Development of Trachoma Control Programs and the Involvement of National Resources

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Abstract
Trachoma, one of the commonest eye diseases in developing countries, is associated with adverse living conditions and low socioeconomic status. The control of trachoma as a blinding disease has been the target of many national campaigns. The strategy of such campaigns has usually been based on intermittent topical treatment on a mass or selective basis, together with services for trichiasis surgery and health education. National campaigns against trachoma have often been successful on a short-term basis but have not always achieved their long-term goals. Sustained efforts are needed to maintain trachoma control, an area of endeavor that lends itself well to integration with general health services, particularly on a primary health care basis. In addition to logistic aspects, treatment compliance and behavioral patterns related to living conditions must be considered in the design of trachoma control programs.

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