Monitoring of Chlamydia trachomatis infection and antibodies in low-prevalence districts of Amhara, Ethiopia: Insights from a hyper-endemic trachoma region

The data confirmed that despite being adjacent to trachoma-endemic districts, the four surveyed districts have maintained or achieved the elimination threshold. Additionally, the use of complementary indicators supported clinical evidence of very low disease transmission in these districts. This study highlights that including complementary indicators into surveys provides additional certainty for low-endemicity settings within a region still working towards trachoma elimination.