Utilisation of eye care services in rural south India

The Aravind Comprehensive Eye Survey

P. K. Nirmalan, Joanne Katz, Alan L. Robin, R. Krishnadas, R. Ramakrishnan, R. D. Thulasiraj, J. Tielsch

Research output: Contribution to journalArticle

Abstract

Aim: To determine utilisation of eye care services in a rural population of southern India aged 40 years or older. Methods: 5150 subjects aged 40 years and older selected through a random cluster sampling technique from three districts in southern India underwent detailed ocular examinations for vision impairment, blindness, and ocular morbidity. Information regarding previous use of eye care services was collected from this population through a questionnaire administered by trained social workers before ocular examinations. Results: 3476 (72.7%) of 5150 subjects examined required eye care examinations. 1827 (35.5%) people gave a history of previous eye examinations, primarily from a general hospital (n = 1073, 58.7%). Increasing age and education were associated with increased utilisation of eye care services. Among the 3323 people who had never sought eye care, 912 (27.4%) had felt the need to have an eye examination but did not do so. Only one third of individuals with vision impairment, cataracts, refractive errors, and glaucoma had previously utilised services. Conclusions: A large proportion of people in a rural population of southern India who require eye care are currently not utilising existing eye care services. Improved strategies to improve uptake of services is required to reduce the huge burden of vision impairment in India.

Original languageEnglish (US)
Pages (from-to)1237-1241
Number of pages5
JournalBritish Journal of Ophthalmology
Volume88
Issue number10
DOIs
StatePublished - Oct 2004

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India
Rural Population
Surveys and Questionnaires
Refractive Errors
Blindness
General Hospitals
Glaucoma
Cataract
Morbidity
Education

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Utilisation of eye care services in rural south India : The Aravind Comprehensive Eye Survey. / Nirmalan, P. K.; Katz, Joanne; Robin, Alan L.; Krishnadas, R.; Ramakrishnan, R.; Thulasiraj, R. D.; Tielsch, J.

In: British Journal of Ophthalmology, Vol. 88, No. 10, 10.2004, p. 1237-1241.

Research output: Contribution to journalArticle

Nirmalan, P. K. ; Katz, Joanne ; Robin, Alan L. ; Krishnadas, R. ; Ramakrishnan, R. ; Thulasiraj, R. D. ; Tielsch, J. / Utilisation of eye care services in rural south India : The Aravind Comprehensive Eye Survey. In: British Journal of Ophthalmology. 2004 ; Vol. 88, No. 10. pp. 1237-1241.
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