Is the 2015 eye care service delivery profile in Southeast Asia closer to universal eye health need!
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The year 2015 status of eye care service profile in Southeast Asia countries was compared with year 2010 data to determine the state of preparedness to achieve the World Health Organization global action plan 2019.
Information was collected from the International Agency for Prevention of Blindness country chairs and from the recent PubMed referenced articles. The data included the following: blindness and low vision prevalence, national eye health policy, eye health expenses, presence of international non-governmental organizations, density of eye health personnel, and the cataract surgical rate and coverage. The last two key parameters were compared with year 2010 data.
Ten of 11 country chairs shared the information, and 28 PubMed referenced publications were assessed. The prevalence of blindness was lowest in Bhutan and highest in Timor-Leste. Cataract surgical rate was high in India and Sri Lanka. Cataract surgical coverage was high in Thailand and Sri Lanka. Despite increase in number of ophthalmologists in all countries (except Timor-Leste), the ratio of the population was adequate (1:100,000) only in 4 of 10 countries (Bhutan, India, Maldives and Thailand), but this did not benefit much due to unequal urban–rural divide.
The midterm assessment suggests that all countries must design the current programs to effectively address both current and emerging causes of blindness. Capacity building and proportionate distribution of human resources for adequate rural reach along with poverty alleviation could be the keys to achieve the universal eye health by 2019.
KeywordsSoutheast Asia Eye care delivery Universal eye health
The study was funded by the Lions Club International Foundation (LCIF) 2014.
Compliance with ethical standards
Conflict of interest
All authors declare that they have no conflict of interest.
- 2.WHO South East Regional Office (2012) Situational analysis of VISION 2020 in the WHO South East Asia region 2012Google Scholar
- 3.Universal eye health (2013) A global action plan 2014–2019.WHO publication. ISSN: 978 92 4 150656Google Scholar
- 14.Isipradit S, Sirimaharaj M, Charukanmnoetkanok P, Thonginnetra O, Wongsawad W, Sathornsumette B, Somboonthanakij S, Soomsawasdi P, Jitawatanarat U, Taweebanjongsin W, Arayangkoon E, Arame P, Kobkoonthon C, Pangputhipong P (2014) The first rapid of assessment of avoidable blindness (RAAB) in Thailand. PLoS ONE. doi: 10.1371/journal.pone.0114245 PubMedPubMedCentralGoogle Scholar
- 15.Jonas JB, George R, Ashokan R, Flaxman SR, Keeffe J, Leasher J, Naidoo K, Pesudovs K, Price H, Vijaya L, White RA, Wong TY, Resnikoff S, Taylor HR, Bourne RR, on behalf of the Vision Loss expert Group of the Global Burden of Disease Study (2014) Prevalence and causes of vision loss in Central and South Asia 1999-2010. Br J Ophthalmol 98:592–598CrossRefPubMedGoogle Scholar
- 16.Keeffe J, Taylor HR, Fotis K, Pesudovs K, Flaxman SR, Jonas JB, Leasher J, Naidoo K, Price H, White RA, Wong TY, Resnikoff S, Bourne RRA, on behalf of the Vision Loss expert Group of the Global Burden of Disease Study (2014) Prevalence and causes of vision loss in South East Asia and Ocenia 1999–2010. Br J Ophthalmol 98:586–591CrossRefPubMedGoogle Scholar
- 17.Thappa SS, Berg RVD, Khanal S, Paudyal I, Pandey P, Mahajan N, Twyana SN, Paudyal G, Gurung R, Ruit S, Rens GHMBV (2011) Prevalence of visual impairment, cataract surgery and awareness of cataract and glaucoma in Bhaktapur district of Nepal, the Bhaktapur glaucoma study. BMC Ophthalmol 11:2. doi: 10.1186/1471-2415-11-2 CrossRefGoogle Scholar
- 31.Dandona R, Dandona L, Srinivas M, Sahare P, Narasaiah S, Munoz SR, Pokharel GP, Ellwein LB (2002) Refractive error in children in a rural population in India. Invest Opthalmol Vis Sci 43:615–622Google Scholar
- 34.World Health Orgainzation (2002) Mid level ophthalmic personnel in South East Asia. SEA-Ophthal-124. WHO New Delhi 2002, pp 1–35Google Scholar
- 39.Khanna R, Raman U, Rao GN (2007) Blindness and poverty in India: the way forward. ClinExptOptom 90:406–414Google Scholar