The Association between Self-reported Osteoporosis and Chinese Medicine-Constitution Questionnaire – A Cross-Sectional Taiwan Biobank Study

Abstract Background: Constitutional medicine was as an example of earlier medicine evidence of Chinese Medicine (CM). CM-Constitutional Questionnaire (CM-CQ) commonly considered as the observed various phenotypes as phenome. However, the comprehensive associations between self-reported disease outcomes and questionnaires of CM-CQ remained uncertain. Methods: Taiwan Biobank has begun the collection of these cancer-free volunteers, aged 30-70 with these questionnaires, self-reported disease history, clinical examinations, and genetic information from 2012 as baseline enrollment. This community-, cross-sectional study was conducted by part of Taiwan Biobank and compared the associations among CM-CQ, which reflect these constitutional variables as individual markers.Results: The present study conducted by using 1,998 volunteers (2 withdraw) from Taiwan Biobank. Which separately assessed the associations among 32 diseases and 44 items of CM-CQ questions using the binomial logistic regression model. There were 6 CM-CQ questions with a significant association of self-reported osteoporosis in all CM-CQ. Interestingly, we found that these 6 CM-CQ questions shown a significant association with osteoporosis, even which adjusted with false discovery rate (adjusted p <0.05). The Q1, Q22, and Q37 demonstrated with considerably adjusted p-value and the other CM-CQ, which involved in Q14, Q16, and Q21 shown borderline relation to self-reported osteoporosis, which was existed less residual effect with smoking and drinking habits. Conclusion: This study generated real-world evidence of national biobank for clarified associations between clinical symptom and self-reported diseases. The exploration of self-reported disease-related CM-CQ for further companion diagnostic indicators via comprehensive community-based Taiwan Biobank study should be a possibility.

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Climate Change Awareness and related Tree Planting Practices in a Rural Community in North-Western Nigeria

Journal of Community Medicine and Primary Health Care ◽

10.4314/jcmphc.v33i1.4 ◽

2021 ◽

Vol 33 (1) ◽

pp. 41-49

Author(s):

A.A. Gobir ◽

A.A. Aliyu ◽

A.A. Abubakar ◽

C. Esekhaigbe ◽

I.A. Joshua ◽

...

Keyword(s):

Climate Change ◽

Statistical Significance ◽

Cross Sectional Study ◽

Tree Planting ◽

P Value ◽

Community Based ◽

Cross Sectional ◽

Household Heads ◽

Tree Cutting ◽

Fire Wood

Background: Tree cutting is one of the causes of climate change and a common practice in Africa, a continent under significant threat from climate change. Therefore, climate change awareness and mitigation are vital to reducing its impacts in the region. Reforestation through planting of trees is an important carbon emission reduction strategy. This study assessed climate change awareness and related tree planting practices among household heads in a Nigerian rural community.Methods: A community-based descriptive, cross-sectional study was conducted in April 2019 among all household heads in Nasarawan Buhari community. An interviewer-administered questionnaire was used to collect data from the 104 household heads (or their representatives). Data was analyzed using SPSS (version 21.0) and statistical significance was set at p value of < 0.05.Results: The mean age of respondents was 40.6±12.6 years, and most of them (87.5%) were males. Half (50.0%) were aware of climate change, and their main source of information was radio (63.5%). Most (98.1%) used fire wood for cooking. Only a minority (27.9%) planted at least a tree in the year preceding the study. There was a statistically significant association between climate change awareness and occupation (p=0.038) but not with tree planting (p=0.827).Conclusion: The results indicated that only half of respondents were aware of climate change. There was high use of wood as cooking fuel with low tree planting. Tree planting was not associated with climate change awareness. There is therefore a need for continuous climate change education and mitigation campaign in the community.

