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Scaling up of trachoma mapping in Salima District, Central Malawi

Health 2014年第1期6卷 57-63页

作者： Khumbo Kalua Isaac Singini Mavuto Mukaka kelias msyamboza Michael Masika Robin Bailey Department of Ophthalmology College of Medicine University of Malawi Blantyre Malawi Blantyre Institute for Community Ophthalmology Lions Sight First Eye Hospital Blantyre Malawi John Hopkins Research Project University of Malawi College of Medicine Blantyre Malawi London School of Hygiene and Tropical Medicine London UK Malawi Liverpool Welcome Trust (MLWT) College of Medicine Blantyre Ministry of Health Lilongwe Malawi World Health Organisation Lilongwe Malawi

Background: A number of suspected endemic districts with Trachoma have not been mapped in Malawi, and this contributes to delays for scaling up trachoma control activities. Objectives: To determine the prevalence of trachoma and associated risk factors in one of the suspected endemic districts (Salima District) in central Malawi and to generate information to guide policy decisions. Methods: A population-based survey conducted in randomly selected clusters in Salima District (population 418,672), centralMalawi. Children aged 1-9 years and adults aged 15 and above were assessed for clinical signs of trachoma. Results: In total, 884 households were enumerated within 36 clusters. A total of 2765 persons were examined for ocular signs of trachoma. The prevalence of trachomatous inflammation, follicular (TF) among children aged 1-9 years was 17.1% (95% CI 14.9-19.4). The prevalence of trachoma trichiasis (TT) in women aged 15 years and above was 1.3% (CI 0.7-2.3), while the prevalence in men was zero. The presence of a dirty face and lack of sanitation were significantly associated with trachoma follicular (P 10%), and warrants the trachoma SAFE (Surgery, Antibiotics, Face washing and Environmental hygiene) control strategy to be undertaken in Salima District.

关键词： Malawi Trachoma Prevalence Risk Factors Blindness Trichiasis Follicles

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