Sanitation, Water, and Instruction in Face-washing for Trachoma I/II

WASH arm: Communities will receive the water, sanitation, and hygiene (WASH) intervention including water point construction and maintenance, hygiene and sanitation education and promotion, community-based hygiene promotion workers, household wash stations, household WASH education books, household soap distribution, and a hygiene curriculum for primary schools.

Stand of care WASH arm

20mg/kg

Tetracycline will be administered in lieu of azithromycin if individual is under 6 months, has a known azithromycin allergy, or is severely ill.

The control group will receive no intervention during the trial. They will be enrolled in mass antibiotic treatment at the conclusion of the trial.