Exploring Service Users' Experiences of a Community-Based Intervention to Improve Follow-Up at Bharatpur Eye Hospital in Nepal: Qualitative Study.

IF 2.1 Q2 PEDIATRICS
Manisha Shrestha, Gopal Bhandari, Sadhan Bhandari, Gudlavalleti Venkata Satyanarayana Murthy, Ruchi Priya, Binod Pandey, Daya Shankar Chaudhary, Puspa Giri, Sureshkumar Kamalakannan
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引用次数: 0

Abstract

Background: Follow-up to eye care services for children, especially in the context of Nepal, is essential for ensuring a continuum of care. Hence, as a continued effort, we designed this study to explore the service users' experience of a community-based intervention to improve follow-up at Bharatpur Eye Hospital (BEH) in Nepal.

Objective: This study aimed to explore service users' experiences and perceptions of the community-based follow-up intervention for eye care services implemented by BEH in Nepal.

Methods: A qualitative study using an in-depth interview approach was used. Participants were purposively selected for this research study. Participants who were part of a quasi-experimental study conducted to improve follow-up services in BEH and their service catchment area were chosen. Participants who had not attended even a single follow-up visit and participants who attended at least one follow-up were recruited for this qualitative study. Based on the distance from the base hospital and the follow-up status, 65 participants were initially found eligible for the qualitative study. However, only 17 participants were available and consented. Topic guides were developed for the purpose of in-depth interviews specifically for participants who had not attended even the first follow-up visits and those who attended at least one follow-up visit. A total of 2 ophthalmic assistants, who were not a part of the main intervention study, conducted the interviews.

Results: In total, 17 service users whose children were receiving services from BEH participated in the qualitative study. We identified 4 key themes that provided invaluable information about the barriers and facilitators to follow-up as well as the experiences (positive or negative) of the participants that need to be considered in any future initiatives to improve follow-up in Nepal.

Conclusions: This study highlights the need for systematic development of interventions to address the unmet need for eye care services in the community through innovative, scalable solutions. As a next step, the BEH team will be working to develop such scalable solutions for Nepal. Such interventions will also need to be optimized for similar settings and countries to meet the goals of universal health coverage, vision 2030, and sustainable development goals worldwide.

探索尼泊尔巴拉特普尔眼科医院社区干预改善随访的服务用户体验:定性研究
背景:儿童眼科护理服务的后续工作,特别是在尼泊尔的情况下,对于确保持续的护理至关重要。因此,作为一项持续的努力,我们设计了这项研究,以探索尼泊尔巴拉特普尔眼科医院(BEH)以社区为基础的干预措施改善随访的服务用户体验。目的:本研究旨在探讨尼泊尔BEH实施的以社区为基础的眼保健服务随访干预的服务用户体验和看法。方法:采用深度访谈法进行定性研究。本研究的参与者是有目的选择的。参与者是一项准实验研究的一部分,旨在改善BEH及其服务集水区的后续服务。没有参加过一次随访的参与者和至少参加过一次随访的参与者被招募参加这项定性研究。根据与基地医院的距离和随访情况,初步确定65名参与者符合定性研究的条件。然而,只有17名参与者同意。专题指南是为深入访谈的目的而制定的,专门针对那些甚至没有参加过第一次随访的参与者和那些至少参加过一次随访的参与者。共有2名眼科助理进行了访谈,他们不是主要干预研究的一部分。结果:共有17名儿童接受BEH服务的服务使用者参与了定性研究。我们确定了4个关键主题,这些主题提供了宝贵的信息,包括后续行动的障碍和促进因素,以及参与者的经验(积极或消极),这些都需要在未来的任何举措中加以考虑,以改善尼泊尔的后续行动。结论:本研究强调需要系统地开发干预措施,通过创新的、可扩展的解决方案来解决社区对眼科保健服务的未满足需求。下一步,BEH团队将致力于为尼泊尔开发这种可扩展的解决方案。这些干预措施还需要针对类似的环境和国家进行优化,以实现全民健康覆盖目标、2030年愿景和全球可持续发展目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
JMIR Pediatrics and Parenting
JMIR Pediatrics and Parenting Medicine-Pediatrics, Perinatology and Child Health
CiteScore
5.00
自引率
5.40%
发文量
62
审稿时长
12 weeks
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