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Strengthening retinopathy of prematurity screening and treatment services in Nigeria: a case study of activities, challenges and outcomes 2017-2020.
Ademola-Popoola, Dupe S; Fajolu, Iretiola B; Gilbert, Clare; Olusanya, Bolutife A; Onakpoya, Oluwatoyin H; Ezisi, Chinyelu N; Musa, Kareem O; Chan, Robison Vernon Paul; Okeigbemen, Valentina W; Muhammad, Rilwan C; Malik, Aeesha N J; Adio, Adedayo O; Bodunde, Olubunmi T; Rafindadi, Abdulkadir L; Oluleye, Tunji S; Tongo, Olukemi O; Badmus, Sarat A; Adebara, Olufunmilayo V; Padhi, Tapas Ranjan; Ezenwa, Beatrice N; Obajolowo, Tokunbo S; Olokoba, Lateefat B; Olatunji, Victoria A; Babalola, Yewande Olubunmi; Ugalahi, Mary O; Adenekan, Adetunji; Adesiyun, Omotayo O; Sahoo, Jagdish; Miller, Marilyn T; Uhumwangho, Odarosa M; Olagbenro, Adeduntan S; Adejuyigbe, Ebunoluwa A; Ezeaka, Chinyere V C; Mokuolu, Olugbenga; Ogunlesi, Tinuade A; Ogunfowora, Olusoga B; Abdulkadir, Isa; Abdullahi, Fatima L; Fabiyi, Abosede T; Hassan, Laila H L; Baiyeroju, Aderonke M; Opara, Peace I; Oladigbolu, Kehinde; Eneh, Augusta U; Fiebai, Bassey E; Mahmud-Ajeigbe, Fatima A; Peter, Elijah N; Abdullahi, Hawwa S.
Afiliación
  • Ademola-Popoola DS; Department of Ophthalmology, University of Ilorin, Ilorin, Kwara, Nigeria.
  • Fajolu IB; Paediatric Ophthalmology and Strabismus Unit, Department of Ophthalmology, University of Ilorin Teaching Hospital, Ilorin, Kwara, Nigeria.
  • Gilbert C; Department of Neonatology/Perinatology, Paediatrics, University of Lagos College of Medicine/ Lagos University Teaching Hospital, Lagos, Nigeria.
  • Olusanya BA; Department of Clinical Research, London School of Hygiene and Tropical Medicine, London, UK.
  • Onakpoya OH; Paediatric Ophthalmology & Strabismus Unit, Department of Ophthalmology, College of Medicine, University of Ibadan and University College Hospital, Ibadan, Oyo, Nigeria.
  • Ezisi CN; Retinal Unit, Department of Ophthalmology, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Osun, Nigeria.
  • Musa KO; Pediatric Ophthalmology and Strabismus Unit, Department of Ophthalmology, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Ebonyi, Nigeria.
  • Chan RVP; Paediatric Ophthalmology and Strabismus Unit, Department of Ophthalmology, Lagos University Teaching Hospital, Idi-araba, Lagos, Nigeria.
  • Okeigbemen VW; Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Chicago, Illinois, USA.
  • Muhammad RC; Paediatric Ophthalmology Unit, Department of Ophthalmology, University of Benin Teaching Hospital, Benin City, Edo, Nigeria.
  • Malik ANJ; Department of Ophthalmology, University of Abuja Teaching Hospital, Gwagwalada, Abuja, Nigeria.
  • Adio AO; London School of Hygiene and Tropical Medicine, London, UK.
  • Bodunde OT; Paediatric Ophthalmology Unit, Department of Ophthalmology, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers, Nigeria.
  • Rafindadi AL; Department of Ophthalmology, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria.
  • Oluleye TS; Department of Ophthalmology, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna, Nigeria.
  • Tongo OO; Vitreoretinal Unit, Department of Ophthalmology, College of Medicine, University of Ibadan and University College Hospital, Ibadan, Oyo, Nigeria.
  • Badmus SA; Department of Paediatrics, College of Medicine, University of Ibadan and University College Hospital, Ibadan, Oyo, Nigeria.
  • Adebara OV; Paediatric Ophthalmology Unit, Department of Ophthalmology, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Osun State, Nigeria.
  • Padhi TR; Neonatal Unit, Department of Paediatrics, University of Ilorin Teaching Hospital, Ilorin, Kwara, Nigeria.
  • Ezenwa BN; Vitreoretinal Services, LV Prasad Eye Institute Bhubaneswar Campus, Bhubaneswar, India.
  • Obajolowo TS; Department of Neonatology/Perinatology, Paediatrics, University of Lagos College of Medicine/ Lagos University Teaching Hospital, Lagos, Nigeria.
  • Olokoba LB; Paediatric Ophthalmology and Strabismus Unit, Department of Ophthalmology, University of Ilorin Teaching Hospital, Ilorin, Kwara, Nigeria.
  • Olatunji VA; Vitreoretinal Unit, Department of Ophthalmology, University of Ilorin Teaching Hospital, Ilorin, Kwara, Nigeria.
  • Babalola YO; Vitreoretinal Unit, Department of Ophthalmology, University of Ilorin Teaching Hospital, Ilorin, Kwara, Nigeria.
  • Ugalahi MO; Vitreoretinal Unit, Department of Ophthalmology, College of Medicine, University of Ibadan and University College Hospital, Ibadan, Oyo, Nigeria.
  • Adenekan A; Paediatric Ophthalmology & Strabismus Unit, Department of Ophthalmology, College of Medicine, University of Ibadan and University College Hospital, Ibadan, Oyo, Nigeria.
  • Adesiyun OO; Vitreoretinal Unit, Department of Ophthalmology, University of Lagos, Lagos, Nigeria.
  • Sahoo J; Department of Paediatrics, University of Ilorin Teaching Hospital, Ilorin, Kwara, Nigeria.
  • Miller MT; Neonatology, IMS and SUM Hospital, Kalinga Nagar, Bhubaneswar, Odisha, India, Bhubaneswar, Odisha, India.
  • Uhumwangho OM; Department of Ophthalmology, University of Illinois College of Medicine, Chicago, Illinois, USA.
  • Olagbenro AS; Vitreoretinal Unit, Department of Ophthalmology, University of Benin Teaching Hospital, Benin City, Edo, Nigeria.
  • Adejuyigbe EA; Department of Ophthalmology, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria.
  • Ezeaka CVC; Peadiatrics and Child Health, Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Osun State, Nigeria.
  • Mokuolu O; Department of Neonatology/Perinatology, Paediatrics, University of Lagos College of Medicine/ Lagos University Teaching Hospital, Lagos, Nigeria.
  • Ogunlesi TA; Neonatal Unit, Department of Paediatrics, University of Ilorin, Ilorin, Kwara, Nigeria.
  • Ogunfowora OB; Department of Paediatrics, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria.
  • Abdulkadir I; Department of Paediatrics, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria.
  • Abdullahi FL; Department of Paediatrics, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna, Nigeria.
  • Fabiyi AT; Department of Paediatrics, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna, Nigeria.
  • Hassan LHL; Special Care Baby Unit, Nursing Service, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna, Nigeria.
  • Baiyeroju AM; Department of Paediatrics, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna, Nigeria.
  • Opara PI; Paediatric Ophthalmology & Strabismus Unit, Department of Ophthalmology, College of Medicine, University of Ibadan and University College Hospital, Ibadan, Oyo, Nigeria.
  • Oladigbolu K; Department of Paediatrics, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers, Nigeria.
  • Eneh AU; Department of Ophthalmology, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna, Nigeria.
  • Fiebai BE; Department of Paediatrics, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers, Nigeria.
  • Mahmud-Ajeigbe FA; Vitreoretinal Unit, Department of Ophthalmology, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers, Nigeria.
  • Peter EN; Department of Ophthalmology, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna, Nigeria.
  • Abdullahi HS; Department of Ophthalmology, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna, Nigeria.
BMJ Open Ophthalmol ; 6(1): e000645, 2021.
Article en En | MEDLINE | ID: mdl-34514173
ABSTRACT

