Barriers to the Uptake of Cataract Surgery and Eye Care After Community Outreach Screening in Takeo Province, Cambodia

Article


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
Article Title

Barriers to the Uptake of Cataract Surgery and Eye Care After Community Outreach Screening in Takeo Province, Cambodia

ERA Journal ID36335
Article CategoryArticle
AuthorsOrmsby, Gail M, Morchen, Manfred, Fotis, Kathy, Skiba, Dawn Grant, Chim, Channeang and Keeffe, Jill E.
Journal TitleAsia - Pacific Journal of Ophthalmology
Journal Citation6 (3), pp. 266-272
Number of Pages7
Year2017
Place of PublicationUnited States
ISSN0129-1653
Digital Object Identifier (DOI)https://doi.org/10.22608/APO.2015127
Web Address (URL)https://journals.lww.com/apjoo/Fulltext/2017/05000/Barriers_to_the_Uptake_of_Cataract_Surgery_and_Eye.9.aspx
Abstract

Purpose: To assess the barriers influencing eye healthcare seeking behavior after community outreach screening.

Design: A concurrent mixed methods study.

Methods: A total of 469 patients screened during the previous 12 months were followed up, of which 354 (75%) from 5 districts were interviewed in person, using a semi-structured questionnaire, in-depth interviews (n = 11), and 16 focus groups (n = 71). SPSS and NVivo were used to analyze response frequency and identify themes.

Results: Of the respondents, 98% (350/354) reported they were told they had an eye problem, with 295 individuals (83%) told to attend CARITAS Takeo Eye Hospital (CTEH) and 55 to have their eyes checked at Kiri Vong Vision Centre. Of those 68.9% (244/354) who reported seeking treatment, only 7.4% (18/244) reported they attended CTEH, 54% (n = 132) attended a "local pharmacy," 31.6% (n = 77) "self-Treated at home," 11% (n = 27) reported "using steam from boiling rice," and 10.7% (n = 26) attended a "traditional healer." Of those who reported reasons for "not attending," responses included "no time" (47.8%, 86/180), "no one to accompany" (21.7%, n = 39), "fear of losing sight" (17.8%, n = 32), "cannot afford to travel" (16.1%, n = 29), and "eye problem is not serious enough" (15.6%, n = 28). Follow-up of patient records identified that 128 individuals (79 females) attended eye care services.

Conclusions: Socioeconomic factors, personal concerns, and the use of local cultural remedies were reasons for not seeking eye hospital treatment. An integrated community approach to improve awareness and uptake of appropriate treatment is recommended.

Keywordsbarriers; Cambodia; Concurrent mixed methods; Outreach community screening; Seeking eye treatment
Public Notes

File reproduced in accordance with the copyright policy of the publisher/author.

Byline AffiliationsAvondale College of Higher Education, Australia
University of Melbourne
Caritas Takeo Eye Hospital, Cambodia
Independent Consultant, Cambodia
LV Prasad Eye Institute, India
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