Barriers to the Uptake of Cataract Surgery

1998 ◽  
Vol 28 (4) ◽  
pp. 218-220 ◽  
Author(s):  
J G Johnson ◽  
V Goode Sen ◽  
H Faal

In The Gambia many patients identified as blind or as having low vision are not attending for surgery. The aim of this study was to investigate the reasons for non-attendance. Three methods were used: semi-structured interviews; focus group discussions; and written questionnaires completed by staff. The most frequently identified barrier by all three methods was cost, closely followed by lack of information about services, fear, transport difficulties, and the lack of an escort. In addition to the existing measures taken by the National Eye Care Programme (NECP) to reduce these barriers, further research into both the public's knowledge and attitudes regarding surgery for cataract is needed. More contact between members of the eye care programme and the communities would aid the transfer of information about the surgery.

2021 ◽  
Vol 115 (1) ◽  
pp. 28-41
Author(s):  
Lauren J. Lieberman ◽  
Katie Ericson ◽  
Maria Lepore-Stevens ◽  
Karen Wolffe

Introduction: The expanded core curriculum (ECC) refers to the generally accepted nine areas of instruction that children who are visually impaired (i.e., those who are blind or have low vision) must learn through explicit instruction in order to live independently as adults. Children with visual impairments must experience immersion in the ECC in their daily lives throughout the year rather than only being taught these skills during the school year by teachers of students with visual impairments. Therefore, this research was undertaken to determine whether athletes attending Camp Abilities, a sports camp for children with visual impairments, experienced new ECC skills or practiced previously learned ECC skills and if so, how. Method: Researchers chose to interview 10 athletes from a purposeful sample of 30 children who had previously attended camp. The 10 coaches who worked with these athletes one-on-one participated in focus group discussions at the end of the weeklong camp. In addition, all athletes and coaches attending camp listed their thoughts on posters describing how all athletes attending experienced areas of the ECC. Finally, researchers documented observations of athletes’ opportunities to practice ECC content throughout the weeklong program. Researchers transcribed interviews and focus group discussions and reviewed for themes relating to ECC areas that were part of the students’ lived experience during camp. Results: Three major conclusions emerged from reviews of the interviews, discussion group transcripts, posters, and observations: (1) athletes and coaches were initially unclear about what the ECC areas were and how the athletes experienced the ECC in their everyday academic and home activities; (2) following clarification of the ECC areas, the athletes came to recognize how they learned and applied ECC skills during the camp experience; and (3) a more structured instructional approach to applying the ECC at camp may further enhance their experiences. Discussion: The youth participants were not able to list and describe all of the ECC areas when interviewed at the end of camp. However, adult participants (coaches) listed most ECC areas and described how athletes experienced the ECC during camp in their focus group discussions. Once researchers clarified ECC areas for athletes, they identified self-determination, recreation and leisure, social interaction, and independent living as the areas of the ECC most often experienced during camp. Implications for practitioners: Practitioners need to pay attention to structured learning of the ECC areas and consider articulating for students which areas overlap in their everyday lives, so that they are fully aware of the multiple skills they are acquiring. Camp Abilities is a functional way for youths with visual impairments to experience all areas of the ECC.


2021 ◽  
Vol 16 (3) ◽  
Author(s):  
Lisa Jones ◽  
Nyoman Anita Damayanti ◽  
Nicola Wiseman ◽  
Neil Harris

Five focus group discussions (FGDs) with 61 pregnant women were conducted in June and July 2019 at primary health care (PHC) services within five urban areas of Surabaya, Indonesia. In addition, five semi-structured interviews with five midwives were carried out to explore the experiences of pregnant women accessing Antenatal Care (ANC) and the factors shaping uptake of ANC services. Data were audio-recorded, transcribed, and translated into English, and analyzed using thematic analysis. Findings from focus group discussions suggested that fears of negative diagnosis before initial ANC appointment and personal beliefs and myths surrounding pregnancy may delay uptake of ANC. Further, the influence of husbands, family, and friends and long waiting times with overcrowding leading to limited seating shaped timely access and return visits. In addition, feeling comfortable with the quality of the service and receiving a friendly service from the practitioners assisted women in feeling comfortable to return. Finally, midwives acknowledged feeling afraid of being referred to a hospital if deemed a high-risk pregnancy-shaped return ANC visits. The findings highlighted several factors needing to be addressed to increase the promptness of first ANC visits and ensure return visits to achieve great ANC coverage.


