ArticleBMC health services research2022
Evaluating eye health care services progress towards VISION 2020 goals in Gurage Zone, Ethiopia.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- The effect of eye health system strengthening on the productivity of services: a before-and-after evaluation conducted in seven counties in Kenya.Frontiers in health services · 2026Article
- Assessment of human resource for eye health services in Southern Ethiopia.Human resources for health · 2025Article
- Seeing the unseen: The low treatment rate of eye emergencies in Africa.World journal of methodology · 2025Article
- Tools and methods for cataract recognition in low-resource settings: A narrative review.PLOS global public health · 2025Review
- Unveiling spatial disparities in basic medical and health services: insights from China's provincial analysis.BMC health services research · 2024Article
- Prevalence and associated factors of refractive error among adults in South Ethiopia, a community-based cross-sectional study.PloS one · 2024Article
- Experiences of primary eye care use among adults in Southern Ethiopia: A qualitative study.Health SA = SA Gesondheid · 2024Article
- Child eye health in Ethiopia: a mixed methods analysis of policy and commitment to action.BMJ open · 2023Article
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4 authors.
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Abstract
backgroundEthiopia signed the VISION 2020 Global Declaration and launched its eye health program in 2002. Since then, there has been limited systematic and comprehensive evaluation of the progress towards VISION 2020 goals in Ethiopia.
objectiveTo evaluate Gurage Zone progress towards VISION 2020 targets and process indicators.
methodAn institutional-based cross-sectional study was conducted among all public and private eye health care facilities in the Gurage Zone within the Southern Nations, Nationalities, and People Region of Ethiopia. The evaluation protocol was adopted from the VISION 2020 situational analysis data collection tool. We used this structure to evaluate progress in terms of human resources for eye health, infrastructure, and service delivery at the zonal health office and health facilities. At the time of the study, Gurage Zone had a 1.7 million catchment area population. There were a total of five eye care centers, one of which was established by a non-governmental organization. Three of these facilities were secondary eye care centers with an operating theatre and two facilities were primary eye care centers. At the zonal level, there was no survey data available on the prevalence of blindness.
resultThere was no systemic evaluation of VISION 2020 process indicators. The budget allocation specific to eye health care was less than 0.7% of the total budget of the zonal health office. The human resources for eye health (HReH) in the catchment area were: one ophthalmologist, two cataract surgeons, five optometrists, and 12 ophthalmic nurses, which is below the VISION 2020 targets for HReH. In terms of equipment, neither primary eye care center had a slit lamp biomicroscope, and two of the three secondary eye care centers did not have intraocular pressure measuring equipment. Only one secondary eye care center was providing glaucoma surgical services, and no center provided emergency and elective pediatric surgery. The cataract surgical rate determined by the study was 1967.
conclusionGurage Zone showed significant improvement in terms of cataract surgical rate. But it had not achieved VISION 2020 goals in terms of critical HReH and service delivery. We recommend that the zonal health office carries out a focused and baseline evaluation of eye health care service achievements.
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