Conference abstract

Trachoma prevalence in relation to WASH: a case study of Ngorongoro District Council Tanzania

Pan African Medical Journal - Conference Proceedings. 2024:21(39).29 Apr 2024.
doi: 10.11604/pamj-cp.2024.21.39.2329
Archived on: 29 Apr 2024
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Keywords: Trachoma, WASH, Ngorongoro
Oral presentation

Trachoma prevalence in relation to WASH: a case study of Ngorongoro District Council Tanzania

Veronica Kabona1,&, Julius Masanika1, Shabbir Lalji1, Will Oswald2, Jeremiah Ngondi3, Hope Rusibamayila4, George Kabona5, Clara Jones4

1RTI International, Dar es Salaam, Tanzania, 2RTI International, London, United Kingdom, 3RTI International, Cambridge, United Kingdom, 4The National Neglected Tropical Diseases Control Program, Ministry of Health, Dodoma, Tanzania, 5Njombe Regional Referral Hospital, Njombe, Tanzania

&Corresponding author

Introduction: Tanzania has reduced the prevalence of Trachoma in 60 out of 69 councils (86.9%), mainly through surgery, antibiotics, facial cleanliness, and environmental cleanliness (SAFE) intervention. Nine councils are endemic with Trachoma and require Zithromax mass drug administration (MDA). We conducted thorough reviews of the prevalence of Water, sanitation, and hygiene (WASH) and Trachoma Follicular (TF) as part of the coverage evaluation survey (CES) conducted in the Ngorongoro DC.

Methods: the activity involved analyzing WASH indicators among communities and TF prevalence among children aged 1 to 9 collected in 40 villages of Ngorongoro DC during a CES conducted in June 2023. We independently assessed the WASH indicators of access to water, access to toilets, and type of toilet used and correlated WASH indicators and TF prevalence.

Results: the CES results indicated that districtwide TF prevalence was 11.6%. Among the 40 surveyed villages, 60% had a TF prevalence of >=5%. The results indicated poor water access, as 25% of surveyed community members had access to a water source in less than 30 minutes. 54% of individuals reported no access to a toilet facility, and among those with access to a toilet, only 11.6% had improved toilet structure. The results indicated that TF prevalence is lower in communities with access to water/toilet compared to those without access (p<0.05).

Conclusion: the results show poor access to WASH among trachoma-surveyed communities in Ngorongoro DC, which is directly linked to the high TF prevalence.