Background
Methods
Study design, period and setting
Population
Sample size determination
Sampling technique
Definitions
Clean face
Preschool
Village
Fly in a home
Active trachoma
Trachomatis inflammation—follicular (TF)
Trachomatis inflammation—intense (TI)
Trachomatis scarring (TS)
Trachomatis trichiasis (TT)
Corneal opacity (CO)
Exclusion and inclusion criteria
Measurements
Data collection tools and procedures
Data analysis and presentation
Data quality assurance
Results
Variables | Frequency (n = 499) | Percent (%) |
---|---|---|
Sex of head of a household | ||
Male | 383 | 76.8 |
Female | 116 | 23.2 |
Marital status of head of a household | ||
Married | 492 | 98.6 |
Divorce | 7 | 1.4 |
Wealth index | ||
Poor | 144 | 28.9 |
Medium | 279 | 55.9 |
Rich | 76 | 15.2 |
Occupation of head of a household | ||
Farmer | 466 | 93.4 |
Merchant | 17 | 3.4 |
Government employee | 16 | 3.2 |
Educational status of head of a household | ||
Unable to read and write | 325 | 65.1 |
Able to read and write | 109 | 21.8 |
Up to grade 8 | 35 | 7 |
Grade 9 to 12 | 19 | 3.8 |
Diploma and above | 11 | 2.2 |
Educational status of mothers | ||
Unable to read and write | 380 | 76.2 |
Able to read and write | 55 | 11 |
Up to grade 8 | 23 | 4.6 |
Grade 9 to 12 | 35 | 7 |
Diploma | 6 | 1.2 |
Number of rooms in the house (observation) | ||
One | 424 | 85 |
Two and more | 75 | 15 |
Family size | ||
Less than 6 | 286 | 57.3 |
Greater than and equal to 6 | 213 | 42.7 |
Total number of children less than five years in a house | ||
One | 424 | 85 |
Two | 69 | 13.8 |
Three | 6 | 1.2 |
Number of children less than ten years in a house | ||
One | 132 | 26.5 |
Two | 240 | 48.1 |
Three | 102 | 20.4 |
Four | 25 | 5 |
Adult face washing habit (self-report) | ||
At least one times per a day | 417 | 83.6 |
Less than 7 times per a week | 82 | 16.4 |
Variables | Frequency (n = 499) | Percent (%) |
---|---|---|
Presence of fly in or around a house (observation) | ||
Present | 242 | 48.5 |
Absent | 257 | 51.5 |
Source of water (self-report) | ||
River | 30 | 6.0 |
Unprotected well | 12 | 2.4 |
Protected well | 56 | 11.2 |
Pipe | 401 | 80.4 |
Amount of water in a litter (self -report) | ||
Less than 20 | 180 | 36.1 |
20–40 | 162 | 32.5 |
40–60 | 92 | 18.4 |
60–80 | 49 | 9.8 |
Greater than 80 | 16 | 3.2 |
Total time taken to reach to water source (self-report) | ||
Less than and equal to 1/2 h. | 459 | 92 |
Greater than 1/2 h. | 40 | 8 |
Place of cooking (observation) | ||
In the same room of living house | 157 | 31.7 |
In the same house but in a kitchen | 166 | 33.3 |
A kitchen constructed against outside wall of the house | 3 | .6 |
Isolated kitchen | 173 | 34.7 |
Presence of window in a kitchen (observation) | ||
Yes | 248 | 49.7 |
No | 251 | 50.3 |
Household waste removal (self-report) | ||
Burn it | 312 | 62.5 |
Bury it | 90 | 18 |
Dispose in the farm | 93 | 18.8 |
Dispose in another place | 4 | .8 |
Presence of latrine (observation) | ||
Present | 371 | 74.3 |
Absent | 128 | 25.7 |
Presence of feces at open field in nearby a house (observation) | ||
Present | 243 | 48.7 |
Absent | 256 | 51.3 |
Presence of cattle in a household (observation) | ||
Present | 439 | 87.9 |
Absent | 60 | 12.1 |
Cattle sheltering (n = 439) (observation) | ||
In the same room where family lives | 128 | 29.1 |
In the same living house but in a separate room | 203 | 46.2 |
Attached shelter against outside of the house | 6 | 1.6 |
Isolated shelter far from the house | 102 | 23.1 |
Factors associated with active trachoma
Variables | Frequency (n = 596) | Percent |
---|---|---|
Sex of children | ||
Male | 301 | 50.5 |
Female | 295 | 49.5 |
Age of children in months (kebele registration book) | ||
12–24 | 208 | 34.9 |
25–36 | 102 | 17.10 |
37–48 | 129 | 21.6 |
49–59 | 157 | 26.3 |
Current breast-feeding status of children | ||
Yes | 239 | 40.1 |
No | 357 | 59.9 |
