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Br J Ophthalmol. 2018 Oct;102(10):1324-1327. doi: 10.1136/bjophthalmol-2018-312476. Epub 2018 Jun 15.

Strengthening the links between mapping, planning and global engagement for disease elimination: lessons learnt from trachoma.

Author information

1
Kilimanjaro Centre for Community Ophthalmology, Division of Ophthalmology, University of Cape Town, Cape Town, South Africa pcourtright@kcco.net.
2
RTI International, Washington, DC, USA.
3
Kilimanjaro Centre for Community Ophthalmology, Division of Ophthalmology, University of Cape Town, Cape Town, South Africa.
4
Department for International Development, London, UK.
5
United States Agency for International Development, Washington, DC, USA.
6
Federal Ministry of Health, Addis Ababa, Ethiopia.
7
Federal Ministry of Health, Abuja, Nigeria.
8
Ministry of Health and Alneelain University, Khartoum, Sudan.
9
Sightsavers, Accra, Ghana.
10
Nacional Eye Care Program, Ministério da Saude de Mozambique, Maputo, Mozambique.
11
Orbis International, New York, New York, USA.
12
The Queen Elizabeth Diamond Jubilee Trust, London, UK.
13
International Trachoma Initiative, Atlanta, Georgia, USA.
14
International Coalition for Trachoma Control and The Fred Hollows Foundation, London, UK.
15
Department of Control of Neglected Tropical Diseases, World Health Organization, Geneva, Switzerland.

Abstract

BACKGROUND:

Trachoma is the leading infectious cause of blindness. Until recently, reliable data on the global extent of the disease, detailed plans for elimination, and government, donor and partner engagement were all inadequate.

METHODS:

The trachoma community undertook a systematic, three-pronged strategy to map trachoma district by district, develop national-level trachoma elimination plans, and create a framework for governments, donors and partners to convene and coordinate in support of trachoma elimination.  RESULT: There has been a frame-shift in internal and external perceptions of the global trachoma programme, from being an effort working towards disease control in focussed geographical areas, to one in the process of achieving worldwide disease elimination. Multiple factors contributed to the successful implementation of mapping, planning, and cross-sectional engagement of governments, partners and donors.

CONCLUSIONS:

Elimination of trachoma is possible if the right combination of factors is in place. Planning for success is a critical first step. Some remaining challenges must still be addressed if the elimination targets are to be successfully attained.

KEYWORDS:

Epidemiology; Public health

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