Factors Influencing Disability Inclusion in General Eye Health Services in Bandung, Indonesia: A Qualitative Study

The Inclusive System for Effective Eye-care (I-SEE) is a pilot project for disability inclusion in eye health in Bandung district of Indonesia. The aim of this research was to investigate factors influencing the introduction, i.e., adoption, implementation and continuation of I-SEE. A qualitative ex...

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Veröffentlicht in:International journal of environmental research and public health 2018-12, Vol.16 (1), p.23
Hauptverfasser: Marella, Manjula, Smith, Fleur, Hilfi, Lukman, Sunjaya, Deni K
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Hilfi, Lukman
Sunjaya, Deni K
description The Inclusive System for Effective Eye-care (I-SEE) is a pilot project for disability inclusion in eye health in Bandung district of Indonesia. The aim of this research was to investigate factors influencing the introduction, i.e., adoption, implementation and continuation of I-SEE. A qualitative exploratory study was conducted by interviewing relevant stakeholders (n = 27) and users with disabilities (n = 12). A theoretical framework on the introduction of innovations in health care was used to guide data collection and thematic analysis. Factors related to the characteristics of the innovation (I-SEE) (e.g., infrastructure, equipment, engagement of people with disabilities, inclusive communication), service provider characteristics (e.g., motivation, attitudes, training), organizational characteristics (e.g., supervision, indicators, data), and the socio-political context of I-SEE (policy, motivation of users, family support, costs, transport) were essential for supporting the introduction process. Additionally, stakeholders proposed strategies for enhancing the introduction of I-SEE (e.g., awareness, collaborations). While there are specific disability related factors, most factors influencing the introduction of disability inclusive eye health were similar to introducing any innovation in general health care. Strategies for disability inclusion should be included from the planning phase of an eye health program and are reasonably simple to adapt.
doi_str_mv 10.3390/ijerph16010023
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subjects Cataracts
Community health care
Delivery of Health Care - methods
Delivery of Health Care - organization & administration
Disability
Disabled Persons
Eye Diseases - diagnosis
Eye Diseases - therapy
Female
Health
Health care policy
Health services
Health Services - statistics & numerical data
Health Services Accessibility - organization & administration
Health Services Accessibility - statistics & numerical data
Humans
Indonesia
Innovations
Low income groups
Male
Medical personnel
Medical screening
Nurses
People with disabilities
Pilot Projects
Qualitative Research
Sustainable development
Visual impairment
title Factors Influencing Disability Inclusion in General Eye Health Services in Bandung, Indonesia: A Qualitative Study
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