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[Cataract surgery in Togo].

A Mensah1, K P Balo, G Kondi

  • 1Programme national de lutte contre la cécité, Lomé, Togo. adam.mensah@caramail.com

Sante (Montrouge, France)
|August 20, 2003
PubMed
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Cataract surgery rates in Togo are low, with significant disparities between urban and rural areas. Enhancing eye healthcare accessibility is crucial to reduce preventable blindness.

Area of Science:

  • Ophthalmology
  • Public Health
  • Healthcare Systems Analysis

Background:

  • Cataract is a primary cause of blindness in sub-Saharan Africa, posing a significant public health challenge.
  • Togo faces a high prevalence of cataract-related blindness, exacerbated by limited resources and low surgical intervention rates.
  • Existing eye healthcare infrastructure in Togo requires assessment to understand service delivery and accessibility.

Purpose of the Study:

  • To estimate the number of cataract surgeries performed across administrative regions in Togo.
  • To calculate the Cataract Surgery Rate (CSR) per million population from 1995 to 2001.
  • To analyze the distribution and concentration of cataract surgery services within Togo.

Main Methods:

  • Utilized demographic data from the Demography and Health Survey (1998) as the denominator.

Related Experiment Videos

  • Collected data on the number of cataract surgeries from medical registers (numerator) for the period 1995-2001.
  • Calculated the Cataract Surgery Rate (CSR) by dividing the number of surgeries by population estimates.

    • Main Results:

    • A total of 3,885 cataract surgeries were performed between 1995 and 2001.
    • Public services (53.03%) and confessional hospitals (37.1%) were the main providers of cataract surgeries.
    • The mean CSR was 126 per million, with significant regional disparities, particularly a high concentration (41%) in Lomé (CSR 334).

    Conclusions:

    • The Togolese eye healthcare system is underdeveloped, with a critical need for improved accessibility and affordability of services.
    • Unequal distribution of services, heavily concentrated in the capital, leaves many regions underserved.
    • Substantial efforts are required to reduce barriers to cataract surgery and address the high prevalence of operable cataract blindness.