首页 » 文章 » 文章详细信息
Journal of Environmental and Public Health Volume 2019 ,2019-07-22
Assessing the Progress towards Achieving “VISION 2020: The Right to Sight” Initiative in Ghana
Research Article
Enyam Komla Amewuho Morny 1 Samuel Bert Boadi-Kusi 1 Stephen Ocansey 1 Samuel Kyei 1 Kwame Yeboah 1 Maureen Adanna Mmaduagwu 1
Show affiliations
DOI:10.1155/2019/3813298
Received 2019-03-18, accepted for publication 2019-07-02, Published 2019-07-02
PDF
摘要

Purpose. The aim of this study was to analyse eye health delivery in Ghana and examine the progress towards achieving VISION 2020 indicator targets. Methods. This descriptive cross-sectional study was conducted between October 2017 and May 2018. It used a mixed method approach including desk-based reviews, a questionnaire-based survey of eye facilities in Ghana, and interviews with eye health system stakeholders to collect information on eye health delivery in facilities owned by the Ghana Health Service (GHS), quasigovernmental bodies (security agencies), and Christian Association of Ghana (CHAG). The information was benchmarked against the World Health Organization (WHO) targets for achieving the goals of VISION 2020. Results. The magnitude of blindness and moderate to severe visual impairment (without pinhole) was 0.9% and 3.0%, respectively. The number of ophthalmologists available at the country level was 80.6% of the VISION 2020 target with optometrists and ophthalmic nurses exceeding targets for VISION 2020. The distribution of human resources was heavily skewed towards two out of the 10 regions in Ghana. Cataract surgical rate was low and met 25% of the WHO target. Basic equipment for refraction was available in the majority of facilities; however, there was a general lack of specialised eye care equipment across the country. Comparatively, CHAG facilities were better equipped than GHS facilities at the same level. Conclusion. The Government of Ghana should revitalize the goals of VISION 2020 beyond the year 2020 and spearhead a concerted effort to ensure equitable distribution of human and infrastructural resources across the country.

授权许可

Copyright © 2019 Enyam Komla Amewuho Morny et al. 2019
This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

通讯作者

Enyam Komla Amewuho Morny.Department of Optometry and Vision Science, School of Allied Health Sciences, University of Cape Coast, Cape Coast, Ghana, ucc.edu.gh.emorny@ucc.edu.gh

推荐引用方式

Enyam Komla Amewuho Morny,Samuel Bert Boadi-Kusi,Stephen Ocansey,Samuel Kyei,Kwame Yeboah,Maureen Adanna Mmaduagwu. Assessing the Progress towards Achieving “VISION 2020: The Right to Sight” Initiative in Ghana. Journal of Environmental and Public Health ,Vol.2019(2019)

您觉得这篇文章对您有帮助吗?
分享和收藏
0

是否收藏?

