Knowledge, Attitudes, and Practices about Trachoma in Four Evaluation Units of Low Endemic Areas, in Yemen: Implications for Prevention and Control

BackgroundTrachoma is a bacterial infection that causes blindness worldwide and affects impoverished communities disproportionately. However, knowledge, attitudes, and practices (KAP) are yet to be conducted in Yemen.ObjectiveTo assess the KAP regarding trachoma and its associated factors among rural communities in six districts within four Evaluation Units (EUs) of Hodeidah and Ibb governorates in Yemen.Methods A community-based cross-sectional study was conducted in six districts of four EUs of the Hodeidah and Ibb governorates in January 2025. Bivariate analysis (chi-squared) identified variables for multivariable logistic regression (p < 0.25). Multicollinearity was addressed by excluding relevant variables from each model. ResultsThe study of 1164 participants revealed varying levels of trachoma-related KAP: 38.8% had good knowledge, 19.1% had positive attitudes, and 46.5% had good hygiene. Significant associations (p<0.001) showed that older household heads had lower KAP, maternal literacy significantly improved KAP, paternal employment had mixed effects, larger households had lower knowledge, higher wealth boosted expertise and practices, and male-headed households had lower knowledge.Conclusions This study found significant disparities in KAP related to trachoma prevention influenced by factors such as the age of the household head, parental literacy, and household wealth.