American Journal of Internal Medicine

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Determinants of Eye Lid Surgical Care Utilization among Trachomatous Trichiasis Patients in Rural Communities: In the Case of Basoliben District, North West Ethiopia

Received: 08 December 2014    Accepted: 23 December 2014    Published: 04 January 2015
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Abstract

Background: Trachomatous trichiasis is worldwide leading cause of blindness. Surgical intervention is one of the means of prevention of this blindness. Objectives: To assess determinants of eyelid surgical care utilization among trichiasis patients and associated factors. Method: A community based cross- sectional study design was employed. Sample size was determined using a single population proportion formula. Result: Among 348 interviewed patients, 253(72.7%) were in the age group of 16–45 years. Two hundred eighty nine (83.1%) were non-operated and 59(16.9%) operated trichiasis cases. Bilateral eye trichiasis cases were 245(70.4%) and 195(56%) of them were ill for 5-8 years. Ninety-seven (27.9%) believe treatment of trichiasis is surgery. Reasons for not using trichiasis surgery were distance of treatment center (X2 = 36.2), lack of awareness (X2= 46.8), and false beliefs about treatment (X2= 14.6). Conclusion: Associated factors were distance, lack of information, lack of time, fear of surgery.

DOI 10.11648/j.ajim.20140206.20
Published in American Journal of Internal Medicine (Volume 2, Issue 6, November 2014)
Page(s) 156-161
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Trachomatous Trichiasis, Surgical, Determinants, Community, Ethiopia

References
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[2] Trachoma: A Blinding Scourge from the Bronze Age to the Twenty First Century, Taylor, HR,Haddington Press, Victoria Australia, 2008.
[3] Thylefors B, Dawson CR, Jones BR, West SK, Taylor HR (1987) A simple system for the assessment of trachoma and its complications. Bull World Health Organ 65: 477-483.
[4] Resnikoff S, Pascolini D, Etya'ale D, Kocur I, Pararajasegaram R, et al. (2004) Global data on visual impairment in the year 2002. Bull World Health Organ 82: 844-851.
[5] Frick KD, Keuffel EL, Bowman RJ (2001) Epidemiological, demographic, and economic analyses: measurement of the value of trichiasis surgery in The Gambia. Ophthalmic Epidemiol 8: 191-201.
[6] Berhane Y, Worku A, Bejiga A, Adamu L, Alemayehu W, et al. (2007) Prevalence and causes of blindness and Low Vision in Ethiopia. Ethiop J Health dev. 21(3): 204-210.
[7] World Health Organization (2006) Trachoma control: a guide for program managers.
[8] Yorston D, Mabey D, Hatt S, Burton M (2006) Interventions for trachoma trichiasis. Cochrane Database Syst Rev: CD004008.
[9] Rajak SN, Habtamu E, Weiss HA, Bedri A, Zerihun M, et al. (2012) Why Do People Not Attend for Treatment for Trachomatous Trichiasis in Ethiopia? A Study of Barriers to Surgery. PLoS Negl Trop Dis 6(8): e1766.
[10] Habtamu E, Rajak SN, Gebre T, Zerihun M, Genet A, et al. (2011) Clearing the backlog : trichiasis surgeon retention and productivity in Northern Ethiopia. PLoS Negl Trop Dis 5: e1014.
[11] West ES, Mkocha H, Munoz B, Mabey D, Foster A, et al(2005) Risk factors for postsurgical trichiasis recurrence in a trachoma-endemic area. Invest Ophthalmol Vis Sci. 46:447–53.
[12] Mahande M, Tharaney M, Kirumbi E, Ngirawamungu E, Geneau R, et al. (2007) Uptake of trichiasis surgical services in Tanzania through two village based approaches. Br J Ophthalmol 91: 139-142.
[13] Roba AA, Wondimu A, Eshetu Z (2012) Effect of SAFE Intervention on Pattern of Barriers to Trichiasis Surgery, Ethiopia. J Community Med Health Educ 2:162. doi:10.4172/2161-0711.1000162.
[14] Melese M, Alemayehu W, Friedlander E, Courtright P (2004) Indirect costs associated with accessing eye care services as a barrier to service use in Ethiopia. Trop Med Int Health 9: 426-431.
[15] Summary proceedings of the twelfth annual trachoma control program review of the Carter Center Atlanta, Georgia 2011; February, 22-24.
[16] The Ethiopian Journal of health development special issue on National blindness, low vision and trachoma survey in Ethiopia 2005 -2006 Ethiop.J.HealthDev.2007;21(3)204-205
[17] Summary proceedings of the twelfth annual trachoma control program review of the Carter Center Atlanta, Gorgia 2012; February, 27-29.
[18] Rabiu MM , Abiose A (2001) Magnitude of trachoma and barriers to uptake of lid surgery in a rural community of northern Nigeria. Ophthalmic Epidemiol 8(2-3):181-90
[19] Silvio P. Mariotti. Looking forward to Global elimination of trachoma by 2020 (Get 2020) Am.J.Trop med Hyg, 1988.
[20] Baso Liben (woreda) - Wikipedia, the free encyclopedia. Available on http:/ /en.wikipedia.org/wiki/Baso Liben (woreda). Accessed on 19 may, 2013.
Author Information
  • Department of Public Health, College of Medicine and Health Sciences, Debre Markos University, PO Box: 269, Debre Markos, Ethiopia

