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Accelerating onchocerciasis elimination in humanitarian settings: lessons from South Sudan. 在人道主义环境中加速消除盘尾丝虫病:南苏丹的经验教训。
IF 2.3 4区 医学
International Health Pub Date : 2024-07-30 DOI: 10.1093/inthealth/ihae051
J N Siewe Fodjo, S R Jada, J Rovarini, Y Y Bol, J Y Carter, A Hadermann, T Lakwo, R Colebunders
{"title":"Accelerating onchocerciasis elimination in humanitarian settings: lessons from South Sudan.","authors":"J N Siewe Fodjo, S R Jada, J Rovarini, Y Y Bol, J Y Carter, A Hadermann, T Lakwo, R Colebunders","doi":"10.1093/inthealth/ihae051","DOIUrl":"https://doi.org/10.1093/inthealth/ihae051","url":null,"abstract":"<p><p>There is persistent meso- and hyperendemicity of onchocerciasis (river blindness) in South Sudan, a country that has endured armed conflict for many years. In 2018, Amref Health Africa, in collaboration with local communities, the South Sudan Ministry of Health and other stakeholders, initiated some interventions, among which was Innovative Approaches to Reduce the Burden of Disease Caused by Onchocerciasis (IARDO) project. This project implemented several strategies, including identifying areas where onchocerciasis elimination programs need strengthening, switching from annual to biannual community-directed treatment with ivermectin (CDTI), additional ivermectin administration to postpartum women and school children and a community-based 'slash and clear' vector control strategy. These measures resulted in increased CDTI coverage, fewer bites from blackfly vectors and decreased onchocerciasis-related morbidity. The feasibility of these interventions, low cost, national government support and community ownership suggest their long-term sustainability.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence of extended-spectrum β-lactamase-producing Enterobacterales in edible ice in Thailand. 泰国食用冰中产扩展谱β-内酰胺酶肠杆菌的流行情况。
IF 2.3 4区 医学
International Health Pub Date : 2024-07-29 DOI: 10.1093/inthealth/ihae050
Premjit Amornchai, Vanaporn Wuthiekanun, Sayan Langla, Gumphol Wongsuvan, Panatda Aramrueang, Nicholas P J Day, Direk Limmathurotsakul
{"title":"Prevalence of extended-spectrum β-lactamase-producing Enterobacterales in edible ice in Thailand.","authors":"Premjit Amornchai, Vanaporn Wuthiekanun, Sayan Langla, Gumphol Wongsuvan, Panatda Aramrueang, Nicholas P J Day, Direk Limmathurotsakul","doi":"10.1093/inthealth/ihae050","DOIUrl":"https://doi.org/10.1093/inthealth/ihae050","url":null,"abstract":"<p><strong>Background: </strong>The presence of antimicrobial-resistant (AMR) bacteria in edible ice in tropical countries is largely unknown.</p><p><strong>Methods: </strong>We evaluate the presence of extended-spectrum β-lactamase (ESBL)-producing Enterobacterales in 100 edible ice samples from drink carts in 20 markets in four provinces (five markets/province) in Thailand. Ten samples of commercially sold edible ice in sealed packages were tested as controls.</p><p><strong>Results: </strong>Of 100 samples, 29 (29%) were culture positive for ESBL-producing Enterobacterales, with a median quantitative count of 2 colony-forming units (CFU)/100 mL (range, 1 to 40 CFU/100 mL). All control samples were culture negative for ESBL-producing Enterobacterales.</p><p><strong>Conclusions: </strong>AMR bacteria is commonly found in edible ice from drink carts.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Addressing the risk factors for the prevention of cardiovascular diseases in the Philippines. 解决菲律宾预防心血管疾病的风险因素。
IF 2.3 4区 医学
International Health Pub Date : 2024-07-23 DOI: 10.1093/inthealth/ihae049
Dalmacito A Cordero
{"title":"Addressing the risk factors for the prevention of cardiovascular diseases in the Philippines.","authors":"Dalmacito A Cordero","doi":"10.1093/inthealth/ihae049","DOIUrl":"https://doi.org/10.1093/inthealth/ihae049","url":null,"abstract":"","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Laboratory capacity expansion: lessons from establishing molecular testing in regional referral laboratories in Ethiopia. 实验室能力扩展:在埃塞俄比亚地区转诊实验室建立分子检测的经验教训。
IF 2.3 4区 医学
