Assessment of pediatric eye care services in health facilities in the Ashanti region of Ghana.

Abstract

Background:  Childhood visual impairment is an important public health concern considering the social, emotional and economic consequences. Lack of access to eye care services contributes to this growing problem. Therefore, integrating primary eye care into existing primary healthcare would facilitate improved access to equitable, effective and affordable eye care services, particularly for children.

Aim:  The study assessed the provision of primary paediatric eye care services in health facilities in the Ashanti region of Ghana.

Setting:  The study was conducted at the primary health facilities in the Ashanti region of Ghana.

Methods:  Stratified random sampling was used to select 145 health facilities in this descriptive study. The eye care professionals in these facilities completed a questionnaire concerning primary eye care services for children. Data were analysed using descriptive and inferential statistics.

Results:  Eye care services were available in 131 (90%) of the health facilities resourced with essential eye equipment. Refraction services were provided by 129 (98.5%) despite limited coverage by the national health insurance scheme. More than 80% of participants lacked continuing education and 59% had poor awareness of management guideline. Barriers identified included lack of specialised equipment and inadequate resources.

Conclusion:  The study highlights disparities in the provision of child eye care services among the health facilities in the Ashanti region of Ghana.Contribution: This study provides useful information to inform policy on targeted interventions for child eye care services to ensure accessible, equitable and comprehensive services.