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Expanding and Optimizing Human Resources for Eye Care

  • Suzanne S. GilbertEmail author
  • Paul Courtright
  • Dhivya RamasamyEmail author
Chapter
Part of the Essentials in Ophthalmology book series (ESSENTIALS)

Abstract

Innovative approaches in the delivery of eye care require a resilient eye health workforce. The challenges facing the global healthcare workforce overall are found within the field of eye care. These include most notably the challenges of accurate planning and having processes to attract, train, retain, and provide career opportunities for eye health professionals. Success in the provision of quality, sustainable, community-oriented services requires a well-prepared eye care team. The need for increased services and the insufficient numbers of eye care professionals to provide them are well documented and can be daunting. These needs and the HR gap are cited as strategies including setting targets, defining roles, task shifting, team building, and ensuring contributions of mid-level personnel and managers. The diversity of the workforce including the importance of including women is noted. Importantly, these efforts are being undertaken on a global, regional, and national basis with an increasing level of inter-coordination. Addressed are the benefits of enhancing the effectiveness of current human resources in eye health (HReH), the growing array of training strategies and resources, and priorities for moving forward.

Keywords

Training Human resource Develop 

Notes

Compliance with Ethical Requirements

Suzanne S. Gilbert, Paul Courtright, and Dhivya Ramasamy declare they have no conflict of interest.

No human or animal studies were carried out by the authors for this article.

Acknowledgments

The authors gratefully recognize the contributions of Dr. Van Lansingh (Mexico), Dr. Mansur Rabiu (Saudi Arabia), Dr. Ken Bassett (Canada), and Dr. Babar Qureshi (UK). We are especially thankful for the literature review support provided by Ms. Sarah Miers, Ms. Heidi Chase, and Ms. Maggie Vizcarra (all of Seva Foundation).

References

  1. 1.
    Aboobaker S, Courtright P. Barriers to cataract surgery in Africa: a systematic review. Middle East Africa J Ophthalmol. 2016;23:145–9.CrossRefGoogle Scholar
  2. 2.
    Agarwal PK, Bowman R, Courtright P. Child eye health tertiary facilities in Africa. JAAPOS. 2010;14:263–6.Google Scholar
  3. 3.
    American Academy of Ophthalmology. O.N.E. Network. http://www.aao.org/clinical-education. Accessed 11 Mar 2016.
  4. 4.
    Awan H, Khan M, Felch W, et al. Status of ophthalmic education and the eye health workforce in South Asian association for regional cooperation countries. Asia Pac J Ophthalmol. 2014;3(2):74–82.CrossRefGoogle Scholar
  5. 5.
    Batlle JF, Lansingh VC, Silva JC, et al. The cataract situation in Latin America: barriers to cataract surgery. Am J Ophthalmol. 2014;  https://doi.org/10.1016/j.ajo.2014.04.019.CrossRefGoogle Scholar
  6. 6.
    Bhatia T. A ‘health system’ perspective on scaling up hospital cataract services. Commun Eye Health J. 2015;28(91):56.Google Scholar
  7. 7.
    Capacity Development and Skills of Eye Care Teams. Cambridge declaration to ensure high quality capacity development and skills of eye care teams. 2015. http://www.icoph.org/downloads/2015CambridgeDeclaration-ICO-IJCHAPO-IAPB.pdf.
  8. 8.
    Chibuga E, Massae P, Geneau R, et al. Acceptance of cataract surgery in a cohort of Tanzanians with operable cataract. Eye. 2008;22:830–3.CrossRefGoogle Scholar
  9. 9.
    Courtright P, Mathenge W, Kello AB, Cook C, Kalua K, Lewallen S. Setting targets for human resources for eye health in sub-Saharan Africa: what evidence should be used? Hum Resour Health 2016. 2016;14:11.  https://doi.org/10.1186/s12960-016-0107-x.CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    du Toit R, Brian G. Mid-level cadre providing eye care in the context of vision 2020. N Z Med J. 2009;122(1291):77–88.PubMedGoogle Scholar
  11. 11.
    du Toit R, Brian G, Palagyi A, Williams C, Ramke J. Education of eye health professionals to meet the needs of the Pacific. N Z Med J. 2009;122(1291):69–76.PubMedGoogle Scholar
  12. 12.
    du Toit R, Palagyi A, Brian G. The development of competency-based education for mid-level eye care professionals: a process to foster an appropriate, widely accepted and socially accountable initiative. Educ Health (Abingdon). 2010;23(2):368.Google Scholar
  13. 13.
    du Toit R, Cook C, Minnies D, Brian G. Developing a competency-based curriculum for eye care managers in Sub-Saharan Africa. Rural Remote Health. 2010;10(2):1278.PubMedGoogle Scholar
  14. 14.
    Eliah E, Lewallen S, Kalua K, et al. Task shifting for cataract surgery in eastern Africa: productivity and attrition of non-physician cataract surgeons in Kenya, Malawi and Tanzania. Hum Resour Health. 2014;12(Suppl1):S4.CrossRefGoogle Scholar
  15. 15.
    Fricke T, Holden B, Wilson D, et al. Global cost of correcting vision impairment from uncorrected refractive error. Bull World Health Organ. 2012;90:728–38.CrossRefGoogle Scholar
  16. 16.
    Furtado JM, Lansingh VC, Winthrop KL, Spivey B. Training of an ophthalmologist in concepts and practice of community eye health. Indian J Ophthalmol. 2012;60(5):365–7.  https://doi.org/10.4103/0301-4738.100528.CrossRefPubMedPubMedCentralGoogle Scholar
  17. 17.
    Global Health Workforce Alliance, World Health Organization. A universal truth: no health without a workforce. Geneva, Switzerland: World Health Organization. 2013. http://www.who.int/workforcealliance/knowledge/resources/GHWA-a_universal_truth_report.pdf?ua=1. Accessed 11 Mar 2016.
  18. 18.
    Global Health Workforce Alliance. Health workforce 2030 – towards a global strategy on human resources for health [synthesis paper]. Geneva: World Health Organization. 2015. 2. WHO. http://www.who.int/hrh/resources/global_strategyHRH.pdf?ua=1. Accessed 11 Mar 2016.
  19. 19.
    Golnik K, Anderson L. Training, certification and accreditation for eye teams. Commun Eye Health J. 2014;27(86):28.Google Scholar
  20. 20.
    Human Resource Development Working Group. Global human resource development assessment for comprehensive eye care. 2006. Available at http://www.iapb.org/work-groups/human-resources-eye-health. Accessed 11 Mar 2016.
  21. 21.
    IAPB Africa. Human resources for eye health strategic plan 2014–2023. 2014. Available at http://www.iapb.org/resources/global-action-plan-human-resources-iapb-publications-and-papers-strategies-iapb-regions. Accessed 11 Mar 2016.
  22. 22.
    IAPB Africa. Human resources in eye health task team: competencies of the eye health team in sub-Saharan Africa. 2015. In review process. Google Scholar
  23. 23.
    IAPB Africa. Training institutions database. 2015. Available at http://www.iapbafrica.co.za/resource/resourceitem/808/1. Accessed 11 Mar 2016.
  24. 24.
    International Eye Foundation. Miami declaration: building capacity for training in eye health in Latin America. 2016. Available at http://www.iapb.org/news/miami-declaration. Accessed 11 Mar 2016.
  25. 25.
    International Joint Commission on Allied Health Personnel in Ophthalmology. International accreditation standards and guidelines, ophthalmic medical personnel education and training programs. 2013. Available at http://www.ijcahpo.org/pdfs/IJCAHPOAccreditationStandards_June2013.pdf. Accessed 11 Mar 2016.
  26. 26.
    JCAHPO/IJCAHPO. A primer on ophthalmic medical assisting education, training, certification, and accreditation. 2013. http://documents.jcahpo.org/documents/OphthalmicAssistingPrimer_lo.pdf. Accessed 11 Mar 2016.
  27. 27.
    Kimani K, Lindfield R, Senyonjo L, Mwaniki A, Schmidt E. Prevalence and causes of ocular morbidity in Mbeere District, Kenya. Results of a population-based survey. PLoS One. 2013;8(8):e70009.  https://doi.org/10.1371/journal.pone.0070009.CrossRefPubMedPubMedCentralGoogle Scholar
  28. 28.
    Kishiki E, van Dijk K, Courtright P. Strategies to improve follow up of children after surgery for cataract: findings from child eye health tertiary facilities in sub-Saharan Africa and South Asia. Eye. 2016;30:1234–41.CrossRefGoogle Scholar
  29. 29.
    Kovai V, Rao GN, Holden B. Key factors determining success of primary eye care through vision centres in rural India: patients’ perspectives. Indian J Ophthalmol. 2012;60(5):487–91.  https://doi.org/10.4103/0301-4738.100558.CrossRefPubMedPubMedCentralGoogle Scholar
  30. 30.
    Lewallen S, Etya’ale D, Kello A, Courtright P. Non-physician cataract surgeons in Sub-Saharan Africa: situation analysis. Trop Med Int Health. 2012;17(11):1405–8.CrossRefGoogle Scholar
  31. 31.
    Lewallen S, Roberts H, Hall AB, Onyange R, Temba M, Banzi J, Courtright P. Increasing cataract surgery to meet VISION 2020 targets; experience from two rural programmes in East Africa. Br J Ophthalmol. 2005;89:1237–40.CrossRefGoogle Scholar
  32. 32.
    Lewallen S, Schmidt E, Williams T, et al. Cataract incidence in Sub-Saharan Africa: what does mathematical modeling tell us about geographic variations and surgical needs? Ophthalmol Epidemiol. 2013;20:260–6.CrossRefGoogle Scholar
  33. 33.
    Masnick K. Narrowing the gap between eye care needs and service provision: the service-training nexus. Hum Resour Health. 2009;7:35.  https://doi.org/10.1186/1478-4491-7-35.CrossRefPubMedPubMedCentralGoogle Scholar
  34. 34.
    Mayorga EP, Bekerman JG, Palis AG. Webinar software: a tool for developing more effective lectures (online or in-person). Middle East Afr J Ophthalmol. 2014;21(2):123–7.  https://doi.org/10.4103/0974-9233.129756.CrossRefPubMedPubMedCentralGoogle Scholar
  35. 35.
    Müller A, Murenzi J, Mathenge W, et al. Primary eye care in Rwanda: gender of service providers and other factors associated with effective service delivery. Tropical Med Int Health. 2010;15(5):529–33.  https://doi.org/10.1111/j.1365-3156.2010.02498.x.CrossRefGoogle Scholar
  36. 36.
    Murthy R, Pyda G, Khanna RC, Rao GV. Developing paediatric eye care teams in India. Indian J Ophthalmol. 2010;58(2):172–3. doi:374103/0301-4738.60082. PubMed PMID: 20195054; PubMed Central PMCID: PMC2854465CrossRefGoogle Scholar
