Roles of the eye care workforce for task sharing in management of diabetic retinopathy in Cambodia

Article


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
Article Title

Roles of the eye care workforce for task sharing in management of diabetic retinopathy in Cambodia

ERA Journal ID210694
Article CategoryArticle
AuthorsShah, Mufarriq, Ormsby, Gial M., Noor, Ayesha, Chakrabarti, Rahul, Morchen, Manfred, Islam, Fakir M. Amirul, Harper, C. Alex and Keeffe, Jill E.
Journal TitleInternational Journal of Ophthalmology
Journal Citation11 (1), pp. 101-107
Number of Pages7
Year2018
Place of PublicationChina
ISSN2222-3959
2227-4898
Digital Object Identifier (DOI)https://doi.org/10.18240/ijo.2018.01.18
Web Address (URL)https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5767666/
Abstract

AIM: To identify the current roles of eye and health care workers in eye care delivery and investigate their potential roles in screening and detection for management of diabetic retinopathy (DR) through task sharing. METHODS: Purposive sampling of 24 participants including health administrators, members from non-government organizations and all available eye care workers in Takeo province were recruited. This cross sectional mixed method study comprised a survey and in-depth interviews. Data were collected from medical records at Caritas Takeo Eye Hospital (CTEH) and Kiri Vong District Referral Hospital Vision Centre, and a survey and interviews with participants were done to explore the potential roles for task sharing in DR management. Qualitative data were transcribed into a text program and then entered into N-Vivo (version 10) software for data management and analysis. RESULTS: From 2009 to 2012, a total of 105 178 patients were examined and 14 030 eye surgeries were performed in CTEH by three ophthalmologists supported by ophthalmic nurses in operating and eye examination for patients. Between January 2011 and September 2012, 151 patients (72 males) with retinal pathology including 125 (83%) with DR visited CTEH. In addition 170 patients with diabetes were referred to CTEH for eye examinations from Mo Po Tsyo screening programs for people with diabetes. Factors favouring task sharing included high demand for eye care services and scarcity of ophthalmologists. CONCLUSION: Task sharing and team work for eye care services is functional. Participants favor the potential role of ophthalmic nurses in screening for DR through task sharing.

KeywordsCambodia; Diabetes; Diabetic retinopathy; Human resources; Task sharing
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Byline AffiliationsPakistan Institute of Community Ophthalmology, Pakistan
University of Melbourne
Avondale College of Higher Education, Australia
Vision and Dental Care Clinic, Pakistan
Caritas Takeo Eye Hospital, Cambodia
Swinburne University of Technology
LV Prasad Eye Institute, India
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