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Assessment on awareness towards preventive measures of COVID-19 in Sheka, Southwestern Ethiopia: Community based cross-sectional Study

10.21203/rs.3.rs-434491/v1 ◽

2021 ◽

Author(s):

Assaye Belay Gelaw ◽

Solomon Abebaw Andargie

Keyword(s):

Public Health Problem ◽

Cross Sectional Study ◽

P Value ◽

Critical Element ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Southwestern Ethiopia ◽

Prevention Methods ◽

And Control

Abstract Background: The coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and it is the most important of public health problem worldwide. A critical element in tackling the COVID-19 crisis is personal behavioral change; however, there is a paucity of evidence about peoples’ awareness towards COVID-19 pandemic. Hence, the aim of this was to assess the community’s awareness status towards COVID-19 in Sheka, Southwestern Ethiopia.Methods: Community-based cross-sectional study was conducted 10th to 21th April 2020. Four hundred-nineteen individuals participated during the study. Both univariable and multivariable logistic regression analyses were used to identify significant factors of awareness status, and variables with p-value<0.05 indicated it significantly influences the awareness status of the individuals towards COVID-19.Results: According to the study’s results, nearly half (49.4 %) of the participants had awareness about COVID-19 pandemic. Factors such being female equal (AOR: 0.476, 95%CI: 0.293, 0.772),education being secondary and above(AOR:2.178,95%CI:1.323,3.586),and prevention methods being fully used (AOR,8.127,95%CI: 1.273, 51.871)were significantly influencing the awareness status of the community towards COVID-19 pandemic than their counterparts.Conclusion: The study showed that there is a low awareness status among people towards COVID-19.Hence, programs to improve awareness towards COVID-19 pandemic is essential to prevent and control the pandemic.

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Who copes up well? – comparative assessment among urban, rural and tribal school children in Mysore district, Karnataka

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20171800 ◽

2017 ◽

Vol 4 (5) ◽

pp. 1774

Author(s):

Prakash B. ◽

Pradeep T. S. ◽

Praveen Kulkarni ◽

M. R. Narayana Murthy

Keyword(s):

High School ◽

Coping Strategies ◽

School Children ◽

Cross Sectional Study ◽

P Value ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Rural And Urban ◽

Significant Difference

Background: One of the features of modern life is ever increasing stress. Stress is an epidemic in the 21st century that commonly affects all of us on a daily basis. Adolescence can be a stressful time as this age group people are dealing with the challenges of puberty, changing expectations and coping with new feelings. Coping is the process of managing demands (external or internal) that are appraised as taxing or exceeding the resources of the person. Coping consists of efforts, both action-oriented and intrapsychic. The relationship between coping and a stressful event represents a dynamic process. With this background study was conducted to assess the coping ability of tribal, rural and urban school children of Mysuru District. Methods: A community based cross-sectional study conducted in Tribal, rural and urban Mysuru.A Pre tested semi-structured proforma which included general profile and socio-demographic profile of student was used. Information about coping skills was collected through Tobin Coping Strategies Inventory 32 item scale. Statistical analysis: Descriptive statistics like mean and standard deviation were applied. Anova test for comparison of means between three groups. Independent t test was applied for comparison between two groups. The association was expressed statistically significant at p-value less than 0.05. Results: In regards to problem solving, cognitive restructuring, expressing emotions, social contact, wishful thinking, social withdrawal, self-criticism there was a significant difference among 3 groups with p-value <0.05, with regards to problem focused engagement and emotion focused engagement there was a significant difference among 3 groups with p-value< 0.05 with tribal high school participants having higher scores and with regards to engagement there was a significant difference among 3 groups with p-value <0.05 with tribal high school participants having higher scores.Conclusions: The present study was a community based cross sectional study conducted among tribal, rural and urban high school students of Mysuru district aged 14-16 years which revealed tribal school participants had better coping strategy next to urban. Males differed from females with respect to their coping strategies especially in rural and urban participants.

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(Un)Healthy Lifestyles, Environment, Well-being and Health Capability in Rural Neighbourhoods: A Community-based Cross-sectional Study

10.21203/rs.3.rs-98459/v1 ◽

2020 ◽

Author(s):

Anabela Marisa Azul ◽

Ricardo Almendra ◽

Marta Quatorze ◽

Adriana Loureiro ◽

Flávio Reis ◽

...