International Health Pub Date : 2024-07-04 DOI: 10.1093/inthealth/ihae046
Leulseged Chekol, Ebba Waktola, Saira Nawaz, Lehageru Tadesse, Samuel Muluye, Zelalem Bonger, Addisu Bogale, Frehywot Eshetu, Desalegne Degefaw, Adamu Tayachew, Hulemenaw Delelegn, Sharon Daves, Eyasu Seyoum, Kyle Moon, Daniel Melese, Joan-Miquel Balada, Shu-Hua Wang, Desmond Williams, Wondwossen Gebreyes, Zelalem Mekuria
{"title":"Laboratory capacity expansion: lessons from establishing molecular testing in regional referral laboratories in Ethiopia.","authors":"Leulseged Chekol, Ebba Waktola, Saira Nawaz, Lehageru Tadesse, Samuel Muluye, Zelalem Bonger, Addisu Bogale, Frehywot Eshetu, Desalegne Degefaw, Adamu Tayachew, Hulemenaw Delelegn, Sharon Daves, Eyasu Seyoum, Kyle Moon, Daniel Melese, Joan-Miquel Balada, Shu-Hua Wang, Desmond Williams, Wondwossen Gebreyes, Zelalem Mekuria","doi":"10.1093/inthealth/ihae046","DOIUrl":"https://doi.org/10.1093/inthealth/ihae046","url":null,"abstract":"<p><p>Respiratory viruses contribute to high morbidity and mortality in Africa. In 2020, the Ohio State University's Global One Health Initiative, in collaboration with the Ethiopian Public Health Institute and the US Centers for Disease Control and Prevention, took action to strengthen Ethiopia's existing respiratory virus surveillance system through decentralization of laboratory testing and scale-up of national and regional capacity for detecting respiratory viruses. In August 2022, four regional laboratories were established, thereby raising the number of reference laboratories conducting respiratory virus surveillance to five. This article highlights lessons learned during implementation and outlines processes undertaken for laboratory scale-up and decentralization.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence and factors associated with rural mothers' protection against tetanus: a cross-national analysis in 33 sub-Saharan African countries. 农村母亲预防破伤风的流行率和相关因素:33个撒哈拉以南非洲国家的跨国家分析。
IF 2.3 4区 医学
International Health Pub Date : 2024-07-02 DOI: 10.1093/inthealth/ihad103
Wonder Agbemavi, Castro Ayebeng, Joshua Okyere, Emmanuella Acheampong, Vincent Bio Bediako
{"title":"Prevalence and factors associated with rural mothers' protection against tetanus: a cross-national analysis in 33 sub-Saharan African countries.","authors":"Wonder Agbemavi, Castro Ayebeng, Joshua Okyere, Emmanuella Acheampong, Vincent Bio Bediako","doi":"10.1093/inthealth/ihad103","DOIUrl":"10.1093/inthealth/ihad103","url":null,"abstract":"<p><strong>Background: </strong>Sub-Saharan Africa (SSA) and South Asia account for most new cases of tetanus. Despite efforts by the World Health Organization to eradicate tetanus, it still causes many maternal mortalities. We examined the prevalence and risk factors associated with tetanus protection among rural mothers in 33 SSA countries.</p><p><strong>Methods: </strong>Data were extracted from the most recent Demographic and Health Surveys of 33 SSA countries. A sample of 162 601 women from rural areas was drawn. Both descriptive and binary logistic regression analyses were conducted.</p><p><strong>Results: </strong>Overall, approximately half (49.3%) of rural mothers were protected against tetanus. The association between maternal age, education, marital status, working status, distance to the health facility and number of antenatal visits were statistically significant with rural mothers' protection from tetanus. Also, relationship to the household head, household size and frequency of listening to radio, reading a newspaper and watching television were statistically significant in predicting rural mothers' protection from tetanus.</p><p><strong>Conclusions: </strong>Policies and interventions by stakeholders must target high-risk populations, including adult women, those of poorer wealth status, those without media exposure and mothers with low educational attainment.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"399-408"},"PeriodicalIF":2.3,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Can collaboration among health and social care workers play a role in addressing geriatric care challenges? A qualitative case study in Central Vietnam. 卫生和社会护理工作者之间的合作能否在应对老年护理挑战方面发挥作用?越南中部的定性案例研究。
