Ocular morbidity and health seeking behaviour in Kwara state, Nigeria: implications for delivery of eye care services.

Journal article

Senyonjo, L, Lindfield, R, Mahmoud, A, Kimani, K, Sanda, S and Schmidt, E (2014). Ocular morbidity and health seeking behaviour in Kwara state, Nigeria: implications for delivery of eye care services. PLoS ONE. 9 (8), p. e104128. https://doi.org/10.1371/journal.pone.0104128
AuthorsSenyonjo, L, Lindfield, R, Mahmoud, A, Kimani, K, Sanda, S and Schmidt, E
Abstract

BACKGROUND: There is currently limited information as to which conditions are most prevalent in communities in developing countries. This makes effective planning of eye services difficult. METHODS: 3,899 eligible individuals were recruited and examined in a cross-sectional survey in Asa Local Government Area, Nigeria. Those who self-reported an ocular morbidity were also asked about their health-seeking behaviour. Health records of local facilities were reviewed to collect information on those presenting with ocular morbidities. RESULTS: 25.2% (95% CI: 22.0-28.6) had an ocular morbidity in at least one eye. Leading causes were presbyopia and conditions affecting the lens and conjunctiva. The odds of having an ocular morbidity increased with age and lower educational attainment. 10.1% (7.7-13.0) self-reported ocular morbidity; 48.6% (40.4-56.8) of them reported seeking treatment. At the facility level, 344 patients presented with an ocular morbidity over one month, the most common conditions were red (26.3%) or itchy (20.8%) eyes. CONCLUSION: Ocular morbidities, including many non vision impairing conditions, were prevalent with a quarter of the population affected. The delivery of eye care services needs to be tailored in order to address this need and ensure delivery in a cost-effective and sustainable manner.

KeywordsHumans; Eye Diseases; Health Surveys; Prevalence; Cross-Sectional Studies; Health Behavior; Adolescent; Adult; Aged; Aged, 80 and over; Middle Aged; Health Services Needs and Demand; Patient Acceptance of Health Care; Nigeria; Female; Male; Vision, Ocular; Young Adult; Adolescent; Adult; Aged; Aged, 80 and over; Cross-Sectional Studies; Eye Diseases; Female; Health Behavior; Health Services Needs and Demand; Health Surveys; Humans; Male; Middle Aged; Nigeria; Patient Acceptance of Health Care; Prevalence; Vision, Ocular; Young Adult; MD Multidisciplinary; General Science & Technology
Year2014
JournalPLoS ONE
Journal citation9 (8), p. e104128
PublisherPublic Library of Science (PLoS)
ISSN1932-6203
Digital Object Identifier (DOI)https://doi.org/10.1371/journal.pone.0104128
Publication dates
Print28 Aug 2014
Publication process dates
Deposited26 Feb 2018
Accepted10 Jul 2014
Accepted author manuscript
License
File Access Level
Open
Permalink -

https://openresearch.lsbu.ac.uk/item/877wv

Download files

Accepted author manuscript
Ocular morbidity and health seeking behaviour in Kwara state, Nigeria: implications for delivery of eye care services.pdf
License: CC BY 4.0
File access level: Open

  • 46
    total views
  • 115
    total downloads
  • 2
    views this month
  • 1
    downloads this month

