Assessment of the distribution of human and material resources for eye health in the public sector in Nampula, Mozambique

Sengo, Dulnério Barbosa; Salamo, Zubair Momade Abudo; Santos, Isaura I. D. B. Dos; Mate, Laura Mavota; Chivinde, Sancho Manuel; Moragues, Raul; Caballero, Pablo; López-Izquierdo, Inmaculada

doi:10.1186/s12960-023-00812-w

Cited by 3 publications

(1 citation statement)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although this review identified various cadres of eye healthcare workforce involved in providing refractive and optical services, lack of qualified and skilled personnel is one of the biggest challenges to scaling up access to refractive and optical services and for a sustainable and stable eye care delivery system. There are inequities in the availability and distribution of eye care providers in rural versus urban areas, which increases the inequity of access to eye care [ 44 ]. Policies and regulations also limit the availability of skilled eye care providers.…”

Section: Discussionmentioning

confidence: 99%

Approaches for delivery of refractive and optical care services in community and primary care settings

Umaefulam,

Safi,

Lingham

et al. 2024

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

Background Uncorrected refractive error is a leading cause of vision impairment which, in most cases, can be managed with the appropriate spectacle correction. In 2021, the World Health Assembly endorsed a global target of a 40‐percentage‐point increase in effective coverage of refractive error by 2030. To achieve this global target, equitable access to refractive and optical services within community and primary care settings needs to be strengthened. This review will inform the development of technical guidance to support improvements in the testing and correction of refractive error among World Health Organization (WHO) member states. Objectives To determine the range of approaches for delivery of refractive and optical care services in community and primary care settings, and the methods employed for their evaluation. Search methods We searched CENTRAL, MEDLINE, Embase and Global Health databases, grey literature, and annual reports and websites of relevant organizations involved in eye‐care delivery from January 2002 to November 2022 to identify approaches for refractive and optical service delivery. Selection criteria We included observational and interventional studies, reviews, and reports from relevant organizations related to delivering refractive services and optical services for preschool and school‐aged children and adults in community and primary care settings published between January 2002 and November 2022. We searched for studies and reports published within the last 20 years because vision impairment due to uncorrected refractive error has only recently become a public health and eye health priority, therefore we did not expect to find much relevant literature until after 2002. Data collection and analysis Two review authors screened titles, abstracts and full texts, and extracted data. We resolved any discrepancies through discussion. We synthesized data, and presented results as tables, figures, and case studies. This project was led by the World Health Organization (WHO) Vision and Eye Care Programme. Main results We identified 175 studies from searches of databases and grey literature, 146 records from company reports, and 81 records from website searches of relevant organizations that matched our inclusion criteria. Delivery approaches for refractive and optical services in community care included school‐based, pharmacy, and outreach models, whereas primary care approaches comprised vision centre, health centre, and a combination of vision or health centre and door‐to‐door delivery. In community care, school‐based and outreach approaches were predominant, while in primary care, a vision‐centre approach was mainly used. In the WHO African region, the school‐based and outreach approaches were mainly reported while, in the Americas, the outreach approach was mostly used. Very few approaches for service delivery were...

show abstract

Section: Discussionmentioning

confidence: 99%

Approaches for delivery of refractive and optical care services in community and primary care settings

Umaefulam,

Safi,

Lingham

et al. 2024

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

show abstract

An Exploratory‐Descriptive Qualitative Study on Accessing Eye Health Services at the Community Level in the Gamo and Gofa Zones, Southern Ethiopia

Alemu,

Seyum,

Gebre

et al. 2024

Health Science Reports

View full text Add to dashboard Cite

Background and AimsAccess to eye health care, which has a substantial influence on quality of life, is crucial for preventing and treating vision impairments. The determinants of access to eye health care in Ethiopia, especially in the Gamo and Gofa Zones in southern Ethiopia, are not well known. Therefore, this study aimed to identify barriers to accessing eye health services at the community level.MethodsA community‐based, exploratory descriptive qualitative study was conducted among adult women and men residing in two zones from June 2 to July 10, 2023. A purposive sampling technique was utilized to collect qualitative data. In‐depth interviews and FGDs were included among the purposefully selected study participants. During the interviews and discussions, digital audio recording was carried out. The data were analysed via the inductive thematic analysis technique and direct quotations from participants' opinions. The respective themes and subthemes provided a detailed overview of the findings, and the Atlas software was used to support the analysis.FindingsNine FGDs were conducted among 90 participants. Moreover, a total of 26 in‐depth interview participants were included. The mean (±SD) age of the participants in the in‐depth interviews was 32.96 ± 4.8 years. The most commonly cited barriers (1) poor awareness and misperception, financial constraints and community‐based health insurance implementation gaps; (2) lack of social support; (3) lack of healthcare accessibility, shortage of basic medical equipment; (4) cultural eye care practices and (5) poor road access, rough topography, and difficulty reaching areas, which are identified as obstacles for accessing eye health services.ConclusionThis study identified pertinent barriers that hinder access to eye health care in the study area. Therefore, tailored strategies are needed to tackle the challenges. This approach is helpful for the local context and offers actionable insights for health policymakers and program designers.

show abstract

Visual impairment and associated factors in adults from three suburban communities in Nampula, Mozambique

Sengo,

Marraca,

Muaprato

et al. 2024

Clinical and Experimental Optometry

View full text Add to dashboard Cite

Assessment of the distribution of human and material resources for eye health in the public sector in Nampula, Mozambique

Cited by 3 publications

References 18 publications

Approaches for delivery of refractive and optical care services in community and primary care settings

Approaches for delivery of refractive and optical care services in community and primary care settings

An Exploratory‐Descriptive Qualitative Study on Accessing Eye Health Services at the Community Level in the Gamo and Gofa Zones, Southern Ethiopia

Visual impairment and associated factors in adults from three suburban communities in Nampula, Mozambique

Contact Info

Product

Resources

About