EVALUATION OF QOS (QUALITY OF SERVICES) BY LOG FRAME ANALYSIS (LFA) AND OCULAR MORBIDITY IN SCHOOL CHILDREN OF CHANDIGARH
Objective: To evaluate the school vision health program being run by the Chandigarh administration for students, under National Program for Control of Blindness.
- To assess the visual acuity disorders in them.
Methods: The population based cross sectional study was done in fourteen schools of Chandigarh. Chandigarh was divided in four quarters. Sampling frame comprised of Government schools. The eye component of a school health program so run in government schools, by Chandigarh administration was evaluated by LFA. Data analysis was carried out using SPSS13 and Epi Info 2000.
Results: A total of 5404 children were studied, out of which 2801(51.83%) were boys and 2603(48.16%) were girls. Girls in our study showed a higher prevalence of defective visual acuity among girls 322(5.95%). Female preponderance was observed in all age groups.
Evaluation of school health program showed that 51(36%) subjects were of the opinion that all students were examined, 25 (17.86%) told that more than 20% of students were referred to GMCH-32 for further management. All the interviewers agreed that manpower in school health team was adequate.
Conclusion: Low compliance with ocular morbidity was evident as less number of students contacted the eye health physician even after being referred. There is a need to spread awareness pertaining to eye health that can be using local media or by health care workers. More over emphasis has not only to be on therapeutic aspect but prevention too has to be given importance.
2. Blindness Global, Indian scenario, Anugrahadrishtidaan; Available from: www. anugrahadrishtidaan. org/eye-care-information. htm(Accessed on 16th Jun, 2013.)
3. Visual impairment and blindness. World Health Organization; Available from: http: //www. who. int/ mediacentre/ factsheets/fs282/en/ (Accessed on 20th Jun, 2013).
4. Jose R, Sachdeva S. School eye screening and the national program for control of blindness. Indian Pediatr 2009;46:205-8.
5. National Programme for Control of Blindness, Ministry of Health and Family Welfare; Available from: http: //npcb. nic. in/writereaddata/mainlinkfile/File293. Pdf (Accessed on 20th Jun, 2013)
6. Dandona R, Dandona L. Childhood blindness in India: a population based perspective. Br J Ophthalmol 2003;87:263-5.
7. Basu M, Das P, Pal R, Kar S, Desai VK, Kavishwar A. Spectrum of visual impairment among urban female school students of Surat. Indian J Ophthalmol 2011;59(6):475-9.
8. Census of India 2011 by ministry of home affairs, Government of India; Available from: www. census2011. co. in (Accessed on 1st Mar, 2013).
9. Census of India 2011 by ministry of home affairs, Government of India; Available from: www. censusindia. gov. in/states (Accessed on 1st Mar, 2013).
10. Thylefors B, Dawson CR, Jones BR, West SK, Taylor HR. A simple system for assessment of trachoma and its complications. Bull World Health Organ 1987;65:477-85.
11. Sommer A. Field guide to the detection and control of xerophthalmia. 2nd ed. Geneva: World Health Organization; 1982.
12. Rustagi N, Uppal Y, Taneja D. Screening of visual impairment: outcome among school children in rural area of Delhi. Indian J Ophthalmol 2012;60(3):203-6.
13. Deshpande Jayant D, Malathi K. Prevalence of ocular morbidities among school children in rural area of North Maharashtra in India. Nat J Comm Medicine 2011;2(2):249-54.
14. Reddy SC, Hassan M. Refractive errors and other eye diseases in primary school children in Petaling Jaya, Malaysia. Asian J Ophthalmol 2006;8(5),195-8.
15. Nepal BP, Koirala S, Adhikary S, Sharma AK. Ocular morbidity in school children in Kathmandu. Br J Ophthalmol 2003;87:531-34.
16. Gupta M, Gupta BP, Chauhan A, Bhardwaj A. Ocular morbidity prevalence among school children in Shimla, Himachal, North India. Indian J Ophthalmol 2009;57(2)133-8.
17. Wedner SH, Ross DA, Balira R, Kaji L, Foster A. Prevalence of eye diseases in primary school children in a rural area of Tanzania. Br J Ophthalmol 200;84:1291-7.
18. Sharma S, Vashisht BM, Goel M, Kalhan M. Magnitude of refractive errors among school children in a rural block of Haryana. Internet J Epidemiol 2009;6(2) doi: 10.5580/1e5f.
19. Murthy GVS, Gupta SK, Ellwein LB, Munoz SR, Pokharel GP, Sanga L, et al. Refractive error in children in an urban population in New Delhi. Invest Ophthalmol Vis Sci 2002;43:623-31.
20. Batra N, Kaushal D, Gill AS. Refractive errors in school children-data from a school. Tropical ophthalmology 2007;7(3):43-7.
21. Zhao J, Pan X, Sui R, et al. Refractive error study in children: results from Shunyi district, China. Am J Ophthalmol 2000;129:427-35.
22. Prajapati P, Oza J, Prajapati J, Kedia G, Chudasama RK. Prevalence of ocular morbidity among scool adolescents of Gandhinagar district, Gujarat. Online J Health Allied Scs 2010;9(4):5.
23. Datta A, Bhardwaj N, Patrikar SR, Bhalwar R. Study of disorders of visual acuity among adolescent school children in Pune. MJAFI 2009;65:26-9.
24. Dandona R, Dandona L, Srinivas M, Sahare P, Narsaiah S, Munoz SR, et al. Refractive error in children in a rural population in India. IOVS 2002;43:615-22.
25. Padhye AS, Khandekar R, Dharmadhikari S, Dole K, Gogate P, Deshpande M. Prevalence of uncorrected refractive error and other eye problems among urban and rural school children. Middle East Afr J Ophthalmol 2009;16(2):69-74.
26. Uzma N, Kumar BS, Khaja Mohinuddin Salar BM, Zafar MA, Reddy VD. A comparative clinical survey of the prevalence of refractive errors and eye diseases in urban and rural school children. Can J Ophthalmol 2009;44:328-33.
27. Kumar R, Dabas P, Mehra M, Ingle GK, Saha R, Kamlesh. Ocular morbidity amongst primary school children in Delhi. Health and population-perspectives and issues 2007;30(3):222-29.
28. Prasanna Kamath BT, Guru Prasad BS, Deepthi R, Muninarayana C. Prevalence of ocular morbidity among school going children (6-15years) in rural area of Karnataka, South India. Int J Pharma Biomed Res 2012;3(4):209-12.