{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T13:20:45Z","timestamp":1788355245163,"version":"build-2803163510"},"reference-count":16,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"3","license":[{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,2]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n                  <jats:p>When a country has reached a low trachoma prevalence, it can be difficult to reliably train survey graders to accurately grade trachoma signs. Conjunctival photography provides an opportunity to capture images for grading. Recently, a training manual targeting survey data recorders was published. In July 2023, this manual was used during a photography training, after which certified trainees served as data recorders and photographers during the Enhancing the \u2018A\u2019 in SAFE (ETAS) study in South Sudan. Five of 10 trainees passed the training and became certified. These individuals took 7,064 smartphone photographs (two photographs per eye) of 1,766 children during the ETAS study. Certified photograph graders at the Gondar Grading Center in Ethiopia determined that nearly all eyes (&gt;99%) had at least one gradable photograph. The new manual successfully facilitated the training of data recorders to take gradable conjunctival photos and will be an important tool for trachoma programs.<\/jats:p>","DOI":"10.4269\/ajtmh.26-0213","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T16:11:25Z","timestamp":1784045485000},"page":"464-467","source":"Crossref","is-referenced-by-count":0,"title":["Training Data Recorders with a Manual to Take High-Quality Trachoma Photographs in South Sudan"],"prefix":"10.4269","volume":"115","author":[{"given":"Madison","family":"Bearden-Muse","sequence":"first","affiliation":[{"name":"The Carter Center, Atlanta, Georgia, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas A.","family":"Presley","sequence":"additional","affiliation":[{"name":"The Carter Center, Atlanta, Georgia, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Ohidor","sequence":"additional","affiliation":[{"name":"The Carter Center, Juba, South Sudan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tania A.","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"The Carter Center, Atlanta, Georgia, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lochebe","family":"Boniface","sequence":"additional","affiliation":[{"name":"The Carter Center, Juba, South Sudan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stella","family":"Abuba","sequence":"additional","affiliation":[{"name":"The Carter Center, Juba, South Sudan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shamika V.","family":"Chavda","sequence":"additional","affiliation":[{"name":"Emory University, Atlanta, Georgia, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reida","family":"Konga","sequence":"additional","affiliation":[{"name":"The Carter Center, Juba, South Sudan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fisseha","family":"Admassu","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of Gondar, Gondar, Ethiopia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. Kelly","family":"Callahan","sequence":"additional","affiliation":[{"name":"The Carter Center, Atlanta, Georgia, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yak Yak","family":"Bol","sequence":"additional","affiliation":[{"name":"South Sudan Ministry of Health, Juba, South Sudan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelia M.","family":"Sanders","sequence":"additional","affiliation":[{"name":"The Carter Center, Atlanta, Georgia, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott D.","family":"Nash","sequence":"additional","affiliation":[{"name":"The Carter Center, Atlanta, Georgia, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"b1","article-title":"WHO Alliance for the Global Elimination of Trachoma: Progress Report on Elimination of Trachoma, 2023.","year":"2024"},{"issue":"6","key":"b2","series-title":"Ophthalmic Epidemiol","first-page":"544","article-title":"Tropical data: Approach and methodology as applied to trachoma prevalence surveys","volume":"30","author":"Harding-Esch","year":"2023"},{"key":"b3","article-title":"Training Photographers for Trachoma Prevalence Surveys: A Manual of Preferred Practices.","year":"2024"},{"issue":"3","key":"b4","series-title":"Surv Ophthalmol","first-page":"842","article-title":"Utility of photography for trachoma surveys: A systematic review","volume":"67","author":"Naufal","year":"2022"},{"issue":"1","key":"b5","series-title":"BMC Ophthalmol","first-page":"51","article-title":"Cost and community acceptability of enhanced antibiotic distribution approaches for trachoma in the Republic of South Sudan: Enhancing the A in SAFE (ETAS) study protocol","volume":"23","author":"Sanders","year":"2023"},{"issue":"3","key":"b6","series-title":"Trop Med Int Health","first-page":"159","article-title":"Progress towards the elimination of trachoma as a public health problem in four counties of Eastern Equatoria State, Republic of South Sudan","volume":"30","author":"Ohidor","year":"2025"},{"issue":"2","key":"b7","series-title":"Trans R Soc Trop Med Hyg","first-page":"111","article-title":"Photographic grading for trachoma diagnosis within trachoma impact surveys in Amhara region, Ethiopia","volume":"117","author":"Whitson","year":"2023"},{"issue":"6","key":"b8","series-title":"Am J Trop Med Hyg","first-page":"2488","article-title":"Comparison of smartphone photography, single-lens reflex photography, and field-grading for trachoma","volume":"103","author":"Nesemann","year":"2020"},{"key":"b9","series-title":"Int Health","first-page":"ii19","article-title":"Comparing image quality and trachoma detection across three camera types from a survey in Kongwa, Tanzania","volume":"15","author":"Aguwa","year":"2023"},{"issue":"6","key":"b10","series-title":"Ophthalmic Epidemiol","first-page":"605","article-title":"Comparison of five camera systems for capturing and grading trachoma images","volume":"31","author":"Naufal","year":"2024"},{"key":"b11","series-title":"Clin Infect Dis","first-page":"ciaf506","article-title":"Discrepancy between active trachoma and tests of chlamydial infection in Alto Amazonas, Peru","volume":"2025","author":"Nesemann","year":"2025"},{"issue":"6","key":"b12","series-title":"Int Health","first-page":"613","article-title":"Smartphone photography as a possible method of post-validation trachoma surveillance in resource-limited settings","volume":"11","author":"Snyder","year":"2019"},{"issue":"4","key":"b13","series-title":"Int Health","first-page":"416","article-title":"Accuracy, acceptability and feasibility of photography for use in trachoma surveys: A mixed methods study in Tanzania","volume":"16","author":"Bisanzio","year":"2024"},{"issue":"6","key":"b14","series-title":"PLoS Negl Trop Dis","first-page":"e0011941","article-title":"Acceptability and feasibility of tests for infection, serological testing, and photography to define need for interventions against trachoma","volume":"18","author":"Renneker","year":"2024"},{"issue":"3","key":"b15","series-title":"Saudi J Ophthalmol","first-page":"200","article-title":"Development and deployment of a smartphone application for diagnosing trachoma: Leveraging code-free deep learning and edge artificial intelligence","volume":"37","author":"Milad","year":"2023"},{"issue":"12","key":"b16","series-title":"PLoS Negl Trop Dis","first-page":"e0010943","article-title":"Detection of trachoma using machine learning approaches","volume":"16","author":"Socia","year":"2022"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/115\/3\/article-p464.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/115\/3\/article-p464.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/115\/3\/article-p464.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T12:54:18Z","timestamp":1788353658000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/115\/3\/article-p464.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,2]]},"references-count":16,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.26-0213","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,2]]}}}