Training and using mid-level eye care workers: early lessons from Timor-Leste.

Area of Science:

• Ophthalmology
• Public Health
• Medical Education

Background:

• Established in 2007, a 12-month Diploma of Eye Care course for mid-level eye care workers was part of Timor-Leste's National Eye Health Strategy.
• This paper details the course's development, implementation, and initial outcomes.

Purpose of the Study:

• To report on the development and implementation of a mid-level eye care training course in Timor-Leste.
• To examine the initial results of the course and suggest improvements for training and deployment.

Main Methods:

• Examined course curriculum development, delivery, trainee selection, and candidate assessment.
• Assessed graduate clinical knowledge retention at 6 months post-course using clinical vignettes.
• Appraised graduate workplace environments and activities.

Main Results:

• Course development and delivery adapted to local circumstances and best educational practices.
• Four rural nurses completed the inaugural course and remained in rural eye care.
• Significant variation in graduate activities and a substantial decline in clinical competency were observed.

Conclusions:

• Current best practices in curriculum design and delivery were insufficient for ensuring graduates maintained clinical competency.
• Post-graduation integration and ongoing support are crucial for effective deployment.
• Further evaluation is needed to determine the efficacy and impact of this mid-level cadre on eye health.