Sightsavers, 35 Perrymount Road, Haywards Heath, RH16 3BZ, UK.
Ministry of Health, Nairobi, Kenya.
Int Health. 2022 Apr 6;14(Suppl 1):i24-i28. doi: 10.1093/inthealth/ihab086.
Achieving elimination of trachoma as a public health problem in trichiasis-endemic districts requires a systematic approach to trichiasis case finding and outreach.
Programme monitoring data from seven countries for 2017-2019 were used to explore the efficiency of different community mobilisation approaches and uptake of trichiasis surgical services.
Three countries (Ethiopia, Kenya and Mozambique) using broad-based community mobilisation strategies had large numbers of people presenting at outreach but only 2.9% of them had trichiasis, while in four countries (Nigeria, Tanzania, Uganda and Zambia) using house-to-house case finding, 37.5% of outreach attendees had trichiasis. Countries using house-to-house case finding have proportionally more women attending outreach compared with countries using broad-based mobilisation. Among trichiasis cases offered surgery 86% accepted, which was similar for men and women.
In these settings, house-to-house case finding appears to be a more effective and efficient approach to ensure that trichiasis cases, particularly in women, obtain access to surgical services.
要实现将沙眼作为致盲性眼病在 trichiasis 流行区消除的目标，需要采取系统的方法来发现 trichiasis 病例并开展外展工作。
本研究使用了来自七个国家在 2017-2019 年的项目监测数据，以探讨不同社区动员方法的效率以及接受 trichiasis 手术服务的情况。
有三个国家（埃塞俄比亚、肯尼亚和莫桑比克）采用了广泛的社区动员策略，有大量的人在外出展时出现，但只有 2.9%的人患有 trichiasis，而在另外四个国家（尼日利亚、坦桑尼亚、乌干达和赞比亚）采用逐户病例发现的方法，有 37.5%的外出展参与者患有 trichiasis。与采用广泛动员的国家相比，采用逐户病例发现的国家参加外展的女性比例更高。在提供手术的 trichiasis 病例中，有 86%的人接受了手术，男性和女性的接受率相似。
在这些环境中，逐户病例发现似乎是一种更有效和高效的方法，可以确保 trichiasis 病例，特别是女性，获得手术服务。
