{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T16:53:50Z","timestamp":1772556830206,"version":"3.50.1"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2020,4,20]],"date-time":"2020-04-20T00:00:00Z","timestamp":1587340800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Carter Center and Sudan Federal Ministry of Health"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Approximately 1.9 million people have become blind or visually impaired from trachoma, the leading cause of infectious blindness. Trachoma prevalence surveys conducted in Sudan have shown that thousands of Sudanese suffer from the advanced stages of the disease, trachomatous trichiasis (TT), and warrant sight-saving surgery. Sudan\u2019s National Trachoma Control Program (NTCP) provides free TT surgery; however, given that many TT patients live in remote areas with limited access to health services, identifying patients and providing eye care services has proved challenging. For this reason, the Sudan NTCP piloted a systematic TT case-finding approach to identify patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>In Gedarif state, 11 villages in Baladyat el Gedarif locality and 21 villages in West Galabat locality were included in a TT case-searching activity from September to November 2018. TT case finders were selected from the villages where the activity took place and were trained by ophthalmic medical assistants to identify possible patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of 66\u2009626 villagers examined, 491 were identified as having TT by TT case finders. Of those, 369 were confirmed as true cases by the TT surgeons, a 75.2% (369\/491) success rate.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The TT case-finding approach provides an example of an effective method for identifying TT patients and should be expanded to other parts of the country known to be endemic for trachoma.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/trstmh\/traa022","type":"journal-article","created":{"date-parts":[[2020,3,16]],"date-time":"2020-03-16T20:33:24Z","timestamp":1584390804000},"page":"561-565","source":"Crossref","is-referenced-by-count":11,"title":["Piloting a trachomatous trichiasis patient case-searching approach in two localities of Sudan"],"prefix":"10.1093","volume":"114","author":[{"given":"Angelia M","family":"Sanders","sequence":"first","affiliation":[{"name":"Trachoma Control Program, Carter Center, Atlanta, GA 30307, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maha","family":"Adam","sequence":"additional","affiliation":[{"name":"Carter Center, Khartoum, Sudan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nabil","family":"Aziz","sequence":"additional","affiliation":[{"name":"Carter Center, Khartoum, Sudan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E Kelly","family":"Callahan","sequence":"additional","affiliation":[{"name":"Trachoma Control Program, Carter Center, Atlanta, GA 30307, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Belgesa E","family":"Elshafie","sequence":"additional","affiliation":[{"name":"National Program for Prevention of Blindness, Federal Ministry of Health, Khartoum, Sudan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,4,20]]},"reference":[{"key":"2020080507303420400_ref1","author":"World Health Organization"},{"key":"2020080507303420400_ref2","volume-title":"Report of the 3rd Global Scientific Meeting on Trachoma","author":"World Health Organization","year":"2010"},{"issue":"9960","key":"2020080507303420400_ref3","doi-asserted-by":"crossref","first-page":"2142","DOI":"10.1016\/S0140-6736(13)62182-0","article-title":"Trachoma","volume":"384","author":"Taylor","year":"2014","journal-title":"Lancet"},{"key":"2020080507303420400_ref4","author":"World Health Organization","year":"2016"},{"issue":"10","key":"2020080507303420400_ref5","doi-asserted-by":"crossref","first-page":"985","DOI":"10.1016\/j.trstmh.2009.03.012","article-title":"The excess burden of trachomatous trichiasis in women: a systematic review and meta-analysis","volume":"103","author":"Cromwell","year":"2009","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"2020080507303420400_ref6","doi-asserted-by":"crossref","first-page":"84","DOI":"10.11604\/pamj.2017.27.84.11266","article-title":"Use of validated community-based trachoma trichiasis (TT) case finders to measure the total backlog and detect when elimination threshold is achieved: a TT methodology paper","volume":"27","author":"Karimurio","year":"2017","journal-title":"Pan Afr Med J"},{"key":"2020080507303420400_ref7","article-title":"Use of an inexpensive magnifier with light source in the diagnosis of trichiasis among community-based case finders in Nigeria","volume":"25(Suppl 1):138\u201342","author":"Ramyil","year":"2018","journal-title":"Ophthal Epidemiol"},{"key":"2020080507303420400_ref8","article-title":"Assessment of a novel approach to identify trichiasis cases using community treatment assistants in Tanzania","author":"Greene","journal-title":"PLoS Negl Trop Dis."},{"issue":"5","key":"2020080507303420400_ref9","doi-asserted-by":"crossref","first-page":"e1027","DOI":"10.1371\/journal.pntd.0001027","article-title":"The prevalence of blinding trachoma in northern states of Sudan","volume":"5","author":"Hassan","year":"2011","journal-title":"PLoS Negl Trop Dis."},{"issue":"6","key":"2020080507303420400_ref10","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1080\/09286586.2016.1243718","article-title":"The epidemiology of trachoma in Darfur States and Khartoum State, Sudan: results of 32 population-based prevalence surveys","volume":"23","author":"Elshafie","year":"2016","journal-title":"Ophthal Epidemiol."},{"key":"2020080507303420400_ref11","volume-title":"Proceedings of the Nineteenth Annual Trachoma Program Review: Celebrating 20 Years of Impact","author":"Carter Center. 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