IF 2.3 4区 医学
International Health Pub Date : 2024-07-02 DOI: 10.1093/inthealth/ihad082
Man Thi Hue Vo, Keiko Nakamura, Kaoruko Seino, T J Robinson T Moncatar, Tran Dai Tri Han, Kathryn Lizbeth L Siongco, Yuri Tashiro, Thang Van Vo
{"title":"Can collaboration among health and social care workers play a role in addressing geriatric care challenges? A qualitative case study in Central Vietnam.","authors":"Man Thi Hue Vo, Keiko Nakamura, Kaoruko Seino, T J Robinson T Moncatar, Tran Dai Tri Han, Kathryn Lizbeth L Siongco, Yuri Tashiro, Thang Van Vo","doi":"10.1093/inthealth/ihad082","DOIUrl":"10.1093/inthealth/ihad082","url":null,"abstract":"<p><strong>Background: </strong>Vietnam's healthcare system offers limited services and facilities for older adults. This study explored the perceptions of health and social care workers regarding geriatric care issues, their impact on older adults and the potential of collaboration for enhancing older adults' health and well-being.</p><p><strong>Methods: </strong>This qualitative case study employed 27 focus group discussions and two in-depth interviews with 174 participants in Thua Thien Hue Province, Vietnam. An inductive thematic analysis was conducted.</p><p><strong>Results: </strong>According to the participants, the major challenges that hindered geriatric care consisted of caregiver and care recipient issues, which were identified to constrain care accessibility, resulting in decreased physical, mental and social health. Across different settings and professions, collaboration was considered a routine and natural aspect of daily work. It was perceived that establishing and strengthening collaboration could facilitate improvement in health and social welfare services through the prioritization of needs and enhancement of caregiver skills and training.</p><p><strong>Conclusions: </strong>Collaboration was viewed as ad hoc but indispensable for addressing the identified geriatric care issues that could improve the general health and well-being of older adults. The findings indicate a need for better collaboration in Vietnam, achieved through defined guidelines, training and improved interprofessional education and practice.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"387-398"},"PeriodicalIF":2.3,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41169292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The individual- and community-level women's empowerment and utilization of maternity care services in Afghanistan: a multilevel cross-validation study. 阿富汗妇女个人和社区层面的赋权与孕产妇保健服务利用情况:一项多层次交叉验证研究。
IF 2.3 4区 医学
International Health Pub Date : 2024-07-02 DOI: 10.1093/inthealth/ihad116
Omid Dadras
{"title":"The individual- and community-level women's empowerment and utilization of maternity care services in Afghanistan: a multilevel cross-validation study.","authors":"Omid Dadras","doi":"10.1093/inthealth/ihad116","DOIUrl":"10.1093/inthealth/ihad116","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to explore the relationship between women's empowerment and utilization of maternity care for married Afghan women aged 15-49 y in Afghanistan, assessing the convergence validity of the Survey-based Women's Empowerment Index in Afghanistan (SWEI-A).</p><p><strong>Methods: </strong>The study used data from the 2015 Afghanistan Demographic Health Survey to examine the association of different domains of women's empowerment with the utilization of maternity care using multilevel Poisson regression at both individual and community levels.</p><p><strong>Results: </strong>The utilization of maternity services was considerably higher among women with high scores compared with those with low scores in almost all domains of the SWEI-A, except for property owning, in which women with high scores appeared to have lower rates of utilization of such services compared with those with low scores. At the community level, those communities with high participation of women in the labor force were less likely to have adequate antenatal care (ANC), institutional delivery and postnatal care (PNC). Individual-level literacy was associated with higher utilization of ANC, institutional delivery and PNC, contrary to community-level literacy.</p><p><strong>Conclusions: </strong>Except for property owning, the high score in almost all other domains was associated with higher utilization of maternity care, which indicates an acceptable level of convergence validity for the developed index (i.e. the SWEI-A) in measuring women's empowerment among married Afghan women aged 15-49 y.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"428-437"},"PeriodicalIF":2.3,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138832572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predictor of anemia among pregnant women attending antenatal clinics at Hiwot Fana Comprehensive Specialized Hospital, Eastern Ethiopia: a case-control study. 埃塞俄比亚东部 Hiwot Fana 综合专科医院产前检查孕妇贫血的预测因素:病例对照研究。
IF 2.3 4区 医学
International Health Pub Date : 2024-07-02 DOI: 10.1093/inthealth/ihad118
Tadesse Dufera, Merga Dheresa, Tariku Dingeta, Mezgebu Legesse, Sinetibeb Mesfin, Bikila Balis, Tegenu Balcha
{"title":"Predictor of anemia among pregnant women attending antenatal clinics at Hiwot Fana Comprehensive Specialized Hospital, Eastern Ethiopia: a case-control study.","authors":"Tadesse Dufera, Merga Dheresa, Tariku Dingeta, Mezgebu Legesse, Sinetibeb Mesfin, Bikila Balis, Tegenu Balcha","doi":"10.1093/inthealth/ihad118","DOIUrl":"10.1093/inthealth/ihad118","url":null,"abstract":"<p><strong>Background: </strong>Anemia during pregnancy is a public health problem and is related to negative birth outcomes, especially in developing countries. The main aim of this study was to assess predictors of anemia among pregnant women attending antenatal clinics at Hiwot Fana Comprehensive Specialized University Hospital, Eastern Ethiopia.</p><p><strong>Methods: </strong>Unmatched case-control study design was employed among 352 individuals. A face-to-face interview was used to gather data, and each pregnant woman's antenatal care follow-up record cards were reviewed in addition to the interview. EpiData version 3.1 and IBM SPSS version 26 was used for data entry and analysis, respectively. Bivariable and multivariable analyses were conducted to identify predictors of anemia, a p-value of <0.05 was considered a statistically significant association.</p><p><strong>Result: </strong>The common determinants for anemia in pregnant mothers were: rural residency (AOR = 2.25, 95% CI: 1.14-4.8), no formal education (AOR = 4.4, 95% CI: 1.94-9.9), inter-pregnancy interval (AOR = 2.7, 95% CI: 1.24-5.8), and mid-upper arm circumference (AOR = 5.0, 95% CI: 2.0-12.7).</p><p><strong>Conclusion: </strong>In this study, the identified determinant factors for anemia were: rural residency, maternal educational status, inter-pregnancy-interval, and mid-upper arm circumference. Therefore, providing health education and promotion for pregnant women regarding anemia by focusing on rural residents and counseling to lengthen their birth spacing is an important task. Moreover, counseling on taking iron supplementation as suggested and consuming a diet rich in iron during antenatal care will be recommended.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"438-445"},"PeriodicalIF":2.3,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139472997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Heterogenous pathogen profile associated with acute conjunctivitis in Nepal. 尼泊尔与急性结膜炎相关的异源病原体概况。
IF 2.3 4区 医学
International Health Pub Date : 2024-07-02 DOI: 10.1093/inthealth/ihad079
Meenu Chaudhary, Sanjeeta Sitaula, Kevin Ruder, Cindi Chen, Lina Zhong, Yu Heng Lu, Thomas Abraham, Danny Yu, Armin Hinterwirth, Thomas M Lietman, Thuy Doan, Gerami D Seitzman
