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Trachoma Surveys by Segment (TSS) and “TT40” methods in seven districts in Kenya . Dr. Jefitha Karimurio Supervisors: Prof. Jill Keeffe , A/Prof. Richard Le Mesurier , A/ Pof . Mutuku Mwathi. Problem statement. Kenya districts 80,000 to 1,000,000 people
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Trachoma Surveys by Segment (TSS) and “TT40” methods in seven districts in Kenya • Dr. JefithaKarimurio • Supervisors: • Prof. Jill Keeffe, A/Prof. Richard Le Mesurier, A/Pof. MutukuMwathi
Problem statement • Kenya districts 80,000 to 1,000,000 people • Trachoma clustered in dry areas • In large districts (>200,000 people) clusters widely scattered. • Endemic communities missed and non-endemic ones treated. • Also, TT surveys in persons >15 years require large samples
The new methods • TSS method • Districts were divided into segments with 100,000-200,000 people each (standardized intervention units). • Areas with similar risk scores aggregated in a segment • The TT40 method • Previous data sets re-analysed to calculate the optimum lower age limit for TT survey participants (40 years).
Results • 7 administrative districts • 16 segments surveyed • 6 needed MDA x 5 years • 4 needed it x 3 years • 6 excluded from MDA
% of TT cases likely to be missed (n= 316 cases) Backlog of TT correction factor for age >40 years = 1.1
Conclusion • TSS is an effective method to indentify the areas that need mass treatment. • It reduced the cost of mass treatment by exclusion of the segments which do not require MDA • TT40 method improves the efficiency of a trachoma survey • Correction factor is required to extrapolate the total backlog