TT) and trachomatous inflammation—follicular (TF) at woreda level and identify the factors associated with the disease.</p>

<p><strong>Methods:</strong> We implemented cross-sectional community-based surveys in 50 trachoma-endemic woredas, using a standardized survey. Households were the secondary sampling unit. Surveys were undertaken through a combination of interviews of household heads and direct inspection of water, sanitation and hygiene (WASH) access, plus clinical evaluation of eligible household members for TT and TF.</p>

<p><strong>Results:</strong> Overall, 41 (82%) of the 50 woredas had met the WHO-recommended active trachoma elimination threshold (prevalence of TF &lt;5% in 1–9-y-olds) and 42 (84%) had met the TT threshold (prevalence of TT unknown to the health system &lt;0.2% in ≥15-y-olds). Only 18% of households had access to an improved drinking water source within a 30-min trip and only 25% had an improved latrine.</p>

<p><strong>Conclusions:</strong> Additional rounds of antibiotic mass drug administration, plus interventions to enhance facial cleanliness and improve the environment, are required in nine woredas. TT surgical campaigns are needed in eight woredas. Greater access to WASH is required across all the woredas that were surveyed.</p>
  a1876-3413, 1876-3405