title: Mapping trachoma in Nasarawa and Plateau States, central Nigeria.
abstract: OBJECTIVE
  The World Health Organization has called upon member states to eliminate blinding trachoma by 2020 using the SAFE strategy. We aimed to determine the prevalence of trachoma and quantify intervention needs for each aspect of the SAFE (surgery, mass administration of antibiotics, promotion of facial cleanliness and environmental improvements) strategy in Nasarawa and Plateau States, Nigeria.
  
  
  METHODS
  District-based, household cluster surveys were conducted in all 30 local government areas (LGAs) within the states.
  
  
  RESULTS
  A total of 46 960 persons were examined from 7883 selected households. Prevalence estimates of trachomatous inflammation follicular among children 1-9 years of age ranged from 1.7 to 15.8% by LGA. Trichiasis prevalence among adults varied by LGA from 0 to 2.1% and was more common among women (OR = 1.99, 95% CI 1.3 to 3.1). Access to water within a 30 min round trip was reported by 82.3% of households.
  
  
  CONCLUSIONS
  LGA-wide trachoma control interventions are warranted in seven LGAs targeting: 5409 persons for surgery to correct trichiasis, 778 698 persons to receive at least three rounds of mass antibiotic distribution, 855 villages in which to promote face-washing and sanitation, and 102 751 households for latrine construction. These mapping surveys demonstrate an example of evidence-based programme planning necessary for measuring progress towards achieving the GET 2020 objective and can be replicated in other areas yet to be mapped for trachoma.
authors.affiliation: The Carter Center, Atlanta, Georgia, USA.
authors.forename: J D
authors.initials: JD
authors.lastname: King
authors.forename: N
authors.initials: N
authors.lastname: Jip
authors.forename: Y S
authors.initials: YS
authors.lastname: Jugu
authors.forename: A
authors.initials: A
authors.lastname: Othman
authors.forename: A F
authors.initials: AF
authors.lastname: Rodgers
authors.forename: D Y
authors.initials: DY
authors.lastname: Dajom
authors.forename: E
authors.initials: E
authors.lastname: Miri
authors.forename: P M
authors.initials: PM
authors.lastname: Emerson
mesh_terms: D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000600:supply & distribution; D002648:Child; D002675:Child, Preschool; D005191:Family Characteristics; D006293:Health Promotion / Q000379:methods; D006306:Health Surveys; D006798:Housing / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D008875:Middle Aged; D009549:Nigeria / Q000453:epidemiology; D015995:Prevalence; D012499:Sanitation / Q000706:statistics & numerical data; D014141:Trachoma / Q000453:epidemiology* / Q000628:therapy; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents