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Journal of the Nigerian Optometric Association

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Barriers to Accessing Good Eye Care Services in Nigeria: A Focus on Anambra State.

R .S. Okoye, L. Bell, I. Papadopoulos

Abstract


Certain forms of blindness can be prevented if the right steps and treatments are applied at the right times, but this is not always possible due to the challenges patients face in accessing eye care services. The aim of this study was to explore and identify the barriers in accessing good eye care services in Anambra State Nigeria, and suggest how the three major stakeholders could work in harmony to minimise these barriers and facilitate easier access. Three main stakeholders in eye health comprising of 28 key informants (the target population), 8 service providers (the eye doctors) and 3 policy makers were identified and recruited for this study through purposive sampling method. Data was collected from all consenting participants through semi-structured interviews. The resulting transcripts were analysed using interpretative phenomenological analysis framework. Poverty and inability to pay for eye care services has been the most prominent barrier among this population. Other barriers include: distance of eye care service centres from the rural dwellers, fear of financial exploitation from the service providers, fear of treatment outcome and the availability of other cheaper treatment options. Also other barriers identified were: the ability to cope with eye disease, seriousness of the symptoms and lack of awareness of eye diseases and the related risk factors. Poverty remains a major determinant of health in Nigeria. Therefore to reduce the barriers to accessing eye care services in Nigeria, the three stakeholders must work in harmony.

Keywords: eye care services, barriers, challenges, Anambra State, accessing services.




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