2009
DOI: 10.1186/1478-4491-7-38
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An assessment of the eye care workforce in Enugu State, south-eastern Nigeria

Abstract: Background: The availability and distribution of an appropriate eye care workforce are fundamental to reaching the goals of "VISION 2020: The right to sight", the global initiative for the elimination of avoidable blindness launched jointly by the World Health Organization and the International Agency for the Prevention of Blindness with an international membership of nongovernmental organizations, professional associations, eye care institutions and corporations. Periodic evaluation of these parameters is imp… Show more

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Cited by 27 publications
(21 citation statements)
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“…health-system related challenges comprising deficient human and material resources for eye care delivery, poor medical record management, antagonism and poor eye health literacy of health workers were the most daunting operational challenges encountered. This is consistent with Who observations in LmiCs [12] and likely reflects the general inadequacy of the eye care workforce and the reluctance of the available eye care manpower to accept rural job postings [13]. Reluctance to rural job postings has been variously attributed to inadequate socio-economic infrastructure, increased risk of disease exposure and limited health care access in rural areas [14,15].…”
Section: Discussionsupporting
confidence: 81%
“…health-system related challenges comprising deficient human and material resources for eye care delivery, poor medical record management, antagonism and poor eye health literacy of health workers were the most daunting operational challenges encountered. This is consistent with Who observations in LmiCs [12] and likely reflects the general inadequacy of the eye care workforce and the reluctance of the available eye care manpower to accept rural job postings [13]. Reluctance to rural job postings has been variously attributed to inadequate socio-economic infrastructure, increased risk of disease exposure and limited health care access in rural areas [14,15].…”
Section: Discussionsupporting
confidence: 81%
“…Often the clinicians are concentrated in larger urban centres, with rural populations relatively underserved. In Nigeria for example, although the overall number of eye care workers were sufficient to serve the population in Enugu Urban and Enugu State, an uneven geographical distribution of this workforce created a major barrier to uptake of eye care services [ 32 ]. Similarly, in Southern Ethiopia the provision of cataract surgery services is concentrated in a few urban centres, with much of the population having no access to services [ 33 ].…”
Section: Discussionmentioning
confidence: 99%
“…The influence of marriage probably reflects the role of family members as major prescribers of TEM after traditional medical practitioners [ 11 , 19 , 20 ]. Rural residence imposes both geographic and economic barriers to access eye care services, which at present, in Nigeria, are concentrated in urban areas; this leaves the rural dwellers with no other alternative eye care provider except the traditional medical practitioners who reside with them in the rural areas [ 2 , 8 , 21 ]. The higher tendency to use TEM among rural dwellers, which this study has established, implies either rural non-availability or reduced uptake of available promotive and preventive eye care services in the rural areas.…”
Section: Discussionmentioning
confidence: 99%