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Rapid assessment of cataract blindness among Ughelli clan in an urban/rural district of Delta State, Nigeria
| Content Provider | Semantic Scholar |
|---|---|
| Author | Patrick-Ferife, Ge Ashaye, A. O. Osuntokun, Olawale O. |
| Copyright Year | 2005 |
| Abstract | Background : A population based, rapid assessment for cataract blindness was conducted in Ughelli North local government area of Delta State, an urban/rural area of Nigeria between June and July 2001 with the aim of establishing baseline data for developing cataract intervention services for the area. Method : A cluster random sampling method was used based on the guidelines for the Rapid Assessment for Cataract Surgery. A total of 8 clusters of 90 persons were randomly selected from the 8 communities that make up the Ughelli clan. Only people of 50 years and above who had been resident in the area for up to six months were included. A total of 684 persons were examined (91.2% coverage) using a designed survey form. The barriers to the uptake of cataract surgery were also identified during the survey. The WHO definitions of blindness and visual impairment according to visual acuity were used as criteria for classification of visual blindness and visual impairment. Results : The prevalence of bilateral cataract blindness (cataract causing visual acuity of less than 3/60 in the better eye) for people of 50 years and above was 4.1% (95% CI: 2.96 to 5.24%) with cataract accounting for 41.2% of all the blindness in this age group. Prevalence of cataract blindness was higher in females than in males (5.0% versus 3.6%) About 80% of the cataract blindness occurs in people of 70 years and above. The cataract surgical coverage for eyes was 4.5%; cataract surgical coverage for couching was 18.2%. The major barriers to the uptake of cataract surgical services were lack of awareness of eye care services in nearby district (71.0%), the imagined high cost of the services (17.9%) the perception of women that their health problems are not of immediate importance (7.1%). Conclusion : At the time of study about 2000 person required immediate cataract surgery in the area. With an estimated incidence of 400 new cases per year, there is a need to set up cataract surgical services in the Ughelli North local government area. Special attention should be given to reduction of cataract blindness in females. Keywords : cataract, blindness, rapid assessment Resume Introduction : Evaluation rapide, basee sur une population de la cecite provoquee par une cataracte a ete effectuee dans l\'administration locale du nord d\'Ughelli de l\'Etat de Delta, une zone urbaine/rurale du Nigeria entre juin et juillet 2001 dans le but d\'etablir des donnees de base pour le developpement du service d\'intervention chirurgicale de la cataracte pour la region. Methode : Une methode d\'un groupe d\'echantillonnage au hasard a ete utilisee basee sur des directives pour l\'Evaluation Rapide pour l\'intervention chirurgicale de la Cataracte. Un nombre total de 8 groupes composes de 90 personnes ont ete selectionnes au hasard parmi les 8 communautes dont le clan d\'Ughelli est compose. Un nombre total de 684 personnes ont ete examinees soit 91,2% traitement a travers l\'utilisation d\'un formulaire concu pour faire un sondage. Resultats : La frequence de la cecite de la cataracte bilaterale (la cataracte qui provoque une acuite visuelle de moins de 3/60 dans le meilleur œil) pour des peuples de 50 ans et plus etait 4,1% soit 95% CL : 2,96 au 5,24%) dont la cataracte constitue 41,2% de toute les cecites dans cette tranche d\'âge. La frequence de la cecite de la cataracte etait elevee chez le sexe feminin plus que chez le sexe masculin (5,0% contre 3,6%) Environ 80% de la cecite de la cataracte arrivent chez des gens âges de 70 ans et plus. Les traitements a travers l\'intervention chirurgicale de la cataracte pour des yeux etait 4,5%. Les traitements pour l\'intervention chirurgicale pour le couching contitue 18,2%. Les barrieres principales contre les services d\'intervention chirurgicale de la cataracte etaient manque de l\'opinion publique sur la conscience de services de soins des yeux dans la region d\'a cote (71,0%), les soi-disant services a grands frais, (17,9%), la conception des femmes que les problemes relatifs a leurs sante n\'est pas d\'urgence (7,1%). Conclusion : Pendant cette etude, environ 2000 personnes avaient besoin de l\'intervention chirurgicale de la cataracte d\'urgence dans cette region. Avec une frequence d\'environ 400 nouveaux cas chaque annee, c\'est necessaire de creer un service d\'Intervention Chirurgicale de la Cataracte dans l\'administration locale du nord d\'Ughelli. Une attention particuliere devrait etre portee sur la reduction de la cecite de la cataracte chez des femmes. Mots cles : cataracte, aveuglement, evaluation rapide Annals of African Medicine Vol. 4(2) 2005: 52–57 |
| Starting Page | 52 |
| Ending Page | 57 |
| Page Count | 6 |
| File Format | PDF HTM / HTML |
| Volume Number | 4 |
| Alternate Webpage(s) | https://tspace.library.utoronto.ca/bitstream/1807/5050/1/am05014.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
