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Development of the WHO eye care competency framework.

Mitasha Yu1, Stuart Keel2, Silvio Mariotti2

  • 1Department of Noncommunicable Diseases, World Health Organization, Geneva, Switzerland. miyu@who.int.

Human Resources for Health
|June 19, 2023
PubMed
Summary

The Eye Care Competency Framework (ECCF) was developed to address challenges in eye care workforce capacity and quality. This globally validated tool helps identify workforce gaps and improve eye care service delivery.

Keywords:
CompetencyEyeEye careFrameworkWorkforce

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Area of Science:

  • Public Health
  • Health Workforce Development
  • Ophthalmology

Background:

  • Eye care workforce in low-resource settings faces challenges including limited health system integration, capacity, and quality of care.
  • Existing tools are insufficient, necessitating the development of a standardized framework.
  • The Eye Care Competency Framework (ECCF) was created to address these identified needs.

Purpose of the Study:

  • To develop and validate a comprehensive competency framework for the global eye care workforce.
  • To provide a tool for identifying and addressing gaps in eye care workforce capacity and training.
  • To promote better integration of eye care services within broader health systems.

Main Methods:

  • A mixed-methods approach was employed, combining content extraction from existing frameworks with expert feedback.
  • A modified-Delphi study involving 95 participants across six WHO regions was used for validation.
  • Pilot testing at four diverse sites assessed the framework's implementation and utility.

Main Results:

  • The final ECCF comprises eight outcomes, nine guiding principles, six domains, 22 competencies, 21 activities, and numerous behaviors and tasks.
  • The modified-Delphi study achieved 96% agreement on competencies and activities.
  • Pilot studies demonstrated the ECCF's versatility and effectiveness in identifying workforce documentation gaps.

Conclusions:

  • The ECCF, developed through global collaboration, reflects diverse stakeholder input and encompasses the multifaceted roles of eye care professionals.
  • The framework supports multi-disciplinary care and enhances health system integration.
  • It is recommended for workforce planners to adapt and utilize the ECCF for strategic workforce development and improved quality of eye care services.