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The Lancet Global Health Commission on Global Eye Health: vision beyond 2020.

ABSTRACT:

SUBMITTER: Burton MJ

PROVIDER: S-EPMC7966694 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature

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The Lancet Global Health Commission on Global Eye Health: vision beyond 2020.

Burton Matthew J MJ Ramke Jacqueline J Marques Ana Patricia AP Bourne Rupert R A RRA Congdon Nathan N Jones Iain I Ah Tong Brandon A M BAM Arunga Simon S Bachani Damodar D Bascaran Covadonga C Bastawrous Andrew A Blanchet Karl K Braithwaite Tasanee T Buchan John C JC Cairns John J Cama Anasaini A Chagunda Margarida M Chuluunkhuu Chimgee C Cooper Andrew A Crofts-Lawrence Jessica J Dean William H WH Denniston Alastair K AK Ehrlich Joshua R JR Emerson Paul M PM Evans Jennifer R JR Frick Kevin D KD Friedman David S DS Furtado João M JM Gichangi Michael M MM Gichuhi Stephen S Gilbert Suzanne S SS Gurung Reeta R Habtamu Esmael E Holland Peter P Jonas Jost B JB Keane Pearse A PA Keay Lisa L Khanna Rohit C RC Khaw Peng Tee PT Kuper Hannah H Kyari Fatima F Lansingh Van C VC Mactaggart Islay I Mafwiri Milka M MM Mathenge Wanjiku W McCormick Ian I Morjaria Priya P Mowatt Lizette L Muirhead Debbie D Murthy Gudlavalleti V S GVS Mwangi Nyawira N Patel Daksha B DB Peto Tunde T Qureshi Babar M BM Salomão Solange R SR Sarah Virginia V Shilio Bernadetha R BR Solomon Anthony W AW Swenor Bonnielin K BK Taylor Hugh R HR Wang Ningli N Webson Aubrey A West Sheila K SK Wong Tien Yin TY Wormald Richard R Yasmin Sumrana S Yusufu Mayinuer M Silva Juan Carlos JC Resnikoff Serge S Ravilla Thulasiraj T Gilbert Clare E CE Foster Allen A Faal Hannah B HB

The Lancet. Global health 20210216 4

PMID: 33607016

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Project description:BackgroundEthiopia signed the VISION 2020 Global Declaration and launched its eye health program in 2002. Since then, there has been limited systematic and comprehensive evaluation of the progress towards VISION 2020 goals in Ethiopia.ObjectiveTo evaluate Gurage Zone progress towards VISION 2020 targets and process indicators.MethodAn institutional-based cross-sectional study was conducted among all public and private eye health care facilities in the Gurage Zone within the Southern Nations, Nationalities, and People Region of Ethiopia. The evaluation protocol was adopted from the VISION 2020 situational analysis data collection tool. We used this structure to evaluate progress in terms of human resources for eye health, infrastructure, and service delivery at the zonal health office and health facilities. At the time of the study, Gurage Zone had a 1.7 million catchment area population. There were a total of five eye care centers, one of which was established by a non-governmental organization. Three of these facilities were secondary eye care centers with an operating theatre and two facilities were primary eye care centers. At the zonal level, there was no survey data available on the prevalence of blindness.ResultThere was no systemic evaluation of VISION 2020 process indicators. The budget allocation specific to eye health care was less than 0.7% of the total budget of the zonal health office. The human resources for eye health (HReH) in the catchment area were: one ophthalmologist, two cataract surgeons, five optometrists, and 12 ophthalmic nurses, which is below the VISION 2020 targets for HReH. In terms of equipment, neither primary eye care center had a slit lamp biomicroscope, and two of the three secondary eye care centers did not have intraocular pressure measuring equipment. Only one secondary eye care center was providing glaucoma surgical services, and no center provided emergency and elective pediatric surgery. The cataract surgical rate determined by the study was 1967.ConclusionGurage Zone showed significant improvement in terms of cataract surgical rate. But it had not achieved VISION 2020 goals in terms of critical HReH and service delivery. We recommend that the zonal health office carries out a focused and baseline evaluation of eye health care service achievements.

Dataset Information

The Lancet Global Health Commission on Global Eye Health: vision beyond 2020.

Publications

The Lancet Global Health Commission on Global Eye Health: vision beyond 2020.

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