Keyword(s):

Mixed Method ◽

Rural Areas ◽

Well Being ◽

Cross Sectional Study ◽

P Value ◽

Community Based ◽

Cross Sectional ◽

Health Loss ◽

Mixed Method Design ◽

Health And Well Being

Abstract Background: Non-communicable diseases (NCDs) are a leading cause of health loss worldwide, in part due to unhealthy lifestyles. Metabolic-based diseases are rising with an unhealthy body-mass index (BMI) in rural areas as the main risk factor in adults. Health loss risks in rural areas may be amplified by wider determinants such as socio-demography and surrounding environments. We assessed weather (un)healthy lifestyles and environment in rural neighbourhoods are reflected into metabolic risks and health capability, and how community circumstances may impact the self-ability for making balanced decisions.Methods: We conducted a community-based cross-sectional study in fifteen Portuguese rural neighbourhoods (with high ageing index and high illiteracy) to describe individuals’ health functioning condition and to characterize the community environment. We followed a qualitatively driven mixed-method design, using a healthy lifestyle assessment toolkit, to gather evidence-based data and lifestyles (incorporated in eVida technology), within a random sample of 270 individuals; and 107 in-depth interviews to determine whether environment influence the capability for improving or pursuing heath and well-being.Results: Men showed to have a 75% higher probability of being overweight than women (p-value=0.0954); and the reporting of health loss risks was higher in women (RR: 1.48; p-value=0.122), individuals with larger waist circumference (RR: 2.21; IC: 1.19; 4.27), overweight and obesity (RR: 1.38; p-value=0.293) and participants aged over 75 years (RR: 1.78; p-value= 0.235; when compared with participants under 40 years old). Metabolic risks were more associated to BMI and physical activity than diet (or sleeping habits); participants strongly evidenced the adherence to a Mediterranean dietary pattern. From the interviews, we identified seven environmental circumstances reflecting health needs, health expectations and health capability: economic development, built environment, social network, health care, demography, active lifestyles, and mobility. And, while the starting point of the interview addressed community needs, participants expressed the value of natural environment in their neighbourhood as the main positive effect to pursuing health and well-being, with particular emphasis to lower exposure to air / noise pollution, daily routines linked to nature or land use, and diversity of nature experiences.Conclusions: Our qualitatively driven mixed-method design, involving the community, uncovers environment contextual-dependent circumstances influencing the ability of individuals to pursue healthy habits. The active participation of local representatives, with its degrees of negotiation and flexibility, contributed to adapt the health-related messages. The co-benefits from this co-designing community program advance the evidence to support academy-community driven interventions for pushing health and well-being at a broader social, health care and (natural) environment agenda in rural neighbourhoods.

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Disability and its prevalence and cause in northwestern Ethiopia: evidence from Dabat district of Amhara National Regional State: A community based cross-sectional study

10.21203/rs.3.rs-18602/v2 ◽

2020 ◽

Author(s):

Solomon Mekonnen Abebe ◽

Ansha Nega ◽

Zemichel Gizaw ◽

Mulugeta Bayisa ◽

Solomon Fasika ◽

...

Keyword(s):

Surveillance System ◽

Cross Sectional Study ◽

World Health ◽

P Value ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Persons With Disabilities ◽

