Evidence for integrating eye health into primary health care in Africa: a health systems strengthening approach

摘要: The impact of unmet eye care needs in sub-Saharan Africa is compounded by barriers to accessing care, limited engagement with communities, a shortage appropriately skilled health personnel, and inadequate support from systems. renewed focus on primary has led for greater integration into national aim this paper demonstrate available evidence systems strengthening perspective. A scoping review method was used gather assess information published literature, reviews, WHO policy documents examples interventions Africa. Findings were compiled using framework. Limited about approach. Particular components the framework lacking are service delivery, equipment supplies, financing, leadership governance. There some strengthen human resources at all levels, partnerships community participation; but little showing their successful application improve quality access comprehensive services level, referral other levels specialist care. Evidence currently weak, particularly when applying realignment agenda will require context specific planning holistic approach, careful attention each system public as whole. Documentation evaluation existing projects required, pilot systematic approaches best practices. Multi-national research may provide guidance how scale up that integrated