Active trachoma and associated risk factors among children in Baso Liben District of East Gojjam, Ethiopia
OPEN BMC public health | 25 Dec 2012
K Ketema, M Tiruneh, D Woldeyohannes and D Muluye
BACKGROUND: Trachoma is the leading cause of preventable blindness worldwide. It is common in areas where the people are socio-economically deprived. The aim of this study was to assess active trachoma and associated risk factors among children 1–9 years in East Gojjam. METHODS: Community-based cross-sectional study was conducted in Baso Liben District from February to April 2012. A two-stage random cluster-sampling technique was employed and all children 1–9 years old from each household were clinically assessed for trachoma based on simplified WHO 1983 classification. Data were collected by using semi-structured interview, pre-tested questionnaire and observation. The data were entered and analyzed using SPSS version 16 statistical package.Result: From a total of 792 children screened for trachoma (of which 50.6% were girls), the overall prevalence of active trachoma was 24.1% consisting of only 17.2% [95% CI: 14.8, 20.1] TF and 6.8% TI. There were variations among children living in low land (29.3%) and in medium land (21.4%). In multivariate analysis, low monthly income (AOR= adjusted odds ratio) 2.98; 95% CI (confidence interval): 1.85-7.85), illiterate family (AOR =5.18; 95% CI: 2.92-9.17); unclean face (AOR =18.68; 95% CI :1.98-175.55); access to water source (AOR=2.01;95% CI: 1.27-3.15); less than 20 liters of water use (AOR=4.88; 95% CI:1.51-15.78); not using soap for face washing (AOR=5.84; 95%CI :1.98-17.19); not using latrine frequently (AOR=1.75; 95% CI:0.01-0.42); density of flies (AOR=3.77; 95%CI: 2.26-6.29); less knowledgeable family (AOR=3.91; 95%CI :2.40-6.38) and average monthly income (AOR=2.98; 95%CI : 1.85-7.85) were found independently associated with trachoma. CONCLUSION: Active trachoma is a major public problem among 1–9 years children and significantly associated with a number of risky factors. Improvement in awareness of facial hygiene, environmental conditions, mass antibiotic distribution and health education on trachoma transmission and prevention should be strengthened in the District.
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