McCormick, Ian and Tong, Kelvin and Abdullah, Nurliyana and Abesamis‐Dischoso, Carmen and Gende, Theresa and Hashim, Effendy and Ho, S. May and Jalbert, Isabelle and Jeronimo, Belmerio and Matoto‐Raikabakaba, Elenoa and Ono, Koichi and Piyasena, Prabhath Nishantha and Rogers, Jaymie T and Szetu, John and Tran, Minh Anh and Tse, Dennis Yan‐yin and Win, Ye and Yap, Tiong Peng and Yoon, Sangchul and Yusufu, Mayinuer and Burton, Matthew J and Ramke, Jacqueline and Burnett, Anthea M and Yashadhana, Aryati and Hopkins, Shelley OS and Jan, Catherine L and Taylor, Hugh R and Bi, Hongshen and Kang, Mengtain and Wang, Ningli and Yang, Xiaohui and Pan, Chen‐Wei and Wang, Yan and Wu, Min and Zhong, Hua and Zou, Haidong and Ansari, Harris Muzammil and Qoqonokana, Mundi Q and Shih, Kendrick and Hiratsuka, Yoshimune and Kawasaki, Ryo and Ahmad, Norsham and Othman, Shah Farez and Barodawala, Fakhruddin Shamseer and Hussin, Duratul Ain and Ngah, Farizah and Awg Isa, Mohd Zaki and Mohd Ali, Bariah and Mohidin, Norhani and Blair‐Hunt, Tarati R and Findlay, Rebecca W and Morar, Veeran Umish and Turnbull, Philip RK and Kumar, Deepa Ben and Farmer, John and Zuvani, Benjamin and Liu, Yu‐Chi and Ong, Hon Shin and Anh, Vu Tuan (2024) Strategies to address inequity of uncorrected refractive error in the Western Pacific: a modified delphi process. Ophthalmic and Physiological Optics, 44 (6). pp. 1148-1161. ISSN 0275-5408 E-ISSN 1475-1313
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Abstract
Purpose: Uncorrected refractive error is the leading cause of vision impairment globally; however, little attention has been given to equity and access to services. This study aimed to identify and prioritise: (1) strategies to address inequity of access to refractive error services and (2) population groups to target with these strategies in five sub-regions within the Western Pacific. Methods: We invited eye care professionals to complete a two-round online prioritisation process. In round 1, panellists nominated population groups least able to access refractive error services, and strategies to improve access. Responses were summarised and presented in round 2, where panellists ranked the groups (by extent of difficulty and size) and strategies (in terms of reach, acceptability, sustainability, feasibility and equity). Groups and strategies were scored according to their rank within each sub-region. Results: Seventy five people from 17 countries completed both rounds (55%women). Regional differences were evident. Indigenous peoples were a priority group for improving access in Australasia and Southeast Asia, while East Asia identified refugees and Oceania identified rural/remote people. Across the five sub-regions, reducing out-of-pocket costs was a commonly prioritised strategy for refraction and spectacles. Australasia prioritised improving cultural safety, East Asia prioritised strengthening school eye health programmes and Oceania and Southeast Asia prioritised outreach to rural areas. Conclusion: These results provide policy-makers, researchers and funders with a starting point for context-specific actions to improve access to refractive error services, particularly among underserved population groups who may be left behind in existing private sector-dominated models of care.
| Item Type: | Article (Journal) |
|---|---|
| Uncontrolled Keywords: | Access, Equity, Financial Protection, Refraction, Refractive Error, Spectacles |
| Subjects: | R Medicine > RA Public aspects of medicine > RA643 Communicable Diseases and Public Health R Medicine > RE Ophthalmology |
| Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): | Kulliyyah of Allied Health Sciences Kulliyyah of Allied Health Sciences > Department of Optometry and Visual Science |
| Depositing User: | Ts. Dr. Shah Farez Othman |
| Date Deposited: | 10 Nov 2025 13:57 |
| Last Modified: | 10 Nov 2025 13:57 |
| URI: | http://irep.iium.edu.my/id/eprint/124264 |
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