Relevant Variables ◽

System Part

Abstract Background Disability is not just a factor of an individual’s physical condition; it develops through human interactions and reflects the social fabric of communities. Despite the fact that it directly affects 15% of Ethiopians, understanding and policy-relevant studies on disability and the conditions of persons with disabilities are lacking. The Dabat Demographic and Health Surveillance System part of the response to fill this gap. With significant drawbacks in the Surveillance System, this study aimed at assessing the prevalence, types and major causes of disability in Dabat district.Method A community-based cross-sectional study design was employed and covered 17,000 households residing in 13 Kebeles of Dabat district. The district is where DHSS collects health data semi-annually; but this study was designed and executed separately in 2018 utilizing robust tools (World Health Organization’s Disability Assessment Schedule (WHODAS 2.0) used to collect comprehensive data on disability in the district. The data was organized and presented using frequencies and percentages in table and figures. Relevant variables were used to construct a logit model that predicts the likelihood of disability whereby P-value < 0.05 was considered as statistically significant.Results This study found that the overall prevalence of disability in Dabat district was 2.14% [95% CI: 2.03, 2.24]. About 8.3% of households reported at least one member with disability. Visual impairment was the most commonly reported impairment d51%) while 8.19% had multiple impairments. Eighty-three percent of immediate the causes of disability were modifiable – specifically, illness (36.93%), injury (17.81%), and congenital (10.86%). The aged [AOR=1.0; 95% CI: 1.03, 1.04], those unable to read or write illiterate [AOR=1.57; 1.15,2.14], the unmarried/single [AOR=1.39; 95% CI: 185,2.47] and the separated [AOR=2.78; 95% CI: 4.14,6.19] were more likely to risk disability in the population.Conclusion This study reported an increased likelihood of impairment among those with advanced ages. The proportion of households with PwDs was also high. While most disabilities were visual, there were significant numbers with mobility impairments and hard of hearing. Most school-age PwDs did not complete secondary education, while employment was significantly limited. The findings indicated that most causes of disability were reversible.

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Assessment on awareness towards preventive measures of COVID-19 in Sheka, Ethiopia: Community based cross-sectional Study

10.21203/rs.3.rs-30820/v3 ◽

2021 ◽

Author(s):

Assaye Belay Gelaw ◽

Solomon Abebaw Andargie

Keyword(s):

Sex Education ◽

Public Health Problem ◽

Cross Sectional Study ◽

P Value ◽

Critical Element ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Southwestern Ethiopia ◽

Prevention Methods

Abstract Background: The coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and it is the most important of public health problem worldwide. A critical element in tackling the COVID-19 crisis is personal behavioral change; however, there is a paucity of evidence about peoples’ awareness towards COVID-19 pandemic. Hence, this study was aimed to assess the people’s awareness status towards COVID-19 in Sheka, Southwestern Ethiopia.Methods: Community-based cross-sectional study was conducted between 10th to 21th April 2020. Four hundred-nineteen individuals participated during the study. Both univariable and multivariable logistic regression analyses were used to identify significant factors of awareness status, and variables with p-value<0.05 indicated it significantly influences the awareness status of the individuals towards COVID-19.Results: According to the study’s results, nearly half (49.4 %) of the participants had awareness about COVID-19 pandemic. Factors such as sex, education level, religion, symptom, and knowing prevention methods were significantly associated with awareness of individuals towards COVID-19 pandemic. Respondents who did know all prevention methods (AOR: 8.1, 95% CI: 1.3, 51.9) are more likely to aware of COVID-19 than their counterparts.Conclusion: The study showed that there is a low awareness status among people towards COVID-19.Hence, programs to improve awareness towards COVID-19 pandemic is is essential to prevent and control the pandemic.

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Disability and its prevalence and cause in northwestern Ethiopia: evidence from Dabat district of Amhara National Regional State: A community based cross-sectional study

10.21203/rs.3.rs-18602/v4 ◽

2020 ◽

Author(s):

Solomon Mekonnen Abebe ◽

Mikyas Abera ◽

Ansha Nega ◽

Zemichel Gizaw ◽

Mulugeta Bayisa ◽

...

Keyword(s):

Surveillance System ◽

Cross Sectional Study ◽

World Health ◽

P Value ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Medical Treatments ◽

