دورية أكاديمية
Travel time to cataract surgical services in Kenya, Malawi and Rwanda: demonstrating a standardised indicator of physical access to cataract surgery.
العنوان: | Travel time to cataract surgical services in Kenya, Malawi and Rwanda: demonstrating a standardised indicator of physical access to cataract surgery. |
---|---|
المؤلفون: | McCormick I; International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, UK. ian.mccormick@lshtm.ac.uk., Nesemann JM; International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, UK.; University of California San Francisco, Department of Ophthalmology, San Francisco, CA, USA., Zhao J; School of Population Health, University of Auckland, Auckland, New Zealand., Mdala S; Kamuzu University of Health Sciences, Blantyre, Malawi.; Queen Elizabeth Central Hospital, Blantyre, Malawi., Kitema GF; Ophthalmology Department, School of Health Sciences, University of Rwanda, Kigali, Rwanda., Mwangi N; Kenya Medical Training College, Nairobi, Kenya., Gichangi M; Ophthalmic Services Unit, Kenya Ministry of Health, Nairobi, Kenya., Tang K; Department of Population Health, London School of Hygiene & Tropical Medicine, London, UK., Burton MJ; International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, UK.; National Institute for Health Research Biomedical Research Centre for Ophthalmology at Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK., Ramke J; International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, UK.; School of Optometry and Vision Science, University of Auckland, Auckland, New Zealand. |
المصدر: | Eye (London, England) [Eye (Lond)] 2024 Aug; Vol. 38 (11), pp. 2195-2202. Date of Electronic Publication: 2023 Oct 18. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Nature Publishing Group Country of Publication: England NLM ID: 8703986 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1476-5454 (Electronic) Linking ISSN: 0950222X NLM ISO Abbreviation: Eye (Lond) Subsets: MEDLINE |
أسماء مطبوعة: | Publication: <2003->: London : Nature Publishing Group Original Publication: [London : Ophthalmological Society of the United Kingdom, 1987- |
مواضيع طبية MeSH: | Cataract Extraction*/statistics & numerical data , Health Services Accessibility*/statistics & numerical data , Travel*/statistics & numerical data, Humans ; Rwanda ; Kenya ; Malawi ; Middle Aged ; Time Factors ; Aged ; Female ; Cataract ; Male |
مستخلص: | Background: Travel time can be used to assess health services accessibility by reflecting the proximity of services to the people they serve. We aimed to demonstrate an indicator of physical access to cataract surgery and identify subnational locations where people were more at risk of not accessing cataract surgery. Methods: We used an open-access inventory of public health facilities plus key informants in Kenya, Malawi and Rwanda to compile a geocoded inventory of cataract facilities. For each country, gridded estimates of the population aged ≥ 50 years and a travel-time friction surface were combined and a least-cost-path algorithm applied to estimate the shortest travel time between each grid and the nearest cataract facility. We categorised continuous travel time by 1-, 2- and 3 h thresholds and calculated the proportion of the population in each category. Results: At the national level, the proportion of the population aged ≥ 50 years within 2 h travel time to permanent cataract surgical services was 97.2% in Rwanda (n = 10 facilities), 93.5% in Kenya (n = 74 facilities) and 92.0% in Malawi (n = 6 facilities); this reduced to 77.5%, 84.1% and 52.4% within 1 h, respectively. The least densely populated subnational regions had the poorest access to cataract facilities in Malawi (0.0%) and Kenya (1.9%). Conclusion: We demonstrated an indicator of access that reflects the distribution of the population at risk of age-related cataract and identifies regions that could benefit from more accessible services. This indicator provides additional demand-side context for eye health planning and supports WHO's goal of advancing integrated people-centred eye care. (© 2023. The Author(s).) |
References: | Int J Health Geogr. 2004 Feb 26;3(1):3. (PMID: 14987337) Lancet Glob Health. 2022 Dec;10(12):e1744-e1753. (PMID: 36240806) Malar J. 2018 Oct 5;17(1):352. (PMID: 30290815) Cochrane Database Syst Rev. 2017 Nov 09;11:CD011307. (PMID: 29119547) Int Ophthalmol. 2012 Apr;32(2):107-11. (PMID: 22430293) Br J Ophthalmol. 2022 Jul;106(7):893-901. (PMID: 33712481) PLoS One. 2021 Sep 1;16(9):e0248646. (PMID: 34469444) PLoS One. 2017 Aug 7;12(8):e0182598. (PMID: 28787015) Afr J Emerg Med. 2020 Mar;10(1):40-45. (PMID: 32161711) Med Care. 1981 Feb;19(2):127-40. (PMID: 7206846) Lancet. 2015 Aug 8;386(9993):569-624. (PMID: 25924834) Commun Med (Lond). 2022 Sep 16;2:117. (PMID: 36124060) Lancet Glob Health. 2021 Feb;9(2):e144-e160. (PMID: 33275949) Ann N Y Acad Sci. 2008;1136:161-71. (PMID: 17954679) BMJ Glob Health. 2018 Aug 16;3(4):e000875. (PMID: 30147944) Nat Med. 2020 Dec;26(12):1835-1838. (PMID: 32989313) Sci Data. 2019 Jul 25;6(1):134. (PMID: 31346183) BMC Ophthalmol. 2015 Jun 30;15:67. (PMID: 26122748) Lancet Glob Health. 2018 Mar;6(3):e342-e350. (PMID: 29396220) World J Surg. 2020 Jul;44(7):2123-2130. (PMID: 32274536) Sci Data. 2017 Jan 31;4:170001. (PMID: 28140386) PLOS Glob Public Health. 2023 Feb 22;3(2):e0000631. (PMID: 36962938) BMJ Glob Health. 2019 Jul 1;4(Suppl 5):e000778. (PMID: 31354979) Nature. 2018 Jan 18;553(7688):333-336. (PMID: 29320477) Br J Ophthalmol. 2008 Aug;92(8):1026-30. (PMID: 18653592) |
معلومات مُعتمدة: | United Kingdom WT_ Wellcome Trust; 207472/Z/17/Z Wellcome Trust (Wellcome) |
تواريخ الأحداث: | Date Created: 20231018 Date Completed: 20240725 Latest Revision: 20240727 |
رمز التحديث: | 20240727 |
مُعرف محوري في PubMed: | PMC11269656 |
DOI: | 10.1038/s41433-023-02790-8 |
PMID: | 37853109 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1476-5454 |
---|---|
DOI: | 10.1038/s41433-023-02790-8 |