Low Vision Mapping

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Low Vision Mapping

• Jill Keeffe and Peggy Chiang

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Aims of study

• To understand the current situation of low vision
  services throughout the world (What, where, who,
  and how services are delivered)
• Identify the critical success factors associated
  with coverage of low vision services (key
  attributes that ensure comprehensive low vision
  service coverage)
• This research will be used to inform the WHO Low
  Vision Working Group and Vision 2020 (provide
  priority areas to ensure comprehensive coverage)

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Survey themes
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Human resources
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Location of services
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Type of low vision service provision
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Equipment

• Devices available as part of low vision services-
  88(84/95)
• Supply source of affordable low vision devices-
  65 (55/84)
• Reasons that individuals do not obtain low vision
  devices

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Funding of low vision services
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Barriers to access
Other lack of awareness, lack of services, poor
referral pathways, logistics
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Groups of people most likely to miss out on
services
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80 of countries have 10 coverage
Low vision service coverage
No information
No services provided
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11-50
gt50
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Critical factors
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Summary

• Funding - lobbying the government for ownership,
  funding mix, national budget insurance to
  include low vision (example Cameroon vs. India)
• Rehabilitation workers primary level care i.e.
  outreach community based rehabilitation
  services by mid level ophthalmic personnel, HR
  training, task shifting
• Access - government awareness acceptance,
  intervention timing, social welfare services,
  community family support,
• Multidisciplinary services clinical, education,
  rehabilitation, comprehensive services
  integrated with government and other existing
  services, integration of low vision curriculum
  into ophthalmic personnel training
• External contextual factors government policy,
  distribution of resources in urban and rural
  settings, appropriateness of intervention

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Mapping national services

• Prevalence in adults from surveys
• Children WHO estimates using lt5MR
• Number of HR by cadre clinical and
  rehabilitation
• Availability of range of devices
• Under-served groups