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Related Experiment Video

Updated: Apr 13, 2026

Comparison of Agreement and Accuracy using Binocular Wavefront Optometer with Autorefractor and Phoropter
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Human resources for refraction services in Central Nepal.

Himal Kandel1, G V S Murthy2, Covadonga Bascaran2

  • 1Department of Optometry and Vision Science, Flinders University, Australia.

Clinical & Experimental Optometry
|May 7, 2015
PubMed
Summary
This summary is machine-generated.

A shortage of 170 refractionists in Central Nepal hinders public eye health, as uncorrected refractive error remains a significant issue. Addressing this requires developing trained personnel and improving equitable distribution and community outreach for refraction services.

Keywords:
Nepalhuman resourcesrefractive errors

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Area of Science:

  • Ophthalmology
  • Public Health
  • Health Workforce Research

Background:

  • Uncorrected refractive error is a global public health concern, particularly in Nepal.
  • Limited data on human resources for refraction complicates service planning.

Purpose of the Study:

  • To assess the availability, distribution, training, and efficiency of refraction human resources in Central Nepal.
  • To determine current refraction service provision and unmet needs.

Main Methods:

  • A descriptive cross-sectional study was conducted in Central Nepal.
  • Refraction facilities were identified, and a random sample was selected for data collection.
  • Face-to-face interviews with managers and refractionists were performed using a semi-structured questionnaire.

Main Results:

  • Optometrists and ophthalmic assistants are the primary refraction service providers, unevenly distributed towards urban areas.
  • The median refractionist performs 3,600 refractions annually, with significant unmet demand.
  • An additional 170 refractionists are needed to address the backlog of 1,323,234 refractions.

Conclusions:

  • Nepal requires substantial efforts to train and develop personnel for refraction services.
  • Equitable distribution of refractionists, community outreach, and public awareness are crucial for improving eye health services.