Research On Trachoma Rapid Assessment Methodology And Comprehensive Intervention Strategies In Shandong Province

Objectives: to assess the prevalence of trachoma and its related risk factors inShandong province in China, indicating which interventions are needed. Methods:Trachoma Rapid Assessment (TRA) was conducted according to the World HealthOrganization guideline in6sub-districts，which were selected from Shandong Provincebased on primary high risk assessment. Active trachoma for children aged1-9years andenvironmental risk factors for trachoma (unclean faces, absence of running water, absenceof water flushing toilets) were assessed (TRA1). Then take control measures in trachomaprevalence areas. A second TRA (TRA2) was conducted after in the same6districts.Findings were compared between assessments. Results: Trochoma was found in3sub-districts, in which the prevalence was4%(95%CI:0.39-11.12%),6%(95%CI:1.18-14.17%),6%(95%CI:1.18-14.17%). No trichiasis case was found. Children livingwith environmental risk factors were at an increased risk to active trachoma. Conclusion:The TRA methodology according to the World Health Organization guidelines is easy toassess the prevalence of trachoma and its related risk factors. Based on the results of thisstudy, comprehensive intervention strategies in Shandong province were recommended.