Child eye health in Ethiopia: a mixed methods analysis of policy and commitment to action

Background Child eye health is a serious public health issue in Ethiopia, where children under the age of 15 account for over half of the population. Our aim was to review Ethiopian health policy and practice to reveal approaches and commitment to promotion and delivery of child eye health services....

Full description

Bibliographic Details
Main Authors: Samson Tesfaye, Asim Ali, Helen Dimaras, Sadik Taju Sherief, Zelalem Eshetu
Format: Article
Language:English
Published: BMJ Publishing Group 2023-11-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/11/e075622.full
_version_ 1827616558760853504
author Samson Tesfaye
Asim Ali
Helen Dimaras
Sadik Taju Sherief
Zelalem Eshetu
author_facet Samson Tesfaye
Asim Ali
Helen Dimaras
Sadik Taju Sherief
Zelalem Eshetu
author_sort Samson Tesfaye
collection DOAJ
description Background Child eye health is a serious public health issue in Ethiopia, where children under the age of 15 account for over half of the population. Our aim was to review Ethiopian health policy and practice to reveal approaches and commitment to promotion and delivery of child eye health services.Methods We conducted a mixed-methods situational analysis employing documentary analysis and key informant interview methods. Government publications touching on any element of child eye health were included. Key informants were eligible if they were leaders, authorities, researchers or clinicians involved in child health. Data was combined and analysed by narrative synthesis, using an adaptation of the Eye Care Situation Analysis Tool as a framework.Findings Eleven documents developed by the Ministries of Health and Education were included and interviews with 14 key informants were conducted. A focus on child eye health was lacking in key health policy documents, demonstrated by limited allocation of funds, a shortage of human resources, and a subpar referral system across all levels of child eye care.Conclusion The study identified several gaps and limitations in child eye health in Ethiopia. There is a need for health policies that strengthen ownership, finance and partnerships for improved coordination, and collaboration with line ministries and other stakeholders to improve child eye health services in Ethiopia.
first_indexed 2024-03-09T09:28:39Z
format Article
id doaj.art-22f628f828314b318316e38f33842d48
institution Directory Open Access Journal
issn 2044-6055
language English
last_indexed 2024-03-09T09:28:39Z
publishDate 2023-11-01
publisher BMJ Publishing Group
record_format Article
series BMJ Open
spelling doaj.art-22f628f828314b318316e38f33842d482023-12-02T05:00:08ZengBMJ Publishing GroupBMJ Open2044-60552023-11-01131110.1136/bmjopen-2023-075622Child eye health in Ethiopia: a mixed methods analysis of policy and commitment to actionSamson Tesfaye0Asim Ali1Helen Dimaras2Sadik Taju Sherief3Zelalem Eshetu4Orbis International Ethiopia, Addis Ababa, EthiopiaDepartment of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, CanadaDepartment of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada6 Department of Ophthalmology, Addis Ababa University, Addis Ababa, EthiopiaBiruh Vision Speciality Eye Center, Addis Ababa, EthiopiaBackground Child eye health is a serious public health issue in Ethiopia, where children under the age of 15 account for over half of the population. Our aim was to review Ethiopian health policy and practice to reveal approaches and commitment to promotion and delivery of child eye health services.Methods We conducted a mixed-methods situational analysis employing documentary analysis and key informant interview methods. Government publications touching on any element of child eye health were included. Key informants were eligible if they were leaders, authorities, researchers or clinicians involved in child health. Data was combined and analysed by narrative synthesis, using an adaptation of the Eye Care Situation Analysis Tool as a framework.Findings Eleven documents developed by the Ministries of Health and Education were included and interviews with 14 key informants were conducted. A focus on child eye health was lacking in key health policy documents, demonstrated by limited allocation of funds, a shortage of human resources, and a subpar referral system across all levels of child eye care.Conclusion The study identified several gaps and limitations in child eye health in Ethiopia. There is a need for health policies that strengthen ownership, finance and partnerships for improved coordination, and collaboration with line ministries and other stakeholders to improve child eye health services in Ethiopia.https://bmjopen.bmj.com/content/13/11/e075622.full
spellingShingle Samson Tesfaye
Asim Ali
Helen Dimaras
Sadik Taju Sherief
Zelalem Eshetu
Child eye health in Ethiopia: a mixed methods analysis of policy and commitment to action
BMJ Open
title Child eye health in Ethiopia: a mixed methods analysis of policy and commitment to action
title_full Child eye health in Ethiopia: a mixed methods analysis of policy and commitment to action
title_fullStr Child eye health in Ethiopia: a mixed methods analysis of policy and commitment to action
title_full_unstemmed Child eye health in Ethiopia: a mixed methods analysis of policy and commitment to action
title_short Child eye health in Ethiopia: a mixed methods analysis of policy and commitment to action
title_sort child eye health in ethiopia a mixed methods analysis of policy and commitment to action
url https://bmjopen.bmj.com/content/13/11/e075622.full
work_keys_str_mv AT samsontesfaye childeyehealthinethiopiaamixedmethodsanalysisofpolicyandcommitmenttoaction
AT asimali childeyehealthinethiopiaamixedmethodsanalysisofpolicyandcommitmenttoaction
AT helendimaras childeyehealthinethiopiaamixedmethodsanalysisofpolicyandcommitmenttoaction
AT sadiktajusherief childeyehealthinethiopiaamixedmethodsanalysisofpolicyandcommitmenttoaction
AT zelalemeshetu childeyehealthinethiopiaamixedmethodsanalysisofpolicyandcommitmenttoaction