Effectiveness of using teachers to screen eyes of school-going children in Satna district of Madhya Pradesh, India.

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dc.contributor.authorSudhan, Anand
dc.contributor.authorPandey, Arun
dc.contributor.authorPandey, Suresh
dc.contributor.authorSrivastava, Praveen
dc.contributor.authorPandey, Kamta Prasad
dc.contributor.authorJain, Bhudhendra Kumar
dc.date.accessioned2011-12-20T08:19:47Z
dc.date.available2011-12-20T08:19:47Z
dc.date.issued2009-11
dc.description.abstractAim: To assess the effectiveness of teachers in a vision screening program for children in classes 5th to 12th attending school in two blocks of a district of north central India. Materials and Methods: Ophthalmic assistants trained school teachers to measure visual acuity and to identify obvious ocular abnormalities in children. Children with visual acuity worse than 20/30 in any eye and/or any obvious ocular abnormality were referred to an ophthalmic assistant. Ophthalmic assistants also repeated eye examinations on a random sample of children identified as normal (approximately 1%, n=543) by the teachers. Ophthalmic assistants prescribed spectacles to children needing refractive correction and referred children needing further examination to a pediatric ophthalmologist at the base hospital. Results: Five hundred and thirty teachers from 530 schools enrolled 77,778 children in the project and screened 68,833 (88.50%) of enrolled children. Teachers referred 3,822 children (4.91%) with eye defects for further examination by the ophthalmic assistant who confirmed eye defects in 1242 children (1.80% of all screened children). Myopia (n=410, 33.01%), Vitamin A deficiency (n=143, 11.51%) and strabismus (n=134, 10.79%) were the most common eye problems identified by the ophthalmic assistant. Ophthalmic assistants identified 57.97% referrals as false positives and 6.08% children as false negatives from the random sample of normal children. Spectacles were prescribed to 39.47% of children confirmed with eye defects. Conclusions: Primary vision screening by teachers has effectively reduced the workload of ophthalmic assistants. High false positive and false negative rates need to be studied further.en_US
dc.identifier.citationSudhan Anand, Pandey Arun, Pandey Suresh, Srivastava Praveen, Pandey Kamta Prasad, Jain Bhudhendra Kumar. Effectiveness of using teachers to screen eyes of school-going children in Satna district of Madhya Pradesh, India. Indian Journal of Ophthalmology. 2009 Nov; 57(6): 455-458.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/135998
dc.language.isoenen_US
dc.source.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2812765/en_US
dc.subjectBlindnessen_US
dc.subjecteffectivenessen_US
dc.subjectrefractive servicesen_US
dc.subjectschool vision screeningen_US
dc.subjectvisual acuityen_US
dc.subject.meshAdolescent
dc.subject.meshBlindness --epidemiology
dc.subject.meshBlindness --prevention & control
dc.subject.meshChild
dc.subject.meshFaculty
dc.subject.meshFalse Positive Reactions
dc.subject.meshHumans
dc.subject.meshIndia --epidemiology
dc.subject.meshPrevalence
dc.subject.meshRefractive Errors --diagnosis
dc.subject.meshRefractive Errors --epidemiology
dc.subject.meshReproducibility of Results
dc.subject.meshRetrospective Studies
dc.subject.meshRural Population
dc.subject.meshVision Screening --methods
dc.subject.meshVisual Acuity
dc.titleEffectiveness of using teachers to screen eyes of school-going children in Satna district of Madhya Pradesh, India.en_US
dc.typeArticleen_US
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