ArticleVision (Basel, Switzerland)2026
An Evaluation of Practitioner Competency and Practices in Diagnosing and Managing Keratoconus in Malawi: A Cross-Sectional Analysis.
Article in Vision (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
This study assessed eye care practitioners' competencies, clinical practices, and barriers related to KC diagnosis and management in Malawi. A national cross-sectional study was conducted among eye care practitioners in Malawi. Data were collected using a structured questionnaire assessing demographics, self-reported competency in KC diagnosis and management, clinical practices, service availability, and barriers to care. Data analysis was conducted using Stata version 15 and R version 4.5.1. A total of 110 practitioners participated (response rate: 58.5%). The mean age was 35.4 ± 7.4 years, and optometrists constituted 60.9% of respondents. Diagnostic competency scores were consistently higher than management competency scores across knowledge, skills, and experience domains. Higher educational attainment was independently associated with diagnostic competency, with undergraduate (aOR = 3.3; 95% CI: 1.13-9.63) and postgraduate practitioners (aOR = 6.6; 95% CI: 1.91-22.62) demonstrating greater odds of competency than diploma holders. Equipment shortages were significantly associated with facility type (
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