Tanywe Asahngwa Constantine, Matchawe Chelea, Fernandez Ritin, Lapkin Samuel
Cameroon Centre for Evidence Based Health Care: a Joanna Briggs Institute Centre of Excellence.
Centre for Behavioral and Social Research, Yaounde, Cameroon.
JBI Database System Rev Implement Rep. 2019 Nov;17(11):2350-2356. doi: 10.11124/JBISRIR-2017-003820.
The objective of this systematic review is to synthesize and present the best available evidence on community perceptions and practices relating to trachoma in Africa.
Globally, trachoma is the leading cause of blindness and is responsible for about 1.4% of all cases of blindness. The African continent is the worst affected, with about 1.9 million cases of trichiasis (61%). While interventions are currently being implemented to combat the disease in Africa, very little is known by decision makers about community perceptions and practices relating to trachoma, which may hinder successful implementation.
Studies with participants, regardless of their health status, gender, religion and ethnicity, aged 14 and over conducted in any African country, will be considered. Studies on Africans, conducted out of the continent and those involving healthcare professionals, will not be included in this review.
Qualitative studies, published in English from 1996 onwards. will be considered. Databases to be searched will include, but not be limited to: PubMed, CINAHL, Embase and PsycINFO. Study selection, critical appraisal and data extraction will be conducted by two independent reviewers, using the appropriate JBI methodology and any disagreement will be resolved by discussion or with a third reviewer. Qualitative findings will be synthesized using the appropriate JBI methodology, following the meta-aggregation approach. Where textual pooling is not possible, the findings will be presented in narrative form. The ConQual approach will be used to grade synthesized findings, and these will be presented in a Summary of Findings.
本系统评价的目的是综合并呈现关于非洲社区对沙眼的认知和实践的最佳现有证据。
在全球范围内，沙眼是导致失明的主要原因，约占所有失明病例的1.4%。非洲大陆受影响最为严重，约有190万例倒睫病例（占61%）。虽然目前正在非洲实施防治该疾病的干预措施，但决策者对社区对沙眼的认知和实践了解甚少，这可能会阻碍干预措施的成功实施。
将纳入在任何非洲国家对14岁及以上参与者进行的研究，无论其健康状况、性别、宗教和种族如何。在非洲大陆以外进行的关于非洲人的研究以及涉及医疗保健专业人员的研究将不纳入本评价。
将考虑1996年以后以英文发表的定性研究。将检索的数据库包括但不限于：PubMed、CINAHL、Embase和PsycINFO。研究选择、批判性评价和数据提取将由两名独立的评审员使用适当的JBI方法进行，任何分歧将通过讨论或与第三名评审员解决。定性研究结果将采用适当的JBI方法，按照元聚合方法进行综合。如果无法进行文本合并，研究结果将以叙述形式呈现。将使用ConQual方法对综合研究结果进行分级，并将其呈现在研究结果摘要中。
