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Mpyet CD, Olobio N, Isiyaku S, Wamyil-Mshelia T, Ajege G, Ogoshi C, Olamiju F, Achu I, Adamu MD, Muhammad N, Jabo AM, Orji P, William A, Ramyil AV, Bakhtiari A, Boyd S, Kelly M, Jimenez C, Kello AB, Solomon AW, Harding-Esch EM, Courtright P. Progress towards the elimination of trachoma in Nigeria. Int Health 2024:ihae035. [PMID: 38815996 DOI: 10.1093/inthealth/ihae035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Revised: 02/09/2024] [Accepted: 04/26/2024] [Indexed: 06/01/2024] Open
Abstract
Trachoma is targeted for elimination as a public health problem worldwide by 2030. In Nigeria, elimination activities are implemented at the local government area (LGA) level. They started in 2002 by conducting baseline population-based prevalence surveys (PBPSs), which continued in a systematic manner with engagement from the Global Trachoma Mapping Project in 2013, and subsequently Tropical Data. The results led to the development of Nigeria's first trachoma action plan and its subsequent revision with additional information. Following 449 baseline PBPSs, 122 LGAs had an active trachoma prevalence above the elimination threshold, requiring interventions, while 231 LGAs required community-based interventions for trichiasis management. By 2021, >34 million antibiotic treatments had been provided in 104 LGAs, with 89 LGAs eliminating active trachoma. Nationally, water and sanitation coverages increased by 3% and 18%, respectively, in 7 y. Systematic trichiasis case finding and management were carried out in 231 LGAs, resulting in the management of 102 527 people. Fifty-four LGAs decreased trichiasis prevalence unknown to the health system to <0.2% in persons ≥15 y of age. Where this elimination prevalence threshold was reached, trichiasis services were transitioned to routine eye/healthcare systems. Such progress relied on strong leadership and coordination from the national trachoma program and tremendous support provided by partners. Attaining elimination of trachoma as a public health problem in Nigeria by 2030 is feasible if funding support is sustained.
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Affiliation(s)
- Caleb D Mpyet
- Sightsavers, Nigeria Country Office, Kaduna, Nigeria
- Department of Ophthalmology, University of Jos, Jos, Nigeria
| | - Nicholas Olobio
- Department of Public Health, Federal Ministry of Health, Abuja, Nigeria
| | | | | | - Grace Ajege
- Sightsavers, Nigeria Country Office, Kaduna, Nigeria
| | | | | | | | | | - Nasiru Muhammad
- Ophthalmology Department, Usmanu Danfodiyo University, Sokoto, Nigeria
| | | | | | | | | | | | - Sarah Boyd
- Task Force for Global Health, Decatur, GA, USA
| | | | | | - Amir Bedri Kello
- World Health Organization Regional Office for Africa, Brazzaville, Congo
| | - Anthony W Solomon
- Global Neglected Tropical Diseases Programme, World Health Organization, Geneva, Switzerland
| | - Emma M Harding-Esch
- Clinical Research Department, London School of Hygiene and Tropical Medicine, London, UK
| | - Paul Courtright
- Kilimanjaro Centre for Community Ophthalmology, Division of Ophthalmology, University of Cape Town, Cape Town, South Africa
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Al-Khatib T, Bella AL, Saboyá-Díaz MI, Solomon AW. Trachoma: The Last Decade? Ophthalmic Epidemiol 2023; 30:541-543. [PMID: 38085790 DOI: 10.1080/09286586.2023.2270045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Accepted: 10/08/2023] [Indexed: 12/18/2023]
Affiliation(s)
- Tawfik Al-Khatib
- Prevention of Blindness Program, Ministry of Public Health & Population, Sana'a, Yemen
- Department of Ophthalmology, College of Medicine, University of Sana'a, Sana'a, Yemen
- Eye Unit, Al-Thawra Hospital, Sana'a, Yemen
| | - Assumpta Lucienne Bella
- Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Yaoundé, Cameroun
| | - Martha Idalí Saboyá-Díaz
- Communicable Diseases Prevention, Control, and Elimination, Pan American Health Organization, Washington, USA
| | - Anthony W Solomon
- Global Neglected Tropical Diseases Programme, World Health Organization, Geneva, Switzerland
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