Uptake of Trachoma Trichiasis Surgery and Associated Factors Among Trichiasis-Diagnosed Clients in Southern Tigray, Ethiopia

Yeshialem Adafrie,1 Getachew Redae,2 Dawit Zenebe,2 Girmay Adhena3 1Department of Epidemiology, Ofla District Health Office, Tigray, Ethiopia; 2Department of Epidemiology, College of Health Science, Mekele University, Mekele, Ethiopia; 3Department of Reproductive Health, Tigray Regional Health Burea...

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Autores principales:	Adafrie Y, Redae G, Zenebe D, Adhena G
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	trachoma trichiasis surgery uptake tigray ethiopia Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/5c86d7417c0f4390aeada739fb1f2908
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spelling	oai:doaj.org-article:5c86d7417c0f4390aeada739fb1f29082021-12-02T16:58:09ZUptake of Trachoma Trichiasis Surgery and Associated Factors Among Trichiasis-Diagnosed Clients in Southern Tigray, Ethiopia1177-5483https://doaj.org/article/5c86d7417c0f4390aeada739fb1f29082021-05-01T00:00:00Zhttps://www.dovepress.com/uptake-of-trachoma-trichiasis-surgery-and-associated-factors-among-tri-peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Yeshialem Adafrie,1 Getachew Redae,2 Dawit Zenebe,2 Girmay Adhena3 1Department of Epidemiology, Ofla District Health Office, Tigray, Ethiopia; 2Department of Epidemiology, College of Health Science, Mekele University, Mekele, Ethiopia; 3Department of Reproductive Health, Tigray Regional Health Bureau, Tigray, EthiopiaCorrespondence: Girmay Adhena Tel +251 92257433Email girmayrh@gmail.comBackground: Trachoma is the most common infectious cause of blindness in the globe. Trichiasis surgery is the best treatment option for this disease. Despite efforts done to eliminate blinding trachoma, there is limited evidence on the surgical uptake of trachoma trichiasis in Ethiopia. This study was aimed to assess the uptake of trachoma trichiasis surgery in Southern Tigray, Ethiopia.Methods: Mixed cross-sectional study was employed among 409 participants. Study participants were selected using a consecutive sampling technique. Pretested and interviewer-administered data were collected using a structured questionnaire. Binary and multivariable logistic regression was done to identify associated factors. Adjusted odds ratios 95% CI was estimated to show the strength and direction. Variables with p-values < 0.05 were considered statistically significant. For qualitative data, 4 focus group discussions were conducted with 40 participants and described by thematic analysis then triangulated with quantitative findings.Results: About 234 (57.9%, 95% CI: (53.2, 62.9)) participants utilized trachoma trichiasis surgery (TT). History of trachoma trichiasis (TT) for > 2 years [AOR: 0.4, 95% CI: (0.22, 0.72)], informed about surgery program by health workers [AOR: 0.3, 95% CI: (0.13, 0.71)], history of TT surgery [AOR: 0.18, 95% CI: (0.05, 0.6)], absence of someone to care the family [AOR: 14, 95% CI: (6.9, 28.6)], companion [AOR: 8.9, 95% CI: (4.3, 18.3)], nearby health facility [AOR: 2.4, 95% CI: (1.1, 5.4)], work load [AOR: 8.8, 95% CI: (4.6, 17)], fear [AOR: 4.3, 95% CI: (1.8, 10)], and believing eye drop can treat TT [AOR: 3.9, 95% CI: (1.4, 11)] were significantly associated factors.Conclusion: More than half of the participants accepted the TT surgical uptake. Strengthening community awareness on proper eye care, and effective treatment options, and addressing the negative attitude towards surgical treatment in the community are important measures to achieve the elimination target of trachoma.Keywords: trachoma trichiasis, surgery, uptake, Tigray, EthiopiaAdafrie YRedae GZenebe DAdhena GDove Medical Pressarticletrachoma trichiasissurgeryuptaketigrayethiopiaOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 1939-1948 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	trachoma trichiasis surgery uptake tigray ethiopia Ophthalmology RE1-994