参考文献
[1] World Health Organisation. (2013). Universal Eye Health: A Global Action Plan 2014–2019. DOI: 10.1136/bjophthalmol-2011-300539.
[2] World Health Organization. (2017). Catalogue of Key Eye Health Indicators in the African Region. DOI: 10.1136/bjophthalmol-2011-300539.
[3] D. Pascolini, S. P. Mariotti. (2012). Global estimates of visual impairment: 2010. British Journal of Ophthalmology.96(5):614-618. DOI: 10.1136/bjophthalmol-2011-300539.
[4] P. Ackland. (2012). The accomplishments of the global initiative VISION 2020: the right to sight and the focus for the next 8 years of the campaign. Indian Journal of Ophthalmology.60(5):380. DOI: 10.1136/bjophthalmol-2011-300539.
[5] R. R. A. Bourne, S. R. Flaxman, T. Braithwaite. (2017). Magnitude, temporal trends, and projections of the global prevalence of blindness and distance and near vision impairment: a systematic review and meta-analysis. Lancet Global Health.5(9):888-897. DOI: 10.1136/bjophthalmol-2011-300539.
[6] International Agency for the Prevention of Blindness. (2017). IAPB Essential List for Cataract Surgery. DOI: 10.1136/bjophthalmol-2011-300539.
[7] S. R. Flaxman, R. R. A. Bourne, S. Resnikoff. (2017). Global causes of blindness and distance vision impairment 1990–2020: a systematic review and meta-analysis. Lancet Global Health.5(12):1221-1234. DOI: 10.1136/bjophthalmol-2011-300539.
[8] B. Wiafe. (2017). Ghana Blindness and Visual Impairment Study 2015. DOI: 10.1136/bjophthalmol-2011-300539.
[9] A. Salisu, V. Prinz. (2009). Health Care in Ghana. DOI: 10.1136/bjophthalmol-2011-300539.
[10] A. Ilechie, H. Otchere, C. Darko-Takyi, C. H. Abraham. et al.(2013). Access to and utilization of eye care services in Ghana. International Journal of Health Research.6:7-15. DOI: 10.1136/bjophthalmol-2011-300539.
[11] A. C. Moll, A. J. Van Der Linden, M. Hogeweg, W. E. Schader. et al.(1994). Prevalence of blindness and low vision of people over 30 years in the Wenchi district, Ghana, in relation to eye care programmes. British Journal of Ophthalmology.78(4):275-279. DOI: 10.1136/bjophthalmol-2011-300539.
[12] International Center for Eye Health. (2006). Planning for VISION 2020 at the District Level: A Manual. DOI: 10.1136/bjophthalmol-2011-300539.
[13] G. Ovenseri-Ogomo, M. Adofo. (2011). Poor vision, refractive errors and barriers to treatment among commercial vehicle drivers in the Cape Coast municipality. African Health Sciences.11(1):97-102. DOI: 10.1136/bjophthalmol-2011-300539.
[14] S. B. Boadi-Kusi, M. Ntodie, K. P. Mashige, A. Owusu-Ansah. et al.(2015). A cross-sectional survey of optometrists and optometric practices in Ghana. Clinical and Experimental Optometry.98(5):473-477. DOI: 10.1136/bjophthalmol-2011-300539.
[15] J. Guzek, F. Anyomi, S. Fiadoyor, F. Nyonator. et al.(2006). Prevalence of blindness in people over 40 years in the Volta region of Ghana. Ghana Medical Journal.39(2). DOI: 10.1136/bjophthalmol-2011-300539.
[16] J. J. Palmer, F. Chinanayi, A. Gilbert. (2014). Mapping human resources for eye health in 21 countries of sub-Saharan Africa: current progress towards VISION 2020. Human Resources for Health.12(1):44. DOI: 10.1136/bjophthalmol-2011-300539.
[17] M. Ntodie, L. Danquah, H. Kandel, S. Abokyi. et al.(2014). Toward eliminating blindness due to uncorrected refractive errors: assessment of refractive services in the northern and central regions of Ghana. Clinical and Experimental Optometry.97(6):511-515. DOI: 10.1136/bjophthalmol-2011-300539.
