TY - JOUR
KW - Public Health, Environmental and Occupational Health
KW - General Medicine
KW - Health (social science)
AU - ul Hassan E
AU - Kelly M
AU - Waititu T
AU - Olobio N
AU - Kabona G
AU - Mkocha H
AU - Kivumbi P
AU - Mwale C
AU - Mubangizi A
AU - Mugume F
AU - Baayenda G
AU - Mayeku R
AU - Massangaie M
AU - Mbofana MA
AU - Cumaio M
AU - Sisay A
AU - Mersha T
AU - Courtright P
AB - <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>

BT - International Health
DO - 10.1093/inthealth/ihab086
IS - Supplement_1
LA - eng
N2 - <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>

PB - Oxford University Press (OUP)
PY - 2022
SP - i24
EP - i28
T2 - International Health
TI - Productivity, efficiency and gender equity of community mobilisation approaches in trichiasis campaigns: analysis of programmatic data from seven sub-Saharan African countries
UR - https://academic.oup.com/inthealth/article-pdf/14/Supplement_1/i24/43288563/ihab086.pdf
VL - 14
SN - 1876-3413, 1876-3405
ER -