Critical issues in implementing low vision care in the Asia-Pacific region.

Autor/Urheber	Peggy Pei-Chia Chiang; Manjula Marella; Gail Ormsby; Jill Keeffe
Institution	Wolters Kluwer Medknow Publications
Titel	Critical issues in implementing low vision care in the Asia-Pacific region.
Quelle	In: 0301-4738; 1998-3689; doi:10.4103/0301-4738.100549; Indian Journal of Ophthalmology, Vol 60, Iss 5, Pp 456-459 (2012)(2012) PDF als Volltext kostenfreie Datei
Sprache	englisch
Dokumenttyp	online; Zeitschriftenaufsatz
DOI	10.4103/0301-4738.100549
Schlagwörter	Diabetes-related blindness; diabetic retinopathy; key informant; rapid assessment of avoidable blindness; retinopathy of prematurity; tele-ophthalmology; Blindness; disability; equity; health economics; health policy; health and development; social exclusion; Community eye health; prevention of blindness; ophthalmogical residency; VISION 2020; Visual impairment; inequality; social class; income; educational status; gender and ethnic groups; Advocacy; effective service delivery; enabling environment; stakeholders; resources; Avoidable blindness and visual impairment; impact; scaling up; Global blindness; prevalence; visual acuity; Comprehensive eye care; eye care model; pyramidal model; optometrist; optometry regulation; eye health; India; Economics; market; government; cost; Millennium development goals; eye care services; planning rapid assessment methods; Avoidable blindness; cataract surgical rate; corneal blindness; Compliance; services; Human resource development; service delivery; social entrepreneurship; uncorrected refractive error; cataract extraction; cataract; coverage; data aggregation; population; Case detection; comprehensive eye examination; developing countries; glaucoma; integrated approach; training requirements; Child health policy; childhood blindness; social determinants of eye health; Access; Asia-pacific; funding; low vision; policy; Ophthalmology
Abstract	Two-thirds of the world′s population with low vision resides in the Asia-Pacific region. Provision of comprehensive low vision services is important to improve vision-related quality of life (QoL) for people with this condition. This review outlines the critical issues and challenges facing the provision of low vision services in the Asia-Pacific region. The review offers possible strategies to tackle these issues and challenges facing service providers and policy makers in lieu of Vision 2020 strategies in this area. Pertinent findings from the global survey of low vision services and extensive ground work conducted in the region are used; in addition, a discussion on the availability of services, human resources and training, and funding and the future sustainability of low vision care will be covered. In summary, current issues and challenges facing the region are the lack of specific evidence-based data, access, appropriate equipment and facilities, human resources, funding, and sustainability. These issues are inextricably interlinked and thus cannot be addressed in isolation. The solutions proposed cover all areas of the VISION 2020 strategy that include service delivery, human resources, infrastructure and equipment, advocacy and partnership; and include provision of comprehensive care via vertical and horizontal integration; strengthening primary level care in the community; providing formal and informal training to enable task shifting and capacity building; and promoting strong government and private sector partnership to achieve long-term service financial sustainability.
Erfasst von	BASE - Bielefeld Academic Search Engine