Regional differences in vision health: findings from Mwanza, Tanzania

Aggarwal, Sahil; Ju, David; Allen, A. D.; Rose, Laura A; Gill, Karam P; Shen, Shuhua; Temko, Jamie E.; Chang, Irene; Faraj, J. Al; Brabender, Danielle; Cortina, Sasha Herbst de; Marik-Reis, Olivia; Mehta, Mitul C.

doi:10.1093/inthealth/ihy046

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…Psychosocial needs included financial barriers (i.e. for: vision care appointments [ 35 ]; services related to social status [ 8 , 36 ]; psychological characteristics (i.e. personality traits) [ 37 , 38 ]; emotional attitudes [ 39 ]; and cultural values [ 40 ].…”

Section: Resultsmentioning

confidence: 99%

Current developments in delivering customized care: a scoping review

Minvielle

Fourcade

Ricketts

et al. 2021

BMC Health Serv Res

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Background In recent years, there has been a growing interest in health care personalization and customization (i.e. personalized medicine and patient-centered care). While some positive impacts of these approaches have been reported, there has been a dearth of research on how these approaches are implemented and combined for health care delivery systems. The present study undertakes a scoping review of articles on customized care to describe which patient characteristics are used for segmenting care, and to identify the challenges face to implement customized intervention in routine care. Methods Article searches were initially conducted in November 2018, and updated in January 2019 and March 2019, according to Prisma guidelines. Two investigators independently searched MEDLINE, PubMed, PsycINFO, Web of Science, Science Direct and JSTOR, The search was focused on articles that included “care customization”, “personalized service and health care”, individualized care” and “targeting population” in the title or abstract. Inclusion and exclusion criteria were defined. Disagreements on study selection and data extraction were resolved by consensus and discussion between two reviewers. Results We identified 70 articles published between 2008 and 2019. Most of the articles (n = 43) were published from 2016 to 2019. Four categories of patient characteristics used for segmentation analysis emerged: clinical, psychosocial, service and costs. We observed these characteristics often coexisted with the most commonly described combinations, namely clinical, psychosocial and service. A small number of articles (n = 18) reported assessments on quality of care, experiences and costs. Finally, few articles (n = 6) formally defined a conceptual basis related to mass customization, whereas only half of articles used existing theories to guide their analysis or interpretation. Conclusions There is no common theory based strategy for providing customized care. In response, we have highlighted three areas for researchers and managers to advance the customization in health care delivery systems: better define the content of the segmentation analysis and the intervention steps, demonstrate its added value, in particular its economic viability, and align the logics of action that underpin current efforts of customization. These steps would allow them to use customization to reduce costs and improve quality of care.

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Section: Resultsmentioning

confidence: 99%

Current developments in delivering customized care: a scoping review

Minvielle

Fourcade

Ricketts

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

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“…Several studies demonstrated that health education and cultural beliefs play a major role in how and whether people seek eye care. Lack of knowledge of eye diseases and perception of vision issues were two of the major barriers reported at three clinics in Tanzania [ 27 ]. A study found that in a rural Nigerian population, the belief that the eye disease was not serious, that aging has no cure, and a preference for spiritual treatments were all reasons not to consult an ophthalmologist [ 16 ].…”

Section: Reviewmentioning

confidence: 99%

Illuminating Perspectives: Navigating Eye Care Access in Sub-Saharan Africa Through the Social Determinants of Health

Gai,

Reddy,

et al. 2024

Cureus

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Ensuring access to proper eye health services is not only a fundamental human right but also crucial for preserving an individual's quality of life, preventing blindness, and promoting overall well-being. This is especially true in low-income countries like Sub-Saharan Africa (SSA) where recognizing the intricate relationship between access to healthcare and social determinants of health (SDOH ) is crucial to addressing health disparities. The goal of this study was to elucidate and highlight not only the barriers millions face in obtaining eye care but also pave the way for interventions and policies aimed at creating equitable access across diverse populations. To do this, a scoping review was conducted across the Cumulated Index to Nursing and Allied Health Literature (CINAHL), Embase, and PubMed databases for studies meeting the search terms and inclusion criteria. The results show that intervention strategies that increase vision care must extend beyond the healthcare sector to address the multifaceted challenges. Collaborating with stakeholders involved in addressing broader livelihood issues, such as food security, education, and SDOH, becomes imperative to ensure comprehensive and sustainable improvements in vision care accessibility in SSA.

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