ArticleBulletin of the World Health Organization2017
Active trachoma and community use of sanitation, Ethiopia.
Article in Bulletin of the World Health Organization, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 5 of them syntheses that pooled it.
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Who cites it
42 citing papers in PubMed, 5 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- Predictors of trachoma among children aged 1-9 years in Ethiopia: a comprehensive systematic review and meta-analysis.BMC infectious diseases · 2025Pooled it
- Prevalence of active trachoma among 1-9 years of age children in Ethiopia: a systematic review and meta-analysis.BMJ open · 2024Pooled it
- Household-level sanitation in Ethiopia and its influencing factors: a systematic review.BMC public health · 2022Pooled it
- Community-level trachoma ecological associations and the use of geospatial analysis methods: A systematic review.PLoS neglected tropical diseases · 2022Pooled it
- Prevalence and associated factors of active trachoma among children in Ethiopia: a systematic review and meta-analysis.BMC infectious diseases · 2019Pooled it
- Comparison of Methods for Assessing Chlamydia trachomatis Transmission Intensity: A Systematic Review.The American journal of tropical medicine and hygiene · 2026Article
- Knowledge and Attitudes Toward Trachoma Among Final-Year Clinical Medicine Students in Dar es Salaam, Tanzania: A Descriptive Cross-Sectional Study.Journal of tropical medicine · 2026Article
- Lessons from the elimination of trachoma in Senegal: implications for high-burden countries in sub-Saharan Africa.Tropical medicine and health · 2025Article
- Prevalence of ocular Chlamydia trachomatis infection and antibodies within districts persistently endemic for trachoma, Amhara, Ethiopia.PLoS neglected tropical diseases · 2025Article
- Ongoing transmission of trachoma in low prevalence districts in Mozambique: results from four cross-sectional enhanced impact surveys, 2022.Scientific reports · 2024Article
- The Epidemiology of Ocular Chlamydia trachomatis Infection within Districts Persistently Endemic for Trachoma in Amhara, Ethiopia.The American journal of tropical medicine and hygiene · 2024Article
- Active trachoma and associated factors in children aged 1 to 9 years living in Sasiga rural districts, East Wallaga Zone, Ethiopia, in 2022: a community- based cross-sectional study.BMC ophthalmology · 2024Article
- "People are now working together for a common good": The effect on social capital of participatory design for community-level sanitation infrastructure in urban informal settlements.World development · 2024Article
- Review
- Baseline Prevalence of Trachoma in 21 Local Government Areas of Adamawa State, North East Nigeria.Ophthalmic epidemiology · 2023Article
- Baseline Prevalence of Trachoma in 13 Local Government Areas of Borno State, Nigeria.Ophthalmic epidemiology · 2023Article
- Trachoma risk factors in Oromia Region, Ethiopia.PLoS neglected tropical diseases · 2023Article
- Assessment of the status of improved F&E trachoma control practices among children of agro-pastoralists in Southern Ethiopia: a mixed design survey using theory of triadic influences.BMC public health · 2023Article
- To eliminate trachoma: Azithromycin mass drug administration coverage and associated factors among adults in Goro district, Southeast Ethiopia.PLoS neglected tropical diseases · 2022Article
- Model-based geostatistics enables more precise estimates of neglected tropical-disease prevalence in elimination settings: mapping trachoma prevalence in Ethiopia.International journal of epidemiology · 2022Article
Corrections and comments
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Authors and funding
17 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate, in Amhara, Ethiopia, the association between prevalence of active trachoma among children aged 1-9 years and community sanitation usage.
methodsBetween 2011 and 2014, prevalence of trachoma and household pit latrine usage were measured in five population-based cross-sectional surveys. Data on observed indicators of latrine use were aggregated into a measure of community sanitation usage calculated as the proportion of households with a latrine in use. All household members were examined for clinical signs, i.e. trachomatous inflammation, follicular and/or intense, indicative of active trachoma. Multilevel logistic regression was used to estimate prevalence odds ratios (OR) and 95% confidence intervals (CI), adjusting for community, household and individual factors, and to evaluate modification by household latrine use and water access.
findingsIn surveyed areas, prevalence of active trachoma among children was estimated to be 29% (95% CI: 28-30) and mean community sanitation usage was 47% (95% CI: 45-48). Despite significant modification (p < 0.0001), no pattern in stratified ORs was detected. Summarizing across strata, community sanitation usage values of 60 to < 80% and ≥ 80% were associated with lower prevalence odds of active trachoma, compared with community sanitation usage of < 20% (OR: 0.76; 95% CI: 0.57-1.03 and OR: 0.67; 95% CI: 0.48-0.95, respectively).
conclusionIn Amhara, Ethiopia, a negative correlation was observed between community sanitation usage and prevalence of active trachoma among children, highlighting the need for continued efforts to encourage higher levels of sanitation usage and to support sustained use throughout the community, not simply at the household level.
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Registered trials
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