Key Dimensions of Refractive Errors Screening at School in Indonesia: A Primary Educator’s Perspective
Keywords:
Refractive error , Screening program, Primary school, Compliance, Primary school teacherAbstract
Introduction: The school-based refractive error screening program is important in preventing visual impairment caused by uncorrected refractive errors and enhancing students' academic performance. This study aimed to identify key dimensions for establishing an effective school-based refractive error screening program from the perspective of elementary teachers.
Methodology: The focus group discussion (FGD) using the qualitative-exploratory method among ten elementary teachers from one public school in Jakarta. The voice records of participants were transcribed verbatim, coded, and qualitatively analyzed to generate relevant dimensions. Several dimensions in the conceptual framework were concluded within the twelve categories.
Results: Four key dimensions to establish an effective school-based refractive error screening program were identified ranging from resources, screening procedure, education and awareness, and spectacles. These dimensions emphasized the significance of having trained teachers as screeners, understanding the comprehensive screening and referral process, offering incentives and user-friendly tools, and ensuring accessible and affordable spectacles to enhance students' compliance.
Conclusion: This study identified four dimensions for effective school-based refractive error screening programs, which are resources, screening procedures, education and awareness, and spectacles.
References
Laser Eye Surgery Hub. Global Data and Statistics: Visual Impairment and Blindness [Internet]. 2020 [cited 2023 Aug 28]. Available from: https://www.lasereyesurgeryhub.co.uk/data/visual-impairment-blindness-data-statistics/
World Health Organization. Blindness and Vision Impairment [Internet]. 2023 [cited 2023 Aug 28]. Available from: https://www.who.int/news-room/fact-sheets/detail/blindness-and-visual-impairment
Bourne RRA, Steinmetz JD, Saylan M, Mersha AM, Weldemariam AH, Wondmeneh TG, et al. Causes of blindness and vision impairment in 2020 and trends over 30 years, and prevalence of avoidable blindness in relation to VISION 2020: The Right to Sight: An analysis for the Global Burden of Disease Study. Lancet Glob Heal. 2021;9(2):e144-60.
Al Wadaani FA, Amin TT, Ali A, Khan AR. Prevalence and pattern of refractive errors among primary school children in Al Hassa, Saudi Arabia. Glob J Health Sci. 2013;5(1):125-34. Doi: https://doi.org/10.5539/gjhs.v5n1p125 PMid:23283044 PMCid:PMC4776961
Marmamula S, Khanna RC, Mettla AL, Pehere NK, Keeffe JE, Yameneni DK, et al. Agreement and diagnostic accuracy of vision screening in children by teachers, community eye-health workers, and vision technicians. Clin Exp Optom. 2018;101(4):553-9. Doi: https://doi.org/10.1111/cxo.12559 PMid:28657122
Saiyang B, Rares LM, Supit WP. Kelainan Refraksi Mata pada Anak. Med Scope J. 2021;2(2):59-65. Doi: https://doi.org/10.35790/msj.v2i2.32115
Tobi P, Ibrahim N, Bedell A, Khan I, Jolley E, Schmidt E. Assessing the prevalence of refractive errors and accuracy of vision screening by schoolteachers in Liberia. Int Health. 2022;14:I41-8. Doi: https://doi.org/10.1093/inthealth/ihab085 PMid:35385871 PMCid:PMC8986355
Irawati Y, Barliana JD, Zakiyah H, Daniel H, Susiyanti M. Screening Kesehatan Mata Anak pada Komunitas Kusta dalam Era Pandemi Covid-19. Media Karya Kesehat. 2022;5(1):54-67. Doi: https://doi.org/10.24198/mkk.v5i1.33560
Oo SM, Mon MM, Mon KL. Establishing a school-based vision screening program in Myanmar: a qualitative study on the perspectives of school children with refractive error, teachers, optometrists, and ophthalmologists. Int J Community Med Public Heal. 2021;8(3):1052-8. Doi: https://doi.org/10.18203/2394-6040.ijcmph20210781
M S. The Impact of Using Gadgets on Children. J Depress Anxiety. 2017;07(01):1-3. Doi: https://doi.org/10.4172/2167-1044.1000296
Williams WR. Hyperopia and educational attainment in a primary school cohort. Arch Dis Child. 2005 Feb 1;90(2):150-3. Doi: https://doi.org/10.1136/adc.2003.046755 PMid:15665167 PMCid:PMC1720267
Ramantsi BML, Rasengane TA, Jita T. Foundation Phase teachers' knowledge on common visual problems affecting children. South African J Child Educ. 2023 Jan 11;13(1):1-7. Doi: https://doi.org/10.4102/sajce.v13i1.1106
Murthy GVS. Vision Testing for Refractive Error in Schools. Community Eye Heal. 2000;13(33):3-5.
