Vaidyanathan K, Limburg H, Foster A, Pandey R M
Danish Assistance to the National Programme for the Control of Blindness (DANB), New Delhi, India.
Bull World Health Organ. 1999;77(2):104-9.
Cataract is a major cause of blindness in Asia. Efforts in India to provide cataract surgical services have had limited success in reaching the cataract-blind population. Earlier studies identified the major barriers to cataract surgery as poverty, lack of transportation or felt need, or sex related; and the critical barriers in rural areas as lack of awareness, difficult access, and cost. Compared with these earlier data, the results of the present study in Karnataka State indicate a shift in the character of the barriers. They now appear to be more related to case selection and service provision. These shifts are analysed and alternative strategies to increase the uptake to cataract surgery are recommended.
白内障是亚洲失明的主要原因。印度为提供白内障手术服务所做的努力在惠及白内障致盲人群方面成效有限。早期研究确定白内障手术的主要障碍是贫困、缺乏交通或感觉有需求，或与性别有关；而农村地区的关键障碍是缺乏认识、难以获得服务和费用问题。与这些早期数据相比，卡纳塔克邦本研究的结果表明障碍的性质发生了转变。现在这些障碍似乎更多地与病例选择和服务提供有关。对这些转变进行了分析，并推荐了提高白内障手术接受率的替代策略。
