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2016 ; 2
(ä): 13
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Knowledge, practices and perceptions of trachoma and its control among
communities of Narok County, Kenya
#MMPMID28883957
Njomo DW
; Karimurio J
; Odhiambo GO
; Mukuria M
; Wanyama EB
; Rono HK
; Gichangi M
Trop Dis Travel Med Vaccines
2016[]; 2
(ä): 13
PMID28883957
show ga
BACKGROUND: Trachoma is the leading infectious cause of blindness in the world.
It is commonly found in cultural groups with poor hygiene. Trachoma control
includes Surgery, Antibiotics, Facial cleanliness and Environmental Improvement
(SAFE). Potentially blinding and active trachoma are monitored using trachomatous
trichiasis (TT) in adults and trachoma inflammation-follicular (TF) in children
aged 1-9 years respectively. A cross-sectional study to assess the knowledge,
practices and perceptions of trachoma and its control was conducted in the
endemic communities in Narok County. METHODS: Qualitative methods were used for
data collection. Using purposive sampling, 12 focus group discussions (FGDs) with
single sex adult and young men and women groups of homogenous characteristics, 12
key informant interviews with opinion leaders and 5 in-depth interviews (IDIs)
with trichiasis patients and 6 with persons who have undergone trichiasis surgery
were conducted. Data was audio recorded, transcribed, coded and analyzed manually
by study themes; knowledge, practices and perceptions of trachoma transmission,
infection signs, prevention and control. RESULTS: Majority of the community
members had knowledge of trachoma and its transmission. The practices that
contributed to transmission of infection included: failure to wash faces and
bathe regularly, sharing of water basins and towels for face washing, traditional
methods of trachoma treatment and dirty household environment. Due to
socio-cultural perceptions, toilets were unacceptable and use of bushes for human
waste disposal was common. Poor perceptions on disease susceptibility, flies on
children's faces, latrine ownership and usage and separation of human and animal
dwellings also played a role in the transmission of trachoma. Fear of loss of
sight during surgery was a deterrent to its uptake and a desire to be able to see
and take care of domestic animals promoted surgery uptake. Majority of the
community members were appreciative of Mass Drug Administration (MDA) though side
effect such as vomiting and diarrhoea were reported. CONCLUSION: Poor practices
and related socio-cultural perceptions are important risk factors in sustaining
trachoma infection and transmission. Community members require health education
for behavior change and awareness creation about surgery, MDA and its potential
side effects for elimination of trachoma in Narok County, Kenya. TRIAL
REGISTRATION: KEMRI SSC 2785. Registered 2 September 2014.