Department of Ophthalmology, Population Health Unit, Centre for Eye Research Australia, East Melbourne, VIC 8002, Australia.
Indian J Ophthalmol. 2012 Sep-Oct;60(5):456-9. doi: 10.4103/0301-4738.100549.
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.
全球三分之二的低视力人群生活在亚太地区。提供全面的低视力服务对于改善这一人群的视力相关生活质量（QoL）非常重要。本综述概述了亚太地区提供低视力服务所面临的关键问题和挑战。该综述为服务提供者和政策制定者提供了可能的策略，以应对该领域的“视觉 2020”战略所面临的这些问题和挑战。综述中使用了全球低视力服务调查和该地区广泛实地工作的相关发现；此外，还将讨论服务的可及性、人力资源和培训、资金以及低视力护理的未来可持续性。总之，该地区目前面临的问题和挑战包括缺乏具体的循证数据、服务可及性、适当的设备和设施、人力资源、资金和可持续性。这些问题相互交织，因此不能孤立地解决。所提出的解决方案涵盖了“视觉 2020”战略的所有领域，包括服务提供、人力资源、基础设施和设备、宣传和伙伴关系；并包括通过垂直和水平整合提供全面护理；加强社区一级的初级保健；提供正式和非正式培训，以实现任务转移和能力建设；并促进强有力的政府和私营部门伙伴关系，以实现长期服务的财务可持续性。
