Why are there defaulters in eye health projects?

Authors

  • Regina Noma Universidade de SãoPaulo; Faculdade de Medicina
  • Regina de S Carvalho Universidade de SãoPaulo; Faculdade de Medicina
  • Newton Kara José Universidade de SãoPaulo; Faculdade de Medicina

DOI:

https://doi.org/10.1590/S1807-59322011000900014

Keywords:

Children, Vision screening, Acess to Care, Refractive error, Ophthalmic evaluation

Abstract

PURPOSE: To identify barriers to attendance for eye examination of schoolchildren. METHODS: Cross-sectional study. Students in grades 1-4 in elementary school in Guarulhos (Brazil) were screened and referred for ophthalmic examination in 2006. Facilities offered in this project were: examination arranged during weekends, free transportation, spectacle donation and two different opportunities for exam. A questionnaire was applied, by interview, to a sample consisted of students' parents attended in a community project who missed the first call and attended the recall, to identify the reasons for non-attendance. RESULTS: The sample consisted of 767 parents or guardians, corresponding to an equal number of schoolchildren. Personal characteristics of the students: 49.2% male and 50.8% female, 60.2% of them had never received previous ophthalmologic evaluation. Reported reasons for no-show to the project: parents had not received appropriate orientation (35.6%), loss of working day (20.6%), illness (12.4%), had another appointment (10.0%). The need for eyeglasses was higher in the recall. CONCLUSIONS: A significant number of parents did not take their children for ophthalmological exams, even when a second opportunity was offered in projects with transportation facilities, free exams performed during weekends and spectacle donation. The main causes of absenteeism were lack of awareness and work. For 87.1% of the absenteeism cases, the difficulties could be overcome via improved structuring of the first call. A recall increases attendance coverage of target population by only 15.2% (59.3 to 74.5%). Notably, the eye exam campaign was the first exam for most of the absent students.

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Published

2011-01-01

Issue

Section

Clinical Sciences

How to Cite

Noma, R., Carvalho, R. de S., & José, N. K. (2011). Why are there defaulters in eye health projects? . Clinics, 66(9), 1585-1589. https://doi.org/10.1590/S1807-59322011000900014