This research study is part of a six country portfolio of operational research from the Coalition for Operational Research on NTDs (CORNTD)/International Trachoma Initiative (iTi) on tailored endgame strategies for persistent and recrudescent active trachoma. With leadership from country programs, Sightsavers supported the research studies in Ethiopia, Kenya and Nigeria.

Primary research question

• What are the Ct transmission dynamics in Binji and Silame local government areas (LGAs) of Sokoto State and does this confirm persistence of trachoma, and need for continued mass drug administration (MDA), as indicated in the latest impact survey?

Secondary research questions:

•  Are there any particular geographical locations or groups that have higher Ct infection and therefore driving persistence of infection and/or ongoing transmission?
• What are the underlying (epidemiological, programmatic, contextual, and socio-behavioural) factors contributing to persistent active trachoma despite delivery of the recommended SAFE intervention strategies in Binji and Silame districts of Sokoto state?

• Inform actions to address persistence of trachoma.

• Quantitative, qualitative and participatory methods.

• Read more about our study in Kenya
• Read more about our study in Ethiopia