Low uptake of eye services in rural India -: A challenge for programs of blindness prevention

Low uptake of eye services in rural India -: A challenge for programs of blindness prevention
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DOI:
10.1001/archopht.117.10.1393
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发表时间:
1999-10-01
影响因子:
--
通讯作者:
Murugan, PB
Murugan, PB
中科院分区:
其他
文献类型:
--
作者:
Fletcher, AE;Donoghue, M;Murugan, PB

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目的:调查服务摄取率在印度农村人口服务的外展眼营,并确定obligation.Participants和方法的障碍:一个常规的眼营进行了5公里内的每一个48个随机选择的村庄,典型的印度教,落后种姓社区。随后,参与性农村评估社区绘图,焦点小组,矩阵排名,和半结构化的采访,进行了探索社区的眼睛问题的意见。为没有参加夏令营的眼疾患者进行了眼部检查。出席的预测因素进行了多层次回归analysis.Results:749成人有眼睛的问题,51(6.8%)参加了前夕营。参加的独立预测因素是:男性(比值比= 2.3; 95%置信区间,1.2-4.5)和居住在营地3公里内(比值比= 4.5; 95%置信区间,1.7-12.5)。在552名没有参加眼科夏令营并接受眼科检查的人中,242人(43.8%)视力低下(视力
Objectives: To investigate service uptake in a rural Indian population served by outreach eye camps and to identify barriers to uptake.Participants and Methods: A routine eye camp was conducted within 5 km of each of 48 randomly selected villages of typically Hindu, backward-caste communities. Subsequently, participatory rural appraisal-community mapping, focus groups, matrix ranking, and semistructured interviews-was undertaken to explore community views of eye problems. An eye examination was conducted on persons with eye problems who did not attend the eve camp. Predictors of attendance were identified by multilevel regression analysis.Results: Of 749 adults with an eye problem, 51 (6.8%) attended the eve camp. Independent predictors of attendance were be: mg male (odds ratio = 2.3; 95% confidence interval, 1.2-4.5) and living within 3 km of the camp (odds ratio = 4.5; 95% confidence interval, 1.7-12.5). Of the 552 persons who did not attend the eye camps and had an eye examination, 242 (43.8%) had low vision (visual acuity