Face washing frequency of children (self-report) | ||
2 or more times per a day | 108 | 18.1 |
Once daily | 79 | 13.3 |
2 to 6 times per week | 149 | 25 |
Once weekly | 167 | 28 |
Stays unwashed for longer than a week. | 93 | 15.6 |
Habit of child bathing for at least one times per a week (self-report) | ||
Yes | 445 | 74.7 |
No | 151 | 25.3 |
Use of soap for face washing(self-report) | ||
Yes | 264 | 44.3 |
No | 332 | 55.7 |
Use of soap for hand washing(self-report) | ||
Yes | 254 | 42.6 |
No | 342 | 57.4 |
Face of children on observation (observation) | ||
Clean face | 280 | 47 |
Ocular discharge | 89 | 14.9 |
Nasal discharge | 75 | 12.6 |
Flies on the face of child | 10.6 | |
Ocular and nasal discharge | 34 | 5.7 |
Ocular and nasal discharge and flies on the face | 55 | 9.2 |
Presence of another eye problem(self-report) | ||
Yes | 146 | 24.5 |
No | 450 | 75.5 |
Type of eye problem (n = 146) | ||
Discharge | 96 | 65.6 |
Itching | 8 | 5.3 |
Excessive tear | 25 | 17.1 |
Redness of eye | 18 | 12.2 |
Took drug during mass drug administration in the last year(self-report) | ||
Yes | 515 | 86.4 |
No | 81 | 13.6 |
Variables | Trachoma (n = 596) | OR (95% CI) | ||
---|---|---|---|---|
Presence (%) | Absence (%) | COR | AOR | |
Type of house roof (observation) | ||||
Clean iron | 15 (11.5) | 82 (17.6) | 1.00 | 1.00 |
Thatch iron | 24 (18.5) | 141 (30.3) | 0.9(0.5–1.9) | 0.9 (0.3–2.8) |
Clean grass | 27 (20.8) | 144 (30.9) | 1.0(0.5–2.0) | 0.7 (0.2–2.2) |
Thatch grass | 64 (49.2) | 99 (21.2) | 3.5 (1.9–6.7) * | 4.4 (1.4–13.6) * |
Fly in a house or in nearby (observation) | ||||
Yes | 96(73.8) | 206 (44.2) | 3.6 (2.3–5.5) | 4.6 (2.1–9.9) * |
No | 34 (26.2) | 260 (55.8) | 1.00 | 1.00 |
Face washing frequency (self-report) | ||||
Two and more times | 9 (6.9) | 99 (21.2) | 1.00 | 1.00 |
Once daily | 2 (1.5) | 77 (16.5) | 0.3 (0.1–1.4) | 0.2 (0.03–1.3) |
2 to 6 times per a week | 15 (11.5) | 134 (28.8) | 1.2 (0.5–2.9) | 1.366 (.365–5.114) |
Once weekly | 63 (48.5) | 104 (22.3) | 6.7 (3.1–14.1) * | 8.7 (2.6–29.3) * |
Unwashed for a week | 41(31.5) | 52 (11.2) | 8.7 (3.9–19.2) * | 10.6 (2.9–37.7) * |
Soap for face washing(self-report) | ||||
Used | 26 (20) | 238 (51.1) | 1.00 | 1.00 |
Not used | 104 (80) | 228 (48.9) | 4.2 (2.6–6.7) *> | 4.5 (1.8–11.3) * |
Soap for hand washing(self-report) | ||||
Used | 35 (26.9) | 219 (47.0) | 1.00 | 1.00 |
Not used | 95(73.1) | 247 (53.0) | 2.4 (1.6–3.7) * | 1.6 (0.8–3.6) |
Household latrine (observation) | ||||
Present | 7 (21.2) | 364 (78.1) | 1.00 | 1.00 |
Absent | 26 (78.8) | 102 (21.9) | 2.0 (1.3–3.0) * | 5.0 (2.0–12.9) * |
Household waste around the house (observation) | ||||
Exist | 80(61.5) | 214 (45.9) | 1.9 (1.3–2.8) * | 3.4 (1.6–7.6) * |
Not exist | 50 (38.5) | 252 (54.1) | 1.00 | 1.00 |
Mothers educational status | ||||
Unable to read and write | 111 (85.4) | 348 (74.7) | 2.9 (1.3–6.6) * | 0.8 (0.2–3.2) |
Able to read and write | 12 (9.2) | 53 (11.4) | 2.1 (0.8–5.7) | 0.3 (0.1–1.6) |
Attend formal education | 7 (5.4) | 65 (13.9) | 1.00 | 1.00 |
Wealth index | ||||
Poor | 73 (56.2%) | 101 (21.7) | 4.6 (2.3–9.1) * | 4.2 (1.5–12.0) |
Medium | 45 (34.6%) | 288 (61.8) | 1.003 (.506–1.988) | 0.5(0.2–1.4) |
Rich | 12 (9.2%) | 77(16.5) | 1.000 | 1.00 |
MUAC of children | ||||
Less than 13.9 | 81(62.3) | 230 (49.4) | 1.7 (1.1–2.52) * | 1.3 (0.6–2.6) |
Greater than 14 | 49(37.7) | 236 (50.6) | 1.00 | 1.00 |
Age of children (in months) | ||||
12–24 | 42 (32.3) | 166 (35.6) | 0.8 (0.5–1.3) | 0.7 (0.3–1.8) |
25–36 | 14 (10.8) | 88 (18.9) | 0.5 (0.3–0.9) * | 0.7(0.2–2.1) |
37–48 | 36 (27.7) | 93 (20) | 1.2 (0.7–2.1) | 2.7(.1.0–7.2) |
49–59 | 38 (29.2) | 119 (25.5) | 1,00 | 1.00 |
Fathers education | ||||
Unable to read and write | 93 (71.5) | 299 (64.2) | 2.3 (1.1–4.7) * | 1.4 (0.3–6.2) |
Able to read and write | 28 (21.5) | 102 (21.9) | 1.9(0.9–4.5) | 2.1 (0.5–9.7) |
Formal education | 9 (6.9) | 65 (13.9) | 1.00 | 1.00 |