St Andrews Research Repository

St Andrews University Home
View Item 
  •   St Andrews Research Repository
  • University of St Andrews Research
  • University of St Andrews Research
  • University of St Andrews Research
  • View Item
  •   St Andrews Research Repository
  • University of St Andrews Research
  • University of St Andrews Research
  • University of St Andrews Research
  • View Item
  •   St Andrews Research Repository
  • University of St Andrews Research
  • University of St Andrews Research
  • University of St Andrews Research
  • View Item
  • Login
JavaScript is disabled for your browser. Some features of this site may not work without it.

The appointment system influences uptake of cataract surgical services in Rwanda

Thumbnail
View/Open
Kitema_2021_IJoERPH_Appointment_System_Influences_CC.pdf (697.9Kb)
Date
16/01/2021
Author
Kitema, Gatera Fiston
Morjaria, Priya
Mathenge, Wanjiku
Ramke, Jacqueline
Keywords
Adolescent
Adult
Aged
Appointments and Schedules
Cataract
Cataract Extraction
Child
Cross-Sectional Studies
Health Equity
Health Services Accessibility/statistics & numerical data
Humans
Referral and Consultation/statistics & numerical data
Rwanda
Vision Disorders
RA0421 Public health. Hygiene. Preventive Medicine
RE Ophthalmology
NDAS
NIS
Metadata
Show full item record
Altmetrics Handle Statistics
Altmetrics DOI Statistics
Abstract
The aim of this study was to investigate barriers and enablers associated with the uptake of cataract surgery in Rwanda, where financial protection is almost universally available. This was a hospital-based cross-sectional study where potential participants were adults aged >18 years who accepted an appointment for cataract surgery during the study period (May-July 2019). Information was collected from hospital records and a semi-structured questionnaire was used for data collection. Of the 297 people with surgery appointments, 221 (74.4%) were recruited into the study, 126 (57.0%) of whom had attended their appointment. People more likely to attend their surgical appointment were literate, had fewer than 8 children, had poorer visual acuity, had access to a telephone in the family, received a specific date to attend their appointment, received a reminder, and reported no difficulties walking (95% significance level, p < 0.05). The most commonly reported barriers were insufficient information about the appointment (n = 40/68, 58.8%) and prohibitive indirect costs (n = 29/68, 42.6%). This study suggests that clear communication of appointment information and a subsequent reminder, together with additional support for people with limited mobility, are strategies that could improve uptake of cataract surgery in Rwanda.
Citation
Kitema , G F , Morjaria , P , Mathenge , W & Ramke , J 2021 , ' The appointment system influences uptake of cataract surgical services in Rwanda ' , International Journal of Environmental Research and Public Health , vol. 18 , no. 2 , 743 . https://doi.org/10.3390/ijerph18020743
Publication
International Journal of Environmental Research and Public Health
Status
Peer reviewed
DOI
https://doi.org/10.3390/ijerph18020743
ISSN
1660-4601
Type
Journal article
Rights
Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/4.0/).
Description
Funding: G.F.K. received funding to undertake a master’s degree from the British Council for the Prevention of Blindness, the Commonwealth Scholarships Commission UK, and the University of Rwanda (UR). Data collection was funded by the Travel Trust Fund at the London School of Hygiene and Tropical Medicine. J.R. was a Commonwealth Rutherford Fellow, funded by the UK government through the Commonwealth Scholarship Commission in the UK. J.R.’s position at the University of Auckland is funded by the Buchanan Charitable Foundation, New Zealand.
Collections
  • University of St Andrews Research
URI
http://hdl.handle.net/10023/24043

Items in the St Andrews Research Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

Advanced Search

Browse

All of RepositoryCommunities & CollectionsBy Issue DateNamesTitlesSubjectsClassificationTypeFunderThis CollectionBy Issue DateNamesTitlesSubjectsClassificationTypeFunder

My Account

Login

Open Access

To find out how you can benefit from open access to research, see our library web pages and Open Access blog. For open access help contact: openaccess@st-andrews.ac.uk.

Accessibility

Read our Accessibility statement.

How to submit research papers

The full text of research papers can be submitted to the repository via Pure, the University's research information system. For help see our guide: How to deposit in Pure.

Electronic thesis deposit

Help with deposit.

Repository help

For repository help contact: Digital-Repository@st-andrews.ac.uk.

Give Feedback

Cookie policy

This site may use cookies. Please see Terms and Conditions.

Usage statistics

COUNTER-compliant statistics on downloads from the repository are available from the IRUS-UK Service. Contact us for information.

© University of St Andrews Library

University of St Andrews is a charity registered in Scotland, No SC013532.

  • Facebook
  • Twitter