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Evaluating eye health care services progress towards VISION 2020 goals in Gurage Zone, Ethiopia

BACKGROUND: Ethiopia 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. OBJECTIVE: To evaluate Gurage Zone progress towards VISION 202...

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Autores principales: Soboka, Jibat Gemida, Teshome, Tiliksew T., Salamanca, Omar, Calise, Alana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9188140/
https://www.ncbi.nlm.nih.gov/pubmed/35689276
http://dx.doi.org/10.1186/s12913-022-08144-6
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author Soboka, Jibat Gemida
Teshome, Tiliksew T.
Salamanca, Omar
Calise, Alana
author_facet Soboka, Jibat Gemida
Teshome, Tiliksew T.
Salamanca, Omar
Calise, Alana
author_sort Soboka, Jibat Gemida
collection PubMed
description BACKGROUND: Ethiopia 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. OBJECTIVE: To evaluate Gurage Zone progress towards VISION 2020 targets and process indicators. METHOD: An 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. RESULT: There 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. CONCLUSION: Gurage 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-08144-6.
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spelling pubmed-91881402022-06-12 Evaluating eye health care services progress towards VISION 2020 goals in Gurage Zone, Ethiopia Soboka, Jibat Gemida Teshome, Tiliksew T. Salamanca, Omar Calise, Alana BMC Health Serv Res Research BACKGROUND: Ethiopia 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. OBJECTIVE: To evaluate Gurage Zone progress towards VISION 2020 targets and process indicators. METHOD: An 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. RESULT: There 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. CONCLUSION: Gurage 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-08144-6. BioMed Central 2022-06-10 /pmc/articles/PMC9188140/ /pubmed/35689276 http://dx.doi.org/10.1186/s12913-022-08144-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Soboka, Jibat Gemida
Teshome, Tiliksew T.
Salamanca, Omar
Calise, Alana
Evaluating eye health care services progress towards VISION 2020 goals in Gurage Zone, Ethiopia
title Evaluating eye health care services progress towards VISION 2020 goals in Gurage Zone, Ethiopia
title_full Evaluating eye health care services progress towards VISION 2020 goals in Gurage Zone, Ethiopia
title_fullStr Evaluating eye health care services progress towards VISION 2020 goals in Gurage Zone, Ethiopia
title_full_unstemmed Evaluating eye health care services progress towards VISION 2020 goals in Gurage Zone, Ethiopia
title_short Evaluating eye health care services progress towards VISION 2020 goals in Gurage Zone, Ethiopia
title_sort evaluating eye health care services progress towards vision 2020 goals in gurage zone, ethiopia
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9188140/
https://www.ncbi.nlm.nih.gov/pubmed/35689276
http://dx.doi.org/10.1186/s12913-022-08144-6
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