[18] Christian Health Association of Ghana. (2017). The Christian Health Association of Ghana: Strategic Framework 2017–2021. DOI: 10.1136/bjophthalmol-2011-300539.
[19] C. T. Ntim-Amponsah. (2015). Childhood visual impairment and unmet low-vision care in blind school students in Ghana. US Ophthalmic Review.5(1):11. DOI: 10.1136/bjophthalmol-2011-300539.
[20] Christian Health Association of Ghana. (2015). Annual Report 2015. DOI: 10.1136/bjophthalmol-2011-300539.
[21] C. T. Ntim-Amponsah, W. M. K. Amoaku. (2008). Causes of childhood visual impairment and unmet low-vision care in blind school students in Ghana. International Ophthalmology.28(5):317-323. DOI: 10.1136/bjophthalmol-2011-300539.
[22] S. Ocansey, A. Kumi-Kyereme, K. Awusabo-Asare, A. A. Ilechie. et al.(2014). Utilization of eye care services among Ghanaian elderly population: evidence from a peri-urban community. Ophthalmology Research: An International Journal.1(1):89-101. DOI: 10.1136/bjophthalmol-2011-300539.
[23] A. Ebri, P. Govender. (2017). Ghana Primary Eyecare Feasibility Assessment. DOI: 10.1136/bjophthalmol-2011-300539.
[24] D. L. Budenz, K. Barton, J. Whiteside-de Vos. (2013). Prevalence of glaucoma in an urban West African population. JAMA Ophthalmology.131(5):651-658. DOI: 10.1136/bjophthalmol-2011-300539.
[25] A. E. Yawson, E. M. Ackuaku-Dogbe, N. A. H. Seneadza. (2014). Self-reported cataracts in older adults in Ghana: sociodemographic and health related factors. BMC Public Health.14(1):949. DOI: 10.1136/bjophthalmol-2011-300539.
[26] P. A. Abor, G. Abekah-Nkrumah, J. Y. Abor. (2008). An examination of hospital governance in Ghana. Leadership in Health Services.21(1):47-60. DOI: 10.1136/bjophthalmol-2011-300539.
[27] E. K. Abu, A. A. Yeboah, S. Ocansey, S. Kyei. et al.(2015). Epidemiology of ocular disorders and visual impairment among school pupils in the Cape Coast Metropolis, Ghana. British Journal of Visual Impairment.33(1):45-53. DOI: 10.1136/bjophthalmol-2011-300539.
[28] E. Ackuaku-Dogbe, A. Yawson, R. Biritwum. (2015). Cataract surgical uptake among older adults in Ghana. Ghana Medical Journal.49(2):84-89. DOI: 10.1136/bjophthalmol-2011-300539.
[29] O. Debrah, E. O. Mensah, L. Senyonjo. (2017). Elimination of trachoma as a public health problem in Ghana: providing evidence through a pre-validation survey. PLoS Neglected Tropical Diseases.11(12). DOI: 10.1136/bjophthalmol-2011-300539.
[30] M. Hagan, D. Yayemain, F. Ahorsu, A. Aboe. et al.(2010). Prevalence of active trachoma two years after control activities. Ghana Medical Journal.43(2):54-60. DOI: 10.1136/bjophthalmol-2011-300539.
[31] D. Yayemain, M. Hagan, F. Ahorsu, A. Aboe. et al.(2003). Report on Baseline Trachoma Prevalence in Twelve Districts in Northen and Upper West Region. DOI: 10.1136/bjophthalmol-2011-300539.
[32] G. O. Ovenseri-Ogbomo, F. E. Kio, E. K. Morny, A. O. Amedo. et al.(2011). Two decades of optometric education in Ghana: update and recent developments. African Vision and Eye Health.70(3). DOI: 10.1136/bjophthalmol-2011-300539.
[33] Ghana Statistical Service. (2012). Ghana Population and Housing Census Report 2010. DOI: 10.1136/bjophthalmol-2011-300539.
[34] M. Hagan, P. R. Egbert. (1993). Ophthalmology in Ghana. Seminars in Ophthalmology.8(3):186-189. DOI: 10.1136/bjophthalmol-2011-300539.
[35] C. T. Ntim-Amponsah, W. M. K. Amoaku, S. Ofosu-Amaah. (2004). Prevalence of glaucoma in an African population. Eye.18(5):491-497. DOI: 10.1136/bjophthalmol-2011-300539.
