Assessment of Eye Health Services: A Health Systems Approach
This chapter aims to introduce the reader to how a health systems approach can be used to assess eye health services for planning and development in the context of a broader system. A health system assessment can be carried out at various levels of health care.
In order to facilitate collection of information on the provision of and access to eye health services, and the development of evidence-based interventions for their further improvement, WHO developed the ‘Eye Care Service Assessment Tool’ (ECSAT). ECSAT is also intended to assist implementation of the selected evidence-based interventions, as periodic completion of the questionnaire can provide data and information for assessing the impact of interventions and identify trends and newly emerging needs.
Tool for the Assessment of Diabetic Retinopathy and Diabetes Management Systems (TADDS)
Tool for Assessment of Rehabilitation Support Services (TARSS)
Rapid Assessment of Avoidable Blindness (RAAB)
Not all the information for completing a thorough assessment of eye health service may be readily available. Some may require more efforts to obtain and some may not be available at all, for instance, epidemiological data on the magnitude and causes of vision impairment or national data on selected treatment procedures such as cataract surgeries.
KeywordsBlindness Cataract Diabetic retinopathy Eye health Health services Health systems Low vision Ophthalmologists Visual acuity Visual impairment
Compliance with Ethical Requirements
Haroon Awan declares no conflict of interest.No human or animal studies were carried out by the authors for this chapter.Acknowledgments:I am most grateful to Dr. Ivo Kocur, Medical Officer, Blindness and Deafness Prevention, Disability and Rehabilitation, World Health Organization, for his insightful suggestions and technical guidance in preparation of this chapter.
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