Coverage, utilization and barriers to cataract surgical services in rural South India: Results from a population-based study

Chandrashekhar, T; Bhat, H. Vinod; Pai, R.P.; Nair, Shashikala

doi:10.1016/j.puhe.2006.07.027

Cited by 58 publications

(50 citation statements)

References 12 publications

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“…A study in southern India by Marmamula et al [18] reported the lack of perceived need for eye care services to be the leading person-related barrier to utilization of eye care services. Other studies have reported similar findings [10,[19][20][21].…”

Section: Discussionsupporting

confidence: 79%

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2017

AOVS

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The aim of the study was to determine the barriers to utilization of eye care services in the Upper East region of Ghana. A descriptive cross-sectional study in which 350 participants were randomly sampled from 8 district capitals and one settlement. These locations were selected for the study because an eye care facility was located in each of them. Interview of participants was conducted using structured questionnaires. Majority (53.71%) of the participants were females. Forty percent (40.00%) of the participants had not sought eye care in the last three years. There was no statistically significant difference in gender utilization of eye care services (p=0.204). The major barriers to utilization of eye care services identified were social engagement/other priorities, ability to perform daily task despite condition, cost of service and transportation, distance to eye care facility and the lack of knowledge of the availability of eye care services and treatment. This finding suggests that attitude, poverty and lack of awareness are major barriers to eye care utilization in the Upper East region. The importance of public education in the region and a health insurance with a wider coverage cannot be overemphasized.

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Section: Discussionsupporting

confidence: 79%

“…Financial barriers are well-established barriers to eye care and health care in general and has been reported by several studies [10,11,15,17,19,20,22]. In a similar study in the region, cost of surgery was identified by 91% of the respondents as the most important barrier to cataract surgery utilization in the Upper East region [19].…”

Section: Discussionmentioning

confidence: 78%

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2017

AOVS

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“…Since all the respondents were told that transportation and follow-up eye care services would be provided to them free of charge, barriers beyond transportation and cost must have contributed to the low acceptance rates. These low acceptance rates could be caused in part by awareness barriers such as misguided fear of eye damage from cataract surgery and poor awareness of glaucoma, which several studies found to be prevalent among rural populations in south India 13 15 19 20. To mitigate the awareness barriers, it is important to incorporate educational interventions into outreach services to instil the knowledge of common eye diseases and the necessity of timely treatment via surgery and medications.…”

Section: Discussionmentioning

confidence: 99%

Willingness to use follow-up eye care services after vision screening in rural areas surrounding Chennai, India

Wang

Staple-Clark³

et al. 2014

Br J Ophthalmol

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“…12 Similar studies have been conducted in India, Nigeria and other areas to access the level of awareness. 13,14 In western population, health education programs and surveys are done. Well designed community educational programs can have a great impact on the society.…”

Section: Introductionmentioning

confidence: 99%

Cataract Disease; Awareness and Its Treatment Among Patient Presenting to Opthalmology Outdoor Jinnah Hospital Lahore

Saleem

Azeemi

Abdullah

2017

TPMJ

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ABSTRACT… Introduction: Cataract is one of the reversible cause of decreased vision or cataract. Its highest incidence can be seen among senile and diabetics. Patients present in Opthalmology OPD with the cataract or with one of the complications of cataract. Objectives: To study the awareness of cataract disease, knowledge of risk factors and major barriers which result in the delayed presentation. Study Design: Cross sectional study. Setting: It was conducted in ophthalmology OPD. Duration: January 2017 to March 2017 (3 months). Materials & Methods: About 100 patients were selected by nonrandom purposive sampling. They were given questionnaires or direct questions were asked to fill the questionnaires. Results: 69% were males and 31% were females with age groups ranging from 35 to 95 years of age. Mean age was 60.90 with an SD of 11.28. About 74% of the patients were having a low educational level. For 71% of the patients, ophthalmologist was the source of information about his/her ailment. 57% of the people know about the nature of their disease. Regarding the delay in presentation (36%) presented in less than 3 months after they first noticed blurring of vision. About 20% patient presented after a period of 1 year after feeling of low vision. 59% of patients knew that cataract incidence increases with age. 72% of patients knew that vision can be restored after cataract surgery. Knowledge about the improvement of the eye condition by microsurgery was 66%. Knowledge about the complications of cataract was estimated to decreased vision (61%), blindness (23%), pain (9%), cosmetic problems (2%), others (5%). Reasons for delay include waiting for cataract to mature (53%), financial problems (13%), too far no people to accompany (12%), no time ( 10%), afraid (6%), don't want to operate (4%), no reason (2%). Knowledge about the risk factors was estimated to be as diabetes (67%), hypertension (23%), others NOS (10%). Conclusion: There is a lack of awareness about the cataract disease, its complications and risk factors which result in the late presentation of the cataract patients. Patients, as well as general public, need to be educated by various means to prevent the complications of cataract and blindness.

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Coverage, utilization and barriers to cataract surgical services in rural South India: Results from a population-based study

Cited by 58 publications

References 12 publications

Untitled

Untitled

Willingness to use follow-up eye care services after vision screening in rural areas surrounding Chennai, India

Cataract Disease; Awareness and Its Treatment Among Patient Presenting to Opthalmology Outdoor Jinnah Hospital Lahore

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