Assessing the cataract surgical rate and gender equity in cataract services in south-east Nigeria
Background In 2020, almost 100 million people were blind or visually impaired from cataract. Cataract surgery is a cost-effective treatment for cataracts. In Nigeria, twice as many women are cataract blind as men. Cataract surgical rate (CSR, the number of cataract operations per million population...
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BMJ Publishing Group
2024-05-01
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| Series: | BMJ Open Ophthalmology |
| Online Access: | https://bmjophth.bmj.com/content/9/1/e001326.full |
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| author | Clare Gilbert Onyinye Onyia Ada Ejealor Aghaji Christiana Ubaka Eberechukwu Ogbeanu Achigbu Ifeoma Lilian Ejiakor Adaku I Mbatuegwu Chiamaka J P Okeke Barbara C Okoli Emmanuel U Ogborogu Kenneth C Dike Florence U Nkwogu |
| author_facet | Clare Gilbert Onyinye Onyia Ada Ejealor Aghaji Christiana Ubaka Eberechukwu Ogbeanu Achigbu Ifeoma Lilian Ejiakor Adaku I Mbatuegwu Chiamaka J P Okeke Barbara C Okoli Emmanuel U Ogborogu Kenneth C Dike Florence U Nkwogu |
| author_sort | Clare Gilbert |
| collection | DOAJ |
| description | Background In 2020, almost 100 million people were blind or visually impaired from cataract. Cataract surgery is a cost-effective treatment for cataracts. In Nigeria, twice as many women are cataract blind as men. Cataract surgical rate (CSR, the number of cataract operations per million population per year in a defined geographical location) is an output indicator of cataract surgical services. The recommended target CSR for sub-Saharan Africa is 1000/year. The aim of this study was to assess the CSR in men and women in Imo state, Nigeria.Methods A retrospective review of cataract surgery undertaken in all eye health facilities in Imo State in 2019. Data collected included the type and location of facilities, patient demographics and the number and type of cataract operations performed in each facility. The CSR was calculated overall, in men and women, and in younger and older women.Results The CSR overall was 330/million and was slightly higher in women (347/million) than in men (315/million) (p<0.001). More elderly women (≥65 years) accessed cataract surgery through outreach than men and younger women (OR 1.5 (95% CI 1.03 to 2.22, p=0.03) and 1.6 (95% CI 1.07 to 2.44, p=0.02)), respectively.Conclusion The overall CSR in Imo state was approximately one-third of that recommended for sub-Saharan Africa. Although the CSR was higher in women than in men, considerably higher CSRs are needed in women to address their higher burden of cataract blindness. Operational and intervention science research are needed, to identify and evaluate interventions which address demand and supply barriers to accessing cataract surgery, particularly for elderly women. |
| format | Article |
| id | doaj-art-4b2ad73b52ea433c8a1bd23c1016aa9b |
| institution | Kabale University |
| issn | 2397-3269 |
| language | English |
| publishDate | 2024-05-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Ophthalmology |
| spelling | doaj-art-4b2ad73b52ea433c8a1bd23c1016aa9b2025-02-06T10:30:11ZengBMJ Publishing GroupBMJ Open Ophthalmology2397-32692024-05-019110.1136/bmjophth-2023-001326Assessing the cataract surgical rate and gender equity in cataract services in south-east NigeriaClare Gilbert0Onyinye Onyia1Ada Ejealor Aghaji2Christiana Ubaka3Eberechukwu Ogbeanu Achigbu4Ifeoma Lilian Ejiakor5Adaku I Mbatuegwu6Chiamaka J P Okeke7Barbara C Okoli8Emmanuel U Ogborogu9Kenneth C Dike10Florence U Nkwogu11Clinical Research Unit, Department of Clinical Research, London School of Hygiene and Tropical Medicine, London, UKOphthalmology, Federal Teaching Hospital, Owerri, Imo, NigeriaOphthalmology, University of Nigeria Faculty of Medical Sciences, Nsukka, Enugu, NigeriaOphthalmology, DMMM St Joseph`s Eye Hospital, Mgbirichi, Imo, NigeriaOphthalmology, Federal Teaching Hospital, Owerri, Imo, NigeriaOphthalmology, Federal Teaching Hospital, Owerri, Imo, NigeriaOphthalmology, Federal Teaching Hospital, Owerri, Imo, NigeriaOphthalmology, Federal Teaching Hospital, Owerri, Imo, NigeriaOphthalmology, Owerri Eye Centre, New Owerri, Imo, NigeriaOphthalmology, Federal Teaching Hospital, Owerri, Imo, NigeriaOphthalmology, Federal Teaching Hospital, Owerri, Imo, NigeriaOphthalmology, Uche Chukwu Hospital and Specialist Eye Centre, Ogbaku, Imo, NigeriaBackground In 2020, almost 100 million people were blind or visually impaired from cataract. Cataract surgery is a cost-effective treatment for cataracts. In Nigeria, twice as many women are cataract blind as men. Cataract surgical rate (CSR, the number of cataract operations per million population per year in a defined geographical location) is an output indicator of cataract surgical services. The recommended target CSR for sub-Saharan Africa is 1000/year. The aim of this study was to assess the CSR in men and women in Imo state, Nigeria.Methods A retrospective review of cataract surgery undertaken in all eye health facilities in Imo State in 2019. Data collected included the type and location of facilities, patient demographics and the number and type of cataract operations performed in each facility. The CSR was calculated overall, in men and women, and in younger and older women.Results The CSR overall was 330/million and was slightly higher in women (347/million) than in men (315/million) (p<0.001). More elderly women (≥65 years) accessed cataract surgery through outreach than men and younger women (OR 1.5 (95% CI 1.03 to 2.22, p=0.03) and 1.6 (95% CI 1.07 to 2.44, p=0.02)), respectively.Conclusion The overall CSR in Imo state was approximately one-third of that recommended for sub-Saharan Africa. Although the CSR was higher in women than in men, considerably higher CSRs are needed in women to address their higher burden of cataract blindness. Operational and intervention science research are needed, to identify and evaluate interventions which address demand and supply barriers to accessing cataract surgery, particularly for elderly women.https://bmjophth.bmj.com/content/9/1/e001326.full |
| spellingShingle | Clare Gilbert Onyinye Onyia Ada Ejealor Aghaji Christiana Ubaka Eberechukwu Ogbeanu Achigbu Ifeoma Lilian Ejiakor Adaku I Mbatuegwu Chiamaka J P Okeke Barbara C Okoli Emmanuel U Ogborogu Kenneth C Dike Florence U Nkwogu Assessing the cataract surgical rate and gender equity in cataract services in south-east Nigeria BMJ Open Ophthalmology |
| title | Assessing the cataract surgical rate and gender equity in cataract services in south-east Nigeria |
| title_full | Assessing the cataract surgical rate and gender equity in cataract services in south-east Nigeria |
| title_fullStr | Assessing the cataract surgical rate and gender equity in cataract services in south-east Nigeria |
| title_full_unstemmed | Assessing the cataract surgical rate and gender equity in cataract services in south-east Nigeria |
| title_short | Assessing the cataract surgical rate and gender equity in cataract services in south-east Nigeria |
| title_sort | assessing the cataract surgical rate and gender equity in cataract services in south east nigeria |
| url | https://bmjophth.bmj.com/content/9/1/e001326.full |
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