Ocular morbidity among children (aged 6-18 yr) of the tribal area of Melghat, India: A community-based study

Background & objectives: Most of the ocular morbidities among school children are preventable or treatable. Melghat, a difficult to access, hilly, forest, tribal area with poorly developed infrastructure in the Amravati district of Maharashtra. Scarcity of ophthalmologists and low health-seeking...

Full description

Bibliographic Details
Main Authors: Kavita A Satav, Ashish R Satav, Vibhawari S Dani, Parikshit M Gogate, Shraddha D Kumbhare, Pradeep Reddy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Indian Journal of Medical Research
Subjects:
Online Access:http://www.ijmr.org.in/article.asp?issn=0971-5916;year=2023;volume=158;issue=4;spage=370;epage=377;aulast=Satav
_version_ 1797351967454920704
author Kavita A Satav
Ashish R Satav
Vibhawari S Dani
Parikshit M Gogate
Shraddha D Kumbhare
Pradeep Reddy
author_facet Kavita A Satav
Ashish R Satav
Vibhawari S Dani
Parikshit M Gogate
Shraddha D Kumbhare
Pradeep Reddy
author_sort Kavita A Satav
collection DOAJ
description Background & objectives: Most of the ocular morbidities among school children are preventable or treatable. Melghat, a difficult to access, hilly, forest, tribal area with poorly developed infrastructure in the Amravati district of Maharashtra. Scarcity of ophthalmologists and low health-seeking behaviour of tribal people contributes to the high burden of ocular morbidity. Given the lack of published studies on the ocular morbidity among children in Melghat, outreach programmes are essential to diagnose and treat visual impairments promptly. The objective was to determine the prevalence of ocular morbidity among children in the tribal area of Melghat. Methods: A community-based observational study was carried out in the Chikhaldara and Dharni blocks of Melghat. Children from 15 tribal villages were screened for eye disorders by trained paramedics. Most of the children were examined by an ophthalmologist. We used Chi-square test for categorical variables. Results: A total of 4357 children aged between 6 and 18 yr were examined. Of these 2336 (53.6%) were females and 2021 (46.4%) were males. Out of 4357 children, 507 (11.63%) had an ocular morbidity. The prevalence of ocular morbidity and refractive error increased in the age group of 8-10 yr (P<0.05 and <0.001, respectively). Refractive error was the most common ocular morbidity (n=339; 7.8%), followed by vitamin A deficiency (VAD) (n=120; 2.8%). Interpretation & conclusions: The prevalence of refractive error and VAD in this study was significantly higher than the rest of India and the world. For the prevention of childhood blindness, immediate intervention programme, including eye screening by trained paramedics, treatment by an ophthalmologist and prophylaxis, is crucial.
first_indexed 2024-03-08T13:08:20Z
format Article
id doaj.art-6f7e7ad1d4f341f699ea7452acede9c7
institution Directory Open Access Journal
issn 0971-5916
language English
last_indexed 2024-03-08T13:08:20Z
publishDate 2023-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Journal of Medical Research
spelling doaj.art-6f7e7ad1d4f341f699ea7452acede9c72024-01-18T15:52:46ZengWolters Kluwer Medknow PublicationsIndian Journal of Medical Research0971-59162023-01-01158437037710.4103/ijmr.ijmr_3228_21Ocular morbidity among children (aged 6-18 yr) of the tribal area of Melghat, India: A community-based studyKavita A SatavAshish R SatavVibhawari S DaniParikshit M GogateShraddha D KumbharePradeep ReddyBackground & objectives: Most of the ocular morbidities among school children are preventable or treatable. Melghat, a difficult to access, hilly, forest, tribal area with poorly developed infrastructure in the Amravati district of Maharashtra. Scarcity of ophthalmologists and low health-seeking behaviour of tribal people contributes to the high burden of ocular morbidity. Given the lack of published studies on the ocular morbidity among children in Melghat, outreach programmes are essential to diagnose and treat visual impairments promptly. The objective was to determine the prevalence of ocular morbidity among children in the tribal area of Melghat. Methods: A community-based observational study was carried out in the Chikhaldara and Dharni blocks of Melghat. Children from 15 tribal villages were screened for eye disorders by trained paramedics. Most of the children were examined by an ophthalmologist. We used Chi-square test for categorical variables. Results: A total of 4357 children aged between 6 and 18 yr were examined. Of these 2336 (53.6%) were females and 2021 (46.4%) were males. Out of 4357 children, 507 (11.63%) had an ocular morbidity. The prevalence of ocular morbidity and refractive error increased in the age group of 8-10 yr (P<0.05 and <0.001, respectively). Refractive error was the most common ocular morbidity (n=339; 7.8%), followed by vitamin A deficiency (VAD) (n=120; 2.8%). Interpretation & conclusions: The prevalence of refractive error and VAD in this study was significantly higher than the rest of India and the world. For the prevention of childhood blindness, immediate intervention programme, including eye screening by trained paramedics, treatment by an ophthalmologist and prophylaxis, is crucial.http://www.ijmr.org.in/article.asp?issn=0971-5916;year=2023;volume=158;issue=4;spage=370;epage=377;aulast=Satavmelghat - ocular morbidity - refractive error - tribal - vitamin a deficiency
spellingShingle Kavita A Satav
Ashish R Satav
Vibhawari S Dani
Parikshit M Gogate
Shraddha D Kumbhare
Pradeep Reddy
Ocular morbidity among children (aged 6-18 yr) of the tribal area of Melghat, India: A community-based study
Indian Journal of Medical Research
melghat - ocular morbidity - refractive error - tribal - vitamin a deficiency
title Ocular morbidity among children (aged 6-18 yr) of the tribal area of Melghat, India: A community-based study
title_full Ocular morbidity among children (aged 6-18 yr) of the tribal area of Melghat, India: A community-based study
title_fullStr Ocular morbidity among children (aged 6-18 yr) of the tribal area of Melghat, India: A community-based study
title_full_unstemmed Ocular morbidity among children (aged 6-18 yr) of the tribal area of Melghat, India: A community-based study
title_short Ocular morbidity among children (aged 6-18 yr) of the tribal area of Melghat, India: A community-based study
title_sort ocular morbidity among children aged 6 18 yr of the tribal area of melghat india a community based study
topic melghat - ocular morbidity - refractive error - tribal - vitamin a deficiency
url http://www.ijmr.org.in/article.asp?issn=0971-5916;year=2023;volume=158;issue=4;spage=370;epage=377;aulast=Satav
work_keys_str_mv AT kavitaasatav ocularmorbidityamongchildrenaged618yrofthetribalareaofmelghatindiaacommunitybasedstudy
AT ashishrsatav ocularmorbidityamongchildrenaged618yrofthetribalareaofmelghatindiaacommunitybasedstudy
AT vibhawarisdani ocularmorbidityamongchildrenaged618yrofthetribalareaofmelghatindiaacommunitybasedstudy
AT parikshitmgogate ocularmorbidityamongchildrenaged618yrofthetribalareaofmelghatindiaacommunitybasedstudy
AT shraddhadkumbhare ocularmorbidityamongchildrenaged618yrofthetribalareaofmelghatindiaacommunitybasedstudy
AT pradeepreddy ocularmorbidityamongchildrenaged618yrofthetribalareaofmelghatindiaacommunitybasedstudy