Critical issues in implementing low vision care in the Asia-Pacific region

Autor: Peggy Pei-Chia Chiang, Manjula Marella, Gail Ormsby, Jill Keeffe
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Diabetes-related blindness
diabetic retinopathy
key informant
rapid assessment of avoidable blindness
retinopathy of prematurity
tele-ophthalmology
Blindness
disability
equity
health economics
health policy
health and development
social exclusion
Community eye health
prevention of blindness
ophthalmogical residency
VISION 2020
Visual impairment
blindness
inequality
social class
income
educational status
gender and ethnic groups
Advocacy
effective service delivery
enabling environment
stakeholders
resources
Avoidable blindness and visual impairment
impact
scaling up
Global blindness
prevalence
visual impairment
visual acuity
Comprehensive eye care
eye care model
pyramidal model
optometrist
optometry regulation
eye health
India
Economics
market
government
cost
Millennium development goals
Vision 2020 the Right to Sight
eye care services
planning rapid assessment methods
Avoidable blindness
cataract surgical rate
corneal blindness
Compliance
services
Human resource development
service delivery
social entrepreneurship
uncorrected refractive error
cataract extraction
cataract
coverage
data aggregation
population
Case detection
comprehensive eye examination
developing countries
glaucoma
integrated approach
training requirements
Child health policy
childhood blindness
social determinants of eye health
Access
Asia-pacific
funding
low vision
policy
Ophthalmology
RE1-994
Zdroj: Indian Journal of Ophthalmology, Vol 60, Iss 5, Pp 456-459 (2012)
Druh dokumentu: article
ISSN: 0301-4738
1998-3689
DOI: 10.4103/0301-4738.100549
Popis: Two-thirds of the world′s population with low vision resides in the Asia-Pacific region. Provision of comprehensive low vision services is important to improve vision-related quality of life (QoL) for people with this condition. This review outlines the critical issues and challenges facing the provision of low vision services in the Asia-Pacific region. The review offers possible strategies to tackle these issues and challenges facing service providers and policy makers in lieu of Vision 2020 strategies in this area. Pertinent findings from the global survey of low vision services and extensive ground work conducted in the region are used; in addition, a discussion on the availability of services, human resources and training, and funding and the future sustainability of low vision care will be covered. In summary, current issues and challenges facing the region are the lack of specific evidence-based data, access, appropriate equipment and facilities, human resources, funding, and sustainability. These issues are inextricably interlinked and thus cannot be addressed in isolation. The solutions proposed cover all areas of the VISION 2020 strategy that include service delivery, human resources, infrastructure and equipment, advocacy and partnership; and include provision of comprehensive care via vertical and horizontal integration; strengthening primary level care in the community; providing formal and informal training to enable task shifting and capacity building; and promoting strong government and private sector partnership to achieve long-term service financial sustainability.
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