Scientific Study from the year 2023 in the subject Health - Public Health, , language: English, abstract: This study evaluates the prevalence of active trachoma among children aged 1-9 in the Meda Wolabu District, Southeast Ethiopia, and analyzes factors contributing to its persistence despite the implementation of the SAFE strategy (Surgery, Antibiotics, Facial Cleanliness, and Environmental Improvement). Ethiopia, particularly Oromia Region, is heavily affected by trachoma, a major public health problem. This research identified key risk factors, including lack of health education, poor hygiene practices, and inadequate participation in mass drug administration (MDA) campaigns. The results underscore the need for enhanced intervention measures, particularly focused on environmental improvements and hygiene education, to meet the World Health Organization’s trachoma elimination targets.