OBJECTIVES:

Retinopathy of prematurity (ROP) will become a major cause of blindness in Nigerian children unless screening and treatment services expand. This article aims to describe the collaborative activities undertaken to improve services for ROP between 2017 and 2020 as well as the outcome of these activities in Nigeria.

DESIGN:

Descriptive case study.

SETTING:

Neonatal intensive care units in Nigeria.

PARTICIPANTS:

Staff providing services for ROP, and 723 preterm infants screened for ROP who fulfilled screening criteria (gestational age <34 weeks or birth weight ≤2000 g, or sickness criteria). METHODS AND

ANALYSIS:

A WhatsApp group was initiated for Nigerian ophthalmologists and neonatologists in 2018. Members participated in a range of capacity-building, national and international collaborative activities between 2017 and 2018. A national protocol for ROP was developed for Nigeria and adopted in 2018; 1 year screening outcome data were collected and analysed. In 2019, an esurvey was used to collect service data from WhatsApp group members for 2017-2018 and to assess challenges in service provision.

RESULTS:

In 2017 only six of the 84 public neonatal units in Nigeria provided ROP services; this number had increased to 20 by 2018. Of the 723 babies screened in 10 units over a year, 127 (17.6%) developed any ROP; and 29 (22.8%) developed type 1 ROP. Only 13 (44.8%) babies were treated, most by intravitreal bevacizumab. The screening criteria were revised in 2020. Challenges included lack of equipment to regulate oxygen and to document and treat ROP, and lack of data systems.

CONCLUSION:

ROP screening coverage and quality improved after national and international collaborative efforts. To scale up and improve services, equipment for neonatal care and ROP treatment is urgently needed, as well as systems to monitor data. Ongoing advocacy is also essential.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Guideline / Screening_studies Idioma: En Revista: BMJ Open Ophthalmol Año: 2021 Tipo del documento: Article País de afiliación: Nigeria
Texto completo
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Guideline / Screening_studies Idioma: En Revista: BMJ Open Ophthalmol Año: 2021 Tipo del documento: Article País de afiliación: Nigeria