  37. 37.
    Murthy G, John N, Gupta SK, Vashist P, Rao GV. Status of pediatric eye care in India. Indian J Ophthalmol. 2008;56(6):481–8. PubMed PMID: 18974519; PubMed Central PMCID: PMC2612972CrossRefGoogle Scholar
  38. 38.
    Neily J, Mills PD, Young-Xu Y, et al. Association between implementation of a medical team training program and surgical mortality. JAMA. 2010;304(15):1693–700.  https://doi.org/10.1001/jama.2010.1506.CrossRefPubMedGoogle Scholar
  39. 39.
    Palmer J, Chinanayi F, Gilbert A, et al. Mapping human resources for eye health in 21 countries of sub-Saharan Africa: current progress towards VISION 2020. Hum Resour Health. 2014;12:44.CrossRefGoogle Scholar
  40. 40.
    Pan American Health Organization. Plan of action for the prevention of blindness and visual impairment. 2014. Available at http://www.paho.org/hq/index.php?option=com_docman&task=doc_download&gid=26730&Itemid=270&lang=en. Accessed 6 Jan 2017.
  41. 41.
    Qureshi M. Teamwork for eye care. Commun Eye Health J. 2014;27(86):21–3.Google Scholar
  42. 42.
    Rao GN, Khanna RC, Athota SM, Rajshekar V, Rani PK. Integrated model of primary and secondary eye care for underserved rural areas: the L V Prasad eye institute experience. Indian J Ophthalmol. 2012;60(5):396–400.CrossRefGoogle Scholar
  43. 43.
    Ravilla R. Building the eye care team. Commun Eye Health J. 2014;27(86):26–7.Google Scholar
  44. 44.
    Resnikoff S, Felch W, Gauthier TM, Spivey B. The number of ophthalmologists in practice and training worldwide: a growing gap despite more than 200,000 practitioners. Br J Ophthalmol. 2012;96(6):783–7.  https://doi.org/10.1136/bjophthalmol-2011-301378.CrossRefPubMedGoogle Scholar
  45. 45.
    Senyonjo L, Lindfield R, Mahmoud A, Kimani K, Sanda S, Schmidt E. Ocular morbidity and health seeking behaviour in Kwara state, Nigeria: implications for delivery of eye care services. PLoS One. 2014;9(8):e104128.  https://doi.org/10.1371/journal.pone.0104128. eCollection 2014. Erratum in: PLoS One. 2014;9(10):e112860CrossRefPubMedPubMedCentralGoogle Scholar
  46. 46.
    Sherwin J, Lewallen S, Courtright P. Blindness and visual impairment due to uncorrected refractive error in sub-Saharan Africa: review of recent population-based studies. Br J Ophthalmol. 2012;96(7):927–30.CrossRefGoogle Scholar
  47. 47.
    VISION 2020: The Right to Sight – India. Human resource management for NGO Eye hospitals. 2015. Available at http://www.vision2020india.org/index.php?option=com_content&view=article&id=80&Itemid=77. Accessed 11 Mar 2016.
  48. 48.
    VISION 2020: The Right to Sight. https://www.iapb.org/vision-2020/.
  49. 49.
    World Council of Optometry. Durban declaration on refractive error and service development. 2007. Available at http://www.icoph.org/dynamic/attachments/resources/durban_declaration_on_refractive_error_and_service_development.pdf. Accessed 11 Mar 2016.
  50. 50.
    World Health Organization. Universal eye health: a global action plan, 2014–2019. Geneva: World Health Organ; 2013. Available at http://www.who.int/blindness/AP2014_19_English.pdf?ua=1. Accessed 11 Mar 2016.Google Scholar
  51. 51.
    World Health Organization. Selected educational resources for clinical and public health eye care professionals. 2014. (ISBN: 978 92 4 150678 6).Google Scholar
  52. 52.
    World Health Organization Eastern Mediterranean Region. Regional action plan for universal eye health: eastern mediterranean. 2014. Available at http://www.iapb.org/sites/iapb.org/files/Regional%20Action%20Plan%20EMR%20Draft%20Summary%20Report%2024%20March%202014.pdf. Accessed 6 Jan 2017.

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Seva FoundationInnovation & Sight ProgramBerkeleyUSA
  2. 2.Kilimanjaro Centre for Community Ophthalmology, Division of OphthalmologyUniversity of Cape TownCape TownSouth Africa
  3. 3.LAICO-Aravind Eye Care SystemMaduraiIndia

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