{"title":"Heterogenous pathogen profile associated with acute conjunctivitis in Nepal.","authors":"Meenu Chaudhary, Sanjeeta Sitaula, Kevin Ruder, Cindi Chen, Lina Zhong, Yu Heng Lu, Thomas Abraham, Danny Yu, Armin Hinterwirth, Thomas M Lietman, Thuy Doan, Gerami D Seitzman","doi":"10.1093/inthealth/ihad079","DOIUrl":"10.1093/inthealth/ihad079","url":null,"abstract":"<p><strong>Background: </strong>Infectious conjunctivitis is common in Nepal.</p><p><strong>Materials and methods: </strong>This prospective study recruited 60 patients with presumed acute infectious conjunctivitis from the B.P. Koirala Lions Center for Ophthalmic Studies in Kathmandu, Nepal. Swabs from the conjunctiva and anterior nares were processed for metagenomic RNA deep sequencing (RNA-seq).</p><p><strong>Results: </strong>Pathogens were identified in 55% of cases. RNA viruses were the most common pathogen class identified. Severe acute respiratory syndrome coronavirus 2 was the most common RNA virus identified.</p><p><strong>Conclusions: </strong>Acute infectious conjunctivitis varies by location. Contrary to expectations, RNA viruses predominated. Repeat surveillance may be useful and RNA-seq allows for detection of the unexpected pathogen including RNA viruses.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"468-470"},"PeriodicalIF":2.3,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10490924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Accuracy, acceptability and feasibility of photography for use in trachoma surveys: a mixed methods study in Tanzania. 用于沙眼调查的摄影技术的准确性、可接受性和可行性:坦桑尼亚的一项混合方法研究。
IF 2.3 4区 医学
International Health Pub Date : 2024-07-02 DOI: 10.1093/inthealth/ihad111
Donal Bisanzio, Robert Butcher, Valérian Turbé, Kenji Matsumoto, Chaitra Dinesh, Patrick Massae, Michael Dejene, Cristina Jimenez, Colin Macleod, Einoti Matayan, Caleb Mpyet, Alex Pavluck, Martha Idalí Saboyá-Díaz, Fentahun Tadesse, Sandra Liliana Talero, Anthony W Solomon, Jeremiah Ngondi, George Kabona, Cecilia Uisso, Alistidia Simon, Upendo Mwingira, Emma M Harding-Esch
{"title":"Accuracy, acceptability and feasibility of photography for use in trachoma surveys: a mixed methods study in Tanzania.","authors":"Donal Bisanzio, Robert Butcher, Valérian Turbé, Kenji Matsumoto, Chaitra Dinesh, Patrick Massae, Michael Dejene, Cristina Jimenez, Colin Macleod, Einoti Matayan, Caleb Mpyet, Alex Pavluck, Martha Idalí Saboyá-Díaz, Fentahun Tadesse, Sandra Liliana Talero, Anthony W Solomon, Jeremiah Ngondi, George Kabona, Cecilia Uisso, Alistidia Simon, Upendo Mwingira, Emma M Harding-Esch","doi":"10.1093/inthealth/ihad111","DOIUrl":"10.1093/inthealth/ihad111","url":null,"abstract":"<p><strong>Background: </strong>Photography could be used to train individuals to diagnose trachomatous inflammation-follicular (TF) as trachoma prevalence decreases and to ensure accurate field TF grading in trachoma prevalence surveys. We compared photograph and field TF grading and determined the acceptability and feasibility of eyelid photography to community members and trachoma survey trainers.</p><p><strong>Methods: </strong>A total of 100 children ages 1-9 y were examined for TF in two Maasai villages in Tanzania. Two images of the right everted superior tarsal conjunctiva of each child were taken with a smartphone and a digital single-lens reflex (DSLR) camera. Two graders independently graded all photos. Focus group discussions (FGDs) were conducted with community members and Tropical Data trainers.</p><p><strong>Results: </strong>Of 391 photos, one-fifth were discarded as ungradable. Compared with field grading, photo grading consistently underdiagnosed TF. Compared with field grading, DSLR photo grading resulted in a higher prevalence and sensitivity than smartphone photo grading. FGDs indicated that communities and trainers found photography acceptable and preferred smartphones to DSLR in terms of practicalities, but image quality was of paramount importance for trainers.</p><p><strong>Conclusions: </strong>Photography is acceptable and feasible, but further work is needed to ensure high-quality images that enable accurate and consistent grading before being routinely implemented in trachoma surveys.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"416-427"},"PeriodicalIF":2.3,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138886316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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