Socioeconomic barriers to cataract surgery in Nepal : the south Asian cataract management study.
Background-Previous studies have shown that, despite an increasing availability of cataract surgery, important socioeconomic barriers exist in the acceptance of surgery in many rural areas of south Asia.
Nepal has developed a comprehensive national network of eye hospitals but the surgical coverage for the treatment of cataract blind is still low.
Aims-To determine the utilisation of cataract surgery and the level of physical and psychosocial impairment and the socioeconomic barriers to surgery in a group of non-acceptors of surgery.
Methods-Of 319 cataract patients identified in a field screening 96 non-acceptors of surgery were interviewed 1 year after an offer to undergo surgery.
The interview included questions on visual function, quality of life, and socioeconomic variables on acceptance of cataract surgery.
The quality of life questionnaire was based on the field validated protocol addressing the impact of visual impairment on physical and psychosocial functions.
The questionnaire was adapted to the local conditions after pretesting.
Data were analysed by degree of visual impairment.
Of 319 cataract patients identified only 45.5% accepted surgery, with men accepting surgery more readily than women (RR=1.31 ; 95% CI=1.04-1.67) because of a significantly greater acceptance of surgery in men in the non-blind group.
The acceptance rate was significantly higher in the blind group (RR=1.74 ; 95% CI=1.36-2. (...)
Mots-clés Pascal : Cataracte, Chirurgie, Traitement, Barrière diffusion, Népal, Asie, Epidémiologie, Questionnaire, Zone rurale, Acceptation, Homme, Oeil pathologie, Cristallin pathologie, Segment antérieur pathologie
Mots-clés Pascal anglais : Cataract, Surgery, Treatment, Diffusion barrier, Nepal, Asia, Epidemiology, Questionnaire, Rural area, Acceptance, Human, Eye disease, Lens disease, Anterior segment disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0043792
Code Inist : 002B25B. Création : 31/05/1999.