02056nas a2200253   4500000000100000008004100001260004400042653002500086653001800111653002500129653000900154653002400163653001200187100001300199700001300212700001300225700001700238245011800255856008700373300000800460490000700468520131300475022001401788       2025                            d  bSpringer Science and Business Media LLC10aTrachoma Elimination10aSAFE Strategy10aCommunity engagement10aWASH10aSurveillance system10aSenegal1 aAremu SO1 aAdamu AI1 aUguru LI1 aBarkhadle AA00aLessons from the elimination of trachoma in Senegal: implications for high-burden countries in sub-Saharan Africa  uhttps://tropmedhealth.biomedcentral.com/counter/pdf/10.1186/s41182-025-00801-w.pdf  a1-50 v533 a<p>Senegal’s achievement in eliminating trachoma as a public health problem offers a powerful model for countries still burdened by the disease. This success was driven by a holistic and context-sensitive implementation of the SAFE strategy. The country invested in training health workers to deliver trichiasis surgeries in hard-to-reach areas, ensured high coverage of azithromycin through consistent mass drug administration (MDA), and embedded hygiene promotion in schools and community structures. Importantly, Senegal tailored interventions to regional cultural and epidemiological contexts, enhancing local acceptance and effectiveness. Community ownership, intersectoral collaboration involving education, water, and sanitation ministries, and strong partnerships with international organizations further strengthened outcomes. The use of high-quality data through standardized tools like the Tropical Data platform enabled real-time surveillance, evidence-based programming, and course correction. Even post-elimination, Senegal has maintained vigilance through integrated surveillance and hygiene programs in primary healthcare, ensuring sustained gains and preventing re-emergence. These insights present actionable lessons for other high-burden countries like Nigeria, Ethiopia, and Chad.</p>
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