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Why Do People Not Attend for Treatment for Trachomatous Trichiasis in Ethiopia? A Study of Barriers to Surgery

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  • Saul N Rajak
  • Esmael Habtamu
  • Helen A Weiss
  • Amir Bedri
  • Mulat Zerihun
  • Teshome Gebre
  • Clare E Gilbert
  • Paul M Emerson
  • Matthew J Burton

Abstract

Background: Trachomatous trichiasis (TT) surgery is provided free or subsidised in most trachoma endemic settings. However, only 18–66% of TT patients attend for surgery. This study analyses barriers to attendance among TT patients in Ethiopia, the country with the highest prevalence of TT in the world. Methodology/Principal Findings: Participants with previously un-operated TT were recruited at 17 surgical outreach campaigns in Amhara Region, Ethiopia. An interview was conducted to ascertain why they had not attended for surgery previously. A trachoma eye examination was performed by an ophthalmologist. 2591 consecutive individuals were interviewed. The most frequently cited barriers to previous attendance for surgery were lack of time (45.3%), financial constraints (42.9%) and lack of an escort (35.5% in females, 19.6% in males). Women were more likely to report a fear of surgery (7.7% vs 3.2%, p

Suggested Citation

  • Saul N Rajak & Esmael Habtamu & Helen A Weiss & Amir Bedri & Mulat Zerihun & Teshome Gebre & Clare E Gilbert & Paul M Emerson & Matthew J Burton, 2012. "Why Do People Not Attend for Treatment for Trachomatous Trichiasis in Ethiopia? A Study of Barriers to Surgery," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 6(8), pages 1-10, August.
    • Handle: RePEc:plo:pntd00:0001766
    DOI: 10.1371/journal.pntd.0001766
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