Cataract surgery in Southern Ethiopia: distribution, rates and determinants of service provision

Habtamu, Esmael; Eshete, Zebiba; Burton, Matthew J.

doi:10.1186/1472-6963-13-480

Cited by 30 publications

(32 citation statements)

References 19 publications

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“…For instance, one study in Ethiopia found that the productivity of NPCSs (CSs per surgeon per year) was 280 compared to 682 for ophthalmologists in the same area. 21 Similarly, task shifting of trichiasis surgery for trachoma to general healthcare workers began in 2007, but the median number of surgeries per surgeon was again lower than anticipated. Inadequate surgical output is likely due to the lack of support for outreach, a dearth of supplies, including instruments and consumables, and inadequate supervision.…”

Section: Barriers To Implementing Care In Ssamentioning

confidence: 99%

Elimination of preventable blindness: can success in Nepal be replicated in Africa?

Nikpoor¹,

Hansen²,

Oliva³

et al. 2018

IEH

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There are an estimated 36 million people who are blind worldwide: ~1 in every 200 people. A third of these are blind from cataracts and could have perfect vision restored with a simple operation costing less than US$25. Ninety percent of the blind and visually impaired live in the developing world, with particular concentrations seen in South Asia and sub-Saharan Africa (SSA). Innovations in surgical techniques, delivery systems, and material production, developed first in Nepal and India, have provided a viable blueprint to address treatable blindness in the developing world. In fact, Nepal was the first developing country to reverse its trajectory of blindness. This was largely possible because of a collective effort by many international nongovernmental organizations to support Sanduk Ruit and his colleagues as they developed a sustainable eye care-delivery model anchored at Tilganga Institute of Ophthalmology. This model is similar to that of LV Prasad Eye Institute and Aravind Eye Hospital in India, which is also being successfully utilized to combat the enormous burden of needless blindness in Africa. Over the last decade, there have been early successes in transferring the Nepali model of care to Ethiopia and Ghana, and there have been other models successfully implemented across Africa as well. Though there has been significant progress in restoring sight in SSA, the prevalence of avoidable blindness in Africa is higher than any other continent, with about 4.8 million people living blind.

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Section: Barriers To Implementing Care In Ssamentioning

confidence: 99%

Elimination of preventable blindness: can success in Nepal be replicated in Africa?

Nikpoor¹,

Hansen²,

Oliva³

et al. 2018

IEH

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“…Lastly, a cortical cataract is identified by the present of white, wedge-like opacities in the periphery which later converge to the centre of the lens. This type of cataract occurs in the lens cortex, which is the part of the lens that surrounds the central nucleus 7 .…”

Section: Type Of Cataractmentioning

confidence: 99%

Evaluating rate of cataract surgery through smart partnership between Ministry of Health, Malaysia and Federal Territory Islamic Religious Council

N¹,

muhamad²,

Azni³

et al. 2020

Preprint

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Background Cataract is the leading cause of blindness in developing countries including Malaysia. Federal Territory Islamic Religious Council (MAIWP) and Ministry of Health, Malaysia (MOH) have established a cataract day care centre called Pusat Pembedahan Katarak, MAIWP- Hospital Selayang (MAIWP- Selayang Hospital Cataract Surgery Centre) to offer a day care cataract surgery with the aim reduce the waiting list among patients plan for cataract operation at the MOH referral hospital in Klang Valley. This smart partnership enables more patients to undergo cataract surgery with a lesser waiting period irrespective of their religious belief. Objective This paper aims to estimate the cataract surgery rate (CSR) of Pusat Pembedahan Katarak, MAIWP- Hospital Selayang (Cataract Operation Centre) from 2013 to 2016 and descriptive assessments of the patients who received eye treatments in the centre. Methods All cataract patients who underwent for operations in Selayang Hospital were requested to complete the “Registration Form,” that consist of the these information namely name, sex, age, home address, cataract classification, detailed ophthalmological exam information (such as naked eyesight, optometry, tonometry, etc.), cataract surgeon, surgical management, intraocular lens (IOL) implantation or not, operation cost origin, operation outcome (mainly 1st–3rd postoperative day corrected visual acuity (VA), etc. Cataract surgery data are entered into the local Eye Clinic Management System (ECMS) which synchronises with National Eye Database (NED) at regular intervals. Results Cataract surgery rate for 2013 was about 27 and increased to 37.3 in 2014. However, it was declined to 25 in 2015 before bouncing back to 36 in year of 2016. Female patients who received eye treatment at Pusat Pembedahan Katarak, MAIWP- Hospital Selayang was higher (53.7%) as compared to male patients (46.3%). Mean duration of cataract surgery from 2013 to 2016 was 21.25 ± 11.071 minutes. Conclusions Increased in cataract surgery rate for MAIWP-HS through smart partnership for day care cataract surgery proved that easy accessibility is possible to achieve the short and long-term strategies for the reduction and prevention of blindness in Malaysia.

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“…Issues include ability to pay, 42; 150; 230; 267 adherence to treatment, 41 access to follow up, 85; 143, and provision of medical staffing and equipment. 87 Additionally there are over-arching risk factors affecting all domains of health care including environmental, cultural 264 and geopolitical issues. 219…”

Section: B the Problem Of Deprivationmentioning

confidence: 99%

Multiple deprivation, vision loss, and ophthalmic disease in adults: global perspectives

Lane

Abbott

et al. 2018

Survey of Ophthalmology

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The association between socioeconomic position and morbidity and mortality has long been recognized. We evaluate the evidence for an association between multiple aspects of deprivation and ocular health in a global context. This is a systematic review of studies that evaluated deprivation in the adult population in the context of the major acquired causes of visual loss such as cataract, diabetic eye disease, glaucoma, age-related macular degeneration, and ocular trauma. The search strategy identified relevant studies reported between 1946 and August 2016, with randomized control trials, case-control, cohort, and cross-sectional study designs being selected for inclusion. The studies identified in this review from across the world demonstrate the extent to which the common themes such as low educational attainment and low income may be associated with increased incidence of various sight-threatening conditions and may adversely affect access to specialist assessment and delivery of treatment. Health inequality may always persist, but an increased recognition of the importance of the various impacts of deprivation may empower policy makers to target limited resources to the most vulnerable groups in order to deliver the greatest benefit.

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Cataract surgery in Southern Ethiopia: distribution, rates and determinants of service provision

Cited by 30 publications

References 19 publications

Elimination of preventable blindness: can success in Nepal be replicated in Africa?

Elimination of preventable blindness: can success in Nepal be replicated in Africa?

Evaluating rate of cataract surgery through smart partnership between Ministry of Health, Malaysia and Federal Territory Islamic Religious Council

Multiple deprivation, vision loss, and ophthalmic disease in adults: global perspectives

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