Project

Neglected Tropical Diseases (NTD) - Trachoma

 
amref health africa
Lasting health change in Africa

Trachoma Elimination Program  ·  Ethiopia

Ending trachoma where it hides: in Ethiopia’s most remote communities.

We currently operate in Afar, Benishangul-Gumuz, Gambella, and Somali regions — reaching 120 Woredas and some of the country’s hardest-to-reach populations with the full SAFE strategy.

4
Regions: Afar · Benishangul-Gumuz · Gambella · Somali
120
Woredas reached
6.5M
People reached in Somali with Zithromax & TEO
25K+
TT surgeries supported to clear the backlog

What We Do

The full SAFE strategy, delivered end to end

From regional leadership to the last-mile drug dose, our work spans every pillar of trachoma elimination: Surgery, Antibiotics, Facial cleanliness, and Environmental improvement.

Leadership & health systems

Strengthening leadership and health systems at regional and Woreda levels to support trachoma elimination.

Training for SAFE delivery

Training health workers and nurses to deliver SAFE interventions, including trachoma surgery.

Primary Eye Care Units

Establishing PECUs to improve access to essential eye care in underserved communities.

Clearing the TT backlog

Supporting surgery for more than 25,000 Trachomatous Trichiasis (TT) cases.

Mass Drug Administration

Delivering MDA in Afar and Somali regions to prevent infection before it starts.

Over the past four years, we have:

130,949

Treatments provided in Afar

6.5 million

People reached in Somali with Zithromax and Tetracycline Eye Ointment

81 districts

Facial cleanliness and environmental improvement programs implemented across Afar and Somali

Our Technical Expertise

Proven capability across every pillar

Antibiotics

Mass Drug Administration (MDA)

Large-scale MDA delivered in line with WHO and national guidelines.

95%

Coverage achieved in Afar — among the highest in the country.

89%

Average therapeutic coverage across Somali, 2019–2023.

Case Finding

Community awareness and case finding

We raise awareness through community education, behavior-change activities, and TT case-finding. Health extension workers and volunteers are trained to identify and refer suspected cases to nearby eye care units — so no case goes unseen for lack of a diagnosis.

Workforce

Training eye care workers

Quality assured through regular supervision and audits.

120

Integrated Eye Care Workers (IECWs) trained.

120

Primary Eye Care Units established across Afar, Gambella, and Benishangul-Gumuz.

Evidence

Trachoma surveys and evidence

Baseline, impact, and surveillance surveys using WHO and Global Trachoma Mapping Project (GTMP) standards.

26 + 108

Surveys completed to date in Afar (26) and Somali (108).

Household-level rigor

Household and individual assessments across multiple evaluation units and Woredas.

Facial Cleanliness & Environmental Improvement (F&E)

Prevention that lasts, integrated with WASH

Surgery and antibiotics treat trachoma today; clean faces and better sanitation stop it coming back. Integrated with our WASH programs, these efforts have delivered measurable change:

87.7%

Clean faces among children

Facial cleanliness among children aged 1–9 years increased to 87.7%.

8% → 83.3%

Access to basic sanitation

A more than tenfold improvement in access to basic sanitation in program areas.

Community awareness

Community awareness of trachoma causes doubled in some regions.

Partner with us to eliminate trachoma in Ethiopia

Learn more about our surveys, coverage data, and Woreda-level results — and how the SAFE strategy is restoring sight and dignity in Ethiopia’s most remote communities.

Contact our team
Article

Trachoma Elimination Initiative: Stories of Life-Changing Impact in Ethiopia

The transformative impact of accessible eye care services and community-level prevention efforts on individuals and families in hard-to-reach areas.

Jul 26, 2026 Read ->