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TRACHOMA
Rabiu MM, Abiose A. Magnitude of trachoma and barriers to uptake of lid surgery
in a rural community of northern Nigeria. Ophthalmic Epidemiol
8(2-3):181-90, 2001.
Abstract: AIMS: A population-based
cross-sectional survey for trachoma prevalence was conducted in a subdistrict of
northern Nigeria. The objectives of the survey were to determine the magnitude
and pattern of trachoma and the barriers to uptake of lid surgery in the area.
METHODS: A total of 2903 people of all ages were examined out of 3715 registered
eligible persons. The study population was chosen by a two-stage cluster random
sampling technique. Each person was examined for signs of trachoma. The World
Health Organization (WHO) simplified trachoma grading was used. Persons with
trichiasis that had not attended hospital were asked why they had not sought
hospital treatment. RESULTS: A blindness prevalence of 1.5% (95% CI 0.4%-2.7%)
was found in the study population. About 20% of the blindness were due to
trachoma. The prevalence of trichiasis among women 15 years and above was found
to be 8.6% (95% CI 6.8%-10.7%). The prevalence of active trachoma among children
was 11.8% (95% CI 10.1%-13.3%). Over 90% of people with trichiasis have not
sought medical attention. The major identified factor that prevents people from
accessing hospital treatment for trichiasis was cost (57%). CONCLUSION: This
study suggests that trachoma is of public health significance in this area; as
such, an effective trachoma control program with emphasis on lid surgery should
be established.
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