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Title: Primary eye care in sub-Saharan African: do we have the evidence needed to scale up training and service delivery?
Authors: Courtright, P
Seneadza, A
Mathenge, W
Eliah, E
Lewallen, S
Keywords: EYE CARE
Date: 2010
Citation: Courtright, P., Seneadza, A., Mathenge, W., Eliah, E., & Lewallen, S. (2010). Primary eye care in sub-Saharan African: do we have the evidence needed to scale up training and service delivery? Annals of Tropical Medicine and Parasitology, 104 (5): 361-367. doi: 10.1179/136485910X12743554760225
Abstract: The models for addressing the delivery of an eye-care service in sub-Saharan Africa have seen considerable revision in the last 30 years, and the on-going challenges, as well as the future needs, will probably require many more changes and new systems. There is a need to assess the different models that are currently employed, in order to ensure that all potential contributions to the elimination of avoidable blindness are used; the evolving concept of primary eye care (PEC) requires such assessment. For the current review, the published literature on eye care provided by general front-line healthworkers was screened for articles that provided evidence of the impact of such PEC on the general delivery of eye care in sub-Saharan Africa. Of the 103 relevant articles detected, only three provided evidence of the effectiveness of PEC and the authors of all three of these articles suggested that such eye care was not meeting the needs or expectations of the target populations, the trainers, or programmes of eye care. Among the main problems identified were a lack of a clear definition of the scope of practice for PEC, the need for clarifying the specific skills that a front-line healthworker could perform correctly, and the changing needs and expectations for the delivery of an eye-care service in Africa. If PEC is to become adequately grounded in Africa, the generation of further evidence of the effectiveness and limitations of such care would be a prudent move.
ISSN: 0003-4983
Project Number: 105987
Project Title: Task Shifting in Eastern Africa : Eye Care Services
Access Restriction: Due to copyright restrictions the full text of this research output is not available in the IDRC Digital Library or by request from the IDRC Library. / Compte tenu des restrictions relatives au droit d`auteur, le texte intégral de cet extrant de recherche n`est pas accessible dans la Bibliothèque numérique du CRDI, et il n`est pas possible d`en faire la demande à la Bibliothèque du CRDI.
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