Prevalence and Factors Associated with Trachoma among Primary School Children in Harari Region, Eastern Ethiopia

  • Nega Assefa, Aklilu Roba, Tekabe Ahmed, Jelalu Birmeka, Eskindr Zergaw
  • Ophthalmology Research An International Journal, January 2017, Sciencedomain International
  • DOI: 10.9734/or/2017/37212

Trachoma among Primary School Children in Harari Region

What is it about?

Introduction: Trachoma is the leading infectious cause of blindness worldwide. It is more common in areas where people are socio-economically deprived. Although trachoma is endemic in 571 districts in Ethiopia, its prevalence has not been studied among school children in Harari Region. Objective: To assess the prevalence of trachoma eye infection and factors associated with it among Grades 1-8 schoolchildren in Harari Region, from November 30, 2015 to April 29, 2016. Methodology: A cross-sectional study was done on 1722 students selected from four primary schools. Data were collected using WHO simplified trachoma grading scheme and analysed by SPSS Version 16. The factors influencing the outcome variable were identified via Logistic Regression, and predictors through Odds Ratio and the corresponding confidence intervals. Results: The overall prevalence of trachoma was 1.3% (22/1722) in which 14 had Trachoma Follicular and 8 had both Trachoma Follicular and Trachoma Intense. Unclean face (AOR 3.4, CI 1.01-11.42), no maternal education (AOR 4.324, CI 1.189 to 15.729), family size of >5 (AOR 7.069, CI 2.248 to 22.228), families monthly income of less than 1000 Ethiopian Birr (AOR 5.71, CI 1.643 to 19.823), and solid waste collected by municipality (AOR 12.672, CI 1.289 to 124.57) were associated with trachoma eye infection. Conclusion: Both Trachoma Follicular and Trachoma Intense are less prevalent among Grades 18 school children in Harari Regional State

Why is it important?

The prevalence of trachoma eye infection was not studied in Harari region, especially among school children. So, this study indicated trachoma is likely to be a problem in Harari region. School based studies are rare in different regions. So, this study indicates the extent of the trachoma eye infection in schools. In addition, it indicated associated factors for trachoma occurrences in the context of school environment

Perspectives

Mr. Aklilu Abrham
Haramaya University

School based trachoma assessment is important to measure the magnitude of the problem in school environment context because younger children especially primary level students pass most of their time in play and social interaction, which is a favorable condition for transmission of the infection from one to another. General Hygiene and facial cleanliness in school environment is very challenging because of poor WASH(Water, sanitation and hygiene) especially in water scarce areas and rural schools.

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http://dx.doi.org/10.9734/or/2017/37212

The following have contributed to this page: Mr. Aklilu Abrham