2016 ◽  
Vol 28 (1) ◽  
pp. 69-84 ◽  
Author(s):  
Mufaro Magidi ◽  
Rinie Schenk ◽  
Charlene Erasmus

The culture of gang violence has become deeply entrenched in South Africa. The present study explored the experiences of non-gang school-going adolescents regarding gangs and gangsterism in Hanover Park in the Western Cape. A qualitative exploratory approach was used. Data collection instruments were focus group discussions supported by qualitative semi-structured interviews involving 18 adolescents between the ages of 16 and 18 from two secondary schools in Hanover Park, Cape Town. The data were thematically analysed. The results have shown that the presence of gangs affects the learners’ school attendance, restricts their mobility, increases bullying at school and seriously disrupts family and community life.


2019 ◽  
Vol 6 (02) ◽  
pp. 77-86
Author(s):  
Anisah Aninditya Rahmaputri ◽  
Dianti Endang Kusumawardhani

Teachers have an important role in educating students well. One way that teachers can do to be able to increase motivation and school engagement is by providing social support to students. This study aims to find out the overview of perceived social support from teachers by high school “X” students in South Tangerang. The research method is descriptive qualitative research with data collection techniques through focus group discussions and structured interviews. The results of data retrieval show that the perceived social support from some teachers by high school "X" students is quite satisfying for students but not from every teachers. This means it can still be improved again. This is because not all teachers are considered good enough at providing social support to students. The total number of teachers are 17 people and for students are 67. It should be able to be improved in communication skills so that they can provide better social support to students. Keywords : Adolescent, School, Social support. Abstrak Guru memiliki peran penting dalam mendidik siswa dengan baik. Salah satu cara yang dapat guru lakukan untuk dapat meningkatkan motivasi serta keaktivan siswa di sekolah adalah dengan memberikan dukungan sosial kepada siswa. Penelitian ini bertujuan untuk mencari tahu gambaran dukungan sosial dari guru yang dirasakan oleh siswa SMA “X” di Tangerang Selatan. Metode penelitian berupa penelitian kualitatif deskriptif dengan teknik pengambilan data melalui focus group discussion dan wawancara terstruktur. Hasil pengambilan data menunjukkan bahwa gambaran dukungan sosial dari guru yang dirasakan oleh siswa SMA “X” cukup memuaskan bagi siswa tetapi masih dapat ditingkatkan lagi. Hal ini dikarenakan belum semua guru dianggap sudah bagus dalam memberikan dukungan sosial kepada siswa. Total guru yang berjumlah 17 orang untuk siswa sebanyak 67 orang seharusnya dapat ditingkatkan dalam kemampuan komunikasi sehingga mampu memberikan dukungan sosial kepada siswa dengan lebih baik lagi.


Author(s):  
Maheshvari Naidu ◽  
William Muc hono

This exploratory and descriptive article explores male perceptions toward the cultural practice of chinamwali/khomba among the Shangaan of the Mahenye community of Chipinge district in Zimbabwe. Chinamwali/khomba is the cultural practice of female initiation among the Mahenye people. The article draws on narratives of men from interviews and focus group discussions and describes khomba/chinamwali as a central aspect of (female) body politics in the Mahenye community, where the female practice of chinamwali marks the entrance into so-called ‘womanhood’ [sic]. The men’s sexually gendered narratives reveal how the women’s bodily sexual enactments become ‘cultural texts’ prescribed and inscribed by (male) societal perceptions and social (sexual) interactions. Semi-structured interviews and focus group discussions were carried out with 40 men from the community. Social role theory was the lens which was used to analyse these dynamics. Emergent findings reveal that the men of the community compel an overtly patriarchal agenda by encouraging and compelling women to be initiated.


2016 ◽  
Vol 26 (65) ◽  
pp. 343-350 ◽  
Author(s):  
Enrique Javier Diez Gutierrez

Abstract Spanish schools are characterised by having a high proportion of female staff. However, statistics show that a proportionately higher number of men hold leadership positions. The aim of this study was to analyse the reasons why this is so, and to determine the motivations and barriers that women encounter in attaining and exercising these positions of greater responsibility and power. Questionnaires were administered to 2,022 female teachers, 430 female principals and 322 male principals. In addition, semi-structured interviews were held with 60 female principals, 14 focus group discussions were held with female principals and 16 autobiographical narratives were compiled with female principals and school inspectors. The reasons identified were related to structural aspects linked to the patriarchal worldview that is still dominant in our society and culture. Nevertheless, we also found motivations among women for attaining and exercising leadership roles.


PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0260631
Author(s):  
Olga Cambaco ◽  
Noni Gachuhi ◽  
Rebecca Distler ◽  
Carlos Cuinhane ◽  
Emily Parker ◽  
...  

