ArticleBMJ open2024
Utilisation of eye health services and compliance with spectacles wear among community school adolescents: a mixed-methods study from Bagmati province of Nepal.
Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Compliance with post-school vision screening referral: a systematic review.BMJ open ophthalmology · 2026Pooled it
- Utilization patterns of eye care services among women in outreach camps: A retrospective study from Nepal.Journal of public health research · 2026Article
- Article
- The Effects of Refractive Imbalance on Binocular Vision Status, Reading Performance, and Vision-Related Reading Difficulty Symptoms in Expert Readers.Investigative ophthalmology & visual science · 2025Article
- Prevalence of Binocular Vision Anomalies and Refractive Error Among High School Students in Southern Trinidad: A Cross-Sectional Study.The British and Irish orthoptic journal · 2025Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study aims to determine the factors influencing eye care service utilisation and compliance with spectacles wear among school students.
designMixed-methods study.
setting27 community schools from 6 districts of Bagmati province of Nepal.
participantsAdolescents with mild vision impairment who were screened at schools by their trained peers for visual acuity measurement and subsequently received subsidised spectacles for refractive error correction. For the quantitative study, 317 students from 21 schools completed the survey. For qualitative study, 62 students from 6 schools participated in 6 focus group discussions. PRIMARY OUTCOME MEASURES: Utilisation of eye care services and compliance with spectacles wear.
resultsAmong 317 students, 53.31% were aged 15-19, and 35.96% were male. More than half (52.68%, n=167) did not use eye health services. Among students who did not go, 51.50% reported eye health facilities being far away. Thematic analysis showed that distance, COVID-19 and awareness were influential in the utilisation of eye care. The multivariate analysis showed urban residents were likelier (adjusted OR (AOR) 4.347, 95% CI 2.399 to 7.877, p<0.001) to use eye care services. During an unannounced visit to schools after 3-4 months of spectacles distribution, 188 (59.31%) students were wearing spectacles. 20.16% of students not wearing spectacles reported they did not feel the need. Thematic analysis showed the influence of family and peers, affordability, aesthetic appearance, comfortability and symptomatic relief in spectacles compliance. The multivariate analysis showed that urban residents (AOR 2.552, 95% CI 1.469 to 4.433, p<0.001), older adolescents (AOR 1.758, 95% CI 1.086 to 2.848, p=0.022), mothers with paid jobs (AOR 2.440, 95% CI 1.162 to 5.125, p=0.018) and students visiting eye care centres (AOR 1.662, 95% CI 1.006 to 2.746, p=0.047) were more likely to be compliant with spectacles wear.
conclusionsThere are multiple barriers for students to use eye care services and stay compliant with spectacles wear. Eye health programmes should include eye health promotion and be accessible, affordable and equitable.
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