[36] Ghana Health Service. (2017). Ghana Health Service 2016 Annual Report. DOI: 10.1136/bjophthalmol-2011-300539.
[37] R. K. Alhassan, E. Nketiah-Amponsah, D. K. Arhinful. (2016). A review of the national health insurance scheme in Ghana: what are the sustainability threats and prospects?. PLoS One.11(11). DOI: 10.1136/bjophthalmol-2011-300539.
[38] National Eye Care Unit. (2004). Imagine Ghana Free of Avoidable Blindness: National Eye Health Programme Framework for Action 2004–2008. DOI: 10.1136/bjophthalmol-2011-300539.
[39] International Agency for the Prevention of Blindness. (2017). IAPB Essential List for Low Vision Services. DOI: 10.1136/bjophthalmol-2011-300539.
[40] P. J. Hotez, N.-K. Biritwum, A. Fenwick. (2019). Ghana : accelerating neglected tropical disease control in a setting of economic development. PLos Neglected Tropical Diseases.13(1). DOI: 10.1136/bjophthalmol-2011-300539.
[41] M. Y. Osei-Atweneboana, J. K. Eng, D. A. Boakye, J. O. Gyapong. et al.(2007). Prevalence and intensity of onchocerca volvulus infection and efficacy of ivermectin in endemic communities in Ghana: a two-phase epidemiological study. The Lancet.369(9578):2021-2029. DOI: 10.1136/bjophthalmol-2011-300539.
[42] World Health Organization. (2000). Vision 2020—the Global Initiative for the Elimination of Avoidable Blindness. DOI: 10.1136/bjophthalmol-2011-300539.
[43] P. Courtright, R. du Toit, S. Bush. (2013). Evidence for integrating eye health into primary health care in Africa: a health systems strengthening approach. BMC Health Services Research.13(1):102. DOI: 10.1136/bjophthalmol-2011-300539.
[44] A. Potter, O. Debrah, J. Ashun, K. I. Blanchet. et al.(2013). Eye Health Systems Assessment (EHSA): Ghana Country Report. DOI: 10.1136/bjophthalmol-2011-300539.
[45] Ministry of Health of Ghana. (2015). The Health Sector in Ghana: Facts and Figures 2015. DOI: 10.1136/bjophthalmol-2011-300539.
[46] S. Merepa, P. Akowuah, A. Abazele. (2017). Barriers to utilization of eye care services in the Upper East Region, Ghana. Advances in Ophthalmology and Visual System.7(6). DOI: 10.1136/bjophthalmol-2011-300539.
[47] L. Pizzarello, A. Abiose, T. Ffytche. (2004). VISION 2020: the right to sight. Archives of Ophthalmology.122(4):615-620. DOI: 10.1136/bjophthalmol-2011-300539.
[48] P. H. L. Lamberton, R. A. Cheke, P. Winskill. (2015). Onchocerciasis transmission in Ghana: persistence under different control strategies and the role of the simuliid vectors. PLoS Neglected Tropical Diseases.9(4). DOI: 10.1136/bjophthalmol-2011-300539.
[49] International Agency for the Prevention of Blindness. (2014). IAPB Africa Human Resources for Eye Health: Strategic Plan 2014–2023. DOI: 10.1136/bjophthalmol-2011-300539.
[50] C. Gilbert, H. Minto, P. Morjaria, I. Khan. et al.(2014). Standard Guidelines for Comprehensive School Eye Health Programs. DOI: 10.1136/bjophthalmol-2011-300539.
[51] D. L. Budenz, J. R. Bandi, K. Barton. (2012). Blindness and visual impairment in an urban West African population: the tema eye survey. Ophthalmology.119(9):1744-1753. DOI: 10.1136/bjophthalmol-2011-300539.
[52] Ghana Health Service. (2017). National Eye Care Unit 2016 Annual Report. DOI: 10.1136/bjophthalmol-2011-300539.
[53] International Agency for the Prevention of Blindness. (2017). IAPB Essential List for Glaucoma. DOI: 10.1136/bjophthalmol-2011-300539.
文献评价指标
浏览 23次
下载全文 4次
评分次数 0次
用户评分 0.0分
分享 0次