Persons With Disabilities ◽

Pertinent Data

Abstract Background: Disability is the social outcome of unfavorable interactions between individuals’ impairments, on the one hand, and inaccessible physical spaces, disenabling cultural environment and negative attitudes towards disability and persons with disabilities, on the other. Despite the fact that it directly affects 15% of Ethiopians, understanding and policy-relevant studies on disability and the conditions of persons with disabilities are lacking. The Dabat Demographic Health Surveillance System is part of the response to fill this gap. With significant drawbacks in the Surveillance System, this study aimed at assessing the prevalence, types and major causes of disability in Dabat district. Method: A community-based cross-sectional study design was employed and covered 17,000 households residing in 13 Kebeles of Dabat district. The study was conducted in 2018 utilizing the modified 12-item World Health Organization’s Disability Assessment Schedule (WHODAS 2.0) and 7-item WHO Minimal Generic Set of Domains of Functioning and Health to collect pertinent data on disability in the district. The data was organized and presented using frequencies and percentages in table and figures. Relevant variables were used to construct a logit model that predicts the likelihood of disability whereby P-value < 0.05 was considered as statistically significant. Results: This study found that the overall prevalence of disability in Dabat district was 2.14% [95% CI: 2.03, 2.24]. About 8.3% of households reported at least one member with disability. Visual impairment was the most commonly reported impairment (51%) while 8.19% had multiple impairments. Eighty-three percent of immediate the causes of disability were modifiable – specifically, illness (36.93%), injury (17.81%), and congenital (10.86%). The aged [AOR=1.0; 95% CI: 1.03, 1.04], those unable to read or write illiterate [AOR=1.57; 1.15, 2.14], the unmarried/single [AOR=1.39; 95% CI: 185,2.47] and the separated [AOR=2.78; 95% CI: 4.14,6.19] were more likely to risk disability in the population.Conclusion: This study reported an increased likelihood of impairment among those with advanced ages. The proportion of households with PwDs was also high. While most disabilities were visual, there were significant numbers with mobility impairments and hard of hearing. Most school-age PwDs did not complete secondary education, while employment was significantly limited. The findings indicated that most causes of disability were reversible if impairments were screened or identified early and preventive or medical treatments were sought. Without undermining the role of specialized medical treatments, this study underlines the significance of early screening and preventive community interventions through CBR programs and rehabilitation workers in lowering disability rates in the district.

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Environmental and water, sanitation and hygiene conditions in schools: a community-based cross-sectional study from North India

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20210441 ◽

2021 ◽

Vol 9 (2) ◽

pp. 552

Author(s):

Ranga Aniruddh ◽

Majra J. P.

Keyword(s):

Liquid Waste ◽

Cross Sectional Study ◽

North India ◽

P Value ◽

Sectional Study ◽

Community Based ◽

Government Schools ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test

Background: Schools environment is essential for children to achieve optimal health and development. Faulty construction leads to inadequate ventilation and moisture accumulation which increase the levels of morbidities. Schools should also serve as demonstration centres of good sanitation to the community hence healthful environment and functional toilets and WASH facilities are of utmost importance for school children.Methods: A community-based cross-sectional study includes randomly selected 50 schools of Sonepat district which were functional for more than 5 years. Schools were recruited by PPS. A schedule was used to assess the environment and WASH conditions. Percentage, proportion and Chi-square test were used as statistical methods. The p-value <0.05 was considered statistically significant.Results: 68.4% government schools and 51.6% private schools were located in a rural area. 68% schools were having multi-storied building, 72% schools were located at appropriate land. Ventilation was inadequate in 58% schools while all schools were having adequate lighting. Ergonomically sitting facilities were observed in one school only. Water treatment was done in 68% schools. Toilets were adequate in 58% schools but cleaning was done daily in 46% schools. Handwashing points were available in 96% schools but soap was observed in 10.4% schools only. Garbage disposal was observed to be sanitary in 52% schools while liquid waste disposal was sanitary in 44% schools.Conclusions: The study points towards deficiency of environment and WASH conditions in schools and recommends the school authorities to take corrective measures.

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Distribution of risks and Factors Associated with Unscreened Hypertension among Adults Living in Rural of Dano District, West Shewa, Oromia, Ethiopia, 2020: Community-based cross-sectional study

10.21203/rs.3.rs-762687/v1 ◽

2021 ◽

Author(s):

Firaol Regea

Keyword(s):

Blood Pressure ◽

Associated Factors ◽

Statistical Significance ◽

Cross Sectional Study ◽

P Value ◽

Multivariable Logistic Regression Analysis ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Measuring Device