Mas Said GR, Leutualy V, Tualeka S. Karakteristik Pasien Penyakit Mata Di RSUD Masohi Maluku Tengah; Studi Deskriptif. Moluccas Heal J. 2022;3(3):72-7. Doi: https://doi.org/10.54639/mhj.v3i3.802
Opare A, Abdullahi LH, Minnies D, Cook C, Shung-King M, Mwangi G. School vision screening programmes in reducing uncorrected refractive error among children in Low and Middle-Income countries-LMIC (systematic review). Adv Ophthalmol Vis Syst. 2020 Aug 31;10(4):91-105. Doi: https://doi.org/10.15406/aovs.2020.10.00392
Sathyan S. Vision screening at schools: Strategies and challenges. Kerala J Ophthalmol. 2017;29(2):121. Doi: https://doi.org/10.4103/kjo.kjo_86_17
The University of The State of New York. School Vision Screening Guideline. New York; 2011.
Neena R, Gayathri M, Prakash N, Anantharaman G. Impact of online classes on eye health of children and young adults in the setting of COVID-19 pandemic: A hospital-based survey. Oman J Ophthalmol. 2023;16(1):45. Doi: https://doi.org/10.4103/ojo.ojo_57_22 PMid:37007270 PMCid:PMC10062089
Lubis AH, Dasopang MD. Online learning during the COVID-19 pandemic: How is it implemented in elementary schools? Prem Educ J Pendidik Dasar dan Pembelajaran. 2021 Jun 8;11(1):120-34. Doi: https://doi.org/10.25273/pe.v11i1.8618
Yashadhana A, Serova N, Lee L, Casas Luque L, Ramirez L, Carlos Silva J, et al. Access to school-based eye health programs: a qualitative case study, Bogotá, Colombia. Rev Panam Salud Pública. 2021 Dec 16;45:1. Doi: https://doi.org/10.26633/RPSP.2021.154 PMid:34934416 PMCid:PMC8678101
Kaur G, Koshy J, Satish T, Kapoor H, Zachariah JG, Bedi S. Vision Screening of School Children by Teachers as a Community-Based Strategy to Address the Challenges of Childhood Blindness. J Clin Diagnostic Res. 2016;10(4):NC09-NC14. Doi: https://doi.org/10.7860/JCDR/2016/18939.7628 PMid:27190849 PMCid:PMC4866147
Okoloagu N, Okoye O, Onwubiko S, Eze C, Eze B, Chuka-Okosa C. A Survey of Teachers' Knowledge, Attitudes, and Practices Related to Pupils' Eye Health and School-Based Eye-Health Services. Niger J Ophthalmol. 2019;27(2):68. Doi: https://doi.org/10.4103/njo.njo_10_18
Paudel P, Kovai V, Naduvilath T, Phuong HT, Ho SM, Giap NV. Validity of Teacher-Based Vision Screening and Factors Associated with the Accuracy of Vision Screening in Vietnamese Children. Ophthalmic Epidemiol. 2016 Jan 2;23(1):63-8. Doi: https://doi.org/10.3109/09286586.2015.1082602 PMid:26822813
Omar R, Knight VF, Zabidi AAA, Saat NZM, Li TX. Effectiveness of vision screening program conducted by preschool teachers. Malaysian J Public Heal Med. 2018;1:41-50.
The University of the State of New York & The State Education Department. Vision Screening Guidelines For Schools. 2018;1-14.
School Health Integrated Programming. Guidelines for School-based Eye Health Programs. 2016. 1-38 p.
Carlton J, Griffiths HJ, Mazzone P, Horwood AM, Sloot F. A Comprehensive Overview of Vision Screening Programmes across 46 Countries. Br Ir Orthopt J. 2022;18(1):27-47. Doi: https://doi.org/10.22599/bioj.260 PMid:35801077 PMCid:PMC9187246
Saxena R, Vashist P, Tandon R, Pandey R, Bhardawaj A, Menon V. Accuracy of visual assessment by school teachers in school eye screening program in Delhi. Indian J Community Med. 2015;40(1):38. Doi: https://doi.org/10.4103/0970-0218.149269 PMid:25657511 PMCid:PMC4317979
Narayanan A, Kumar S, Ramani KK. Spectacle Compliance among Adolescents in Southern India: Perspective of Service Providers. Indian J Ophthalmol. 2018;66(7):945-50. Doi: https://doi.org/10.4103/ijo.IJO_27_18 PMid:29941737 PMCid:PMC6032716
Guan H, Zhang Y, Wang Z, Chen X, Xue J, Ding Y. The prevalence and county-level socioeconomic correlates of visual impairment and glasses ownership among rural students in Western China. Front Public Heal. 2023;11. Doi: https://doi.org/10.3389/fpubh.2023.1069793 PMid:36741945 PMCid:PMC9892754
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Copyright (c) 2024 Ray Wagiu Basrowi, Kianti Raisa Darusman, Yitro Wilar, Tri Rahayu, Yeni Dwi Lestari, Nila Djuwita Moeloek
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