Prevalence of active trachoma among 1-9 years of age children in Ethiopia: a systematic review and meta-analysis.

Autor: Asgedom YS; Department of Epidemiology, Wolaita Sodo University, Sodo, Ethiopia yordusisay@gmail.com., Melaku T; Institute of Health, Jimma University, Jimma, Ethiopia., Gebrekidan AY; School of Public Health, Wolaita Sodo University, Sodo, Ethiopia., Meskele M; School of Public Health, Wolaita Sodo University, Sodo, Ethiopia., Asnake G; Midwifery, Hawassa University, Hawassa, Southern Nations, Ethiopia., Alemu A; Department of Medicine, Wolaita Sodo University, Sodo, Ethiopia., Efa AG; Department of Medicine, SNNPR, Sodo, Ethiopia., Haile KE; Department of Nursing, Wolaita Sodo University, Sodo, Ethiopia., Kassie GA; Wolaita Sodo University, Sodo, Ethiopia.
Jazyk: angličtina
Zdroj: BMJ open [BMJ Open] 2024 Jul 11; Vol. 14 (7), pp. e079623. Date of Electronic Publication: 2024 Jul 11.
DOI: 10.1136/bmjopen-2023-079623
Abstrakt: Objective: The objective of this study is to determine the pooled prevalence of active trachoma among 1-9 years old children in Ethiopia.
Design: A systematic review and meta-analysis were employed in accordance with the Preferred Reporting Items for Systematic Reviews.
Data Sources: Medline/PubMed, Scopus, Web of Science, African Journal of Online and Google scholar databases were systematically explored to find studies published in English until July 2023.
Eligibility Criteria: The following criteria apply: (1) condition (Co): studies examined the prevalence of trachoma among children (1-9) years old; (2) context (Co): studies conducted in Ethiopia; (3) population (Pop): studies that were done among children (1-9) years old; (4) study type: observational studies and (5) language: studies published in English.
Data Extraction and Synthesis: The data were extracted using a Microsoft Excel spreadsheet. DerSimonian-Laird random effect model was used to estimate the pooled prevalence of active trachoma among 1-9 years old children. Cochrane Q-tests and I 2 statistics were used across studies to assess heterogeneity. To identify possible publication bias, Egger's test was performed.
Primary Outcome: Prevalence of active trachoma among children aged (1-9 years old)".
Results: Overall, a total of 42 articles with 235 005 study participants were included in the final analysis. The estimated pooled prevalence of active trachoma using random effect model was 24% (95% CI 20% to 27%). The subgroup analysis by region revealed that the highest prevalence of trachoma was 36% (95% CI 13% to 58%) in the Tigray region, and publication year revealed the prevalence of trachoma was decreasing from 32% to 19% after 2015.
Conclusion: In this review, the pooled prevalence of active trachoma was found to be high in Ethiopia compared with WHO threshold level. This underscores the need for increased focus on high-risk age groups to decrease trachoma and to achieve the elimination of trachoma from the country by 2030.
Competing Interests: Competing interests: The review was conducted without any personal or financial relationship that could lead to conflict.
(© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze: MEDLINE