Barriers to Uptake of Cataract Surgery in Central Chhattisgarh
Background: Understanding and addressing barriers to cataract surgery is important in increasing cataract surgical coverage. Barriers differ across time and place; therefore, periodic evaluation in the area of operation of an eye care provider is required. Objectives: The objective is to enumerate t...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Indian Journal of Public Health |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/ijph.ijph_1336_23 |
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| author | Samrat Chatterjee Nehal Mohata Anil Babanrao Gangwe Anupam Sahu Deepshikha Agrawal |
| author_facet | Samrat Chatterjee Nehal Mohata Anil Babanrao Gangwe Anupam Sahu Deepshikha Agrawal |
| author_sort | Samrat Chatterjee |
| collection | DOAJ |
| description | Background:
Understanding and addressing barriers to cataract surgery is important in increasing cataract surgical coverage. Barriers differ across time and place; therefore, periodic evaluation in the area of operation of an eye care provider is required.
Objectives:
The objective is to enumerate the barriers to cataract surgery in central Chhattisgarh.
Materials and Methods:
A hospital-based cross-sectional study was carried out among community outreach patients with cataract in 2022. Patients were selected through systematic random sampling.
Results:
Of the 2210 patients, 1026 completed the survey. Overall person-related barriers (65.3%) were more common than service-related barriers (34.7%). The different barriers were lack of escort (34.0%), cost of surgery (17.7%), lack of awareness of cataract (9.6%), fear of losing eyesight (6.8%), unfelt need (6.3%), waiting for outreach camp to happen in a close-by location (5.9%), waiting for the cataract to mature (4.6%), do not know where to go (3.9%), busy with work (3.7%), living far from the hospital (1.9%), need not felt - old age (1.7%), blindness is God’s will (1.4%), other health reasons (1.1%), being female (0.8%), and village not connected to the main road/lack of transport (0.6%). Person-related barriers were more common (P < 0.05) in female patients, illiterate patients, and those from a lower socio-economic class. Fear of losing eyesight was the most common barrier in patients who had poor vision following cataract surgery in the other eye.
Conclusion:
Person-related barriers were more common than service-related barriers for accessing eye care services. Important service-related barriers were the cost of surgery and lack of awareness about cataract. |
| format | Article |
| id | doaj-art-7e45a5918fcc4a52937b9013eb8f9133 |
| institution | Kabale University |
| issn | 0019-557X 2229-7693 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Public Health |
| spelling | doaj-art-7e45a5918fcc4a52937b9013eb8f91332025-01-10T10:15:06ZengWolters Kluwer Medknow PublicationsIndian Journal of Public Health0019-557X2229-76932024-12-0168450751210.4103/ijph.ijph_1336_23Barriers to Uptake of Cataract Surgery in Central ChhattisgarhSamrat ChatterjeeNehal MohataAnil Babanrao GangweAnupam SahuDeepshikha AgrawalBackground: Understanding and addressing barriers to cataract surgery is important in increasing cataract surgical coverage. Barriers differ across time and place; therefore, periodic evaluation in the area of operation of an eye care provider is required. Objectives: The objective is to enumerate the barriers to cataract surgery in central Chhattisgarh. Materials and Methods: A hospital-based cross-sectional study was carried out among community outreach patients with cataract in 2022. Patients were selected through systematic random sampling. Results: Of the 2210 patients, 1026 completed the survey. Overall person-related barriers (65.3%) were more common than service-related barriers (34.7%). The different barriers were lack of escort (34.0%), cost of surgery (17.7%), lack of awareness of cataract (9.6%), fear of losing eyesight (6.8%), unfelt need (6.3%), waiting for outreach camp to happen in a close-by location (5.9%), waiting for the cataract to mature (4.6%), do not know where to go (3.9%), busy with work (3.7%), living far from the hospital (1.9%), need not felt - old age (1.7%), blindness is God’s will (1.4%), other health reasons (1.1%), being female (0.8%), and village not connected to the main road/lack of transport (0.6%). Person-related barriers were more common (P < 0.05) in female patients, illiterate patients, and those from a lower socio-economic class. Fear of losing eyesight was the most common barrier in patients who had poor vision following cataract surgery in the other eye. Conclusion: Person-related barriers were more common than service-related barriers for accessing eye care services. Important service-related barriers were the cost of surgery and lack of awareness about cataract.https://journals.lww.com/10.4103/ijph.ijph_1336_23barrierscataractcataract extractioncataract surgery coveragehealth services accessibilityvisual impairment |
| spellingShingle | Samrat Chatterjee Nehal Mohata Anil Babanrao Gangwe Anupam Sahu Deepshikha Agrawal Barriers to Uptake of Cataract Surgery in Central Chhattisgarh Indian Journal of Public Health barriers cataract cataract extraction cataract surgery coverage health services accessibility visual impairment |
| title | Barriers to Uptake of Cataract Surgery in Central Chhattisgarh |
| title_full | Barriers to Uptake of Cataract Surgery in Central Chhattisgarh |
| title_fullStr | Barriers to Uptake of Cataract Surgery in Central Chhattisgarh |
| title_full_unstemmed | Barriers to Uptake of Cataract Surgery in Central Chhattisgarh |
| title_short | Barriers to Uptake of Cataract Surgery in Central Chhattisgarh |
| title_sort | barriers to uptake of cataract surgery in central chhattisgarh |
| topic | barriers cataract cataract extraction cataract surgery coverage health services accessibility visual impairment |
| url | https://journals.lww.com/10.4103/ijph.ijph_1336_23 |
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