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Interventions to improve school-based eye-care services in low- and middle-income countries: a systematic review
OBJECTIVE: To review interventions improving eye-care services for schoolchildren in low- and middle-income countries. METHODS: We searched online databases (CINAHL, Embase®, ERIC, MEDLINE®, ProQuest, PubMed® and Web of Science(TM)) for articles published between January 2000 and May 2018. Eligible...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
World Health Organization
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6238998/ https://www.ncbi.nlm.nih.gov/pubmed/30455516 http://dx.doi.org/10.2471/BLT.18.212332 |
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author | Burnett, Anthea M Yashadhana, Aryati Lee, Ling Serova, Nina Brain, Daveena Naidoo, Kovin |
author_facet | Burnett, Anthea M Yashadhana, Aryati Lee, Ling Serova, Nina Brain, Daveena Naidoo, Kovin |
author_sort | Burnett, Anthea M |
collection | PubMed |
description | OBJECTIVE: To review interventions improving eye-care services for schoolchildren in low- and middle-income countries. METHODS: We searched online databases (CINAHL, Embase®, ERIC, MEDLINE®, ProQuest, PubMed® and Web of Science(TM)) for articles published between January 2000 and May 2018. Eligible studies evaluated the delivery of school-based eye-care programmes, reporting results in terms of spectacle compliance rates, quality of screening or attitude changes. We considered studies to be ineligible if no follow-up data were reported. Two authors screened titles, abstracts and full-text articles, and we extracted data from eligible full-text articles using the availability, accessibility, acceptability and quality rights-based conceptual framework. FINDINGS: Of 24 559 publications screened, 48 articles from 13 countries met the inclusion criteria. Factors involved in the successful provision of school-based eye-care interventions included communication between health services and schools, the willingness of schools to schedule sufficient time, and the support of principals, staff and parents. Several studies found that where the numbers of eye-care specialists are insufficient, training teachers in vision screening enables the provision of a good-quality and cost–effective service. As well as the cost of spectacles, barriers to seeking eye-care included poor literacy, misconceptions and lack of eye health knowledge among parents. CONCLUSION: The provision of school-based eye-care programmes has great potential to reduce ocular morbidity and developmental delays caused by childhood vision impairment and blindness. Policy-based support, while also attempting to reduce misconceptions and stigma among children and their parents, is crucial for continued access. |
format | Online Article Text |
id | pubmed-6238998 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | World Health Organization |
record_format | MEDLINE/PubMed |
spelling | pubmed-62389982018-11-19 Interventions to improve school-based eye-care services in low- and middle-income countries: a systematic review Burnett, Anthea M Yashadhana, Aryati Lee, Ling Serova, Nina Brain, Daveena Naidoo, Kovin Bull World Health Organ Systematic Reviews OBJECTIVE: To review interventions improving eye-care services for schoolchildren in low- and middle-income countries. METHODS: We searched online databases (CINAHL, Embase®, ERIC, MEDLINE®, ProQuest, PubMed® and Web of Science(TM)) for articles published between January 2000 and May 2018. Eligible studies evaluated the delivery of school-based eye-care programmes, reporting results in terms of spectacle compliance rates, quality of screening or attitude changes. We considered studies to be ineligible if no follow-up data were reported. Two authors screened titles, abstracts and full-text articles, and we extracted data from eligible full-text articles using the availability, accessibility, acceptability and quality rights-based conceptual framework. FINDINGS: Of 24 559 publications screened, 48 articles from 13 countries met the inclusion criteria. Factors involved in the successful provision of school-based eye-care interventions included communication between health services and schools, the willingness of schools to schedule sufficient time, and the support of principals, staff and parents. Several studies found that where the numbers of eye-care specialists are insufficient, training teachers in vision screening enables the provision of a good-quality and cost–effective service. As well as the cost of spectacles, barriers to seeking eye-care included poor literacy, misconceptions and lack of eye health knowledge among parents. CONCLUSION: The provision of school-based eye-care programmes has great potential to reduce ocular morbidity and developmental delays caused by childhood vision impairment and blindness. Policy-based support, while also attempting to reduce misconceptions and stigma among children and their parents, is crucial for continued access. World Health Organization 2018-10-01 2018-08-27 /pmc/articles/PMC6238998/ /pubmed/30455516 http://dx.doi.org/10.2471/BLT.18.212332 Text en (c) 2018 The authors; licensee World Health Organization. This is an open access article distributed under the terms of the Creative Commons Attribution IGO License (http://creativecommons.org/licenses/by/3.0/igo/legalcode), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. In any reproduction of this article there should not be any suggestion that WHO or this article endorse any specific organization or products. The use of the WHO logo is not permitted. This notice should be preserved along with the article's original URL. |
spellingShingle | Systematic Reviews Burnett, Anthea M Yashadhana, Aryati Lee, Ling Serova, Nina Brain, Daveena Naidoo, Kovin Interventions to improve school-based eye-care services in low- and middle-income countries: a systematic review |
title | Interventions to improve school-based eye-care services in low- and middle-income countries: a systematic review |
title_full | Interventions to improve school-based eye-care services in low- and middle-income countries: a systematic review |
title_fullStr | Interventions to improve school-based eye-care services in low- and middle-income countries: a systematic review |
title_full_unstemmed | Interventions to improve school-based eye-care services in low- and middle-income countries: a systematic review |
title_short | Interventions to improve school-based eye-care services in low- and middle-income countries: a systematic review |
title_sort | interventions to improve school-based eye-care services in low- and middle-income countries: a systematic review |
topic | Systematic Reviews |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6238998/ https://www.ncbi.nlm.nih.gov/pubmed/30455516 http://dx.doi.org/10.2471/BLT.18.212332 |
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