دورية أكاديمية
أعرض في EDS

Travel time to cataract surgical services in Kenya, Malawi and Rwanda: demonstrating a standardised indicator of physical access to cataract surgery.

التفاصيل البيبلوغرافية
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).)
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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
الوصف
تدمد:1476-5454
DOI:10.1038/s41433-023-02790-8