Abstract
Background፡ Trachoma is a neglected eye problem and primary cause of preventable corneal blindness. In endemic areas, initial infection occurs in early childhood, and recurrent infection progress to scarring and blindness. In the past four decades, GET2020 initiative eliminated Trachoma from developed countries through enhancements of hygiene and sanitation but still a problem of developing countries. Studies and reports also indicated the presence of high prevalence of Trachoma in Ethiopia and in the study area. Thus, the purpose of this study is to assess the prevalence and risk factors of active trachoma among rural preschool children in Wadla district, Ethiopia.
Methods: A community based cross-sectional study design was considered to gather data from 583 children using sample size determination, but 596 children were screened for signs of active trachoma because of the sampling procedure nature, cluster sampling technique. Wadla district has 150 rural villages, which are similar in topography and socio-demographic status. Based on rule of thumb 30 villages (clusters) were included for the data collection.
An interview on socio-demographic data were collected by health informatics professionals using structured interview questioners, which were prepared through reviewing previous literatures and pretested in Meket Woreda. Eye examination was performed by Integrated Eye Care Workers who trained for one month for the purpose of trachoma screening by Carter center-Ethiopia.
Results - The prevalence of active trachoma among rural pre-school children in Wadla district was 130 (21.8%). Regarding risk factors, poor economic status (AOR (95% CI), (3.8 (1.3-11.4), being 37- 48 months old (AOR (95% CI), (4.2 (1.5-12.0), thatched house roof (AOR (95%CI), (4.4 (1.4-13.6), presence of fly in nearby home (AOR (95% CI), 4.6 (2.1-9.9), once weekly face washing frequency (AOR (95% CI), 8.6 (2.5-29.3), unwashed face for longer than a week (AOR (95% CI), 10.6 (2.9-37.7), not using soap (AOR (95% CI), 4.5 (1.8-11.3), and absence of latrine (AOR (95% CI), 5.1 (2.0-12.9) have association with active trachoma.
Conclusion: Environmental factors weigh other factors and this could capture the intention of policy makers to emphasize on the environmental components like sanitation including face cleanness to decrease the prevalence of trachoma
Determinants of appropriate complementary feeding practice among mothers having children 6–23 months of age in rural Damot sore district, Southern Ethiopia; a community based cross sectional study
