Attitudes and perceptions of eye care workers and health administrators regarding task sharing in screening and detection for management of diabetic retinopathy in Pakistan

Article


Shah, Mufarriq, Noor, Ayesha, Ormsby, Gail M., Chakrabarti, Rahul, Harper, C. Alex, Islam, Fakir Amirul and Keeffe, Jill. 2018. "Attitudes and perceptions of eye care workers and health administrators regarding task sharing in screening and detection for management of diabetic retinopathy in Pakistan." Ophthalmic Epidemiology. 25 (2), pp. 169-175. https://doi.org/10.1080/09286586.2017.1381273
Article Title

Attitudes and perceptions of eye care workers and health administrators regarding task sharing in screening and detection for management of diabetic retinopathy in Pakistan

ERA Journal ID16692
Article CategoryArticle
AuthorsShah, Mufarriq, Noor, Ayesha, Ormsby, Gail M., Chakrabarti, Rahul, Harper, C. Alex, Islam, Fakir Amirul and Keeffe, Jill
Journal TitleOphthalmic Epidemiology
Journal Citation25 (2), pp. 169-175
Number of Pages7
Year2018
Place of PublicationUnited Kingdom
ISSN0928-6586
1744-5086
Digital Object Identifier (DOI)https://doi.org/10.1080/09286586.2017.1381273
Web Address (URL)https://www.tandfonline.com/doi/full/10.1080/09286586.2017.1381273
Abstract

Purpose: The shortage of ophthalmologists in many countries is a major barrier to timely provision of eye care. A team work approach to screen, detect and manage diabetic retinopathy (DR) could achieve greater screening coverage of people with diabetes to prevent vision loss. This study aimed to assess the attitudes and perceptions of eye care workers and health administrators regarding task sharing for management of DR. Methods: Using purposive sampling, 121 eye and health care workers in five selected hospitals in two provinces in Pakistan were recruited. A cross-sectional survey explored the possibility for involvement of optometrists and mid-level eye care workers to share tasks with ophthalmologists for DR management and the potential outcomes of task sharing, through multiple choice and open-ended questions. Results: Ninety-six (79%) participants–doctors (n = 56), optometrists (n = 29) and mid-level eye care workers (n = 11) responded to the survey. All participants supported task sharing in screening and detection for management of DR. There was no significant difference among the groups with respect to their positive attitude towards task sharing (p = 0.22). The majority in each group believed that the task sharing would not degrade the quality of care (p = 0.48). Two potential major outcomes of task sharing in the eye care system included the benefits for people with diabetes and potential DR and the strengthening of the health care system. Conclusion: Task sharing among various cadres of eye care workers has the potential to improve screening coverage of people with diabetes to prevent visual loss from DR.

Keywordsattitudes and perceptions; diabetes; diabetic retinopathy; low resource countries; Task sharing
Public Notes

Files associated with this item cannot be displayed due to copyright restrictions.

FunderState Government of Victoria
Byline AffiliationsUniversity of Melbourne
Pakistan Institute of Community Ophthalmology, Pakistan
Vision and Dental Care Clinic, Pakistan
Avondale College of Higher Education, Australia
Swinburne University of Technology
LV Prasad Eye Institute, India
Library Services
Permalink -

https://research.usq.edu.au/item/wz4w9/attitudes-and-perceptions-of-eye-care-workers-and-health-administrators-regarding-task-sharing-in-screening-and-detection-for-management-of-diabetic-retinopathy-in-pakistan

  • 21
    total views
  • 0
    total downloads
  • 1
    views this month
  • 0
    downloads this month

