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- W1566386364 abstract "Primary eye care is a vital component in primary health care and includes the promotion of eye health care, the prevention and treatment of conditions that may lead to visual loss, as well as the rehabilitation of those who are already blind. The aim of primary eye care is to change the pattern of eye care services, currently often limited to the central hospitals and eye units in the cities, to countrywide blindness prevention programmes.Primary eye care is the primary health care approach to the prevention of blindness and it should be an integral part of primary health care. Primary health care is defined as essential health care based on methods and technology that are practical and scientifically sound, as well as socially acceptable; accessible to the community, affordable for the community with good community participation.1In most developing countries avoidable blindness constitutes a major public health problem. There are distinct, closely related components in the primary health care approach to blindness prevention. Only one of the components requires interaction between the sick individual and medical personnel.In many developing countries there are insufficient trained staff, and eye care services have to be given to widely and often sparsely scattered populations.2 An ophthalmologist in such a setting becomes overwhelmed with the demands that require his or her attention. Reviewing activities at the end of the year reveals that very few of the diseases that cause over 70% of blindness have been significantly addressed.3 Most of the blindness we encounter is avoidable. Cataract is responsible for nearly 50% of blindness throughout the world.4 In fact most of the cases that occupy the ophthalmologist's time can be delegated to others if they are adequately trained and equipped. We began an exercise to prepare suitable personnel. Our aims were as follows:Train at least one integrated eye worker and staff in every health care institution.Staff an ophthalmic clinical officer or an ophthalmic nurse at each General/ District Hospital.Teach each traditional birth attendant (TBA), community health worker (CHW), community based rehabilitation worker (CBRW) to understand how to prevent blindness.We are now interacting with the traditional healers to collaborate with them in the prevention of blindness. We also support these groups of eye workers through:Regular visits to their centresTaking referralsSupplying essential eye medicationsGeneral suppliesContinuing education.As a result of this exercise we were able to increase our cataract surgical rate threefold." @default.
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- W1566386364 date "1998-01-01" @default.
- W1566386364 modified "2023-09-23" @default.
- W1566386364 title "Who can carry out primary eye care?" @default.
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