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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Why are children brought late for cataract surgery? Qualitative findings from Tanzania
Ophthalmic Epidemiology, Volume 15, No. 6, Year 2008
Notification
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Description
Purpose: Worldwide, at least 190,000 children are blind due to cataract. Although, surgical intervention is the treatment of choice, in most developing countries the number of children with cataract being brought to hospital for surgery has been few in number, considerably less than the burden of disease in the community. Furthermore, long delay in presentation is a major deterrent to improved visual outcome and compromises the future quality of life of children and their families. The main objective of this qualitative study was to provide a better understanding of surgical delay in the care of children with congenital or developmental cataract. Methods: We conducted 117 semi-structured interviews with parents or guardians of children admitted for cataract surgery at a tertiary hospital in northern Tanzania. Results: We identified several factors influencing the treatment-seeking behaviors of parents and guardians, including gender relations within the household, local health beliefs about cataract and cataract surgery and the ability of health care professionals in primary and secondary care settings to adequately inform parents and guardians about cataract and cataract surgery. Conclusions: Practical, short and medium term avenues must be explored to reduce delays of presentation. Public education, training of health workers and counseling efforts in the communities may be necessary to enable children to access services in a timely fashion. Copyright © 2008 Informa Healthcare USA, Inc.
Authors & Co-Authors
Bronsard, Annie
Canada, Quebec
Université Laval
Tanzania
Kilimanjaro Centre for Community Opthalmology Kcco
Geneau, Robert
Tanzania
Kilimanjaro Centre for Community Opthalmology Kcco
Canada, Ottawa
University of Ottawa
Shirima, Sylvia
Tanzania
Kilimanjaro Centre for Community Opthalmology Kcco
Courtright, Paul D.
Tanzania
Kilimanjaro Centre for Community Opthalmology Kcco
Mwende, Judith
Tanzania
Kilimanjaro Centre for Community Opthalmology Kcco
Statistics
Citations: 84
Authors: 5
Affiliations: 3
Identifiers
Doi:
10.1080/09286580802488624
ISSN:
09286586
e-ISSN:
17445086
Research Areas
Disability
Health System And Policy
Maternal And Child Health
Study Design
Randomised Control Trial
Study Approach
Qualitative
Study Locations
Tanzania