Narrowing the gap between eye care needs and service provision: the service-training nexus

Abstract

Background: The provision of eye care in the developing world has been constrained by the limited number of trained personnel and by professional cultures. The use of personnel with specific but limited training as members of multidisciplinary teams has become increasingly important as health systems seek to extract better value from their investments in personnel. Greater positive action is required to secure more efficient allocation of roles and resources. The supply of professional health workers is a factor of the training system, so it stands to reason that more cost-effective, flexible and available education methods are needed. This paper presents a highly flexible competencies-based multiple entry and exit training system that matches and adapts training to the prevailing population and service needs and demands, while lifting overall standards over time and highlighting the areas of potential benefit.

Challenges in horizontal integration of eye care services into the pre-existing rural primary care structure: an operations research perspective from Nigeria

“…These comprised ocular anterior segment -256 (49.3%), ocular posterior segment -30 (5.8%), and combined ocular anterior and ocular posterior segment -233 (44.9%) disorders. eye disorders were more common in females -359 tions corroborate the findings of Brian and co-workers [16] and masnick [17] and further underscore their established need for in-service training, through workshops and refresher courses, on basic ophthalmic assessment and care for rural health workers; there is also a need to introduce or enrich the eye health education content of health workers' training curriculum. additionally, the training should inculcate the spirit of inter-cadre work harmony, as envisioned in the team approach to eye care delivery, among rural health workers.…”

A cross‐sectional survey of optometrists and optometric practices in Ghana

“…Human resources for the development of ocular health have been identified as one of the crucial steps toward achieving the VISION 2020: Right to Sight goals; however, the eye‐care human resources to population ratios in developing countries, including Ghana, are woefully inadequate . Health‐care delivery in Ghana comes under four main categories; public, private for profit, mission/non‐governmental organisations and the traditional herbal system .…”

“…5,6 Human resources for the development of ocular health have been identified as one of the crucial steps toward achieving the VISION 2020: Right to Sight goals; however, the eye-care human resources to population ratios in developing countries, including Ghana, are woefully inadequate. 7,8 Healthcare delivery in Ghana comes under four main categories; public, private for profit, mission/non-governmental organisations and the traditional herbal system. 9,10 Financing of public health care, including eye-care services, is operated under the national health insurance scheme (NHIS), which provides equitable access and financial coverage for basic health-care services for the population in Ghana.…”

Propuesta de estudio: tecnólogos médicos con mención oftalmología en los vicios de refracción

“…Para solventar las brechas existentes, algunos países se han complementado por la vía de la medicina privada, comprando servicios a entidades privadas y contratado a ONGs para la provisión de servicios 8,12 . En algunos países asiáticos subdesarrollados, donde la disponibilidad de recursos humanos es aún más crítica para satisfacer la demanda, se ha implementado un modelo de entrenamiento basado en competencias de los profesionales que se dedican a la salud visual, con el fin de optimizar su utilización en distintos niveles, de acuerdo a las necesidades presentes 13 . En países con una adecuada dotación de recursos humanos se detectan variaciones en los principios sobre los cuales basan sus servicios de salud y también en las facultades resolutivas que les otorgan a sus profesionales, los cuales poseen, en su mayoría, una formación reglada.…”