Setting targets for human resources for eye health in sub-Saharan Africa: what evidence should be used?

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• 作者：Paul Courtright ; Wanjiku Mathenge ; Amir Bedri Kello…
• 关键词：Ophthalmologist ; Cataract surgeon ; Africa ; Primary eye care
• 刊名：Human Resources for Health
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：14
• 期：1
• 全文大小：463 KB
• 刊物主题：Health Administration; Social Policy;
• 出版者：BioMed Central
• ISSN：1478-4491

文摘

With a global target set at reducing vision loss by 25% by the year 2019, sub-Saharan Africa with an estimated 4.8 million blind persons will require human resources for eye health (HReH) that need to be available, appropriately skilled, supported, and productive. Targets for HReH are useful for planning, monitoring, and resource mobilization, but they need to be updated and informed by evidence of effectiveness and efficiency. Supporting evidence should take into consideration (1) ever-changing disease-specific issues including the epidemiology, the complexity of diagnosis and treatment, and the technology needed for diagnosis and treatment of each condition; (2) the changing demands for vision-related services of an increasingly urbanized population; and (3) interconnected health system issues that affect productivity and quality. The existing targets for HReH and some of the existing strategies such as task shifting of cataract surgery and trichiasis surgery, as well as the scope of eye care interventions for primary eye care workers, will need to be re-evaluated and re-defined against such evidence or supported by new evidence.