Department of Ophthalmology, College of Health and Medical Science, Haramaya University, Harar, Ethiopia.
Department of Ophthalmology, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
BMC Health Serv Res. 2022 Jun 10;22(1):768. doi: 10.1186/s12913-022-08144-6.
Ethiopia signed the VISION 2020 Global Declaration and launched its eye health program in 2002. Since then, there has been limited systematic and comprehensive evaluation of the progress towards VISION 2020 goals in Ethiopia.
To evaluate Gurage Zone progress towards VISION 2020 targets and process indicators.
An institutional-based cross-sectional study was conducted among all public and private eye health care facilities in the Gurage Zone within the Southern Nations, Nationalities, and People Region of Ethiopia. The evaluation protocol was adopted from the VISION 2020 situational analysis data collection tool. We used this structure to evaluate progress in terms of human resources for eye health, infrastructure, and service delivery at the zonal health office and health facilities. At the time of the study, Gurage Zone had a 1.7 million catchment area population. There were a total of five eye care centers, one of which was established by a non-governmental organization. Three of these facilities were secondary eye care centers with an operating theatre and two facilities were primary eye care centers. At the zonal level, there was no survey data available on the prevalence of blindness.
There was no systemic evaluation of VISION 2020 process indicators. The budget allocation specific to eye health care was less than 0.7% of the total budget of the zonal health office. The human resources for eye health (HReH) in the catchment area were: one ophthalmologist, two cataract surgeons, five optometrists, and 12 ophthalmic nurses, which is below the VISION 2020 targets for HReH. In terms of equipment, neither primary eye care center had a slit lamp biomicroscope, and two of the three secondary eye care centers did not have intraocular pressure measuring equipment. Only one secondary eye care center was providing glaucoma surgical services, and no center provided emergency and elective pediatric surgery. The cataract surgical rate determined by the study was 1967.
Gurage Zone showed significant improvement in terms of cataract surgical rate. But it had not achieved VISION 2020 goals in terms of critical HReH and service delivery. We recommend that the zonal health office carries out a focused and baseline evaluation of eye health care service achievements.
埃塞俄比亚签署了《视觉 2020 年全球宣言》，并于 2002 年启动了其眼保健计划。此后，对埃塞俄比亚实现《视觉 2020 年》目标的进展情况进行系统全面评估的工作十分有限。
评估古拉格地区在实现《视觉 2020 年》目标和过程指标方面的进展情况。
在埃塞俄比亚南部地区的古拉格地区，对所有公立和私立眼保健机构进行了基于机构的横断面研究。评估方案是从《视觉 2020 年》现状分析数据收集工具中采用的。我们使用这个结构来评估在人力资源、基础设施和服务提供方面，区卫生办公室和卫生机构的进展情况。在研究时，古拉格地区的服务人群约为 170 万人。共有 5 个眼科中心，其中 1 个由非政府组织建立。这 5 个机构中有 3 个是二级眼科中心，设有手术室，有 2 个是一级眼科中心。在区一级，没有关于失明患病率的调查数据。
没有对《视觉 2020 年》过程指标进行系统评估。专门用于眼保健的预算拨款不到区卫生办公室总预算的 0.7%。该地区的眼保健人力资源（HReH）为：一名眼科医生、两名白内障外科医生、五名验光师和 12 名眼科护士，这低于《视觉 2020 年》的 HReH 目标。在设备方面，没有一家初级保健中心有裂隙灯显微镜，三家二级保健中心中有两家没有眼压测量设备。只有一家二级眼科中心提供青光眼手术服务，没有中心提供急诊和择期小儿外科手术。研究确定的白内障手术率为 1967。
古拉格地区在白内障手术率方面取得了显著进展。但在关键的 HReH 和服务提供方面，它尚未实现《视觉 2020 年》目标。我们建议区卫生办公室对眼保健服务成就进行重点和基线评估。
