Keeping an eye on eye care: monitoring progress towards effective coverage

Stuart Keel¹, Andreas Müller², Sandra Block³, Rupert Bourne⁴, Matthew J Burton⁵, Somnath Chatterji⁶, Mingguang He⁷, Van C Lansingh⁸, Wanjiku Mathenge⁹, Silvio Mariotti², Debbie Muirhead¹⁰, M Mansur Rabiu¹¹, Thulasiraj D Ravilla¹², Serge Resnikoff¹³, Juan Carlos Silva¹⁴, Ian Tapply¹⁵, Theo Vos¹⁶, Ningli Wang¹⁷, Alarcos Cieza²

Affiliations

¹ Department of Noncommunicable Diseases, World Health Organization, Geneva, Switzerland. Electronic address: keels@who.int.
² Department of Noncommunicable Diseases, World Health Organization, Geneva, Switzerland.
³ Illinois College of Optometry, Chicago, IL, USA.
⁴ Cambridge University Hospitals, Cambridge, UK; Vision and Eye Research Institute, School of Medicine, Anglia Ruskin University, Cambridge, UK.
⁵ International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, UK; Moorfields Eye Hospital, London, UK.
⁶ Data and Analytics Department, World Health Organization, Geneva, Switzerland.
⁷ State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yatsen University, Guangzhou, China; Centre for Eye Research Australia, University of Melbourne, Melbourne, VIC, Australia.
⁸ Retina Department, Instituto Mexicano de Oftalmología IAP, Santiago De Querétaro, Querétaro, Mexico; HelpMeSee, New York, NY, USA.
⁹ Rwanda International Institute of Ophthalmology, Kigali, Rwanda.
¹⁰ Nossal Institute for Global Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia; The Fred Hollows Foundation, Melbourne, VIC, Australia.
¹¹ Noor Dubai Foundation, Dubai Health Authority, Dubai, United Arab Emirates.
¹² LAICO, Aravind Eye Care System, Madurai, India.
¹³ School of Optometry and Vision Science, University of New South Wales, Sydney, NSW, Australia; Brien Holden Vision Institute, Sydney, NSW, Australia; Organisation pour la Prévention de la Cécité, Paris, France.
¹⁴ Division of Blindness Prevention, Pan American Health Organization, Bogota, Colombia.
¹⁵ Cambridge University Hospitals, Cambridge, UK.
¹⁶ Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
¹⁷ Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, China; Beijing Ophthalmology & Visual Sciences Key Laboratory, Beijing, China.

PMID: 34237266
PMCID: PMC8440222
DOI: 10.1016/S2214-109X(21)00212-6

Review

Keeping an eye on eye care: monitoring progress towards effective coverage

Stuart Keel et al. Lancet Glob Health. 2021 Oct.

. 2021 Oct;9(10):e1460-e1464.

doi: 10.1016/S2214-109X(21)00212-6. Epub 2021 Jul 5.

Authors

Affiliations

¹ Department of Noncommunicable Diseases, World Health Organization, Geneva, Switzerland. Electronic address: keels@who.int.
² Department of Noncommunicable Diseases, World Health Organization, Geneva, Switzerland.
³ Illinois College of Optometry, Chicago, IL, USA.
⁴ Cambridge University Hospitals, Cambridge, UK; Vision and Eye Research Institute, School of Medicine, Anglia Ruskin University, Cambridge, UK.
⁵ International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, UK; Moorfields Eye Hospital, London, UK.
⁶ Data and Analytics Department, World Health Organization, Geneva, Switzerland.
⁷ State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yatsen University, Guangzhou, China; Centre for Eye Research Australia, University of Melbourne, Melbourne, VIC, Australia.
⁸ Retina Department, Instituto Mexicano de Oftalmología IAP, Santiago De Querétaro, Querétaro, Mexico; HelpMeSee, New York, NY, USA.
⁹ Rwanda International Institute of Ophthalmology, Kigali, Rwanda.
¹⁰ Nossal Institute for Global Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia; The Fred Hollows Foundation, Melbourne, VIC, Australia.
¹¹ Noor Dubai Foundation, Dubai Health Authority, Dubai, United Arab Emirates.
¹² LAICO, Aravind Eye Care System, Madurai, India.
¹³ School of Optometry and Vision Science, University of New South Wales, Sydney, NSW, Australia; Brien Holden Vision Institute, Sydney, NSW, Australia; Organisation pour la Prévention de la Cécité, Paris, France.
¹⁴ Division of Blindness Prevention, Pan American Health Organization, Bogota, Colombia.
¹⁵ Cambridge University Hospitals, Cambridge, UK.
¹⁶ Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
¹⁷ Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, China; Beijing Ophthalmology & Visual Sciences Key Laboratory, Beijing, China.

PMID: 34237266
PMCID: PMC8440222
DOI: 10.1016/S2214-109X(21)00212-6

Abstract

The eye care sector is well positioned to contribute to the advancement of universal health coverage within countries. Given the large unmet need for care associated with cataract and refractive error, coupled with the fact that highly cost-effective interventions exist, we propose that effective cataract surgery coverage (eCSC) and effective refractive error coverage (eREC) serve as ideal indicators to track progress in the uptake and quality of eye care services at the global level, and to monitor progress towards universal health coverage in general. Global targets for 2030 for these two indicators were endorsed by WHO Member States at the 74th World Health Assembly in May, 2021. To develop consensus on the data requirements and methods of calculating eCSC and eREC, WHO convened a series of expert consultations to make recommendations for standardising the definitions and measurement approaches for eCSC and eREC and to identify areas in which future work is required.

Copyright © 2021 World Health Organization; licensee Elsevier. This is an Open Access article published under the CC BY-NC-ND 3.0 IGO license which permits users to download and share the article for non-commercial purposes, so long as the article is reproduced in the whole without changes, and provided the original source is properly cited. This article shall not be used or reproduced in association with the promotion of commercial products, services or any entity. There should be no suggestion that WHO endorses any specific organisation, products or services. The use of the WHO logo is not permitted. This notice should be preserved along with the article's original URL.

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Conflict of interest statement

Declaration of interests We declare no competing interests.

References

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Keeping an eye on eye care: monitoring progress towards effective coverage

Affiliations

Keeping an eye on eye care: monitoring progress towards effective coverage

Authors

Affiliations

Abstract

Conflict of interest statement

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Medical