The Impact of Knowledge and Attitudes on Access to Eye-Care Services in Cambodia

Ormsby, Gail; Arnold, Anna-Lena; Busija, Ljoudmila; Mörchen, Manfred; Bonn, Te Serey; Keeffe, Jill

doi:10.1097/apo.0b013e31826d9e06

Cited by 36 publications

(29 citation statements)

References 13 publications

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“…There was no significant difference with regard to the top two reasons for not undergoing cataract surgery in the two groups. Yorston 26 highlighted four major obstacles that deter people from receiving cataract surgery in developing countries, each of which has been validated independently in a variety of settings: Lack of knowledge, 14,15,21 perception of poor surgical quality, 11,13,14 transportation, 12,15,16,21 and cost. 10,11,18,19 The major barrier for poor uptake of low-cost cataract surgery in our study was lack of family support, which is similar to earlier reports from other countries, 11,27 but differs from previous reports from China, 14,17,22 Recent reports from China showed that lack of knowledge about cataract, concerns about the quality of local services, 14,17 and cost 19,22 appeared to be the principal barriers.…”

Section: Other Reasonsmentioning

confidence: 99%

“…Barriers to uptake of cataract surgery have been well-described in Africa 6,[9][10][11] and Asia, [12][13][14][15][16][17] and appear to include direct and indirect costs, 10,11,18,19 lack of knowledge, 13,20 fear of surgery, 13,20 concerns about the quality of services, 11,13 transportation problems, 12,15,16,21 and discrimination on the basis of sex and age. 12,15,16 Information on barriers to cataract surgery in China is sparse; barriers 14,17,19,22 include lack of knowledge, concern over poor quality of local services and cost of cataract surgery.…”

Section: Introductionmentioning

confidence: 97%

“…12,15,16 Information on barriers to cataract surgery in China is sparse; barriers 14,17,19,22 include lack of knowledge, concern over poor quality of local services and cost of cataract surgery. Based on this information, we tried to reduce these three barriers in a cataract-screening program by including a detailed explanation of cataract and the cataract surgery procedure, and by subsidizing the cost of surgery.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Barriers for Poor Cataract Surgery Uptake among Patients with Operable Cataract in a Program of Outreach Screening and Low-cost Surgery in Rural China

Zhang

Jhanji

Leung

et al. 2014

Ophthalmic Epidemiology

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Section: Other Reasonsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

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Barriers for Poor Cataract Surgery Uptake among Patients with Operable Cataract in a Program of Outreach Screening and Low-cost Surgery in Rural China

Zhang

Jhanji

Leung

et al. 2014

Ophthalmic Epidemiology

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“…The questionnaire was based on research conducted in Cambodia[7] and adapted for Pakistan. Additional questions applying to the school context were included in the study.…”

Section: Methodsmentioning

confidence: 99%

Knowledge and practices of teachers associated with eye health of primary school children in Rawalpindi, Pakistan

Habiba

Ormsby

Butt

et al. 2017

Taiwan J Ophthalmol

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PURPOSE:Teachers’ perspectives on eye health can be limited, particularly in developing countries. The aim of this study was to assess teachers’ knowledge and practices associated with eye health of primary students in Rawalpindi, Pakistan.METHODS:This was a cross-sectional survey of primary school teachers. Simple random sampling technique was used to select 443 participants from 34 private and 17 public schools. A self-administered questionnaire was used.RESULTS:Teachers’ knowledge ranged from “high” (35.89%), “moderate” (49.89%), and “low” (14.22%). Teachers’ practices associated with students’ eye health ranged from “high” (10.16%), “moderate” (23.02%), and “low” (66.82%). The teachers’ knowledge index scores increased 4.28 points with successive age groups and increased 2.41 points with each successive level of education. For teachers whose close relatives experienced eye disease, their knowledge index score was 4.51 points higher than those teachers whose relatives never had any eye disease. Teachers’ age, education level, and their close relatives experiencing eye disease were significant predictors of their knowledge (R2 = 0.087, P < 0.001). Female teachers’ practices index score was 10.35 points higher than the male teachers and public school teachers had 10.13 points higher than the private school teachers. Teachers’ gender and type of school were significant predictors of their practices (R2 = 0.06, P < 0.001).CONCLUSION:There was a significant gap among primary school teachers’ knowledge and practices related to students’ eye health. Innovative strategies are needed to improve how teachers address students’ eye health issues in the classroom.

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“…Studies of KAP regarding eye health in rural Cambodia have shown that majority (85%) of the general population had heard of cataract, but only 8% had heard of diabetic eye disease. 29 With permission from the authors, we adopted similar questions in this study to assess KAP of common eye diseases. There have been no prior studies to document such information regarding community knowledge of eye health in Bangladesh.…”

mentioning

confidence: 99%

Rationale and methodology for a population-based study of diabetes and common eye diseases in a rural area in Bangladesh: Bangladesh Population based Diabetes and Eye Study (BPDES)

Chakrabarti

Finger

Lamoureux

et al. 2015

Bangladesh J Med Sci

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Abstract:Objectives: The purpose of this study were (i) to assess the knowledge, attitudes and practice (KAP) and impact of socioeconomic factors upon the prevalence of pre-diabetes and diabetes (ii) compute a diabetes risk score and (iii) estimate the undiagnosed prevalence of hypertension amongst a large adult population in rural Bangladesh. Methods/design: A sample of 3104 adults aged ≥30 years were interviewed from a cluster sample of 18 villages in the Banshgram Union of the Narail District, Bangladesh. Each participant was interviewed using a semistructured questionnaire that assessed participant knowledge, attitudes and practice (KAP) regarding diabetes, its risk factors, complications and management. Data on demographic details, education, socioeconomic status, medical history, dietary and lifestyle behavior was obtained. Fasting capillary glucose, blood pressure, presenting vision and anthropometric parameters were measured. Participants were stratified into those without diabetes, prediabetes, and diagnosed diabetes (known and newly diagnosed). The association of KAP components and other risk factors with diabetes status was assessed. Logistic regression analysis allowed for the development of a non-invasive risk-stratification tool to be developed and implemented for the rural Bangladeshi community. Multinomial logistic regression was applied to report the associations of risk factors with the severity of hypertension. Results and discussion: In Banshgram, over 95% people had not undergone any previous diabetes screening. Baseline demographics estimated the prevalence of diabetes in the sample was 3.2% (n=99). 47% of participants had no formal education. Whilst there is literature on the prevalence of diabetes in urban and semi-urban Bangladesh there is a paucity of evidence examining the impact of KAP of diabetes amongst the general community. We believe that the BPDES has developed a methodology to provide new evidence to guide health policy and targeted population-based interventions in these rural areas.

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The Impact of Knowledge and Attitudes on Access to Eye-Care Services in Cambodia

Abstract: The knowledge about cataract and refractive error and what to do to resolve the problems was low among this population and this study suggests that poor knowledge of eye diseases might contribute to the occurrence of un-operated cataract and uncorrected refractive error.

Cited by 36 publications

References 13 publications

Barriers for Poor Cataract Surgery Uptake among Patients with Operable Cataract in a Program of Outreach Screening and Low-cost Surgery in Rural China

Barriers for Poor Cataract Surgery Uptake among Patients with Operable Cataract in a Program of Outreach Screening and Low-cost Surgery in Rural China

Knowledge and practices of teachers associated with eye health of primary school children in Rawalpindi, Pakistan

Rationale and methodology for a population-based study of diabetes and common eye diseases in a rural area in Bangladesh: Bangladesh Population based Diabetes and Eye Study (BPDES)

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