Research also highlights the top factors that lead to care, which can be used to improve parents' uptake of sight-saving surgery for their children.
San traveled more than 90 miles by bus so that his daughter, Vaishnavi, could receive cataract surgery at an Orbis partner hospital in India. Image courtesy of Geoff Oliver Bugbee/Orbis
The eye care nonprofit Orbis International announces its collaboration on new research published in the latest issue of the top-tier peer-reviewed medical journal PLOS ONE.
The research outlines the findings of in-depth interviews conducted with parents and caregivers across India that were used to determine the top barriers to accessing sight-saving cataract treatment for their children.
The research also identifies the top enablers – that is, the factors that motivate families – for seeking care.
San traveled more than 90 miles by bus so that his daughter, Vaishnavi, could receive cataract surgery at an Orbis partner hospital in India.
"I wanted to get her treatment as soon as possible because she’s so young, and I know that when she grows older it might get difficult," said San. "I want her to grow up and study."
Ensuring children receive cataract surgery in a timely manner – ideally, no more than three months following a diagnosis – is essential for preventing long-term negative effects on their vision.
However, in India, child cataract surgery is often delayed significantly. For children born with the condition, the average age of treatment is 4 years old, while children who develop cataract(s) later are, on average, 8 years of age before receiving surgery.
"More children are blind in India than in any other country, and in over half of cases, sight could be restored with early intervention and treatment," said Dr. Rishi Raj Borah, Country Director for Orbis India and a co-author of the new study. "Cataracts are no small part of this challenge. But ensuring that we increase access to quality eye care is not enough. We must also understand what holds families back from accessing that care, work to address those barriers, and double down on the factors we know are resulting in more children getting the care they need."
The study found that the top three barriers were related to:
On the other hand, the study found that top enablers were related to:
The comprehensive findings from this research have enabled Orbis to understand parents' perceived barriers and enablers to accessing childhood cataract services, which will be targeted in all future interventions in India to improve timely uptake of cataract services by children.
Orbis's Impact in India
India was one of the first countries where Orbis established a local office, and the organization has made far-reaching impact – for children in particular – over the past two decades.
When Orbis began working in India in 2000, pediatric ophthalmology was not yet seen as a distinct specialty in India, and there was only one eye care center for every 100 million children across the country.
Over the years, Orbis has developed a comprehensive network of 33 Children's Eye Centers across 17 states, with one eye care center for every 20 million children.
In total, Orbis has conducted more than 17.5 million pediatric eye screenings, provided medical and optical treatment to 1.6 million children, performed 103,000 surgeries on children, and organized 180,000 ophthalmic trainings completed by doctors, nurses, community health workers and others in India.