Needs and views on eye health and women’s empowerment and theory of change map: implication on the development of a women-targeted eyecare programme for older Zanzibari craftswomen

Objectives To assess needs and views regarding eye health and empowerment from craftswomen’s perspectives to develop a theory of change (ToC) for a women-targeted eyecare programme.Material and methods Eighteen stakeholders participated in a 2-day consultation workshop in Zanzibar. The composition w...

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Main Authors: Ving Fai Chan, Fatma Omar, Eden Mashayo, Damaris Mulewa, Ai Chee Yong, Christine Graham, Ronnie Graham, Carlos Price-Sanchez, Omar Othman, Kayleigh McCluskey
Format: Article
Language:English
Published: BMJ Publishing Group 2024-02-01
Series:BMJ Open Ophthalmology
Online Access:https://bmjophth.bmj.com/content/9/1/e001292.full
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author Ving Fai Chan
Fatma Omar
Eden Mashayo
Damaris Mulewa
Ai Chee Yong
Christine Graham
Ronnie Graham
Carlos Price-Sanchez
Omar Othman
Kayleigh McCluskey
author_facet Ving Fai Chan
Fatma Omar
Eden Mashayo
Damaris Mulewa
Ai Chee Yong
Christine Graham
Ronnie Graham
Carlos Price-Sanchez
Omar Othman
Kayleigh McCluskey
author_sort Ving Fai Chan
collection DOAJ
description Objectives To assess needs and views regarding eye health and empowerment from craftswomen’s perspectives to develop a theory of change (ToC) for a women-targeted eyecare programme.Material and methods Eighteen stakeholders participated in a 2-day consultation workshop in Zanzibar. The composition was (1) 15 women and 3 men; (2) Unguja (n=8), Pemba (n=6) and Tanzania mainland (n=4) and (3) craftswomen (n=14) and governmental stakeholders (n=4). Thematic analysis determined the craftswomen’s needs and views regarding eye health and empowerment and subsequently inputs, activities, outputs, outcomes and impact to develop the programme’s initial ToC. In refining the initial ToC, we used insights from a qualitative study suggesting that improved near vision is perceived by craftswomen as a potential source of empowerment across economic, psychological, social, political and educational dimensions.Results The eye conditions experienced by the craftswomen were eye irritation caused by foreign bodies, the need for near spectacles and other eye morbidities. They were advised by the cooperatives to visit eye health centres for treatment. The main barriers to accessing services were inaccessibility and unaffordability of eye services and a lack of eye health knowledge and practices. Nineteen subthemes on women empowerment (economic n=4, social n=4, psychological n=6, education n=2 and political n=3) were obtained. We created a ToC on how investing in improving craftswomen near vision could achieve empowerment.Conclusion The participants provided insights into their needs and how they would like the eyecare programme to be implemented and how they see they could be empowered in the process.
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spelling doaj-art-e6281b27a237452d8aec39c0fdee82462025-01-09T18:30:09ZengBMJ Publishing GroupBMJ Open Ophthalmology2397-32692024-02-019110.1136/bmjophth-2023-001292Needs and views on eye health and women’s empowerment and theory of change map: implication on the development of a women-targeted eyecare programme for older Zanzibari craftswomenVing Fai Chan0Fatma Omar1Eden Mashayo2Damaris Mulewa3Ai Chee Yong4Christine Graham5Ronnie Graham6Carlos Price-Sanchez7Omar Othman8Kayleigh McCluskey9Centre for Public Health, Queen`s University Belfast, Belfast, UK1 Zanzibar Ministry of Health, Zanzibar, Mkoa wa Unguja Mjini Magh, Tanzania6 Vision Care Foundation, Dar-es-Salaam, TanzaniaIndependent Researcher, Nairobi, Kenya2 Centre for Public Health, Queen`s University Belfast, Belfast, UK2 Centre for Public Health, Queen`s University Belfast, Belfast, UK5 Independent Researcher, Edinburgh, UKCentre for Public Health, Queen`s University Belfast, Belfast, UKZanzibar Ministry of Health, Zanzibar, TanzaniaCentre for Public Health, Queen`s University Belfast, Belfast, UKObjectives To assess needs and views regarding eye health and empowerment from craftswomen’s perspectives to develop a theory of change (ToC) for a women-targeted eyecare programme.Material and methods Eighteen stakeholders participated in a 2-day consultation workshop in Zanzibar. The composition was (1) 15 women and 3 men; (2) Unguja (n=8), Pemba (n=6) and Tanzania mainland (n=4) and (3) craftswomen (n=14) and governmental stakeholders (n=4). Thematic analysis determined the craftswomen’s needs and views regarding eye health and empowerment and subsequently inputs, activities, outputs, outcomes and impact to develop the programme’s initial ToC. In refining the initial ToC, we used insights from a qualitative study suggesting that improved near vision is perceived by craftswomen as a potential source of empowerment across economic, psychological, social, political and educational dimensions.Results The eye conditions experienced by the craftswomen were eye irritation caused by foreign bodies, the need for near spectacles and other eye morbidities. They were advised by the cooperatives to visit eye health centres for treatment. The main barriers to accessing services were inaccessibility and unaffordability of eye services and a lack of eye health knowledge and practices. Nineteen subthemes on women empowerment (economic n=4, social n=4, psychological n=6, education n=2 and political n=3) were obtained. We created a ToC on how investing in improving craftswomen near vision could achieve empowerment.Conclusion The participants provided insights into their needs and how they would like the eyecare programme to be implemented and how they see they could be empowered in the process.https://bmjophth.bmj.com/content/9/1/e001292.full
spellingShingle Ving Fai Chan
Fatma Omar
Eden Mashayo
Damaris Mulewa
Ai Chee Yong
Christine Graham
Ronnie Graham
Carlos Price-Sanchez
Omar Othman
Kayleigh McCluskey
Needs and views on eye health and women’s empowerment and theory of change map: implication on the development of a women-targeted eyecare programme for older Zanzibari craftswomen
BMJ Open Ophthalmology
title Needs and views on eye health and women’s empowerment and theory of change map: implication on the development of a women-targeted eyecare programme for older Zanzibari craftswomen
title_full Needs and views on eye health and women’s empowerment and theory of change map: implication on the development of a women-targeted eyecare programme for older Zanzibari craftswomen
title_fullStr Needs and views on eye health and women’s empowerment and theory of change map: implication on the development of a women-targeted eyecare programme for older Zanzibari craftswomen
title_full_unstemmed Needs and views on eye health and women’s empowerment and theory of change map: implication on the development of a women-targeted eyecare programme for older Zanzibari craftswomen
title_short Needs and views on eye health and women’s empowerment and theory of change map: implication on the development of a women-targeted eyecare programme for older Zanzibari craftswomen
title_sort needs and views on eye health and women s empowerment and theory of change map implication on the development of a women targeted eyecare programme for older zanzibari craftswomen
url https://bmjophth.bmj.com/content/9/1/e001292.full
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