Australia Trachoma Surveillance Report 2011

Data Collection Form—Trichiasis

Page last updated: 09 April 2013

Summary form 3—Trichiasis

The completed form was forwarded from the jurisdictional coordinators to the NTSRU for checking and analysis.

Summary form 3—Trichiasis was used to collect data at the community level when assessing in males and females with screening questions on:
  • Number of Aboriginal adults in age group
  • Number of Aboriginal adults examined for trichiasis
  • Number of Aboriginal adults with trichiasis
  • Number of Aboriginal adults with trichiasis who were offered ophthalmological consultation within 6 months of the previous screening
  • Number of Aboriginal adults with trichiasis who declined ophthalmological consultation within 6 months of the previous screening
  • Number of Aboriginal adults who underwent trichiasis surgery in the last year

Note the below image is a sample only. For further information, refer to the PDF document Australian Trachoma Surveillance Report 2011
Sample: Summary form 3—Trichiasis used to collect data at the community level when assessing active cases in males and females