02552nas a2200373   4500000000100000008004100001653001300042653003100055653003800086653003900124653001600163653000900179653001100188653003400199653004200233653001700275653001800292653001100310653001400321653001300335653002500348653001000373653001500383100001200398700001200410700001400422700001300436245009600449856008400545300001100629490000700640520151700647022001402164       2008                            d10aTrachoma10aSurveys and Questionnaires10aPatient Acceptance of Health Care10aOphthalmologic Surgical Procedures10aMiddle Aged10aMale10aHumans10aHealth Services Accessibility10aHealth Knowledge, Attitudes, Practice10aHair Removal10aHair Diseases10aFemale10aEyelashes10aEthiopia10aCase-Control Studies10aAdult10aAdolescent1 aHabte D1 aGebre T1 aZerihun M1 aAssefa Y00aDeterminants of uptake of surgical treatment for trachomatous trichiasis in North Ethiopia.  uhttp://www.tandfonline.com/doi/abs/10.1080/09286580801974897?journalCode=iope20  a328-330 v153 a<p><strong>BACKGROUND: </strong>Surgery for trachomatous trichiasis prevents blindness. However people still decline surgery despite the availability of services in nearby health facilities.</p>

<p><strong>OBJECTIVES: </strong>To assess what proportion of cases of trichiasis had surgical treatment and to investigate the determinants of uptake of surgery.</p>

<p><strong>METHODS: </strong>Eight villages in Enebse Sarmidir district of Amhara Region-Ethiopia were randomly selected and all self-reported cases of trichiasis were approached. Both operated and un-operated trichiasis cases were interviewed using structured questionnaires.</p>

<p><strong>RESULT: </strong>The study employed a case control study design with patients with untreated trichiasis being cases (135) and those operated, controls (141). The main reasons given for not having surgery were burden of household tasks, indirect cost of surgery, lack of companion and fear of surgery. Uptake of surgery was found to rise with duration of illness (Chi Square for trend = 26.62, P &lt; 0.05). Longer walking distance (more than one hour) to the nearby health facility was a negative predictor of uptake of surgical treatment (adjusted odd ratio 0.31, 95% confidence interval 0.15-0.67).</p>

<p><strong>CONCLUSION: </strong>Behavior change communication interventions targeted on early uptake of surgery are very important. Village-based surgical service provision may be worthwhile in settings of high blinding trachoma burden.</p>
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