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
中科院分区:
文献类型:
--
作者:
Fletcher, AE;Donoghue, M;Murugan, PB
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