Export as

Related outputs

Clustering of asthma and related comorbidities and their association with maternal health during pregnancy: evidence from an Australian birth cohort
Ahmad, Kabir, Kabir, Enamul, Ormsby, Gail M. and Khanam, Rasheda. 2021. "Clustering of asthma and related comorbidities and their association with maternal health during pregnancy: evidence from an Australian birth cohort." BMC Public Health. 21 (1), pp. 1-13. https://doi.org/10.1186/s12889-021-11997-x
Are wheezing, asthma and eczema in children associated with mother’s health during pregnancy? Evidence from an Australian birth cohort
Ahmad, Kabir, Kabir, Enamul, Ormsby, Gail M. and Khanam, Rasheda. 2021. "Are wheezing, asthma and eczema in children associated with mother’s health during pregnancy? Evidence from an Australian birth cohort." Archives of Public Health. 79 (1), pp. 1-18. https://doi.org/10.1186/s13690-021-00718-w
Estimating income-related and area-based inequalities in mental health among nationally representative adolescents in Australia: the concentration index approach
Islam, Md Irteja, Ormsby, Gail M., Kabir, Enamul and Khanam, Rasheda. 2021. "Estimating income-related and area-based inequalities in mental health among nationally representative adolescents in Australia: the concentration index approach." PLoS One. 16 (9), pp. 1-14. https://doi.org/10.1371/journal.pone.0257573
The higher degree by research student as ‘master’: utilising a design thinking approach to improve learner experience in higher degree research supervision
van der Laan, Luke, Ormsby, Gail, Fergusson, Lee and Pau, Maria. 2021. "The higher degree by research student as ‘master’: utilising a design thinking approach to improve learner experience in higher degree research supervision." Journal of University Teaching and Learning Practice. 18 (1), pp. 1-20.
The development of work-integrated learning ecosystems: an Australian example of cooperative education
Fergusson, Lee, van der Laan, Luke, Imran, Sophia and Ormsby, Gail. 2021. "The development of work-integrated learning ecosystems: an Australian example of cooperative education." International Journal of Work-Integrated Learning. 22 (1), pp. 25-40.
Applied micro- and macro-reflective cycles in work-based learning and research: two advanced practice contexts
Fergusson, Lee, van der Laan, Luke, Ormsby, Gail and Azmy, Wade. 2020. "Applied micro- and macro-reflective cycles in work-based learning and research: two advanced practice contexts." Reflective Practice. 21 (3), pp. 400-414. https://doi.org/10.1080/14623943.2020.1753683
Cost-effectiveness evaluations of the 9-Valent human papillomavirus (HPV) vaccine: evidence from a systematic review
Mahumud, Rashidul Alam, Alam, Khorshed, Keramat, Syed Afroz, Ormsby, Gail M., Dunn, Jeff and Gow, Jeff. 2020. "Cost-effectiveness evaluations of the 9-Valent human papillomavirus (HPV) vaccine: evidence from a systematic review." PLoS One. 15 (6), pp. 1-15. https://doi.org/10.1371/journal.pone.0233499
Wealth stratified inequalities in service utilisation of breast cancer screening across the geographical regions: A pooled decomposition analysis
Mahumud, Rashidul Alam, Alam, Khorshed, Keramat, Syed Afroz, Renzaho, Andre M.N., Hossain, Md. Golam, Haque, Rezwanul, Ormsby, Gail M., Dunn, Jeff and Gow, Jeff. 2020. "Wealth stratified inequalities in service utilisation of breast cancer screening across the geographical regions: A pooled decomposition analysis." Archives of Public Health. 78, pp. 1-12. https://doi.org/10.1186/s13690-020-00410-5
Wealth-related inequalities of women’s knowledge of cervical cancer screening and service utilisation in 18 resource-constrained countries: evidence from a pooled decomposition analysis
Mahumud, Rashidul Alam, Keramat, Syed Afroz, Ormsby, Gail M., Sultana, Marufa, Rawal, Lal B., Alam, Khorshed, Gow, Jeff and Renzaho, Andre M. N.. 2020. "Wealth-related inequalities of women’s knowledge of cervical cancer screening and service utilisation in 18 resource-constrained countries: evidence from a pooled decomposition analysis." International Journal for Equity in Health. 19 (1), pp. 1-15. https://doi.org/10.1186/s12939-020-01159-7
Most people think playing chess makes you ‘smarter’, but the evidence isn’t clear on that
