Page 160 - DISINVESTMENT AND IMPLEMENTATION OF VISION SCREENING TESTS BASED ON THEIR EFFECTIVENESS

CHAPTER 8
158
Questionnaires for rural family doctors
Some family doctors said parents would be positive about vision screening, others said they would not.
Adoption
On-site interviews with nurses
Urban Rural Rural
Introducing vision screening was considered a good idea and were enthusiastic to participate.
On-site interviews with family doctors
Most family doctors indicated their nurses did not have to time to take up screening and do the paperwork involved.
On-site interviews with kindergarten staff
Urban &
rural rural
Vision screening was considered a good idea and staff were inclined to cooperate.
Questionnaires for screeners Data analysis of screening results
Urban &
The majority of nurses considered vision screening a natural part of their work.
Fidelity
On-site interviews with nurses
Urban &
rural
Nurses said they were able to perform screening adequately, though some mentioned it was a bit difficult in the beginning.
Questionnaires for screeners On-site observation of screening
Urban & Urban &
rural rural
Nurses felt confident they were able to screen.
Most nurses performed screening according to protocol.
Data analysis of screening results
Urban & rural
There were many outliers among nurses when it came to referral rates – both very low and very high referral rates – and also other indications that the protocol was not always followed correctly.
Coverage
On-site interviews with nurses
Urban
Most parents consented to having their child screened.
Rural Rural
Opinions among kindergarten staff were divided. Some said parents were positive about vision screening while others said parents were negative.
Urban Rural
All but one nurse participated in vision screening. Only 22% of nurses participated in vision screening.
Some nurses were enthusiastic to participate in screening, but others said they lacked the time to do so.