DONATE

SAFE: trachoma control

The SAFE strategy aims to stop the spread of blinding trachoma through surgery, antibiotics, facial cleanliness and environmental improvements.

The SAFE strategy is endorsed by the World Health Organization as a way to control trachoma, the world’s leading infectious cause of blindness.

Trachoma is transmitted via contact with hands, clothing and even infected flies. The SAFE acronym describes the four methods that are used to control the disease:

  • Surgery: to stop eyelashes from rubbing against the eyeball and helping to halt the cycle of repeated infection that can lead to blindness.
  • Antibiotics: medication called Zithromax® is used to treat the trachoma infection and reduce the spread of the disease. The treatment is often distributed via mass drug administration, and is usually repeated annually for three or more years.
  • Facial cleanliness: teaching local communities the importance of face washing, to prevent the infection being spread through contact with an infected person’s eyes or nose.
  • Environmental improvements: to improve access to water and basic sanitation to reduce exposure and re-infection, and eliminate the conditions in which flies breed.

Watch the video below to learn more about the SAFE strategy.

6 million
treatments for trachoma were distributed by us in 2023

How has Sightsavers adopted the strategy?

From 2014 to 2019, Sightsavers led a five-year SAFE programme on behalf of the International Coalition for Trachoma Control, funded by the UK government’s Department for International Development, now known as the Foreign, Commonwealth and Development Office (FCDO).

Our programme supported ministries in Chad, Ethiopia, Nigeria, Tanzania and Zambia and achieved some great milestones. More than 18.5 million people were given antibiotic treatments.

The programme trained and certified 270 surgeons to carry out trichiasis operations. It also raised awareness in 106 trachoma-endemic health districts about the importance of facial cleanliness and environmental improvement practices intended to stop the spread of the trachoma infection.

At Sightsavers, we continue to follow and champion the SAFE approach in all our trachoma programmes.

546,000
trachoma operations have been supported by us since 1950

You can help us continue our sight-saving work

DONATE