Cataract services for all: Strategies for equitable access from a global modified Delphi process.
Vision loss from cataract is unequally distributed, and there is very little evidence on how to overcome this inequity. This project aimed to engage multiple stakeholder groups to identify and prioritise (1) delivery strategies that improve access to cataract services for under-served groups and (2)...
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| Format: | Article |
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Public Library of Science (PLoS)
2023-01-01
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| Series: | PLOS Global Public Health |
| Online Access: | https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0000631&type=printable |
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| author | Jacqueline Ramke Juan Carlos Silva Michael Gichangi Thulasiraj Ravilla Helen Burn John C Buchan Vivian Welch Clare E Gilbert Matthew J Burton Cataract Access Study Group |
| author_facet | Jacqueline Ramke Juan Carlos Silva Michael Gichangi Thulasiraj Ravilla Helen Burn John C Buchan Vivian Welch Clare E Gilbert Matthew J Burton Cataract Access Study Group |
| author_sort | Jacqueline Ramke |
| collection | DOAJ |
| description | Vision loss from cataract is unequally distributed, and there is very little evidence on how to overcome this inequity. This project aimed to engage multiple stakeholder groups to identify and prioritise (1) delivery strategies that improve access to cataract services for under-served groups and (2) population groups to target with these strategies across world regions. We recruited panellists knowledgeable about cataract services from eight world regions to complete a two-round online modified Delphi process. In Round 1, panellists answered open-ended questions about strategies to improve access to screening and surgery for cataract, and which population groups to target with these strategies. In Round 2, panellists ranked the strategies and groups to arrive at the final lists regionally and globally. 183 people completed both rounds (46% women). In total, 22 distinct population groups were identified. At the global level the priority groups for improving access to cataract services were people in rural/remote areas, with low socioeconomic status and low social support. South Asia and Sub-Saharan Africa were the only regions in which panellists ranked women in the top 5 priority groups. Panellists identified 16 and 19 discreet strategies to improve access to screening and surgical services, respectively. These mostly addressed health system/supply side factors, including policy, human resources, financing and service delivery. We believe these results can serve eye health decision-makers, researchers and funders as a starting point for coordinated action to improve access to cataract services, particularly among population groups who have historically been left behind. |
| format | Article |
| id | doaj-art-2b9810e79b814f73a41e20a3a6481c28 |
| institution | OA Journals |
| issn | 2767-3375 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLOS Global Public Health |
| spelling | doaj-art-2b9810e79b814f73a41e20a3a6481c282025-08-20T02:33:19ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752023-01-0132e000063110.1371/journal.pgph.0000631Cataract services for all: Strategies for equitable access from a global modified Delphi process.Jacqueline RamkeJuan Carlos SilvaMichael GichangiThulasiraj RavillaHelen BurnJohn C BuchanVivian WelchClare E GilbertMatthew J BurtonCataract Access Study GroupVision loss from cataract is unequally distributed, and there is very little evidence on how to overcome this inequity. This project aimed to engage multiple stakeholder groups to identify and prioritise (1) delivery strategies that improve access to cataract services for under-served groups and (2) population groups to target with these strategies across world regions. We recruited panellists knowledgeable about cataract services from eight world regions to complete a two-round online modified Delphi process. In Round 1, panellists answered open-ended questions about strategies to improve access to screening and surgery for cataract, and which population groups to target with these strategies. In Round 2, panellists ranked the strategies and groups to arrive at the final lists regionally and globally. 183 people completed both rounds (46% women). In total, 22 distinct population groups were identified. At the global level the priority groups for improving access to cataract services were people in rural/remote areas, with low socioeconomic status and low social support. South Asia and Sub-Saharan Africa were the only regions in which panellists ranked women in the top 5 priority groups. Panellists identified 16 and 19 discreet strategies to improve access to screening and surgical services, respectively. These mostly addressed health system/supply side factors, including policy, human resources, financing and service delivery. We believe these results can serve eye health decision-makers, researchers and funders as a starting point for coordinated action to improve access to cataract services, particularly among population groups who have historically been left behind.https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0000631&type=printable |
| spellingShingle | Jacqueline Ramke Juan Carlos Silva Michael Gichangi Thulasiraj Ravilla Helen Burn John C Buchan Vivian Welch Clare E Gilbert Matthew J Burton Cataract Access Study Group Cataract services for all: Strategies for equitable access from a global modified Delphi process. PLOS Global Public Health |
| title | Cataract services for all: Strategies for equitable access from a global modified Delphi process. |
| title_full | Cataract services for all: Strategies for equitable access from a global modified Delphi process. |
| title_fullStr | Cataract services for all: Strategies for equitable access from a global modified Delphi process. |
| title_full_unstemmed | Cataract services for all: Strategies for equitable access from a global modified Delphi process. |
| title_short | Cataract services for all: Strategies for equitable access from a global modified Delphi process. |
| title_sort | cataract services for all strategies for equitable access from a global modified delphi process |
| url | https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0000631&type=printable |
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