ArticleInternational health2022
Understanding patient health-seeking behaviour to optimise the uptake of cataract surgery in rural Kenya, Zambia and Uganda: findings from a multisite qualitative study.
Article in International health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 6 citations in OpenAlex.
- Article
- Changes in the prevalence, causes of visual impairment, and cataract service coverage in Karamoja, Uganda, between 2015 and 2023: Findings from two cross-sectional surveys.PLOS global public health · 2026Article
- Childhood vision impairment and blindness in West Africa: public health measures and implications for systemic health.Frontiers in medicine · 2024Review
- Differences in need for and access to eye health services between older people with and without disability: A cross-sectional survey in four districts of northern Uganda.PLOS global public health · 2024Article
- Barriers to the uptake of eye care services: A cross-sectional survey from rural and urban communities.PloS one · 2024Article
- Responsive neglected tropical disease programme delivery: listening and responding to the views and perceptions of beneficiaries.International health · 2022Article
Corrections and comments
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Authors and funding
12 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCataract is a major cause of visual impairment globally, affecting 15.2 million people who are blind, and another 78.8 million who have moderate or severe visual impairment. This study was designed to explore factors that influence the uptake of surgery offered to patients with operable cataract in a free-of-charge, community-based eye health programme.
methodsFocus group discussions and in-depth interviews were conducted with patients and healthcare providers in rural Zambia, Kenya and Uganda during 2018-2019. We identified participants using purposive sampling. Thematic analysis was conducted using a combination of an inductive and deductive team-based approach.
resultsParticipants consisted of 131 healthcare providers and 294 patients. Two-thirds of patients had been operated on for cataract. Two major themes emerged: (1) surgery enablers, including a desire to regain control of their lives, the positive testimonies of others, family support, as well as free surgery, medication and food; and (2) barriers to surgery, including cultural and social factors, as well as the inadequacies of the healthcare delivery system.
conclusionsCultural, social and health system realities impact decisions made by patients about cataract surgery uptake. This study highlights the importance of demand segmentation and improving the quality of services, based on patients' expectations and needs, as strategies for increasing cataract surgery uptake.
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