Citation:Shah M,M G. Ormsby,Ayesha Noor,Rahul Chakrabarti,Manfred Mörchen,Fakir M Amirul Islam,C Alex Harper,Jill E Keeffe.Roles of the eye care workforce for task sharing in management of diabetic retinopathy in Cambodia.Int J Ophthalmol 2018;11(1):101-107,doi:10.18240/ijo.2018.01.18
Roles of the eye care workforce for task sharing in management of diabetic retinopathy in Cambodia
Received:July 17, 2017  Revised:October 31, 2017
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DOI:10.18240/ijo.2018.01.18
Key Words:task sharing  diabetes  diabetic retinopathy  human resources  Cambodia
Fund Project:Supported by the Centre for Eye Research Austral (CERA), Royal Victorian Eye & Ear Hospital, Melbourne; CERA receives Operational Infrastructure Support from the Victorian Government.
                       
AuthorInstitution
Mufarriq Shah Pakistan Institute of Community Ophthalmology Hayatabad Medical Complex, Peshawar 25000, Pakistan; Centre for Eye Research Australia, Department of Ophthalmology, University of Melbourne, Royal Victorian Eye and Ear Hospital, Melbourne, VIC 302, Australia
Gail M. Ormsby Faculty of Education, Science and Business, Lifestyle Research Centre, Avondale College of Higher Education, Cooranbong, NSW 2265, Australia
Ayesha Noor Vision and Dental Care Clinic, Peshawar 25000, Pakistan
Rahul Chakrabarti Centre for Eye Research Australia, Department of Ophthalmology, University of Melbourne, Royal Victorian Eye and Ear Hospital, Melbourne, VIC 302, Australia
Manfred Mörchen CARITAS Takeo Eye Hospital, Krong Doun Kaev 21151, Cambodia; Regional office Asia South East CBM International Unit 604 Alabang Business Tower, 1216 Acacia Ave, Muntinlupa City 1799, Philippines
Fakir M Amirul Islam Statistics, Data Science and Epidemiology, Swinburne University of Technology, Hawthorn, VIC 3122, Australia
C Alex Harper Centre for Eye Research Australia, Department of Ophthalmology, University of Melbourne, Royal Victorian Eye and Ear Hospital, Melbourne, VIC 302, Australia
Jill E Keeffe LV Prasad Eye Institute, Hyderabad , India
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Abstract:
      AIM: To identify the current roles of eye and health care workers in eye care delivery and investigate their potential roles in screening and detection for management of diabetic retinopathy (DR) through task sharing.

    METHODS: Purposive sampling of 24 participants including health administrators, members from non-government organizations and all available eye care workers in Takeo province were recruited. This cross sectional mixed method study comprised a survey and in-depth interviews. Data were collected from medical records at Caritas Takeo Eye Hospital (CTEH) and Kiri Vong District Referral Hospital Vision Centre, and a survey and interviews with participants were done to explore the potential roles for task sharing in DR management. Qualitative data were transcribed into a text program and then entered into N-Vivo (version 10) software for data management and analysis.

    RESULTS: From 2009 to 2012, a total of 105 178 patients were examined and 14 030 eye surgeries were performed in CTEH by three ophthalmologists supported by ophthalmic nurses in operating and eye examination for patients. Between January 2011 and September 2012, 151 patients (72 males) with retinal pathology including 125 (83%) with DR visited CTEH. In addition 170 patients with diabetes were referred to CTEH for eye examinations from Mo Po Tsyo screening programs for people with diabetes. Factors favouring task sharing included high demand for eye care services and scarcity of ophthalmologists.

    CONCLUSION: Task sharing and team work for eye care services is functional. Participants favor the potential role of ophthalmic nurses in screening for DR through task sharing.

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