spellingShingle	trachoma trichiasis surgery uptake tigray ethiopia Ophthalmology RE1-994 Adafrie Y Redae G Zenebe D Adhena G Uptake of Trachoma Trichiasis Surgery and Associated Factors Among Trichiasis-Diagnosed Clients in Southern Tigray, Ethiopia
description	Yeshialem Adafrie,1 Getachew Redae,2 Dawit Zenebe,2 Girmay Adhena3 1Department of Epidemiology, Ofla District Health Office, Tigray, Ethiopia; 2Department of Epidemiology, College of Health Science, Mekele University, Mekele, Ethiopia; 3Department of Reproductive Health, Tigray Regional Health Bureau, Tigray, EthiopiaCorrespondence: Girmay Adhena Tel +251 92257433Email girmayrh@gmail.comBackground: Trachoma is the most common infectious cause of blindness in the globe. Trichiasis surgery is the best treatment option for this disease. Despite efforts done to eliminate blinding trachoma, there is limited evidence on the surgical uptake of trachoma trichiasis in Ethiopia. This study was aimed to assess the uptake of trachoma trichiasis surgery in Southern Tigray, Ethiopia.Methods: Mixed cross-sectional study was employed among 409 participants. Study participants were selected using a consecutive sampling technique. Pretested and interviewer-administered data were collected using a structured questionnaire. Binary and multivariable logistic regression was done to identify associated factors. Adjusted odds ratios 95% CI was estimated to show the strength and direction. Variables with p-values < 0.05 were considered statistically significant. For qualitative data, 4 focus group discussions were conducted with 40 participants and described by thematic analysis then triangulated with quantitative findings.Results: About 234 (57.9%, 95% CI: (53.2, 62.9)) participants utilized trachoma trichiasis surgery (TT). History of trachoma trichiasis (TT) for > 2 years [AOR: 0.4, 95% CI: (0.22, 0.72)], informed about surgery program by health workers [AOR: 0.3, 95% CI: (0.13, 0.71)], history of TT surgery [AOR: 0.18, 95% CI: (0.05, 0.6)], absence of someone to care the family [AOR: 14, 95% CI: (6.9, 28.6)], companion [AOR: 8.9, 95% CI: (4.3, 18.3)], nearby health facility [AOR: 2.4, 95% CI: (1.1, 5.4)], work load [AOR: 8.8, 95% CI: (4.6, 17)], fear [AOR: 4.3, 95% CI: (1.8, 10)], and believing eye drop can treat TT [AOR: 3.9, 95% CI: (1.4, 11)] were significantly associated factors.Conclusion: More than half of the participants accepted the TT surgical uptake. Strengthening community awareness on proper eye care, and effective treatment options, and addressing the negative attitude towards surgical treatment in the community are important measures to achieve the elimination target of trachoma.Keywords: trachoma trichiasis, surgery, uptake, Tigray, Ethiopia
format	article
author	Adafrie Y Redae G Zenebe D Adhena G
author_facet	Adafrie Y Redae G Zenebe D Adhena G
author_sort	Adafrie Y
title	Uptake of Trachoma Trichiasis Surgery and Associated Factors Among Trichiasis-Diagnosed Clients in Southern Tigray, Ethiopia
title_short	Uptake of Trachoma Trichiasis Surgery and Associated Factors Among Trichiasis-Diagnosed Clients in Southern Tigray, Ethiopia
title_full	Uptake of Trachoma Trichiasis Surgery and Associated Factors Among Trichiasis-Diagnosed Clients in Southern Tigray, Ethiopia
title_fullStr	Uptake of Trachoma Trichiasis Surgery and Associated Factors Among Trichiasis-Diagnosed Clients in Southern Tigray, Ethiopia
title_full_unstemmed	Uptake of Trachoma Trichiasis Surgery and Associated Factors Among Trichiasis-Diagnosed Clients in Southern Tigray, Ethiopia
title_sort	uptake of trachoma trichiasis surgery and associated factors among trichiasis-diagnosed clients in southern tigray, ethiopia
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/5c86d7417c0f4390aeada739fb1f2908
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Uptake of Trachoma Trichiasis Surgery and Associated Factors Among Trichiasis-Diagnosed Clients in Southern Tigray, Ethiopia

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