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APHA Scientific Session and Event Listing
4072.0: Tuesday, November 06, 2007 - 9:10 AM

Abstract #154489

An evaluation of primary eye care services provided by local health promoters in a remote area of Guatemala

Scott E. Pike, OD, Private practice, 13670 NW Pettygrove, Portland, OR 97229, 503-227-9711, SPike2LM@aol.com and Deborah L. Billings, PhD, Ipas, P.O. Box 5027, Chapel Hill, NC 27514.

In northwest Guatemala, the rainforest region called “the Ixcán” has very limited access to vision and eye health care. Travel time to the nearest eye doctor is 4 to 8 hours by public transportation. However, most people are not able to afford the 3 or more days away from home required for an eye care appointment. In 1997, an optometrist from Oregon initiated an eye care program in a village in the Ixcán, training local health promoters in basic, primary eye care. The promoters are able to measure refractive errors, dispense glasses from an inventory of donated lenses, and identify cataracts and other eye health conditions. They also have funds to transport patients needing professional care, such as cataract surgery, to Guatemala City, where local surgeons provide low-cost services as part of the project Enfoque Ixcán (EI). In 2006, EI conducted an assessment to determine how the people who have received care over the years feel about the services offered. Middle school students from one of the primary Ixcán communities were trained to conduct interviews and to create and analyze the database resulting from the survey. This created new opportunities for community members to strengthen the project. The presentation will analyze the results of this survey and offer ideas on how this and other eye care programs serving similar populations can improve in effectiveness and efficiency. The students' reflections on their survey experiences will also be shared.

Learning Objectives:

  • Learning objectives

    Keywords: Access to Care, Community Health Programs

    Presenting author's disclosure statement:

    Any relevant financial relationships? No
    Any institutionally-contracted trials related to this submission?

    I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

    Evidence Based Policy, Racial Disparity and Practice In Eye Care

    The 135th APHA Annual Meeting & Exposition (November 3-7, 2007) of APHA