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Social Sciences for the Prevention of Blindness
1Laboratorie du Centre Hospitalier National d'Ophtalmologie des Quinze-Vingts , 28, rue de Charenton, Paris 75012, France.
Tropical Medicine and Health
|July 11, 2015
Summary
The WHO SAFE strategy for trachoma elimination, including antibiotics and hygiene, often fails due to poor knowledge retention. Long-term education is crucial for sustained behavior change and preventing blindness.
Area of Science:
- Ophthalmology
- Public Health
- Behavioral Science
Background:
- Trachoma, a leading cause of preventable blindness, is targeted by the WHO SAFE strategy.
- The SAFE strategy includes surgery, antibiotics, facial cleanliness, and environmental improvements.
Purpose of the Study:
- To evaluate the long-term effectiveness of the WHO SAFE strategy for trachoma elimination.
- To identify reasons for the recurrence of trachoma despite repeated interventions.
Main Methods:
- Analysis of the outcomes of repeated SAFE strategy implementations in endemic communities.
- Sociological and cognitive assessment of knowledge assimilation and behavior change in target populations.
Main Results:
- Trachoma recurrence is common even after multiple SAFE strategy implementations, indicating a failure in knowledge integration by parents and children.
- Repeated hygiene campaigns have not consistently led to lasting behavioral changes in neglected populations.
Conclusions:
- Mass drug administration alone is insufficient for trachoma elimination; a broader approach is needed.
- The current elimination strategies may be influenced by evaluative and funding cycles rather than objective outcomes.
- Antibiotics, surgery, and basic hygiene education are inefficient without long-term, school-based educational initiatives.
Keywords:
ChlamydiaSAFEantibioticseducationhygieneinbredscholasticismschoolingsociologytrachoma eliminationMore Related Videos
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