Gardiner, Graeme, Ormsby, Gail and van der Laan, Luke. 2019. "Most people think playing chess makes you ‘smarter’, but the evidence isn’t clear on that." The Conversation. 11 July 2019, pp. 1-7.
Formative research for the development of an Eye Health Strategic Planning and Evaluation Framework and a Checklist: A health systems approach
Ormsby, Gail M.. 2019. "Formative research for the development of an Eye Health Strategic Planning and Evaluation Framework and a Checklist: A health systems approach." International Journal of Health Planning and Management. 34 (2), pp. e1356-e1375. https://doi.org/10.1002/hpm.2784
Validating a tool to assess eye health knowledge, attitude and practice in Cambodia and Vietnam
Prasad, Noela, Ormsby, Gail M. and Finger, Robert P.. 2019. "Validating a tool to assess eye health knowledge, attitude and practice in Cambodia and Vietnam." International Journal of Ophthalmology. 12 (11), pp. 1767-1774. https://doi.org/10.18240/ijo.2019.11.16
Roles of the eye care workforce for task sharing in management of diabetic retinopathy in Cambodia
Shah, Mufarriq, Ormsby, Gial M., Noor, Ayesha, Chakrabarti, Rahul, Morchen, Manfred, Islam, Fakir M. Amirul, Harper, C. Alex and Keeffe, Jill E.. 2018. "Roles of the eye care workforce for task sharing in management of diabetic retinopathy in Cambodia." International Journal of Ophthalmology. 11 (1), pp. 101-107. https://doi.org/10.18240/ijo.2018.01.18
Task sharing in the eye care workforce: Screening, detection, and management of diabetic retinopathy in Pakistan. A case study
Shah, Mufarriq, Noor, Ayesha, Deverell, Lil, Ormsby, Gail M., Harper, C. Alex and Keeffe, Jill Elizabeth. 2018. "Task sharing in the eye care workforce: Screening, detection, and management of diabetic retinopathy in Pakistan. A case study." International Journal of Health Planning and Management. 33 (3), pp. 627-636. https://doi.org/10.1002/hpm.2508
Task sharing: Development of evidence‐based co‐management strategy model for screening, detection, and management of diabetic retinopathy
Shah, Mufarriq, Noor, Ayesha, Ormsby, Gail M., Islam, Fakir Amirul, Harper, Colin Alex and Keeffe, Jill Elizabeth. 2018. "Task sharing: Development of evidence‐based co‐management strategy model for screening, detection, and management of diabetic retinopathy." International Journal of Health Planning and Management. 33 (4), pp. e1088-e1099. https://doi.org/10.1002/hpm.2590
Barriers to the Uptake of Cataract Surgery and Eye Care After Community Outreach Screening in Takeo Province, Cambodia
Ormsby, Gail M, Morchen, Manfred, Fotis, Kathy, Skiba, Dawn Grant, Chim, Channeang and Keeffe, Jill E.. 2017. "Barriers to the Uptake of Cataract Surgery and Eye Care After Community Outreach Screening in Takeo Province, Cambodia." Asia - Pacific Journal of Ophthalmology. 6 (3), pp. 266-272. https://doi.org/10.22608/APO.2015127
Knowledge and practices of teachers associated with eye health of primary school children in Rawalpindi, Pakistan
Habiba, Ume, Ormsby, Gail M., Butt, Zahid Ahmad, Afghani, Tayyab and Asif, Muhammad. 2017. "Knowledge and practices of teachers associated with eye health of primary school children in Rawalpindi, Pakistan." Taiwan Journal of Ophthalmology. 7 (1), pp. 28-33. https://doi.org/10.4103/tjo.tjo_11_17
Patient Perspectives on Acquiring Spectacles: A Cambodian Experience
Ormsby, Gail Melva, Grant-Skiba, Dawn, Naidoo, Kovin and Keeffe, Jill E.. 2016. "Patient Perspectives on Acquiring Spectacles: A Cambodian Experience." Asia - Pacific Journal of Ophthalmology. 5 (5), pp. 339-343. https://doi.org/10.1097/APO.0000000000000176
Prevalence of Blindness and Cataract Surgical Outcomes in Takeo Province, Cambodia
Morchen, Manfred, Langdon, Toby, Ormsby, Gail M., Meng, Ngy, Seiha, Do, Piseth, Kong and Keeffe, Jill E.. 2015. "Prevalence of Blindness and Cataract Surgical Outcomes in Takeo Province, Cambodia." Asia - Pacific Journal of Ophthalmology. 4 (1), pp. 25-31. https://doi.org/10.1097/APO.0000000000000061
A logistics support framework: a systems-based approach to logistics planning for development projects
Keeffe, Timothy and Ormsby, Gail. 2015. "A logistics support framework: a systems-based approach to logistics planning for development projects." Development in Practice. 25 (6), pp. 843-855. https://doi.org/10.1080/09614524.2015.1061478
Retinal fractal dimension is increased in persons with diabetes but not impaired glucose metabolism: the Australian Diabetes, Obesity and Lifestyle (AusDiab) study
