Barriers to availing refractive error services among an urban slum population in Mumbai, India

Barriers to availing refracti ve error services among an urban slum population in Mumbai, India. Background: A refractive error project for management of refractive errors in adults was undertaken in the urban slums of Mumbai, India. The project looked at the burden of refractive errors in the predominantly lower socio economic status groups as well as what common barriers prevent access to refractive services amongst this population. This presentation highlights the barriers that were elicited for availing and accessing refractive error services among the urban slum population in Mumbai, India. AIM: The study aimed to identify the common barriers to availing & accessing refractive error services among an urban slum population in Mumbai, India. Methods : A situation analysis of the community, with respect to availability of services was done as a part of the service delivery planning. The analysis revealed that services were available but the community was not accessing the same. Based on the situation analysis report a questionnaire with all perceived barriers was developed and the same was validated. Service delivery was done by establishing vision centers within the community. Trained health workers performed a door to door vision screening, identified and referred the needy population to the vision centre. Here the questionnaire was run by trained social workers on the people visiting the centers for eye examinations, who were referred by the social workers. Results : Data analysis was carried out to know the reasons for not availing the services within the community. Of the 4070 subjects who visited the vision centre, 4039 case records were complete and analyzed. The demographic associations of the use of spectacles and reasons for not availing services were assessed with age, gender, education, socioeconomic status. On further analyses it was revealed, that, 3373 (83.5%) were aware of their poor vision, of these 2000 people did not visit an eye doctor. When the questions were analyzed as economic reasons and lack of awareness, lack of awareness superseded economic reasons, as lack of awareness was 54.5% Vs economic was 53.70%. Conclusion: When refractive error service delivery was planned for this population, besides providing free spectacles, emphasis on generating awareness for need for refractive errors was also considered

Ocular status and functional adaptation of visually challenged children of a special school in Oman

Introduction : We assessed the ocular status and visual adaptation among children studying at a school for visually disabled children in Muscat, Oman. Materials and Methods : This descriptive study was conducted in 2009-2010. We assessed the visual and ocular status of the participants. They were interviewed to elicit the past history of eye problems and management. They also expressed their visual adaptation in their ′day-to-day′ life, and their ambitions. Result : We examined and interviewed 47 participants (29 male and 18 female). The mean age of the participants was 19.7 years (Standard deviation 5.9 years). Twenty-six of them were blind since birth. Phthisical eyes, disfigured eyes and anophthalmic sockets were noted in 19, 58, and six eyes of participants. Twenty-six (55.5%) participants had visual disabilities due to genetic causes, since birth. In 13 participants, further investigations were needed to confirm diagnosis and determine further management After low vision training, 13 participants with residual vision could be integrated in the school with normal children. One participant was recommended stem cell treatment for visual restoration. Five children were advised reconstructive orbital surgery. The participants were not keen to use a white cane for mobility. Some participants, 16 / 28 (57%), with absolute blindness, were not able to read the Braille language. Singing and playing music were not very well-accepted hobbies among the participants. Nineteen participants were keen to become teachers. Conclusions : Children with visual disabilities need to be periodically assessed. The underlying causes of visual disabilities should be further explored to facilitate prevention and genetic counseling. Participants had visual adaptation for daily living and had ambitions for the future