Exploring Service Users’ Experiences of a Community-Based Intervention to Improve Follow-Up at Bharatpur Eye Hospital in Nepal: Qualitative Study
Abstract BackgroundFollow-up to eye care services for children, especially in the context of Nepal, is essential for ensuring a continuum of care. Hence, as a continued effort, we designed this study to explore the service users’ experience of a community-based intervention to...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2025-06-01
|
| Series: | JMIR Pediatrics and Parenting |
| Online Access: | https://pediatrics.jmir.org/2025/1/e65023 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849427902424154112 |
|---|---|
| author | Manisha Shrestha Gopal Bhandari Sadhan Bhandari Gudlavalleti Venkata Satyanarayana Murthy Ruchi Priya Binod Pandey Daya Shankar Chaudhary Puspa Giri Sureshkumar Kamalakannan |
| author_facet | Manisha Shrestha Gopal Bhandari Sadhan Bhandari Gudlavalleti Venkata Satyanarayana Murthy Ruchi Priya Binod Pandey Daya Shankar Chaudhary Puspa Giri Sureshkumar Kamalakannan |
| author_sort | Manisha Shrestha |
| collection | DOAJ |
| description |
Abstract
BackgroundFollow-up to eye care services for children, especially in the context of Nepal, is essential for ensuring a continuum of care. Hence, as a continued effort, we designed this study to explore the service users’ experience of a community-based intervention to improve follow-up at Bharatpur Eye Hospital (BEH) in Nepal.
ObjectiveThis study aimed to explore service users’ experiences and perceptions of the community-based follow-up intervention for eye care services implemented by BEH in Nepal.
MethodsA qualitative study using an in-depth interview approach was used. Participants were purposively selected for this research study. Participants who were part of a quasi-experimental study conducted to improve follow-up services in BEH and their service catchment area were chosen. Participants who had not attended even a single follow-up visit and participants who attended at least one follow-up were recruited for this qualitative study. Based on the distance from the base hospital and the follow-up status, 65 participants were initially found eligible for the qualitative study. However, only 17 participants were available and consented. Topic guides were developed for the purpose of in-depth interviews specifically for participants who had not attended even the first follow-up visits and those who attended at least one follow-up visit. A total of 2 ophthalmic assistants, who were not a part of the main intervention study, conducted the interviews.
ResultsIn total, 17 service users whose children were receiving services from BEH participated in the qualitative study. We identified 4 key themes that provided invaluable information about the barriers and facilitators to follow-up as well as the experiences (positive or negative) of the participants that need to be considered in any future initiatives to improve follow-up in Nepal.
ConclusionsThis study highlights the need for systematic development of interventions to address the unmet need for eye care services in the community through innovative, scalable solutions. As a next step, the BEH team will be working to develop such scalable solutions for Nepal. Such interventions will also need to be optimized for similar settings and countries to meet the goals of universal health coverage, vision 2030, and sustainable development goals worldwide. |
| format | Article |
| id | doaj-art-aee84f3358234a71ae7fed8ddfbb74d2 |
| institution | Kabale University |
| issn | 2561-6722 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Pediatrics and Parenting |
| spelling | doaj-art-aee84f3358234a71ae7fed8ddfbb74d22025-08-20T03:28:52ZengJMIR PublicationsJMIR Pediatrics and Parenting2561-67222025-06-018e65023e6502310.2196/65023Exploring Service Users’ Experiences of a Community-Based Intervention to Improve Follow-Up at Bharatpur Eye Hospital in Nepal: Qualitative StudyManisha Shresthahttp://orcid.org/0000-0002-2498-5401Gopal Bhandarihttp://orcid.org/0000-0001-9452-8874Sadhan Bhandarihttp://orcid.org/0000-0003-0935-0325Gudlavalleti Venkata Satyanarayana Murthyhttp://orcid.org/0000-0002-5695-866XRuchi Priyahttp://orcid.org/0000-0002-2953-2559Binod Pandeyhttp://orcid.org/0000-0002-3593-0588Daya Shankar Chaudharyhttp://orcid.org/0000-0002-4205-8580Puspa Girihttp://orcid.org/0000-0003-2777-1836Sureshkumar Kamalakannanhttp://orcid.org/0000-0003-4407-7838 Abstract BackgroundFollow-up to eye care services for children, especially in the context of Nepal, is essential for ensuring a continuum of care. Hence, as a continued effort, we designed this study to explore the service users’ experience of a community-based intervention to improve follow-up at Bharatpur Eye