Abstract Background: Hypertension affects more than one quarter of adults worldwide and one in three peoples in developing countries. Although Hypertension is known to be a silent medical condition, there is limited information on the prevalence of unscreened hypertension and associated factors among rural dwellers in Ethiopia in general and Dano district in particular. Objective: To assess the prevalence of Unscreened hypertension and associated factors among adults living in the rural area of Dano district, West Shewa, Oromia, Ethiopia 2020.Methods and materials - A community-based cross-sectional study was employed. A multi-stage sampling technique was used to select 605 Adults from the rural community of Dano District from May 23 -July 5, 2020. Data were collected by trained BSc nurses and Public health officers. Standardized WHO STEPS survey tool was used to collect socio-demographic and behavioral characteristics of the participants. Standardized digital blood pressure device was used to measure Blood pressure. The mean score of three blood measurements was used to classify hypertension after intra-class correlation was tested. GmateTM blood glucose measuring device was used to measure blood sugar. Multivariable logistic regression analysis was done to identify factors independently associated with unscreened hypertension. Adjusted Odds Ratio with 95% CI was estimated to measure the strength of association. The level of statistical significance was declared at p-value < 0.05. The results presented by tables and figures. Result: The prevalence of Unscreened Hypertension was 14.6%, (95% CI: 11.95%, 17.4%). Being in age of 19-33 years[(AOR: 2.5,95%CI:( 1,6)], having family history of hypertension [AOR=3.1,95%CI:(1.23,7.77)],having other chronic disease [AOR=0.28,95%CI:(0.11, 0.72)], Participants’ health-seeking behaviour to hypertension[AOR=3.3,95%CI:(1.6,6.5)] and participants knowledge about hypertension[AOR=2.3,95%CI:(1.2,4.5)]were independently associated with unscreened Hypertension.Conclusion - The evidence from this study shows unscreened hypertension is prevalent among adults in the study area. Therefore, opportunistic screening of adults regardless of their age and health status is important.

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Low Prevalence of Active Trachoma and Associated Factors among Children aged 1–9 years in Rural Communities of Metema District, Northwest Ethiopia: A Community Based Cross-sectional Study

10.21203/rs.3.rs-281081/v1 ◽

2021 ◽

Author(s):

Kessete Ayelgn ◽

Tadesse Guadu ◽

Atalay Getachew

Keyword(s):

Rural Communities ◽

Associated Factors ◽

Public Health Problem ◽

Cross Sectional Study ◽

P Value ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Active Trachoma ◽

Study Participants

Abstract BackgroundTrachoma is an infectious disease of the eye caused by Chlamydia trachomatis and transmitted via contact with eye discharge from infected persons and leading to blindness worldwide. Children less than 9 years of age affected more seriously. The disease is common where access to water and sanitation are limited.ObjectiveTo determine the prevalence of active trachoma and associated factors among children aged 1–9 years in rural communities of Metema District, West Gondar Zone, Northwest Ethiopia.MethodA community based cross-sectional study design was used to collect data from 792 children aged 1–9 years old in Metema district from April to May 2018. Multistage sampling technique was used to select the study participants. Pretested interviewer-administered structured questionnaire and eye examination using binocular loupe to differentiate trachoma cases was the data collection methods and tools. The bivariable and multivariable binary logistic regression model was employed for analysis. P-value < 0.05 was considered to declare statistical significance.ResultsA total of 752 children aged l-9 years were enrolled in this study with response rate of 94.9%. The overall prevalence of active trachoma among the study participants was 11.8% (95 % CI, 9.5–13.9). Unprotected source of water (AOR = 4.7; 95% CI: 2.5–8.9), lower household water consumption (AOR = 2.8; 95% CI: 1.3-6.0), improper latrine utilization (AOR = 3.2; 95% CI: 1.5–6.7), and frequency of face washing once per day (AOR = 5.3; 95% CI: 1.2–26.6) were the factors significantly associated with active trachoma.ConclusionThe current study revealed a lower overall prevalence of active trachoma (11.8%) than the WHO threshold prevalence (20%) used to declare it as a severe public health problem. All residents and health professional should collaborate on trachoma prevention by implementing the WHO SAFE strategy- surgery for trichiasis, antibiotics, facial cleanliness and environmental improvement for further trachoma elimination.

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