Diabetic retinopathy screening at primary and community health centers in Maharashtra
| Autor: | Azhar Sheikh, Sanjay Singh, Girdhari Lal Gupta, A. K. Shukla, Ravi Daberao, Smita Singh |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Teleophthalmology India Pilot Projects Fundus camera 03 medical and health sciences 0302 clinical medicine Health care medicine Humans Mass Screening Diabetic Retinopathy Primary Health Care business.industry Diabetic retinopathy screening Incidence screening Diabetic retinopathy Community Health Centers medicine.disease Telemedicine Ophthalmology Noncommunicable disease Family medicine Maharashtra model Community health Perspective 030221 ophthalmology & optometry business 030217 neurology & neurosurgery Retinopathy |
| Zdroj: | Indian Journal of Ophthalmology |
| ISSN: | 1998-3689 |
| Popis: | In order to integrate and improve eye care in noncommunicable disease (NCD) clinics, screening for diabetic retinopathy (DR) in people with diabetes mellitus (DM) was introduced in primary and secondary-level government health facilities. Initially, the project was carried out at the fixed health facilities at one district hospital (DH), two sub-district hospitals (SDH) and two community health centers (CHCs). This was combined with training of existing health care personnel, information-education-communication (IEC) campaign among patients and service providers along with the provision of essential equipment required for screening. In the revised strategy, NCD nurses were also trained for screening. Of 12,788 DM patients registered in NCD clinics, 63.8% (n = 8159) were screened for DR by trained paramedical ophthalmic assistants and the four trained NCD nurses using non-mydriatic fundus camera and teleophthalmology supported remote grading of retinopathy. DR was detected in 9.45% (n = 771) patients and sight-threatening DR (STDR) was detected in 2.35% (n = 192) in one or both eyes. Of 8,159 people screened, 55% (n = 4481) and 45% (n = 3678) were screened at CHC and mobile screening at primary health centers (PHC), respectively. DR screening in a fixed facility at CHC combined with the mobile screening at PHC level and fixed-day screening strategy provides effective coverage. |
| Databáze: | OpenAIRE |
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