ArticleMiddle East African journal of ophthalmology
A Community-based Eye Care Intervention in Southern Egypt: Impact on Trachomatous Trichiasis Surgical Coverage.
Article in Middle East African journal of ophthalmology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Determinants of Low Coverage of the Free Surgical Care Programme for Trachomatous Trichiasis in Rural Guinea in 2022.Tropical medicine and infectious disease · 2024Article
- Optimizing Trichiasis Case Finding to Attain the Elimination of Trachoma as a Public Health Problem.Tropical medicine and infectious disease · 2024Article
- Integrated people-centered eye care: A scoping review on engaging communities in eye care in low- and middle-income settings.PloS one · 2023Article
- Modified Anterior Lamellar Recession for All Grades of Upper Eyelid Trachomatous Cicatricial Entropion.Clinical ophthalmology (Auckland, N.Z.) · 2023Article
- 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
- Evaluation of a training program on primary eye care for an Accredited Social Health Activist (ASHA) in an urban district.Indian journal of ophthalmology · 2020Article
- Prevalence of trachoma in the Republic of Chad: results of 41 population-based surveys.Ophthalmic epidemiology · 2018Article
- Prevalence of trachoma in four marakez of Elmenia and Bani Suef Governorates, Egypt.Ophthalmic epidemiology · 2018Article
- Identifying Patient Perceived Barriers to Trichiasis Surgery in Kongwa District, Tanzania.PLoS neglected tropical diseases · 2017Article
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Abstract
purposeThe purpose of this study was to measure the impact of a community-based intervention on uptake of trichiasis surgery in Southern Egypt.
methodsFour villages where trachoma is endemic were randomly selected in the Samalout district, Egypt. Two villages were selected for intervention (intervention villages) and two matched villages for nonintervention (nonintervention villages). The intervention model provided community information sessions, door-to-door health education, screening, and improvements in the clinical capacity of eye care providers. The intervention was evaluated through two pre- and post-intervention community-based surveys that included the prevalence of trachoma and the utilization of eye care services at local hospitals. All patients with trichiasis answered a questionnaire regarding surgical utilization and barriers.
resultsIn the baseline survey, the trachomatous trichiasis (TT) surgical coverage was 22.7% (38.9% males, 16.7% females) in all villages. Following the intervention, the TT surgical coverage increased to 68% in villages that received the intervention (81.5% males, 60% females). Nonintervention villages had a TT surgical coverage of 26.1% (37.5% males, 20% females). In the intervention villages, the prevalence of TT significantly decreased from 9.4% (5.7% males, 11.8% females) to 3.8% (1.9% males, 5.1% females) (P = 0.013), in 2008. In nonintervention villages, there was a slight, but insignificant decrease in TT from 10.1% (3.1% males, 14.4% females) to 8.2% (3% males, 11.5% females) (P = 0.580). The major barriers to uptake of TT surgical services were: "Feeling no problem" (17.3%), "fear of surgery" (12.7%) and "cost" (12.7%).
conclusionA community-based eye health education program with door-to-door screening significantly increased the uptake of TT surgical services. Although improvements to the delivery of surgical service are essential, they did not lead to any significant improvements in the nonintervention villages.
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