A study to confirm, understand causes of and where applicable evaluate interventions to address trachoma recrudescence or persistence in 6 sub-counties of Kajiado, and Narok Counties, Kenya

1.    Can recrudescence or persistence of trachoma in Narok South, Narok West and Narok East be confirmed through the use of alternative indicators (Ct infection and anti-Ct antibodies)? 
2.    What impact have programmatic adaptations been in addressing confirmed persistence and recrudescence in Kajiado West, Central and South?

3. Is there any evidence of geographical locations and/or particular groups of high on-going transmission that should be targeted through programmatic adaptations and innovative approaches? 
4. What are the key factors (programmatic, epidemiological or contextual) that are facilitating persistence or recrudescence in Narok South, West and East and how should trachoma programming be adapted accordingly to ensure trachoma elimination is achieved? 
5.  In communities in Kajiado South, Central and West, are communities with very high Ct infection (>20% in children aged 1-9 years), a result of severe re-infection events or issues with programme MDA coverage.