Health system dynamics analysis of eyecare services in Trinidad and Tobago and progress towards Vision 2020 Goals

Health Policy and Planning
Tasanee BraithwaiteRupert R A Bourne

Abstract

Avoidable blindness is an important global public health concern. This study aimed to assess Trinidad and Tobago's progress towards achieving the Pan American Health Organization, 'Strategic Framework for Vision 2020: The Right to Sight-Caribbean Region,' indicators through comprehensive review of the eyecare system, in order to facilitate health system priority setting. We administered structured surveys to six stakeholder groups, including eyecare providers, patients and older adult participants in the National Eye Survey of Trinidad and Tobago. We reviewed reports, registers and policy documents, and used a health system dynamics framework to synthesize data. In 2014, the population of 1.3 million were served by a pluralistic eyecare system, which had achieved 14 out of 27 Strategic Framework indicators. The Government provided free primary, secondary and emergency eyecare services, through 108 health centres and 5 hospitals (0.26 ophthalmologists and 1.32 ophthalmologists-in-training per 50 000 population). Private sector optometrists (4.37 per 50 000 population), and ophthalmologists (0.93 per 50 000 population) provided 80% of all eyecare. Only 19.3% of the adult population had private health insurance, revealing signific...Continue Reading

References

Jun 8, 2006·Health and Quality of Life Outcomes·Antoine J LafumaGilles H Berdeaux
Aug 8, 2006·Diabetes Research and Clinical Practice·Natalie ApparicoKameel Mungrue
Sep 5, 2012·Indian Journal of Ophthalmology·Karl Blanchet, Daksha Patel
Jan 29, 2013·Ophthalmic Epidemiology·Rupert BourneUNKNOWN Global Burden of Disease Vision Loss Expert Group
Feb 5, 2013·Evaluation & the Health Professions·Caroline C McLeodDebra Stark
Mar 15, 2013·Paediatrics and International Child Health·Yvonne Ann BatsonBrian Cockburn
Sep 17, 2013·Current Diabetes Reports·Elias K Spanakis, Sherita Hill Golden
Feb 13, 2014·The British Journal of Ophthalmology·Janet L LeasherUNKNOWN Vision Loss Expert Group of the Global Burden of Disease Study
Mar 1, 2014·BMC Health Services Research·Fiammetta Maria BozzaniElena Schmidt
Jul 6, 2014·The British Journal of Ophthalmology·Karl BlanchetDon de Savigny
Aug 12, 2014·The Lancet Global Health·Rupert R A BourneUNKNOWN Vision Loss Expert Group
Jan 21, 2017·Ophthalmic Epidemiology·Tasanee BraithwaiteUNKNOWN NESTT Study Group

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Citations

Oct 30, 2020·Clinical Ophthalmology·Elizabeth Pearce, Sobha Sivaprasad

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