Behavioral Responses for Face Cleanliness Message to Prevent Trachoma Among Mothers Having Children Age 1–9 Years Old, in Fogera District, Northwest Ethiopia: An Application of Extended Parallel Process Model

BACKGROUND: Trachoma is an eye disease caused by bacteria called Chlamydia trachomatis. This infection causes papillary and/or follicular inflammation of the tarsal conjunctiva referred to as active trachoma. Active trachoma prevalence among 1 to 9 years old children is 27.2% in Fogera district (study area). Many people still require the implementation of the face cleanliness components of the SAFE strategy. Even if face cleanness is an important component to prevent trachoma, there is limited research done on this area. Therefore, the purpose of this study is to assess behavioral responses to face cleanliness messages to prevent trachoma among mothers having children aged 1 to 9 years old. METHODS: A community-based cross-sectional study was conducted with the guidance of an extended parallel process model in Fogera District from December 01 to December 30, 2022. A multi-stage sampling technique was used to select 611 study participants. Interviewer administered questionnaire was used to collect the data. Bivariable and multivariable logistic regression analysis was done to identify predictors of behavioral responses using SPSS V.23 significant variables were declared by AOR at a 95% confidence interval and a p-value <0.05. RESULT: Among the total participants, 292 (47.8%) were in danger control. Residence [AOR = 2.91; 95% CI: (1.44–3.86)], marital status [AOR = 0.79; 95% CI: (0.667–0.939)], level of education [AOR = 2.74; 95% CI: (1.546–3.65)], family size [AOR = 0.57; 95% CI: (0.453–0.867)], round trip to collect water [AOR = 0.79; 95% CI: (0.423–0.878)], having information about face washing [AOR = 3.79; 95% CI: (2.661–5.952)], Source of an information health facility [AOR = 2.76; 95% CI: (1.645–4.965)], school [AOR = 3.68; 95% CI: (1.648–7.530)], health extension workers [AOR = 3.96; 95% CI: (2.928–6.752)], Women development army [AOR = 2.809; 95% CI: (1.681–4.962)], knowledge [AOR = 2.065; 95% CI: (1.325–4.427)] self-esteem [AOR = 1.013; 95% CI: (1.001–1.025)], self-control [AOR = 1.132; 95%CI: (1.04–1.24)], and future orientation [AOR = 2.16; 95% CI: (1.345–4.524)] were found to be statistically significant predictors of behavioral response. CONCLUSION: Less than half of the participants were in the danger control response. Residence, marital status, level of education, family size, face-washing information, source of information, knowledge, self-esteem, self-control, and future orientation were independent predictors of face cleanliness. Strategies of face cleanliness messages should give high attention to perceived efficacy with consideration of perceived threat.