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. 2016;23(sup1):46-54.
doi: 10.1080/09286586.2016.1250918. Epub 2016 Dec 5.

Mapping Trachoma in Kaduna State, Nigeria: Results of 23 Local Government Area-Level, Population-Based Prevalence Surveys

Affiliations

Mapping Trachoma in Kaduna State, Nigeria: Results of 23 Local Government Area-Level, Population-Based Prevalence Surveys

Nasiru Muhammad et al. Ophthalmic Epidemiol. 2016.

Abstract

Introduction: To prepare for global elimination of trachoma by 2020, the World Health Organization (WHO) recommends mapping of trachoma at district-level to enable planning of elimination activities in affected populations. The aim of our study was to provide data on trachoma for each local government area (LGA) of Kaduna State, Nigeria, as such data were previously unavailable.

Method: As part of the Global Trachoma Mapping Project (GTMP), a population-based cross-sectional trachoma survey was conducted in each of the 23 LGAs of Kaduna State, between May and June 2013. The protocols of the GTMP were used.

Results: The prevalence of trachomatous inflammation - follicular (TF) in children aged 1-9 years was between 0.03% and 8% across the LGAs, with only one LGA (Igabi) having a TF prevalence ≥5%. The LGA-level prevalences of trichiasis in persons aged 15 years and older were between 0.00% and 0.78%. Eleven LGAs had trichiasis prevalences of 0.2% and over in adults; a threshold equivalent to 1 case per 1000 total population. The LGA-level proportion of households with access to improved water sources ranged from 9% to 96%, while household access to latrines ranged from 5% to 99%.

Conclusion: Kaduna State has generally hypoendemic trachoma, but a few trichiasis surgeries are still required to attain the WHO elimination targets. Better access to improved water and sanitation is needed.

Keywords: Global Trachoma Mapping Project; Kaduna; Nigeria; neglected tropical diseases; trachoma; trichiasis; water and sanitation.

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Conflict of interest statement

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

Figures

Figure 1.
Figure 1.
Local government areas surveyed in Kaduna State, Nigeria, Global Trachoma Mapping Project, 2013.
Figure 2.
Figure 2.
Prevalence of trachomatous inflammation – follicular (TF) in 1–9-year-old children by local government area in Kaduna State, Nigeria, Global Trachoma Mapping Project, 2013.
Figure 3.
Figure 3.
Prevalence of trichiasis in adults aged 15+ years by local government area in Kaduna State, Nigeria, Global Trachoma Mapping Project, 2013.

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