  • Debre Markos, East Gojjam Zone Health Office, Carter Center Trachoma Control Project Coordinator, PO Box: 17, Debre Markos, Ethiopia

  • Department of Medicine, GAMBY Collage of Medical Sciences, Bahar Dar, Ethiopia

  • Department of Public Health, College of Medicine and Health Sciences, Debre Markos University, PO Box: 269, Debre Markos, Ethiopia

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    Kassahun Ketema Aredo, Adugna Birhanu Kebede, Mekonin Aychiluhim, Mulatu Ayana Hordofa. (2015). Determinants of Eye Lid Surgical Care Utilization among Trachomatous Trichiasis Patients in Rural Communities: In the Case of Basoliben District, North West Ethiopia. American Journal of Internal Medicine, 2(6), 156-161. https://doi.org/10.11648/j.ajim.20140206.20

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    ACS Style

    Kassahun Ketema Aredo; Adugna Birhanu Kebede; Mekonin Aychiluhim; Mulatu Ayana Hordofa. Determinants of Eye Lid Surgical Care Utilization among Trachomatous Trichiasis Patients in Rural Communities: In the Case of Basoliben District, North West Ethiopia. Am. J. Intern. Med. 2015, 2(6), 156-161. doi: 10.11648/j.ajim.20140206.20

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    AMA Style

    Kassahun Ketema Aredo, Adugna Birhanu Kebede, Mekonin Aychiluhim, Mulatu Ayana Hordofa. Determinants of Eye Lid Surgical Care Utilization among Trachomatous Trichiasis Patients in Rural Communities: In the Case of Basoliben District, North West Ethiopia. Am J Intern Med. 2015;2(6):156-161. doi: 10.11648/j.ajim.20140206.20

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  • @article{10.11648/j.ajim.20140206.20,
      author = {Kassahun Ketema Aredo and Adugna Birhanu Kebede and Mekonin Aychiluhim and Mulatu Ayana Hordofa},
      title = {Determinants of Eye Lid Surgical Care Utilization among Trachomatous Trichiasis Patients in Rural Communities: In the Case of Basoliben District, North West Ethiopia},
      journal = {American Journal of Internal Medicine},
      volume = {2},
      number = {6},
      pages = {156-161},
      doi = {10.11648/j.ajim.20140206.20},
      url = {https://doi.org/10.11648/j.ajim.20140206.20},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajim.20140206.20},
      abstract = {Background: Trachomatous trichiasis is worldwide leading cause of blindness. Surgical intervention is one of the means of prevention of this blindness. Objectives: To assess determinants of eyelid surgical care utilization among trichiasis patients and associated factors. Method: A community based cross- sectional study design was employed. Sample size was determined using a single population proportion formula. Result: Among 348 interviewed patients, 253(72.7%) were in the age group of 16–45 years. Two hundred eighty nine (83.1%) were non-operated and 59(16.9%) operated trichiasis cases. Bilateral eye trichiasis cases were 245(70.4%) and 195(56%) of them were ill for 5-8 years. Ninety-seven (27.9%) believe treatment of trichiasis is surgery. Reasons for not using trichiasis surgery were distance of treatment center (X2 = 36.2), lack of awareness (X2= 46.8), and false beliefs about treatment (X2= 14.6). Conclusion: Associated factors were distance, lack of information, lack of time, fear of surgery.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Determinants of Eye Lid Surgical Care Utilization among Trachomatous Trichiasis Patients in Rural Communities: In the Case of Basoliben District, North West Ethiopia
    AU  - Kassahun Ketema Aredo
    AU  - Adugna Birhanu Kebede
    AU  - Mekonin Aychiluhim
    AU  - Mulatu Ayana Hordofa
    Y1  - 2015/01/04
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ajim.20140206.20
    DO  - 10.11648/j.ajim.20140206.20
    T2  - American Journal of Internal Medicine
    JF  - American Journal of Internal Medicine
    JO  - American Journal of Internal Medicine
    SP  - 156
    EP  - 161
    PB  - Science Publishing Group
    SN  - 2330-4324
    UR  - https://doi.org/10.11648/j.ajim.20140206.20
    AB  - Background: Trachomatous trichiasis is worldwide leading cause of blindness. Surgical intervention is one of the means of prevention of this blindness. Objectives: To assess determinants of eyelid surgical care utilization among trichiasis patients and associated factors. Method: A community based cross- sectional study design was employed. Sample size was determined using a single population proportion formula. Result: Among 348 interviewed patients, 253(72.7%) were in the age group of 16–45 years. Two hundred eighty nine (83.1%) were non-operated and 59(16.9%) operated trichiasis cases. Bilateral eye trichiasis cases were 245(70.4%) and 195(56%) of them were ill for 5-8 years. Ninety-seven (27.9%) believe treatment of trichiasis is surgery. Reasons for not using trichiasis surgery were distance of treatment center (X2 = 36.2), lack of awareness (X2= 46.8), and false beliefs about treatment (X2= 14.6). Conclusion: Associated factors were distance, lack of information, lack of time, fear of surgery.
    VL  - 2
    IS  - 6
    ER  - 

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