ArticleThe British journal of ophthalmology2007
Uptake of trichiasis surgical services in Tanzania through two village-based approaches.
Article in The British journal of ophthalmology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A Systematic Review of Access to Rehabilitation for People with Disabilities in Low- and Middle-Income Countries.International journal of environmental research and public health · 2018Pooled it
- Systematic review of barriers to surgical care in low-income and middle-income countries.World journal of surgery · 2011Pooled it
- Assessment of a Novel Approach to Identify Trichiasis Cases Using Community Treatment Assistants in Tanzania.PLoS neglected tropical diseases · 2015Trial
- Epilation for trachomatous trichiasis and the risk of corneal opacification.Ophthalmology · 2012Trial
- Surgery versus epilation for the treatment of minor trichiasis in Ethiopia: a randomised controlled noninferiority trial.PLoS medicine · 2011Trial
- Productivity, efficiency and gender equity of community mobilisation approaches in trichiasis campaigns: analysis of programmatic data from seven sub-Saharan African countries.International health · 2022Article
- A case study of interventions to facilitate learning for pupils with hearing impairment in Tanzania.African journal of disability · 2022Article
- Exploring barriers for trachomatous trichiasis surgery implementation in gamo zone, Southern Ethiopia.PLoS neglected tropical diseases · 2021Article
- Uptake of Trachoma Trichiasis Surgery and Associated Factors Among Trichiasis-Diagnosed Clients in Southern Tigray, Ethiopia.Clinical ophthalmology (Auckland, N.Z.) · 2021Article
- An Intervention to Improve Uptake of Referrals for Children with Ear Disease or Hearing Loss in Thyolo District, Malawi: Acceptability and Feasibility.International journal of environmental research and public health · 2019Article
- Article
- Determinants for not utilizing trachomatous trichiasis surgery among trachomatous trichiasis patients in Mehalsayint District, North-East Ethiopia.PLoS neglected tropical diseases · 2018Article
- Prevalence of Trachoma in Kano State, Nigeria: Results of 44 Local Government Area-Level Surveys.Ophthalmic epidemiology · 2017Article
- Identifying Patient Perceived Barriers to Trichiasis Surgery in Kongwa District, Tanzania.PLoS neglected tropical diseases · 2017Article
- Trachoma Mapping in Gombe State, Nigeria: Results of 11 Local Government Area Surveys.Ophthalmic epidemiology · 2016Article
- The outcome of trachomatous trichiasis surgery in Ethiopia: risk factors for recurrence.PLoS neglected tropical diseases · 2013Article
- Why do people not attend for treatment for trachomatous trichiasis in Ethiopia? A study of barriers to surgery.PLoS neglected tropical diseases · 2012Article
- Definitions and standardization of a new grading scheme for eyelid contour abnormalities after trichiasis surgery.PLoS neglected tropical diseases · 2012Article
- The clinical phenotype of trachomatous trichiasis in Ethiopia: not all trichiasis is due to entropion.Investigative ophthalmology & visual science · 2011Article
- Strategies to control trachoma.Drugs · 2009Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo determine the effectiveness of village-based strategies (using school teachers and village leaders) to increase the use of surgical services.
methodsA cohort study was conducted in Tanzania using two village strategies (village leader and school teachers); trichiasis surgical uptake and the factors associated with uptake were measured after 1 year.
resultsThe trichiasis surgical coverage at baseline was 16.9%; 200 patients who needed surgery were identified. One year later, we were able to re-examine and interview 163 of these patients. The surgical uptake among these patients was 44.8% (95% CI 37.2% to 52.4%). Patients in the school-teacher programme had a 36.5% uptake compared with 52.1% for those in the village-leader programme. No difference was observed in uptake by age or sex. Uptake was highest among those coming from multiple-generation households and those with more household wealth. Of the 90 people who still had not had surgery, 20 (22.2%) reported seeking surgery, but failing to receive it because of barriers at the provider side.
conclusionsImproved surgical uptake for trachomatous trichiasis was achieved by using village-based promotion efforts and surgical services at existing health clinics. Even with free surgery at health clinics, indirect costs and social support barriers limit utilisation by the most vulnerable, the poorest and those living in single-generation households. Problems at the provider level also create barriers for patients who need surgery.
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