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A practical model for effective eye care delivery in Southeast Asian rural communities: A proposal built based on experts' recommendations.
Liu, Renee; Sule, Ashita A; Shannon, Choo Sheriel; Ravilla, Thulasiraj; Taylor, Hugh; Rojas-Carabali, William; Khanna, Rohit C; Mishra, Chitaranjan; Sen, Alok; Khatri, Anadi; Tan, Anna C S; Sobrin, Lucia; Agrawal, Rupesh.
Afiliação
  • Liu R; Department of Ophthalmology, Massachusetts Eye and Ear Infirmary and Harvard Medical School, Schepens Eye Research Institute, Boston, Massachusetts, USA.
  • Sule AA; Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
  • Shannon CS; Department of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore.
  • Ravilla T; LAICO-Aravind Eye Care System, Madurai, Tamil Nadu, India.
  • Taylor H; Indigenous Eye Health Unit, Melbourne School of Population and Global Health, University of Melbourne, Australia.
  • Rojas-Carabali W; Department of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore.
  • Khanna RC; Lee Kong Chian School of Medicine, Singapore.
  • Mishra C; Allen Foster Community Eye Health Research Centre, Gullapalli Pratibha Rao International Centre for Advancement of Rural Eye Care, L V Prasad Eye Institute, Hyderabad, Telangana, India.
  • Sen A; Trilochan Netralaya, Sambalpur, Odisha, India.
  • Khatri A; Sadguru Netra Chikatsalaya, Sri Sadguru Seva Sangh Trust, Chitrakoot, Madhya Pradesh, India.
  • Tan ACS; Birat Eye Hospital, Biratnagar, Nepal.
  • Sobrin L; Singapore National Eye Centre, Singapore.
  • Agrawal R; Singapore Eye Research Institute, The Academia, Singapore, Singapore.
Indian J Ophthalmol ; 72(Suppl 3): S473-S481, 2024 May 01.
Article em En | MEDLINE | ID: mdl-38648455
ABSTRACT

PURPOSE:

To evaluate rural community-based eye care models from the perspective of community ophthalmology experts and suggest sustainable technological solutions for enhancing rural eye care delivery.

METHODS:

A semi-structured descriptive survey, using close-ended and open-ended questions, was administered to the experts in community ophthalmology sourced through purposive sampling. The survey was self-administered and was facilitated through online platforms or in-person meetings. Uniform questions were presented to all participants, irrespective of their roles.

RESULTS:

Surveyed participants (n = 22 with 15 from India and 7 from Nepal) in high-volume tertiary eye hospitals faced challenges with resources and rural outreach. Participants had mixed satisfaction with pre-operative screening and theatre resources. Delayed presentations and inexperienced surgeons contributed to the surgery complications. Barriers to rural eye care included resource scarcity, funding disparities, and limited infrastructure. In rural/peri-urban areas 87% of participants agreed with providing primary eye care services, with more than 60% of the experts not in agreement with the makeshift center model of eye care delivery. Key components for an effective eye care model are sustainability, accessibility, affordability, and quality. These can be bolstered through a healthcare management platform and a human-chain supply distribution system.

CONCLUSION:

Tailored interventions are crucial for rural eye care, emphasizing the need for stronger human resources, optimized funding, and community awareness. Addressing challenges pertinent to delayed presentation and surgical training is vital to minimizing complications, especially with advanced cataracts. Enhancements in rural eye care demand a comprehensive approach prioritizing accessibility, affordability, and consistent quality.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Limite: Female / Humans / Male País/Região como assunto: Asia Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Limite: Female / Humans / Male País/Região como assunto: Asia Idioma: En Ano de publicação: 2024 Tipo de documento: Article