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Background <p>Blindness affects 1.4&#xa0;million children worldwide between the ages of 0 and 14 years; in Bangladesh, the prevalence rate is 6.3 per 10,000 children. Thus, this study aimed to develop a framework with an integrated approach to strengthen paediatric eye services in Bangladesh to address childhood blindness.</p> Methods <p>To develop the framework for paediatric eye care services, the study primarily adopted a literature review on existing eye care frameworks including results of authors own previous research work and then conducted three day-long workshops and consultation meetings with experts and stakeholders to finalize the framework. At the initial two workshops, a draft framework was presented and a discussion took place to suggest the necessary measures to strengthen the existing paediatric eye care. After incorporating all the suggestions and measures in the last workshop, the framework was finalized and validated.</p> Results <p>To design this framework, this study adopted the World Health Organization’s six-building block approach for strengthening the pediatric eye care system. The government of Bangladesh has a strong political commitment to address the prevention of blindness and they have already adopted an action plan called the National Eye Care Plan. Financial support to beneficiaries from the Government and Non-government sectors is crucial to mitigate financial challenges. By desk review, it was found that human resources were inadequate in number and there was geographical uneven distribution of both service facilities and human resources., so task shifting and sharing of human resources based on the geographical location should be ensured.</p> Conclusion <p>The workshop recommended multiple approaches, which were incorporated into the framework. A large-scale piloting program is required to evaluate the framework’s feasibility and effectiveness in lowering morbidity associated with pediatric eye diseases.</p>

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Developing a framework for paediatric eye care services in Bangladesh through an integrated approach

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年8月4日

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  • AHM Enayet Hussain,
  • Saidur Rahman Mashreky,
  • Labida Islam,
  • Khaleda Islam,
  • Eija Viitasara,
  • Koustuv Dalal

摘要

Background

Blindness affects 1.4 million children worldwide between the ages of 0 and 14 years; in Bangladesh, the prevalence rate is 6.3 per 10,000 children. Thus, this study aimed to develop a framework with an integrated approach to strengthen paediatric eye services in Bangladesh to address childhood blindness.

Methods

To develop the framework for paediatric eye care services, the study primarily adopted a literature review on existing eye care frameworks including results of authors own previous research work and then conducted three day-long workshops and consultation meetings with experts and stakeholders to finalize the framework. At the initial two workshops, a draft framework was presented and a discussion took place to suggest the necessary measures to strengthen the existing paediatric eye care. After incorporating all the suggestions and measures in the last workshop, the framework was finalized and validated.

Results

To design this framework, this study adopted the World Health Organization’s six-building block approach for strengthening the pediatric eye care system. The government of Bangladesh has a strong political commitment to address the prevention of blindness and they have already adopted an action plan called the National Eye Care Plan. Financial support to beneficiaries from the Government and Non-government sectors is crucial to mitigate financial challenges. By desk review, it was found that human resources were inadequate in number and there was geographical uneven distribution of both service facilities and human resources., so task shifting and sharing of human resources based on the geographical location should be ensured.

Conclusion

The workshop recommended multiple approaches, which were incorporated into the framework. A large-scale piloting program is required to evaluate the framework’s feasibility and effectiveness in lowering morbidity associated with pediatric eye diseases.