BACKGROUND Trachomatous trichiasis is the leading infectious cause of blindness worldwide. The World Health Organization recommends eyelid surgery to reduce the risk of visual impairment from trichiasis. Unfortunately, the number of cases operated has grown less than expected. An understanding of barriers is fundamental for instituting measures to increase surgical uptake. Therefore, the aim of this study was to explore barriers of TT surgery implementation. METHODS A qualitative study design was employed in December 2019. Purposive sampling technique was used to select three districts from Gamo zone, Southern Ethiopia. We conducted 9 FGDs and 12 in-depth interviews. Data was collected by audio tape recorder in Amharic and Gamogna languages and then transcribed to English language. The recorded interviews and focus group discussions were transcribed to verbatim (written text) and thematic analysis was done manually and reported accordingly. FINDINGS we explored a number of barriers that hindered implementation of trichiasis surgery. The recurrence of trichiasis after surgery was the main challenges faced by operated individuals. The other barriers reported are negative perception towards trichiasis surgery, lack of logistic and supplies, transportation access problem for remote communities, inadequate trained health professional, less commitment from higher officials, lack of interest of integrated eye care workers due to incentive issues, believes of patients waiting supernatural power for healing service and carelessness of patients to undertake operation. CONCLUSION AND RECOMMENDATION Post-surgical trichiasis, lack of commitment from government officials and negative perception of patients towards the disease were considered as the reported barriers for implementation of trachomatous trichiasis. Closely supervising the integrated eye care workers would be the first task for district health offices to increase the uptake and improve the quality of service. Logistics and supplies should be made available and adequate to address all affected people in the community.

中文翻译：

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探索埃塞俄比亚南部加莫地区实施沙眼倒睫手术的障碍。


背景技术沙眼倒睫是全世界导致失明的主要传染性原因。世界卫生组织建议进行眼睑手术以降低倒睫造成视力障碍的风险。不幸的是，手术病例数量的增长低于预期。了解障碍对于采取措施提高手术实施率至关重要。因此，本研究的目的是探讨TT手术实施的障碍。方法 2019 年 12 月采用定性研究设计。采用有目的抽样技术从埃塞俄比亚南部加莫地区选择了三个地区。我们进行了 9 次 FGD 和 12 次深度访谈。通过录音机以阿姆哈拉语和加莫尼亚语收集数据，然后转录成英语。录制的采访和焦点小组讨论被逐字转录（书面文本），主题分析是手动完成的并相应报告。结果我们探讨了阻碍倒睫手术实施的一些障碍。手术后倒睫的复发是手术者面临的主要挑战。据报告，其他障碍包括对倒睫手术的负面看法、缺乏后勤和物资、偏远社区的交通问题、训练有素的卫生专业人员不足、高层官员的承诺较少、由于激励问题而对综合眼保健工作者缺乏兴趣。等待神力治愈服务的病人和接受手术的病人的粗心。 结论和建议 术后倒睫、政府官员缺乏承诺以及患者对该疾病的负面看法被认为是实施沙眼倒睫的障碍。密切监督综合眼保健人员将是地区卫生办公室增加使用率和提高服务质量的首要任务。应提供足够的后勤和物资来满足社区中所有受影响人群的需求。