Health> Vol.5 No.11, November 2013

Current state of active trachoma among elementary school students in the context of ambitious national growth plan: The case of Ethiopia

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ABSTRACT

Trachoma is a classical disease of poverty. It is still the second leading cause of blindness in Ethiopia. Cognizant of the poor living condition of its people, every effort of the current government of Ethiopia is geared towards eradication of extreme poverty. The main aim of this study was to assess the current status and correlates of active trachoma among elementary school students. A cross sectional school-based study was conducted in Dangla town administration in the month of March 2012. Multistage sampling technique was employed. Pre-tested structured questionnaire and eye examination were data collection tools. The data were collected by health professionals especially trained for eye care. The data were analyzed using SPSS version 16 for windows. Possible associations, and statistical significance between, and among variables were measured using odds ratio at 95% confidence interval. The study indicated that overall prevalence of active trachoma was 12%. The multi-variate analysis revealed that those children with unclean face were seven times more likely to develop active trachoma than those with clean face (AOR = 7.07, 95% CI: 3.36-14.96). Moreover, children who didn’t use soap to wash their face were two times more likely to develop active trachoma than those who claimed to use soap to wash their face (AOR = 2.03, 95% CI 1.72-3.01). In short, the prevalence of trachoma is lower than the figures in previous survey reports in the region and at national levels; however, the risk factors remain the same. The struggle to eradicate extreme poverty should continue in a sustainable manner so that diseases of poverty including trachoma could be eliminated altogether.

Cite this paper

Gedefaw, M. , Shiferaw, A. , Alamrew, Z. , Feleke, A. , Fentie, T. and Atnafu, K. (2013) Current state of active trachoma among elementary school students in the context of ambitious national growth plan: The case of Ethiopia. Health, 5, 1768-1773. doi: 10.4236/health.2013.511238.

References

[1] A Safe Solution (2011) Sight savers’ fast track initiative to eliminate blinding trachoma.
[2] WHO (2011) Prevention of blindness and visual impairment: Priority eye diseases.
[3] Mariotti, S.P., Pascolini, D. and Rose-Nussbaumer, J. (2008) Trachoma: Global magnitude of a preventable cause of blindness. British Journal of Ophthalmology, 93, 563-568.
[4] Polack, S., Brooker, S., Kuper, H., Mariotti, S., Mabey, D., and Foster, A. (2005) Mapping the global distribution of trachoma. Bulletin of the World Health Organization, 83, 913-919.
[5] Mariotti, S.P., Pararajasegaram, R. and Resnikoff, S. (2003) Trachoma: Looking forward to global elimination of trachoma by 2020 (GET 2020). The American Journal of Tropical Medicine and Hygiene, 69, 33-35.
[6] Roodhoff, J.M.J. (2002) Leading causes of blindness worldwide. Bulletin de la Societe Belge d’Ophtalmologie, 283, 19-25.
[7] UNFCCC (2009) Climate change impacts, vulnerabilities and adaptation in developing countries. Regional impacts and vulnerabilities to climate change in Africa.
[8] Ethiopian Central Statistical Agency and ICF International (2012) 2011 Ethiopia demographic health survey: Key findings. CSA & ICF International, Calverton.
[9] Ethiopia’s Climate-Resilient Green Economy (2010) Green economy strategy. Federal Democratic Republic of Ethiopia I, Addis Ababa.
[10] Zerihun, N. (1997) Trachoma in Jimma zone, south western Ethiopia. Tropical Medicine & International Health, 2, 1115-1121.
http://dx.doi.org/10.1046/j.1365-3156.1997.d01-211.x
[11] Alene, G.D. and Abebe, S. (2000) Prevalence of risk factors for trachoma in a rural locality of north-western Ethiopia. East African Medical Journal, 77, 308-312.
[12] Assefa, T., Argaw, D., Foster, A. and Schwartz, E. (2001) Results of trachoma rapid assessment in 11 village of South Gonder Zone, Ethiopia. Tropical Doctor, 31, 202-204.
[13] Alemayehu, W., Malese, M., Fredlander, E., Worku, A. and Courtright, P. (2005) Active trachoma in children in central Ethiopia: Association with altitude. Transactions of the Royal Society of Tropical Medicine & Hygiene, 99, 840-843. http://dx.doi.org/10.1016/j.trstmh.2005.06.013
[14] Cumberland, P., Hailu, G. and Todd, J. (2005) Active trachoma in children aged three to nine years in rural communities in Ethiopia: Prevalence, indicators and risk factors. Transactions of the Royal Society of Tropical Medicine & Hygiene, 99, 120-127.
http://dx.doi.org/10.1016/j.trstmh.2004.03.011
[15] Berhane, Y., Worku, A., Bejiga, L., Adamu, W., Alemayehu, A., et al. (2007) Prevalence of trachoma in Ethiopia. The Ethiopian Journal of Health Development, 21, 211-215.
[16] National Five-Year Strategic Plan for Eye Care in Ethiopia (2006-2010) (2006) Diseases Prevention and Control Department Federal Ministry of Health, Addis Ababa.
[17] The Carter Center (2007) Prevalence of malaria and trachoma in Ethiopia. Household Cluster Survey.
[18] WHO (2006) Trachoma control. A guide for program managers.
[19] Ngondi, J., Gebre, T., Shargie, E.B., Gravesa, P.M, Ejigsemahu, Y., Teferi, T., et al. (2008) Risk factors for active trachoma in children and trichiasis in adults: A household survey in Amhara National Regional State, Ethiopia. Transactions of the Royal Society of Tropical Medicine and Hygiene, 102, 432-438.
http://dx.doi.org/10.1016/j.trstmh.2008.02.014
[20] Berta, E. (2004) Prevalence and risk factors of active trachoma among children of rural south Gondar, Ethiopia. MPH Thesis, Addis Ababa University, Ethiopia.
[21] Ketema, K., Tiruneh, M., Woldeyohannes, D. and Muluye, D. (2012) Active trachoma and associated risk factors among children in Baso Liben District of East Gojjam, Ethiopia. BMC Public Health, 12, 1105.
http://dx.doi.org/10.1186/1471-2458-12-1105
[22] Bailey, R. and Lietman, T. (2001) The SAFE strategy for the elimination of trachoma by 2020: Will it work? Bulletin of the World Health Organization, 79, 233-236.
[23] Stephanie, O. and Paul, E. (2012) How communities can control trachoma without a big budget. Journal of Community Eye Health, 25, 80-81.
[24] International Center for Eye Health (2007) London School of Hygiene & Tropical Medicine, UK.
[25] Growth and Transformation Plan (2010) Federal democratic republic of Ethiopia. Volume 1, Ministry of Finance and Economic Development, Addis Abeba.
[26] Ethiopia United Nations Development Assistance Framework 2012 to 2015 (2011) United Nations Country Team.

  
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