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Eye Health Service Uptake among People with Visual Impairment and Other Functional Difficulties in Bangladesh: A Cross-Sectional Study with Short-Term Follow Up

Author

Listed:
  • Ruth Sanders

    (Sightsavers, Haywards Heath RH16 3BZ, UK)

  • Ben Gascoyne

    (Sightsavers, Haywards Heath RH16 3BZ, UK)

  • Paul Appleby

    (Sightsavers, Haywards Heath RH16 3BZ, UK)

  • Syeda Asma Rashida

    (Sightsavers, Haywards Heath RH16 3BZ, UK
    Bangladesh Office-Sightsavers, Banani, Dhaka 1213, Bangladesh)

  • Emma Jolley

    (Sightsavers, Haywards Heath RH16 3BZ, UK)

Abstract

People with visual impairments are disproportionately likely to also have other impairments. However, little is known about whether these other impairments affect access to eye health services. This study among cataract and refractive error patients in four districts in Bangladesh explores the relationship between self-reported difficulties in hearing, mobility, self-care, communication and cognition domains, eye health service uptake, and location of initial eye health assessment. Cataract and refractive errors were diagnosed through ophthalmic clinical assessment, and the Washington Group Short Set (WG-SS) was used to ascertain difficulties in other functional domains. Univariate and multivariate analyses were used to examine the relationship between functional difficulties and uptake of cataract and refractive error services. We found that people with self-reported functional difficulties were less likely to take up refractive error services compared to people with same need but with no functional difficulties, and that they were more than twice as likely to access surgical services after attending an outreach camp compared with a hospital facility. Since a high proportion of people attending eye health assessment services have difficulties in a range of functional domains, strategies to improve the uptake of hospital-based health services are urgently required.

Suggested Citation

  • Ruth Sanders & Ben Gascoyne & Paul Appleby & Syeda Asma Rashida & Emma Jolley, 2021. "Eye Health Service Uptake among People with Visual Impairment and Other Functional Difficulties in Bangladesh: A Cross-Sectional Study with Short-Term Follow Up," IJERPH, MDPI, vol. 18(17), pages 1-12, August.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:9068-:d:623687
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    References listed on IDEAS

    as
    1. Tess Bright & Hannah Kuper, 2018. "A Systematic Review of Access to General Healthcare Services for People with Disabilities in Low and Middle Income Countries," IJERPH, MDPI, vol. 15(9), pages 1-29, August.
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    3. Manfred Mörchen & Olmedo Zambrano & Alexander Páez & Paola Salgado & Jason Penniecook & Andrea Brandt von Lindau & David Lewis, 2019. "Disability-Disaggregated Data Collection: Hospital-Based Application of the Washington Group Questions in an Eye Hospital in Paraguay," IJERPH, MDPI, vol. 16(17), pages 1-16, August.
    4. Arne H Eide & Hasheem Mannan & Mustafa Khogali & Gert van Rooy & Leslie Swartz & Alister Munthali & Karl-Gerhard Hem & Malcolm MacLachlan & Karin Dyrstad, 2015. "Perceived Barriers for Accessing Health Services among Individuals with Disability in Four African Countries," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-13, May.
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    7. Eunice Wandia Mailu & Bhavisha Virendrakumar & Stevens Bechange & Emma Jolley & Elena Schmidt, 2020. "Factors associated with the uptake of cataract surgery and interventions to improve uptake in low- and middle-income countries: A systematic review," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-18, July.
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