Evidence map›Paper›PMID 33741664›Full record

ArticleBMJ open2021

Technical capacities needed to implement the WHO's primary eye care package for Africa: results of a Delphi process.

Ada Aghaji, Helen E D Burchett, Wanjiku Mathenge, Hannah Bassey Faal, Rich Umeh, Felix Ezepue, Sunday Isiyaku, Fatima Kyari, Boateng Wiafe, Allen Foster and 1 more

Abstract readConsensus Statement
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
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  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Ada AghajiInternational Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, UK aaghaji@yahoo.co.uk.ORCID http://orcid.org/0000-0003-1308-447X
Helen E D BurchettGlobal Health and Development, London School of Hygiene & Tropical Medicine Faculty of Public Health and Policy, London, UK.ORCID http://orcid.org/0000-0002-8380-2476
Wanjiku MathengeRwanda Institute of Ophthalmology, Kigali, Rwanda.
Hannah Bassey FaalAfrican Vision Research Institute, Durban, South Africa.
Rich UmehDepartment of Ophthalmology, University of Nigeria Faculty of Medical Sciences, Enugu, Nigeria.
Felix EzepueDepartment of Ophthalmology, University of Nigeria Faculty of Medical Sciences, Enugu, Nigeria.
Sunday IsiyakuSight Savers International, Kaduna, Nigeria.
Fatima KyariDepartment of Ophthalmology, Baze University, Abuja, Nigeria.
Boateng WiafeOperation Eyesight, Accra, Ghana.
Allen FosterInternational Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, UK.
Clare E GilbertInternational Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of the study was to establish the technical capacities needed to deliver the WHO African Region's primary eye care package in primary healthcare facilities.

designA two-round Delphi exercise was used to obtain expert consensus on the technical complexity of each component of the package and the technical capacities needed to deliver them using Gericke's framework of technical feasibility. The panel comprised nine eyecare experts in primary eyecare in sub-Saharan Africa. In each round panel members used a 4-point Likert scale to indicate their level of agreement. Consensus was predefined as ≥70% agreement on each statement. For round 1, statements on technical complexity were identified through a literature search of primary eyecare in sub-Saharan Africa from January 1980 to April 2018. Statements for which consensus was achieved were included in round 2, and the technical capacities were agreed.

resultsTechnical complexity statements were classified into four broad categories: intervention characteristics, delivery characteristics, government capacity requirements and usage characteristics. 34 of the 38 (89%) statements on health promotion and 40 of the 43 (93%) statements on facility case management were considered necessary technical capacities for implementation.

conclusionThis study establishes the technical capacities needed to implement the WHO Africa Office primary eye care package, which may be generalisable to countries in sub-Saharan Africa.

Indexed as

Primary Health CareAfrica South of the SaharaConsensusDelphi TechniqueHumansWorld Health Organizationophthalmologyprotocols & guidelinespublic health

Identifiers

PMID33741664
PMCPMC7986885

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.