Export as

Related outputs

Disability inclusive elections in Africa: a systematic review of published and unpublished literature
Virendrakumar, B, Jolley, E, Badu, E and Schmidt, E (2018). Disability inclusive elections in Africa: a systematic review of published and unpublished literature. Disability and Society. 33 (4), pp. 1-30. https://doi.org/10.1080/09687599.2018.1431108
‘Maybe I will give some help…. maybe not to help the eyes but different help’: an analysis of care and support of children with visual impairment in community settings in Malawi
Gladstone, M, McLinden, M, Douglas, G, Jolley, E, Schmidt, E, Chimoyo, J, Magombo, H and Lynch, P (2017). ‘Maybe I will give some help…. maybe not to help the eyes but different help’: an analysis of care and support of children with visual impairment in community settings in Malawi. Child: Care, Health and Development. 43 (4), pp. 608-620. https://doi.org/10.1111/cch.12462
Cohort differences in exercise adherence among primary care patients referred for mental health versus physical health conditions.
Tobi, P, Kemp, P and Schmidt, E (2017). Cohort differences in exercise adherence among primary care patients referred for mental health versus physical health conditions. Primary Health Care Research and Development. 18 (5), pp. 463-471. https://doi.org/10.1017/S1463423617000214
Education and social inclusion of people with disabilities in five countries in West Africa: a literature review
Jolley, E, Lynch, P, Virendrakumar, B, Rowe, S and Schmidt, E (2017). Education and social inclusion of people with disabilities in five countries in West Africa: a literature review. Disability and Rehabilitation. 40 (22), pp. 2704-2712. https://doi.org/10.1080/09638288.2017.1353649
Employment Supports for Adults With Disabilities in Low- and Middle-Income Countries
Tripney, J, Hogrebe, N, Schmidt, E, Vigurs, C and Stewart, R (2017). Employment Supports for Adults With Disabilities in Low- and Middle-Income Countries. Research on Social Work Practice. 29 (3), pp. 243-255. https://doi.org/10.1177/1049731517715316
The cost of mapping trachoma: data from the Global Trachoma Mapping Project
Trotignon, G, Jones, E, Engels, T, Schmidt, E, McFarland, DA, Macleod, CK, Amer, K, Bio, AA, Bakhtiar, A, Bovill, S, Doherty, AH, Khan, AA, Mbofana, M, McCullagh, S, Millar, T, Mwale, C, Rotondo, LA, Weaver, A, Willis, R and Solomon, AW (2017). The cost of mapping trachoma: data from the Global Trachoma Mapping Project. PLoS Neglected Tropical Diseases. 11 (10), pp. 1-19. https://doi.org/10.1371/journal.pntd.0006023
Integration of Eye Health into Primary Care Services in Tanzania: A Qualitative Investigation of Experiences in Two Districts.
Jolley, E, Mafwiri, M, Hunter, J and Schmidt, E (2017). Integration of Eye Health into Primary Care Services in Tanzania: A Qualitative Investigation of Experiences in Two Districts. BMC Health Services Research. 17 (823), pp. 1-12. https://doi.org/10.1186/s12913-017-2787-x
The impact of climate on the abundance of Musca sorbens, the vector of trachoma
Ramesh, A, Bristow, J, Kovats, S, Lindsay, SW, Haslam, D, Schmidt, E and Gilbert, C (2016). The impact of climate on the abundance of Musca sorbens, the vector of trachoma. Parasites & Vectors. 9 (1). https://doi.org/10.1186/s13071-016-1330-y
Mixed methods evaluation of a primary eye care training programme for primary health workers in Morogoro Tanzania
Mafwiri, M, Jolley, E, Hunter, J, Gilbert, CE and Schmidt, E (2016). Mixed methods evaluation of a primary eye care training programme for primary health workers in Morogoro Tanzania. BMC Nursing. 15 (1). https://doi.org/10.1186/s12912-016-0163-5
Factors Associated with Ivermectin Non-Compliance and Its Potential Role in Sustaining Onchocerca volvulus Transmission in the West Region of Cameroon
Senyonjo, L, Oye, J, Bakajika, D, Biholong, B, Tekle, A, Boakye, D, Schmidt, E and Elhassan, E (2016). Factors Associated with Ivermectin Non-Compliance and Its Potential Role in Sustaining Onchocerca volvulus Transmission in the West Region of Cameroon. PLoS Neglected Tropical Diseases. 10 (8), pp. e0004905-e0004905. https://doi.org/10.1371/journal.pntd.0004905
Health systems analysis of eye care services in Zambia: evaluating progress towards VISION 2020 goals.
Bozzani, FM, Griffiths, UK, Blanchet, K and Schmidt, E (2014). Health systems analysis of eye care services in Zambia: evaluating progress towards VISION 2020 goals. BMC Health Services Research. 14 (1), p. 94. https://doi.org/10.1186/1472-6963-14-94
Physical activity in deprived communities in London: examining individual and neighbourhood-level factors.
Watts, P, Phillips, G, Petticrew, M, Hayes, R, Bottomley, C, Yu, G, Schmidt, E, Tobi, P, Moore, D, Frostick, C, Lock, K and Renton, A (2013). Physical activity in deprived communities in London: examining individual and neighbourhood-level factors. PLoS ONE. 8 (7), p. e69472. https://doi.org/10.1371/journal.pone.0069472
Prevalence and causes of ocular morbidity in Mbeere District, Kenya. Results of a population-based survey.
Kimani, K, Lindfield, R, Senyonjo, L, Mwaniki, A and Schmidt, E (2013). Prevalence and causes of ocular morbidity in Mbeere District, Kenya. Results of a population-based survey. PLoS ONE. 8 (8), p. e70009. https://doi.org/10.1371/journal.pone.0070009
The impact of climatic risk factors on the prevalence, distribution, and severity of acute and chronic trachoma.
Ramesh, A, Kovats, S, Haslam, D, Schmidt, E and Gilbert, CE (2013). The impact of climatic risk factors on the prevalence, distribution, and severity of acute and chronic trachoma. PLoS Neglected Tropical Diseases. 7 (11), p. e2513. https://doi.org/10.1371/journal.pntd.0002513
Types of social capital and mental disorder in deprived urban areas: a multilevel study of 40 disadvantaged London neighbourhoods.
Bertotti, M, Watts, P, Netuveli, G, Yu, G, Schmidt, E, Tobi, P, Lais, S and Renton, A (2013). Types of social capital and mental disorder in deprived urban areas: a multilevel study of 40 disadvantaged London neighbourhoods. PLoS ONE. 8 (12), p. e80127. https://doi.org/10.1371/journal.pone.0080127
The Well London program--a cluster randomized trial of community engagement for improving health behaviors and mental wellbeing: baseline survey results.
Phillips, G, Renton, A, Moore, DG, Bottomley, C, Schmidt, E, Lais, S, Yu, G, Wall, M, Tobi, P, Frostick, C, Clow, A, Lock, K, Petticrew, M and Hayes, R (2012). The Well London program--a cluster randomized trial of community engagement for improving health behaviors and mental wellbeing: baseline survey results. Trials. 13 (1), p. 105. https://doi.org/10.1186/1745-6215-13-105
Evaluation of community level interventions to address social and structural determinants of health: a cluster randomised controlled trial.
Wall, M, Hayes, R, Moore, D, Petticrew, M, Clow, A, Schmidt, E, Draper, A, Lock, K, Lynch, R and Renton, A (2009). Evaluation of community level interventions to address social and structural determinants of health: a cluster randomised controlled trial. BMC Public Health. 9 (1), p. 207. https://doi.org/10.1186/1471-2458-9-207