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Human resources for eye care: changing the way we think.

Raman U - Community Eye Health (2009)

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Affiliation: Associate Director and Head, Communications, LV Prasad Eye Institute, Banjara Hills, Hyderabad 500 034, India.

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As one speaker noted, there is an urgent need to shift our focus towards those who need care... Daniel Etya'ale remarked that we need to think not of eye care workers, but of ‘personnel needed for eye care’... Noting that the former label was too restrictive, he proposed the latter term, to move the focus to those who need care rather than those who provide it... This stems from a larger shift in focus from inputs to outcomes... Early on in the VISION 2020 initiative, it was recognised that we need to develop new cadres of professionals who will work with, and within, communities to stem the rising tide of avoidable blindness... It is becoming increasingly clear that, if we wait for enough ophthalmologists to be trained and appointed to take care of all forms of vision impairment, the goals of VISION 2020 will not be met... Midlevel ophthalmic personnel, vision technicians, ophthalmic nurses, nursing aides, instrument technicians, as well as ‘hybrid’ professionals who can perform a variety of functions, are all essential if we are to meet the human resource need for eye care... Eye care teams with flexible job descriptions and common goals work better in most situations, as certain categories of professionals (such as optometrists) are entirely absent in this region... Van Lansingh explained that often team members have no job description, but build a combined commitment to outcomes and practise effective communication... Problems such as community resistance, isolation from professional and academic bodies, and difficulties in dealing with technology and equipment, are often responsible for the fall in enthusiasm... It is necessary to re-examine the content and delivery of training programmes, as well as the practicality of criteria for evaluation... If community health workers are to deal with eye care and perform basic vision screening, then they should be equipped with the skills and the technology to do this... They may also need to be given the technical wherewithal to manage and maintain equipment, as well as the advocacy and communication skills to create and exploit links with other sectors, when and where required... Talk of productivity, therefore, can happen only if there is a clear understanding of what needs to be done and by whom, and it must be grounded in the realities of the community.

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Human resources for eye care: changing the way we think.

Raman U - Community Eye Health (2009)

© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2683557&req=5

View Article: PubMed Central - HTML - PubMed

Affiliation: Associate Director and Head, Communications, LV Prasad Eye Institute, Banjara Hills, Hyderabad 500 034, India.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

As one speaker noted, there is an urgent need to shift our focus towards those who need care... Daniel Etya'ale remarked that we need to think not of eye care workers, but of ‘personnel needed for eye care’... Noting that the former label was too restrictive, he proposed the latter term, to move the focus to those who need care rather than those who provide it... This stems from a larger shift in focus from inputs to outcomes... Early on in the VISION 2020 initiative, it was recognised that we need to develop new cadres of professionals who will work with, and within, communities to stem the rising tide of avoidable blindness... It is becoming increasingly clear that, if we wait for enough ophthalmologists to be trained and appointed to take care of all forms of vision impairment, the goals of VISION 2020 will not be met... Midlevel ophthalmic personnel, vision technicians, ophthalmic nurses, nursing aides, instrument technicians, as well as ‘hybrid’ professionals who can perform a variety of functions, are all essential if we are to meet the human resource need for eye care... Eye care teams with flexible job descriptions and common goals work better in most situations, as certain categories of professionals (such as optometrists) are entirely absent in this region... Van Lansingh explained that often team members have no job description, but build a combined commitment to outcomes and practise effective communication... Problems such as community resistance, isolation from professional and academic bodies, and difficulties in dealing with technology and equipment, are often responsible for the fall in enthusiasm... It is necessary to re-examine the content and delivery of training programmes, as well as the practicality of criteria for evaluation... If community health workers are to deal with eye care and perform basic vision screening, then they should be equipped with the skills and the technology to do this... They may also need to be given the technical wherewithal to manage and maintain equipment, as well as the advocacy and communication skills to create and exploit links with other sectors, when and where required... Talk of productivity, therefore, can happen only if there is a clear understanding of what needs to be done and by whom, and it must be grounded in the realities of the community.

No MeSH data available.