PLOS Global Public Health · 4 authors, 4 centres
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This mixed-methods feasibility study assessed the capacity of 48 primary health care facilities in Nigeria to deliver eye health promotion. It found that while policies exist, implementation is fragmented, activities are limited in scope, and significant capacity gaps exist in governance, training, and resources.
A mixed-methods feasibility study surveyed 48 government-owned primary health care facilities in Anambra state, Nigeria. Methods included facility surveys, interviews with district health supervisors, staff, and village health workers, and a desk review of national policy documents. Findings were benchmarked against capacities needed for health promotion. The study found that eye health promotion policies exist but are fragmented. Current health promotion activities mainly focused on mobilizing community members, particularly women and children, to access facility-based care, with limited health education. Key gaps included low engagement of the elderly, limited transport, and inconsistent supervision. The study concludes that a robust eye health promotion strategy is needed in national policy, requiring expanded scope, trained workers, educational materials, and community visit support. Limitations include the lack of assessment of community participation.
