How Can We Solve the Problem of Low Uptake of Cataract Surgery?

Congdon, Nathan; Thomas, Ravi

doi:10.3109/09286586.2014.912333

Cited by 2 publications

(1 citation statement)

References 23 publications

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“…Evidence shows that stimulation of demand for cataract surgeries is critical for maximising the effectiveness and efficiency of cataract services [12,38]. Programmes that do not manage to achieve the optimum uptake rates often waste a significant part of their resources on patient mobilisation and screening, which do not result in sight restoring surgeries and reduction of avoidable visual impairment [39,40].…”

Section: Discussionmentioning

confidence: 99%

Factors associated with the uptake of cataract surgery and interventions to improve uptake in low- and middle-income countries: A systematic review

Mailu¹,

Virendrakumar²,

Bechange³

et al. 2020

PLoS ONE

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Despite significant evidence around barriers hindering timely access to cataract surgery in low-and middle-income countries (LMICs), little is known about the strategies necessary to overcome them and the factors associated with improved access. Despite significant evidence that certain groups, women for example, experience disproportionate difficulties in access, little is known about how to improve the situation for them. Two reviews were conducted recently: Ramke et al., 2018 reported experimental and quasi-experimental evaluations of interventions to improve access of cataract surgical services, and Mercer et al., 2019 investigated interventions to improve gender equity. The aim of this systematic review was to collate, appraise and synthesise evidence from studies on factors associated with uptake of cataract surgery and strategies to improve the uptake in LMICs. We performed a literature search of five electronic databases, google scholar and a detailed reference review. The review identified several strategies that have been suggested to improve uptake of cataract surgery including surgical awareness campaigns; use of successfully operated persons as champions; removal of patient direct and indirect costs; regular community outreach; and ensuring high quality surgeries. Our findings provide the basis for the development of a targeted combination of interventions to improve access and ensure interventions which address barriers are included in planning cataract surgical services. Future research should seek to examine the effectiveness of these strategies and identify other relevant factors associated with intervention effects.

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Section: Discussionmentioning

confidence: 99%

Factors associated with the uptake of cataract surgery and interventions to improve uptake in low- and middle-income countries: A systematic review

Mailu¹,

Virendrakumar²,

Bechange³

et al. 2020

PLoS ONE

View full text Add to dashboard Cite

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Alternative community-led intervention to improve uptake of cataract surgery services in rural Tanzania—The Dodoma Community Cataract Acceptance Trial (DoCCAT): a protocol for intervention co-designing and implementation in a cluster-randomized controlled trial

Sandi,

Mercer,

Geneau

et al. 2024

Biology Methods and Protocols

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Introduction Age-related lens opacification (cataract) remains the leading cause of visual impairment and blindness worldwide. In low- and middle-income countries, utilization of cataract surgical services is often limited despite community-based outreach programs. Community-led research, whereby researchers and community members collaboratively co-design interventions, is an approach that ensure the interventions are locally relevant and that their implementation is feasible and socially accepted in the targeted contexts. Community-led interventions have the potential to increase cataract surgery uptake if done appropriately. In this study once the intervention is co-designed it will be implemented through a cluster randomised controlled trial (cRCT) with ward as a unit of randomization. Methods and Analysis This is a mixed-method intervention study with the qualitative phase for co-designing of the intervention and the quantitative phase for effective assessment of the developed community-led intervention through a cRCT in 80 rural wards of Dodoma region, Tanzania (40 Intervention). The ‘intervention package’ will be developed through participatory community meetings and ongoing evaluation and modification of the intervention based on its impact on service utilization. Leask’s four stages of intervention co-creation will guide the development within Rifkin’s CHOICE framework. The primary outcomes are two: the number of patients attending eye disease screening camps, and the number of patients accepting cataract surgery. NVivo version 12 will be used for qualitative data analysis and Stata Version 12 for Quantitative data.

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How Can We Solve the Problem of Low Uptake of Cataract Surgery?

Cited by 2 publications

References 23 publications

Factors associated with the uptake of cataract surgery and interventions to improve uptake in low- and middle-income countries: A systematic review

Factors associated with the uptake of cataract surgery and interventions to improve uptake in low- and middle-income countries: A systematic review

Alternative community-led intervention to improve uptake of cataract surgery services in rural Tanzania—The Dodoma Community Cataract Acceptance Trial (DoCCAT): a protocol for intervention co-designing and implementation in a cluster-randomized controlled trial

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