THE NATIONAL CAMPAIGN FOR THE MASS TREATMENT OF TRACHOMA: MONITORING COVERAGE AND PRACTICES OF MASS DRUG ADMINISTRATION (MDA) IN YEMEN- FOLLOW-UP STUDY
Authors: Alshamahi Essam Yahya A , Al-Eryani Sameha  A. , Jaadan Bushra Mohammed , Al-Shamahy Prof. Dr. Hassan A. , Al Haddad Amal Abdulslam , Al-Zazai Baleegh Abdullah 
Published: May 2021

Background:  Trachoma is a communicable infection of the eye by certain strains of the Chlamydia trachomatis. It is the principal cause of loss of sight globally. Mass drug administration (MDA) with azithromycin is a foundation stone of World Health Organization (WHO)’s global struggle to eradicate trachoma by 2020. 
Aims: The main objectives of the campaign's third monitoring are to check improvement of interventions and improvement of quality across times and activities implemented in seven selected districts of Ibb and Al-Hodeida governorates, Yemen.
Methods: A community based cross-sectional coverage survey was performed. 68 divisions were selected per selected districts of the two governorates. A disconnect Results Entry Form for each district surveyed was finished, saved and uploaded directly into the online Coverage Survey Analysis Tool to check improvement of interventions and improvement of quality across times and activities implemented.
Results: The national campaign for MDA covers 966 villages in 6 districts of Ibb and Al-Hodeidah governorates by 1932 healthcare workers. A total number of beneficiaries who were monitored from 476 homes reached 3,077, of whom 2,755 (90%, coverage rate) took the dose. The availability rates of trachoma medicines were ranged from 82% to 91% . The improper arrangement of treatment sessions rate was 17%, the incorrect position of the dose pole was 6%, while the correct records of drugs scored the rate of 99%, and the proper storage of drugs rate was 70%.  The community collaboration during the treatment campaign the acceptable rate was 92%, while 3% exhibited unacceptable behaviors towards the treatment campaign.
Conclusion: In this survey, the national campaign for MDA in the 966 villages reach the target threshold (i.e. 90%) for effective coverage; with proper rates for the availability of trachoma medicines, good people reactions towards taking treatment,  and  the community collaboration; while bad rates for the improper arrangement of treatment sessions , the incorrect position of the dose pole and  the preparation dosages by MDA team. Hence, programmatic enhancement should be made for the future campaign to achieve the estimated thresholds.
                  
Peer Review History:
Received 8 March 2021; Revised 29 March; Accepted 25 April, Available online 15 May 2021
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Received file:                Reviewer's Comments:
Average Peer review marks at initial stage: 6.5/10
Average Peer review marks at publication stage: 8.0/10
Reviewer(s) detail:
Dr. Bilge Ahsen KARA, 
Ankara Gazi Mustafa Kemal Hospital, Turkey, ahsndkyc@gmail.com
Dr. Muhammad Zahid Iqbal,
AIMST University, Malaysia, drmmziqbal@gmail.com
Dr. A.A. Mgbahurike,
University of Port Harcourt, Nigeria, amaka_mgbahurike@yahoo.com
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