Access to school-based eye health programs: a qualitative case study, Bogotá, Colombia
Objectives. To identify barriers and enablers to accessing school-based eye health programs in Bogotá, Colombia. Methods. We undertook a qualitative case study that explored how structural factors, and social and cultural norms influence access to school-based eye health programs. We conducted focus...
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ftdoajarticles:oai:doaj.org/article:45fe686d705a404ba18ad3beba0f82c0 2023-05-15T15:12:53+02:00 Access to school-based eye health programs: a qualitative case study, Bogotá, Colombia Aryati Yashadhana Nina Serova Ling Lee Luisa Casas Luque Leonardo Ramirez Juan Carlos Silva Anthea M Burnett 2021-12-01T00:00:00Z https://doi.org/10.26633/RPSP.2021.154 https://doaj.org/article/45fe686d705a404ba18ad3beba0f82c0 EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/55360 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2021.154 https://doaj.org/article/45fe686d705a404ba18ad3beba0f82c0 Revista Panamericana de Salud Pública, Vol 45, Iss 154, Pp 1-9 (2021) eye health vision screening schools equity colombia Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2021 ftdoajarticles https://doi.org/10.26633/RPSP.2021.154 2022-12-31T11:27:51Z Objectives. To identify barriers and enablers to accessing school-based eye health programs in Bogotá, Colombia. Methods. We undertook a qualitative case study that explored how structural factors, and social and cultural norms influence access to school-based eye health programs. We conducted focus groups discussions and interviews with a purposive sample of 37 participants: government stakeholders (n = 4), representatives from nongovernmental organizations (n = 3), and an eye-care practitioner, as well as teachers (n = 7), a school nurse, parents (n = 7), and children (n = 14) from private and public schools. Data were analyzed using a priori themes from the availability, accessibility, acceptability and quality framework. Results. Routine vision screening in schools is not currently provided nor is there a budget to support it. Lack of collaboration between the health and education ministries and the absence of national planning affected the delivery of eye care in schools. Factors related to acceptability of school-based eye health programs included: poor acceptance of training teachers as vision screeners; stigma related to wearing spectacles; and distrust of health services. The cost of spectacles and poor access to eye health information were identified as barriers to positive child eye health outcomes by socioeconomically disadvantaged parents and children. Conclusion. Our findings suggest the need for a national school eye health plan and improved cooperation between health and education ministries. Interventions to improve trust in health services, tackle the lack of human resources while respecting professional qualifications, and raise awareness of the importance of eye health are recommended. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 45 1 |
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English Spanish Portuguese |
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eye health vision screening schools equity colombia Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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eye health vision screening schools equity colombia Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Aryati Yashadhana Nina Serova Ling Lee Luisa Casas Luque Leonardo Ramirez Juan Carlos Silva Anthea M Burnett Access to school-based eye health programs: a qualitative case study, Bogotá, Colombia |
topic_facet |
eye health vision screening schools equity colombia Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objectives. To identify barriers and enablers to accessing school-based eye health programs in Bogotá, Colombia. Methods. We undertook a qualitative case study that explored how structural factors, and social and cultural norms influence access to school-based eye health programs. We conducted focus groups discussions and interviews with a purposive sample of 37 participants: government stakeholders (n = 4), representatives from nongovernmental organizations (n = 3), and an eye-care practitioner, as well as teachers (n = 7), a school nurse, parents (n = 7), and children (n = 14) from private and public schools. Data were analyzed using a priori themes from the availability, accessibility, acceptability and quality framework. Results. Routine vision screening in schools is not currently provided nor is there a budget to support it. Lack of collaboration between the health and education ministries and the absence of national planning affected the delivery of eye care in schools. Factors related to acceptability of school-based eye health programs included: poor acceptance of training teachers as vision screeners; stigma related to wearing spectacles; and distrust of health services. The cost of spectacles and poor access to eye health information were identified as barriers to positive child eye health outcomes by socioeconomically disadvantaged parents and children. Conclusion. Our findings suggest the need for a national school eye health plan and improved cooperation between health and education ministries. Interventions to improve trust in health services, tackle the lack of human resources while respecting professional qualifications, and raise awareness of the importance of eye health are recommended. |
format |
Article in Journal/Newspaper |
author |
Aryati Yashadhana Nina Serova Ling Lee Luisa Casas Luque Leonardo Ramirez Juan Carlos Silva Anthea M Burnett |
author_facet |
Aryati Yashadhana Nina Serova Ling Lee Luisa Casas Luque Leonardo Ramirez Juan Carlos Silva Anthea M Burnett |
author_sort |
Aryati Yashadhana |
title |
Access to school-based eye health programs: a qualitative case study, Bogotá, Colombia |
title_short |
Access to school-based eye health programs: a qualitative case study, Bogotá, Colombia |
title_full |
Access to school-based eye health programs: a qualitative case study, Bogotá, Colombia |
title_fullStr |
Access to school-based eye health programs: a qualitative case study, Bogotá, Colombia |
title_full_unstemmed |
Access to school-based eye health programs: a qualitative case study, Bogotá, Colombia |
title_sort |
access to school-based eye health programs: a qualitative case study, bogotá, colombia |
publisher |
Pan American Health Organization |
publishDate |
2021 |
url |
https://doi.org/10.26633/RPSP.2021.154 https://doaj.org/article/45fe686d705a404ba18ad3beba0f82c0 |
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Arctic |
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Arctic |
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Arctic |
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Revista Panamericana de Salud Pública, Vol 45, Iss 154, Pp 1-9 (2021) |
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https://iris.paho.org/handle/10665.2/55360 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2021.154 https://doaj.org/article/45fe686d705a404ba18ad3beba0f82c0 |
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https://doi.org/10.26633/RPSP.2021.154 |
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