In low-and middle-income countries, many infants and children remain unregistered in both civil registration and healthcare records, limiting their access to essential rights-based services, including healthcare. A novel biometric registration prototype, applying a non-touch platform using smart phones and tablets to capture physical characteristics of infants and children for electronic registration, was tested in rural Mozambique. This study assessed acceptability and perceived barriers and facilitators to the usability of this biometric registration prototype in Manhiça district, southern Mozambique. The study followed a qualitative design consisting of 5 semi-structured interviews with healthcare providers, 7 focus group discussions with caregivers of infants aged between 0 and 5 years old, and 2 focus group discussions with data collectors involved in the implementation of the biometric registration pilot project. Data were thematically analysed. The results of this study show that there is wide acceptability of the biometric registration prototype among healthcare providers and caregivers. Participants were aware of the benefits of the biometric registration prototype. The perceived benefits included that the biometric registration prototype would solve the inefficiency of paper-based registration, and the perception of biometric registration as “healthcare norm”. Perceived potential barriers to the implementation of the biometric registration prototype included: myths and taboos, lack of information, lack of time, lack of father’s consent, and potential workload among healthcare providers. In conclusion, the biometric prototype was widely accepted due to its perceived usefulness. However, there is a need to address the perceived barriers, and involvement of children’s fathers and/or other relevant family members in the process of biometric registration.


2021 ◽  
pp. 104973232110497
Author(s):  
Tom Palmer ◽  
Cynthia Waliaula ◽  
Geordan Shannon ◽  
Francesco Salustri ◽  
Gulraj Grewal ◽  
...  

Focusing only on biomedical targets neglects the important role that psychosocial factors play in effective diabetes self-management. This study aims to understand the lived experiences of children with Type 1 Diabetes (T1DM) in Kenya. Children ( n = 15) participated in focus group discussions and photo diary data collection. Focus group discussions and semi-structured interviews were also conducted with caregivers ( n = 14). We describe an adaptation to diabetes over time, identifying four overarching themes: knowledge and awareness, economic exclusion, the importance of social support, and striving for normality. Photo diaries are then categorized to explore daily realities of diabetes management. Children with T1DM in Kenya face varied barriers to care but can lead a “normal” and fulfilling life, provided adequate support is in place. To improve the lives of children with diabetes in this context and others like it, stakeholders must take note of children’s experiences and recognize their multidimensional needs.


2016 ◽  
Vol 75 (1) ◽  
Author(s):  
Saif H. Alrasheed ◽  
Kovin S. Naidoo ◽  
Peter C. Clarke-Farr

Purpose: Most causes of childhood visual impairment are either treatable or preventable. Eye health education plays an important role in reducing avoidable causes of visual impairment as well as to help ensure a healthy and educated community. The main objective of this study was to assess the Knowledge, Attitudes and Practices of the students and their parents on childhood eye services and barriers for accessing child eye care.Methods: The study was conducted in South Darfur State of Sudan between January and February 2015. Both quantitative and qualitative methods were used to collect data from eight secondary schools. Four schools for boys and four schools for girls were randomly selected from a list of 21 districts of South Darfur State and the Knowledge, Attitudes and Practices surveys were conducted with the students to collect quantitative data. In addition, seven focus group discussions were conducted with the children’s parents to collect qualitative data.Results: The majority (57.5%) of the students reported that they knew about refractive error; however, 33.07% reported never hearing about refractive error. About 70.3% of the respondents believed that uncorrected refractive error leads to visual impairment, 21% believed refractive error did not cause visual impairment and 30.5% reported that wearing spectacles was not effective in the treatment of refractive error. With regard to the information about eye healthcare, 88.1% of the participants reported they did not have enough information about eye care. The reported need for more information about prevention, treatment and symptoms was 34.0%, 31.4% and 17.5%, respectively. With regard to barriers, 80.6% of the students reported never having had their eyes tested. The most cited barriers were cost, fear of wearing spectacles and fear of an eye examination. In addition, 72.6% of students reported that their health insurance did not cover eye care services. Most (53.6%) of the parents believed that the cause of refractive error in children was poor nutrition. Common themes arising from the focus group discussions included parents reporting that they looked for traditional treatment for their children and preferring to receive child eye information from an eye specialist and through the television and radio. The most frequently cited barriers by the parents were high cost of the treatment, lack of eye care specialists, lack of awareness about child eye diseases and mistrust in eye care providers.Conclusion: The level of knowledge and practices about eye care and refractive error is low and perceptions about spectacles as a method for treatment for refractive error were fraught with misconceptions amongst students. There is a need for structured educational programmes to raise awareness regarding the effect and treatment modalities for childhood eye disease and visual impairment in order to address the barriers for accessing childhood eye care.Keywords: Children; school; eye care; spectacles; refractive error; knowledge;barriers; optometrist


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