Publication: Evaluation of Self-vision Assessment Charts in Schools of Eastern Nepal: A Multi Method Study
Date
2024
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Introduction: Globally, over two billion people suffer from vision impairment, almost half preventable. In Nepal, the Eastern Regional Eye Care Program introduced self-vision assessment charts in 137 schools for early eye issue detection. This study assessed the charts' use and perceived impact.
Methods: A multi-method study was conducted to evaluate the use of self-vision assessment charts in schools in Eastern Nepal. Ethical approval was obtained from Institutional Review Board (Refrence number: 72-079-040). Quantitative data were collected through a questionnaire survey. Quantitative data were analyzed using descriptive statistics, while qualitative data were analyzed using framework analysis. Both methods were integrated to enhance understanding of participants' experiences.
Results: In this study, 400 students participated in questionnaire survey, 180 in self vision assessment, and 16 teachers in in-depth interviews. Among the participants, 198 (49.50%) of students used the chart, 125 (65.78%) expressed satisfaction, 241 (60.25%) found it useful, 276 (69%) as beneficial, and 253 (63.25%) stated improved health. There were 93 (23.25%) students who felt knowledgeable about its use, with 18 (10%) using it correctly. In 162 (90%) of schools there were adequate chart placement, 23 (12.77%) provided clear signage for viewing points. Teachers recognized the chart's benefits and encouraged its use, but students lacked awareness. Regular use was viewed as beneficial for early detection of eye issues, though challenges included a need for more awareness among students and teachers and reliance on home remedies.
Conclusions: Most students and teachers acknowledged self-vision assessment charts’ benefits but had low utilization and accuracy rates. Strategic interventions such as regular informational sessions, teacher motivation, and engagement with eye health experts are essential.
Description
Archana Shrestha
Department of Public Health, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal
Sudhir Kumar Thakur
Lahan Eye and Ear Care System, Sagarmatha Choudhary Eye Hospital, Lahan, Nepal
Abhishek Roshan
Lahan Eye and Ear Care System, Sagarmatha Choudhary Eye Hospital, Lahan, Nepal
Sanjay Kumar Singh
Lahan Eye and Ear Care System, Sagarmatha Choudhary Eye Hospital, Lahan, Nepal
Archana Pokhrel
Institute for Implementation Science and Health, Kathmandu, Nepal
Apekshya Bohara
Institute for Implementation Science and Health, Kathmandu, Nepal
Lisasha Poudel
Institute for Implementation Science and Health, Kathmandu, Nepal
Chanda Thakur
Department of Public Health, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal
Asmita Adhikari
Department of Community Programs, Dhulikhel Hospital Dhulikhel, Kavre, Nepal
Priyanka Timsina
Department of Public Health, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal
Yunika Acharya
Department of Public Health, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal
Rajiv Ranjan Karn
Lahan Eye and Ear Care System, Sagarmatha Choudhary Eye Hospital, Lahan, Nepal