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Perspectives on primary eye care.

Murthy G, Raman U - Community Eye Health (2009)

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Affiliation: Senior Lecturer, International Centre for Eye Health, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK.

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We think of primary eye care (PEC), and any kind of primary health care (PHC), as a ‘frontline’ activity, providing care and identifying disease before it becomes a serious medical issue... However, given the shortage of such trained personnel, this approach limits the spread of PEC and restricts its availability to contexts where such expertise is available... It was observed that eye health education was a role for PEC that did not require high-level expertise, in contrast to diagnosis and eye examination... PEC workers would construct and deliver messages stressing the importance of diminished vision and the need for modern surgery... They would also allay apprehension or address unfounded beliefs in communities regarding surgery... The speakers thought that, in Africa, advocacy at the policy-making level was necessary, in order for PEC to be properly integrated into PHC and to be allocated sufficient resources... In this model, PEC workers were involved in case screening, recognising eye problems, initial treatment, and referral... This approach had a strong component of community participation and was managed by public funding... However, this system was almost phased out in the 1990s, due to lack of cooperation from PEC workers, ineffective referral mechanisms, and a lack of task-oriented PEC... In this second approach, specific high-impact interventions were identified and supported under PEC... The biggest weakness of this approach was that it fostered a vertical system and reduced the opportunity for integration into the existing primary health care systems in countries... There is no evidence to indicate which approach is better, but it is clear that different countries may need different approaches... Challenges to the successful implementation of PEC were discussed during the course.

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Perspectives on primary eye care.

Murthy G, Raman U - Community Eye Health (2009)

© Copyright Policy
Related In: Results  -  Collection

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getmorefigures.php?uid=PMC2683556&req=5

View Article: PubMed Central - HTML - PubMed

Affiliation: Senior Lecturer, International Centre for Eye Health, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

We think of primary eye care (PEC), and any kind of primary health care (PHC), as a ‘frontline’ activity, providing care and identifying disease before it becomes a serious medical issue... However, given the shortage of such trained personnel, this approach limits the spread of PEC and restricts its availability to contexts where such expertise is available... It was observed that eye health education was a role for PEC that did not require high-level expertise, in contrast to diagnosis and eye examination... PEC workers would construct and deliver messages stressing the importance of diminished vision and the need for modern surgery... They would also allay apprehension or address unfounded beliefs in communities regarding surgery... The speakers thought that, in Africa, advocacy at the policy-making level was necessary, in order for PEC to be properly integrated into PHC and to be allocated sufficient resources... In this model, PEC workers were involved in case screening, recognising eye problems, initial treatment, and referral... This approach had a strong component of community participation and was managed by public funding... However, this system was almost phased out in the 1990s, due to lack of cooperation from PEC workers, ineffective referral mechanisms, and a lack of task-oriented PEC... In this second approach, specific high-impact interventions were identified and supported under PEC... The biggest weakness of this approach was that it fostered a vertical system and reduced the opportunity for integration into the existing primary health care systems in countries... There is no evidence to indicate which approach is better, but it is clear that different countries may need different approaches... Challenges to the successful implementation of PEC were discussed during the course.

No MeSH data available.