IJCRR - 5(12), June, 2013
Pages: 77-82
BARRIERS TO THE UPTAKE OF CATARACT SURGERY IN A RURAL POPULATION OF SOUTH KARNATAKA, INDIA
Author: Guruprasad S. Bettadapura, Narendra P. Datti, Krishnamurthy Donthi, Ranganath B.G., Shamanna B. Ramaswamy, Sangeetha T.
Category: Healthcare
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Abstract:
Purpose: To analyse the barriers to the uptake of cataract surgery in patients aged over 50 years in a rural set up and suggest possible remedial measures. Methods: Sixty one clusters of 50 people aged over 50 years were selected by probability-proportionate to size sampling. All participants were evaluated using standard Rapid Assessment of Avoidable Blindness ( RAAB ) methodology. People with unilateral or bilateral cataract were interviewed about the reasons for not having undergone surgery. Results: Of the 3050 people enumerated, 2907(95.3%) were examined. Among them 1360(47%) were males and 1547(53%) were females. Out of them, 73(2.51%) were bilaterally blind due to cataract(vision < 3/60). The main barriers noted in bilateral cataract blind were "No one to accompany" and "Waiting for maturity"(27.2% each). Conclusion: Augmenting the outreach programmes accompanied by information and motivational campaigns will reduce barriers to uptake of cataract surgery and in turn reduce the cataract blindness.
Keywords: Barriers, Cataract surgery, outreach programmes, Rapid assessment, eyecare
Citation:
Guruprasad S. Bettadapura, Narendra P. Datti, Krishnamurthy Donthi, Ranganath B.G., Shamanna B. Ramaswamy, Sangeetha T.. BARRIERS TO THE UPTAKE OF CATARACT SURGERY IN A RURAL POPULATION OF SOUTH KARNATAKA, INDIA International Journal of Current Research and Review. 5(12), June, 77-82
References:
1. Neena J, Rachel J, Praveen V, Murthy GV; Rapid Assessment of Avoidable Blindness India study Group. Rapid Assessment of Avoidable Blindness in India. PLoS One 2008;3:e2867.
2. Donoghue M. People Who Don't use eye services: 'Making the invisible visible". Community Eye Health 1999;12:36-8
3. https://www.iceh.org.uk/display/WEB/Rapi d+assessment+of+avoidable+blindness+surv ey+methodology
4. Malhotra R, Uppal Y, Misra A, Taneja DK, Gupta VK, Ingle GK. Increasing access to cataract surgery in a rual area- a support strategy. Indian J Public Health 2005;49:63- 7
5. Venkataswamy PG, Brilliant G. Social and economic barriers to cataract surgery in rural south India: A preliminary report. Vis Impairment Blindness. Dec 1981:405-408
6. Brilliant GE, Lepkowski JM, Zurita B, Thulasiraj RD. Social determinants of cataract surgery utilization in South India: The operations research group. Arch Ophthalmol 1991;109:584-9
7. Gupta SK, Murthy GVS. Where do persons with blindness caused by cataracts in rural areas seek treatment and why? Arch Ophthalmol 1995;113:1337-40
8. Johnson JG, Goode Sen V, Faal H. Barriers to the uptake of cataract surgery. Trop Doct 1998;28:218-20
9. Snellingen T, Shrestha BR, Gharti MP, Shrestha JK, Upadhyay MP,Pokhrel RP. Socio-economic barriers to cataract surgery in Nepal: The South Asian Cataract Management Study. Br J Ophthalmol 1998;82:1424-28
10. Rotchford AP, Rotchford KM, Mthethwa LP, Johnson GJ. Reasons for poor cataract surgery uptake- a qualitative study in rural South Africa. Trop Med Int Health. 2002;7:288-92
11. Dhaliwal U, Gupta SK. Barriers to the uptake of catarct surgery in patients presenting to a hospital. Indian J Ophthal 2007;55:133-6
12. Gyasi M, Amoaku W, Asamany D. Barriers to cataract surgical uptake in the upper eastregion of Ghana. Ghana Med J 2007;41:167-70
13. Vaidyanathan K, Limburg H, Foster A, Pandey RM. Changing trends in barriers to cataract surgery in India. Bull World Health Organ 1999;77:104-9
14. Courtright P. Barriers which keep patients from getting cataract surgery in developing countries. From www.v2020eresource.org
15. Mansour AM, Kassak K, Chaya M, Hourani T, Sibai A, Alameddine MN. National survey of Blindness and low vision in Lebanon. Br J Ophthalmol 1997;81:905-6
16. NPCB at a glance. National Programme for Control of Blindness in India. Ministry of Health and Family Welfare, Government of India. January 2010.
17. Courtright P, Lewallen S, Tungpakorn N, Cho BH, Lim YK, Lee HJ et al. Cataract in leprosy patients: Cataract surgical coverage, barriers to acceptance of cataract surgeryand outcome of surgery in a population based survey in Korea. Br J Ophthalmol 2001;85:643-7
18. Finger RP, Kupitz DG, Holz FG, Chandrasekhar S, Balasubramaniam B, Ramani RV et al. Regular provision of outreach increases acceptance of cataract surgery in South India. Trop Med Int Health 2011;16:1268-75
19. Courtright P, Kanjaloti S, Lewallen S. Barriers to acceptance of cataract surgery among patients presenting to district hospitals in rural Malawi. Trop Geogr Med 1995;47:15-8
20. McCauley AP. Primary eye care: rural Balinese attitudes towards eye care and cataract surgery and suggestions for increasing demand for eye care services. Hellen Keller International, New York, 1986
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