Hospital (BEH) in Nepal. ObjectiveThis study aimed to explore service users’ experiences and perceptions of the community-based follow-up intervention for eye care services implemented by BEH in Nepal. MethodsA qualitative study using an in-depth interview approach was used. Participants were purposively selected for this research study. Participants who were part of a quasi-experimental study conducted to improve follow-up services in BEH and their service catchment area were chosen. Participants who had not attended even a single follow-up visit and participants who attended at least one follow-up were recruited for this qualitative study. Based on the distance from the base hospital and the follow-up status, 65 participants were initially found eligible for the qualitative study. However, only 17 participants were available and consented. Topic guides were developed for the purpose of in-depth interviews specifically for participants who had not attended even the first follow-up visits and those who attended at least one follow-up visit. A total of 2 ophthalmic assistants, who were not a part of the main intervention study, conducted the interviews. ResultsIn total, 17 service users whose children were receiving services from BEH participated in the qualitative study. We identified 4 key themes that provided invaluable information about the barriers and facilitators to follow-up as well as the experiences (positive or negative) of the participants that need to be considered in any future initiatives to improve follow-up in Nepal. ConclusionsThis study highlights the need for systematic development of interventions to address the unmet need for eye care services in the community through innovative, scalable solutions. As a next step, the BEH team will be working to develop such scalable solutions for Nepal. Such interventions will also need to be optimized for similar settings and countries to meet the goals of universal health coverage, vision 2030, and sustainable development goals worldwide.https://pediatrics.jmir.org/2025/1/e65023 |
| spellingShingle | Manisha Shrestha Gopal Bhandari Sadhan Bhandari Gudlavalleti Venkata Satyanarayana Murthy Ruchi Priya Binod Pandey Daya Shankar Chaudhary Puspa Giri Sureshkumar Kamalakannan Exploring Service Users’ Experiences of a Community-Based Intervention to Improve Follow-Up at Bharatpur Eye Hospital in Nepal: Qualitative Study JMIR Pediatrics and Parenting |
| title | Exploring Service Users’ Experiences of a Community-Based Intervention to Improve Follow-Up at Bharatpur Eye Hospital in Nepal: Qualitative Study |
| title_full | Exploring Service Users’ Experiences of a Community-Based Intervention to Improve Follow-Up at Bharatpur Eye Hospital in Nepal: Qualitative Study |
| title_fullStr | Exploring Service Users’ Experiences of a Community-Based Intervention to Improve Follow-Up at Bharatpur Eye Hospital in Nepal: Qualitative Study |
| title_full_unstemmed | Exploring Service Users’ Experiences of a Community-Based Intervention to Improve Follow-Up at Bharatpur Eye Hospital in Nepal: Qualitative Study |
| title_short | Exploring Service Users’ Experiences of a Community-Based Intervention to Improve Follow-Up at Bharatpur Eye Hospital in Nepal: Qualitative Study |
| title_sort | exploring service users experiences of a community based intervention to improve follow up at bharatpur eye hospital in nepal qualitative study |
| url | https://pediatrics.jmir.org/2025/1/e65023 |
| work_keys_str_mv | AT manishashrestha exploringserviceusersexperiencesofacommunitybasedinterventiontoimprovefollowupatbharatpureyehospitalinnepalqualitativestudy AT gopalbhandari exploringserviceusersexperiencesofacommunitybasedinterventiontoimprovefollowupatbharatpureyehospitalinnepalqualitativestudy AT sadhanbhandari exploringserviceusersexperiencesofacommunitybasedinterventiontoimprovefollowupatbharatpureyehospitalinnepalqualitativestudy AT gudlavalletivenkatasatyanarayanamurthy exploringserviceusersexperiencesofacommunitybasedinterventiontoimprovefollowupatbharatpureyehospitalinnepalqualitativestudy AT ruchipriya exploringserviceusersexperiencesofacommunitybasedinterventiontoimprovefollowupatbharatpureyehospitalinnepalqualitativestudy AT binodpandey exploringserviceusersexperiencesofacommunitybasedinterventiontoimprovefollowupatbharatpureyehospitalinnepalqualitativestudy AT dayashankarchaudhary exploringserviceusersexperiencesofacommunitybasedinterventiontoimprovefollowupatbharatpureyehospitalinnepalqualitativestudy AT puspagiri exploringserviceusersexperiencesofacommunitybasedinterventiontoimprovefollowupatbharatpureyehospitalinnepalqualitativestudy AT sureshkumarkamalakannan exploringserviceusersexperiencesofacommunitybasedinterventiontoimprovefollowupatbharatpureyehospitalinnepalqualitativestudy |