Yau, J. W. Y., Kawasaki, R., Islam, F. M. A., Shaw, J., Zimmet, P., Wang, J. J. and Wong, T. Y.. 2010. "Retinal fractal dimension is increased in persons with diabetes but not impaired glucose metabolism: the Australian Diabetes, Obesity and Lifestyle (AusDiab) study ." Diabetologia. 53 (9), pp. 2042-2045. https://doi.org/10.1007/s00125-010-1811-z
An intergenic region between the tagSNP rs3793917 and rs11200638 in the HTRA1 gene indicates association with age-related macular degeneration
Richardson, Andrea J., Islam, F. M. Amirul, Aung, Khin Zaw, Guymer, Robyn H. and Baird, Paul N.. 2010. "An intergenic region between the tagSNP rs3793917 and rs11200638 in the HTRA1 gene indicates association with age-related macular degeneration." Investigative Ophthalmology and Visual Science. 51 (10), pp. 4932-4936. https://doi.org/10.1167/iovs.09-5114
Knowledge, Attitudes and Practice of Diabetes in Rural Bangladesh: The Bangladesh Population Based Diabetes and Eye Study (BPDES)
Islam, Fakir M. Amirul, Chakrabarti, Rahul, Dirani, Mohamed, Islam, M. Tauhidul, Ormsby, Gail, Wahab, Mohamed, Critchley, Christine and Finger, Robert P.. 2014. "Knowledge, Attitudes and Practice of Diabetes in Rural Bangladesh: The Bangladesh Population Based Diabetes and Eye Study (BPDES)." PLoS One. 9 (10), pp. 1-11. https://doi.org/10.1371/journal.pone.0110368
Addressing disability in the health system at CARITAS Takeo Eye Hospital
Morchen, Manfred, Ormsby, Gail, Bonn, Te Serey and Lewis, David. 2013. "Addressing disability in the health system at CARITAS Takeo Eye Hospital." Community Eye Health Journal. 26 (81), pp. 8-9.
First contact diagnosis and management of contact lens-related complications
Fagan, Xavier J., Jhanji, Vishal, Constantinou, Marios, Islam, F. M. Amirul, Taylor, Hugh R. and Vajpayee, Rasik B.. 2012. "First contact diagnosis and management of contact lens-related complications." International Ophthalmology. 32 (4), pp. 321-327. https://doi.org/10.1007/s10792-012-9563-z
Long-term refractive outcomes and stability after excimer laser surgery for myopia
Dirani, Mohamed, Couper, Terry, Yau, Joanne, Ang, Enk K., Islam, F. M. Amirul, Snibson, Grant R., Vajpayee, Rasik B. and Baird, Paul N.. 2010. "Long-term refractive outcomes and stability after excimer laser surgery for myopia ." Journal of Cataract and Refractive Surgery. 36 (10), pp. 1709-1717. https://doi.org/10.1016/j.jcrs.2010.04.041
Triamcinolone-induced cataract in eyes with diabetic macular oedema: 3-year prospective data from a randomized clinical trial
Gillies, Mark C., Islam, Fakir M. A., Larsson, Jorgen, Pasadhika, Sirichai, Gaston, Chris, Zhu, Meidong and Wong, Tien Y.. 2010. "Triamcinolone-induced cataract in eyes with diabetic macular oedema: 3-year prospective data from a randomized clinical trial ." Clinical and Experimental Opthalmology. 38 (6), pp. 605-612. https://doi.org/10.1111/j.1442-9071.2010.02341.x
Retinal microvascular abnormalities and subclinical magnetic resonance imaging brain infarct: a prospective study
Cheung, Ning, Mosley, Thomas, Islam, Amirul, Kawasaki, Ryo, Sharrett, A. Richey, Klein, Ronald, Coker, Laura H., Knopman, David S., Shibata, Dean K., Catellier, Diane and Wong, Tien Y.. 2010. "Retinal microvascular abnormalities and subclinical magnetic resonance imaging brain infarct: a prospective study ." Brain. 133 (7), pp. 1987-1993. https://doi.org/10.1093/brain/awq127
Analysis of arsenic concentrations and correlation in water, soil and aurum by neutron activation analysis technique: a case study in Bagerhat, Bangladesh
Abdullah, S. M. A., Islam, M. T., Islam, S. Z., Hossain, Iqbal, Samsuzzoha, M., Hossain, M. D., Latif, S. A. and Islam, F. M. A.. 2010. "Analysis of arsenic concentrations and correlation in water, soil and aurum by neutron activation analysis technique: a case study in Bagerhat, Bangladesh." Bulletin of Environmental Contamination and Toxicology. 85 (3), pp. 301-306. https://doi.org/10.1007/s00128-010-0075-0
Critical issues in implementing low vision care in the Asia-Pacific region
Chiang, Peggy Pei-Chia, Marella, Manjula, Ormsby, Gail and Keeffe, Jill. 2012. "Critical issues in implementing low vision care in the Asia-Pacific region." Indian Journal of Ophthalmology. 60 (5), pp. 456-459. https://doi.org/10.4103/0301-4738.100549