Theater for Development Methodology in Childhood Cataract Case Finding
Keywords:theater for development method, childhood cataract, case finding, surgery, follow up
AbstractThe key informant methodology for case finding for childhood cataract was utilized in a rural population in Nigeria to identify suitable children who would benefit surgically from intervene for cataract and restore vision such children. It was however noticed that some parents who had children with cataract did not bring their children to the primary health center for examination and recommendation. The purpose of this study is to investigate the benefits of using the theatre for development approach in childhood cataract case finding. The delay in identification and referral of children with cataract at an appropriate age for surgical intervention and optical rehabilitation is the main cause of poor vision following surgery for the condition as amblyopia results. Therefore early presentation, identification, referral and surgical intervention as well as appropriate optical rehabilitation is the key to successful surgical outcome of childhood cataract and good visual prognosis. The theater for development (TfD) approach methodology was implemented in a community in Akpabuyo local government are of Cross River state, Nigeria as a means to enhance community participation, health promotion and education and to complement the key informant methodology in case finding for childhood cataract. Three children with cataracts were referred by the community following the TfD intervention, for cataract surgery and uptake of follow up care after surgery. The TfD approach appears to be a useful method for encouraging community participation in the case finding of childhood cataract.
Ottawa Charter for Health Promotion – First International Conference on Health Promotion. Ottawa, Canada.(1986) World Health Organization/ Health and Welfare Canada Canadian Public Health Association.
Dineen B. (1999)Health promotion and community participation in eye care services
Comm Eye Health, 12 (31) 1999, 35 - 36
Fletcher A et al. (1998) Barriers to using eye services and recommendations to improve service uptake –research findings and international workshop recommendations. Madurai: India.
Zakus JD, Lysack CL. Revisiting community participation. (1998) Planning Health Policy 13(1), 1-12.
Duke R, Otong E, Iso M, Okorie U, Ekwe A, Courtright P, Lewallen S. (2013). Using key informants to estimate prevalence of severe visual impairment and blindness in children in Cross River State, Nigeria. Journal of AAPOS 17(4),:381-384.
Gogate P, Patil S, Kulkarni A, Mahadik A, Tamboli R, Mane R, Borah R, Rao GV.
Barriers to follow-up for pediatric cataract surgery in Maharashtra, India: how regular follow-up is important for good outcome. The Miraj Pediatric Cataract Study II.( 2014). Indian J Ophthalmol. Mar;62(3),327-32.
Karin Gwinn Wilkins, Thomas Tufte and Rafael Obregon. (2014) David Kerr. (1st ed) The Handbook of Development Communication and Social Change. John Wiley. DOI: 10.1002/9781118505328.ch13
Medsinge A, Nischal K. (2015). Pediatric cataract: challenges and future directions. Clinical Ophthalmology,(9), 77–90.
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