The distribution of cataract surgery services in a public health eye care program in Nepal

作者: Elliot Marseille , Richard Brand

DOI: 10.1016/S0168-8510(97)00063-8

关键词: Cataract surgeryAge groupsCasteOptometryYounger peopleDemographyBlindnessPopulationEye carePublic healthMedicine

摘要: Abstract The cost-effectiveness of public health cataract programs in low-income countries has been well documented. Equity, another important dimension program quality which received less attention is analyzed here by comparisons surgical coverage rates for major sub-groups within the intended beneficiary population Nepal blindness (NBP). Substantial differences were found between males and females different age groups same gender. Among blind, was 70% higher than that females. For both genders, blind over 55 proportionately fewer services younger people from cataract. Blind aged 45–54 had a 500% rate 65. 35–44 nearly 600% There wide variation overall geographic zones, but little terrain type, an indicator logistical difficulties delivery services. Members two highest caste groupings somewhat lower members castes. Program managers should consider developing methods to increase women those Reaching these populations will become increasingly as most readily served receive surgery under-served form growing portion remaining backlog.

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