Delivering Refractive Care to Populations With Near and Distance Vision Impairment: 2 Novel Social Enterprise Models

Morjaria, Priya; Bergson, Susan; Bastawrous, Andrew; Watts, Elanor; Pant, Sonia; Gudwin, Ella; Zinn, Monika; Chan, Ving Fai

doi:10.1097/apo.0000000000000470

Cited by 2 publications

(1 citation statement)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As presbyopia typically occurs during active working years; uncorrected presbyopia causes a great economic burden estimated at US$25 billion in global productivity loss in 2018. 4 Furthermore, we reviewed the literature from the last decade and identified only three eye health programmes dedicated to women in low-income and middle-income countries: the Improving Vision to Empower Female Factory Workers programme in Vietnam, 10 the See to Earn programme in Kenya 11 and a collaborative programme in Bangladesh 12 that aimed to empower women by providing eye health services at the workplace. At the end of the 2-year Improving Vision to Empower Female Factory Workers programme in Vietnam, the female workers were found to have increased knowledge in eye health and better eye practice and felt more confident at work due to better product quality and productivity (from 87.6% to 91.2%).…”

Section: How This Study Might Affect Research Practice or Policymentioning

confidence: 99%

Refractive error, eye care needs and attitude towards spectacle wearing among older Zanzibari craftswomen and implications for developing women-targeted services: a cross-sectional study

Chan,

Omar,

Farmer

et al. 2023

BMJ Open Ophth

Self Cite

View full text Add to dashboard Cite

BackgroundAged Zanzibari women are in a disadvantaged position, having high demand for near-vision spectacles. Currently, there is no information on the eye health status of craftswomen, which makes planning a women-targeted project to deliver eye health services to older craftswomen in Zanzibar difficult. We assessed the prevalence of vision impairment, refractive error, presbyopia, effective spectacle coverage (distance and near) and attitude towards spectacle wearing among older Zanzibari craftswomen.Methods and analysisThis was a cross-sectional study. Unaided and presenting distance and near vision of craftswomen 35 years and older were assessed at the women’s co-operatives. We determined the number of those with distance vision poorer than 6/12 and their causes (distance-vision impairment), the number of those with near vision poorer than N8 at 40 cm (presbyopia) and the number of those whose distance and/or near-vision needs were met adequately with their habitual spectacles (effective distance and near spectacle coverages). A piloted and validated questionnaire (15 statements) was used to determine their attitude towards spectacle wearing.ResultsIn all, 263 craftswomen participated in the survey (mean age 52.1 years±9.4 years). The prevalence of distance vision impairment among the craftswomen was 29.7% (95% CI 24.2% to 35.6%), the primary cause being uncorrected refractive error (n=51, 65.4%), and none were corrected. The prevalence of presbyopia was 86.6% (95% CI 81.5% to 90.7%, n=231) and the effective near spectacle coverage was 0.99%. The craftswomen showed a positive attitude towards spectacle wearing (strongly agree or agree) based on 12 out of 15 statements.ConclusionThe high burden of vision impairment, uncorrected distance refractive error and presbyopia, and a positive attitude towards spectacle wearing among older craftswomen in Zanzibar indicated the need for women-targeted eye health programmes in low-resource settings.

show abstract

Section: How This Study Might Affect Research Practice or Policymentioning

confidence: 99%

Refractive error, eye care needs and attitude towards spectacle wearing among older Zanzibari craftswomen and implications for developing women-targeted services: a cross-sectional study

Chan,

Omar,

Farmer

et al. 2023

BMJ Open Ophth

Self Cite

View full text Add to dashboard Cite

show abstract

Improvement studies for equitable and evidence-based innovation: an overview of the ‘IM-SEEN’ model

Allen

Nkomazana

Mishra³

et al. 2023

Int J Equity Health

Self Cite

View full text Add to dashboard Cite

Background Health inequalities are ubiquitous, and as countries seek to expand service coverage, they are at risk of exacerbating existing inequalities unless they adopt equity-focused approaches to service delivery. Main text Our team has developed an equity-focused continuous improvement model that reconciles prioritisation of disadvantaged groups with the expansion of service coverage. Our new approach is based on the foundations of routinely collecting sociodemographic data; identifying left-behind groups; engaging with these service users to elicit barriers and potential solutions; and then rigorously testing these solutions with pragmatic, embedded trials. This paper presents the rationale for the model, a holistic overview of how the different elements fit together, and potential applications. Future work will present findings as the model is operationalised in eye-health programmes in Botswana, India, Kenya, and Nepal. Conclusion There is a real paucity of approaches for operationalising equity. By bringing a series of steps together that force programme managers to focus on groups that are being left behind, we present a model that can be used in any service delivery setting to build equity into routine practice.

show abstract

Delivering Refractive Care to Populations With Near and Distance Vision Impairment: 2 Novel Social Enterprise Models

Cited by 2 publications

References 31 publications

Refractive error, eye care needs and attitude towards spectacle wearing among older Zanzibari craftswomen and implications for developing women-targeted services: a cross-sectional study

Refractive error, eye care needs and attitude towards spectacle wearing among older Zanzibari craftswomen and implications for developing women-targeted services: a cross-sectional study

Improvement studies for equitable and evidence-based innovation: an overview of the ‘IM-SEEN’ model

Contact Info

Product

Resources

About