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Status of pediatric eye care in India
Gvs Murthy1, N John, S K Gupta
1Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. gvsmurthy2000@yahoo.com
Insights
Pediatric eye care services in India are insufficient, with only 28.7% of responding institutions offering them. Advanced eye care centers and non-governmental organizations (NGOs) provide better pediatric ophthalmology services compared to other facilities.
Area of Science:
- Ophthalmology
- Public Health
- Pediatrics
Background:
- Effective pediatric eye care is crucial for preventing vision impairment in children.
- India faces a significant burden of childhood visual disorders.
Purpose of the Study:
- To assess the current availability and status of pediatric eye care services across India.
- To identify disparities in pediatric eye care provision among different types of healthcare institutions.
Main Methods:
- A nationwide survey of eye care institutions was conducted using questionnaires.
- Data collection involved workshops, regional meetings, and observational visits for validation.
- Response rate from 1204 contacted institutions was 55.5%.
Main Results:
- Only 192 (28.7%) institutions reported providing pediatric eye care.
- Non-governmental organization (NGO) hospitals and advanced eye care centers showed better pediatric service provision.
- Refractive errors were the most common reason for consultation, followed by pediatric cataract and squint surgeries.
Conclusions:
- Pediatric eye care services in India are currently inadequate to meet the population's needs.
- There is a need to strengthen pediatric ophthalmology services, particularly in secondary and tertiary care settings.
Purpose:
To document the status of pediatric eye care in India.
Materials And Methods:
A list of institutions providing eye care was compiled from various sources, including government officials, professional bodies of ophthalmologists, and national and international non-governmental organizations (NGO) working in the field of eye care in India. A questionnaire on eye care services was sent to all known eye care institutions in the country. Workshops and regional meetings were organized to maximize response. Validity of data was ensured by observational visits to 10% of the institutions who responded.
Results:
Out of 1204 institutions contacted, 668 (55.5%) responded to the questionnaire. Of these, 192 (28.7%) reported that they provided pediatric eye care services. A higher proportion (48.3%) of NGO hospitals reported separate pediatric ophthalmology units compared to other providers (P< 0.001). Eighty per cent of advanced care eye hospitals had dedicated outpatient, and 40% had dedicated inpatient facilities for children (P< 0.001). The advanced eye care hospitals attended to a larger number of pediatric clients (P < 0.001), and performed more pediatric eye surgeries compared to secondary and tertiary care hospitals (P < 0.001). Eighty-three per cent of advanced care centers and 72.4% of NGO hospitals had an anesthesiologist for pediatric eye service. Refractive error was the commonest reason for seeking service. The commonest surgical procedure was pediatric cataract surgery followed by squint surgery.
Conclusion:
Pediatric eye care services are not adequate in India.
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