ArticleThe British journal of ophthalmology2005
Increasing cataract surgery to meet Vision 2020 targets; experience from two rural programmes in east Africa.
Article in The British journal of ophthalmology, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 75 citations in OpenAlex.
- Pooled it
- Barriers to Cataract Surgery in Africa: A Systematic Review.Middle East African journal of ophthalmologyPooled it
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- The Lancet Global Health Commission on Global Eye Health: vision beyond 2020.The Lancet. Global health · 2021Review
- Willingness to pay for cataract surgery and associated factors among cataract patients in Outreach Site, North West Ethiopia.PloS one · 2021Article
- [Sumbawanga eye camp follow-up study 2019].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2020Article
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- Evidence for national universal eye health plans.Bulletin of the World Health Organization · 2018Article
- Impact of systematic capacity building on cataract surgical service development in 25 hospitals.BMC ophthalmology · 2017Observational
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- Predictors of uptake of eye examination in people living with diabetes mellitus in three counties of Kenya.Tropical medicine and health · 2017Article
- Cataract surgical rate in Fars Province: Distribution and trend from 2006 to 2010.Journal of current ophthalmology · 2016Article
- "Planning eye health services in Varamin district, Iran: a cross-sectional study".BMC health services research · 2015Article
- Mapping human resources for eye health in 21 countries of sub-Saharan Africa: current progress towards VISION 2020.Human resources for health · 2014Article
- Trend in cataract surgical rate in iran provinces.Iranian journal of public health · 2014Article
- Task shifting for cataract surgery in eastern Africa: productivity and attrition of non-physician cataract surgeons in Kenya, Malawi and Tanzania.Human resources for health · 2014Article
- Addressing cataract in rural Malawi: the Nkhoma Eye Programme.Community eye health · 2014Article
- Cataract surgery in Southern Ethiopia: distribution, rates and determinants of service provision.BMC health services research · 2013Article
- Evidence for integrating eye health into primary health care in Africa: a health systems strengthening approach.BMC health services research · 2013Review
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe numbers of cataract surgeries done in sub-Saharan Africa fall short of Vision 2020 targets. Over a few years, two programmes in rural east Africa both achieved significant increases in the number of cataract surgeries they provide, resulting in cataract surgical rates of 1583 for Kwale District in Kenya and 1165 for Kilimanjaro Region in Tanzania. Key components of success in these two programmes are described.
methodsData were collected on standard indicators and key personnel interviewed to describe the results and compare the methods employed to increase cataract surgical rates by the Kwale District Eye Centre programme and the Kilimanjaro regional Vision 2020 programme.
resultsKey components of success shared by the programmes included: (1) programmes in the community and at the hospital are closely linked so that they increase capacity together; (2) community programmes are "patient friendly," providing service in one stop; (3) the examination team includes eye workers with enough skill to provide treatment and decide who is operable so that patients are not transported needlessly or sent through a lengthy referral chain; (4) sites for visits in the community are selected according to population distribution and they are visited according to a regular schedule.
conclusionThe development of "bridging strategies" that create a strong link between hospitals providing clinical service and communities needing these services is a key component to realising Vision 2020 goals in sub-Saharan Africa.
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