Cost Analysis Of School Vision Screening Programs: Children Eye Health Initiative Of Krishna District, South India

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Publication Date

4-2022

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Presentation: 20:52

Abstract

Childhood blindness contributes to 3.1% of the global blind population. However, the larger number of blind years for children has an impact on the quality of life of the children and add to the burden of disease and hence childhood blindness draws attention for action. The Children Eye Health Project was a comprehensive eye health care project of L V Prasad Eye Institute to screen children in five administrative blocks of one of the districts in the state of Andhra Pradesh, India. The objectives of this study were to assess from the providers perspective the costs involved in screening for refractive error and conduct a cost estimate for provision of glasses for children identified with uncorrected refractive error in the Children Eye Health Project. 2015-2018 retrospective screened data of 68,838 children was used for the cost estimates. The model inputs included cost of screening, refraction, project team training, awareness sessions and service delivery. Univariate sensitivity analysis was performed. The total cost of the screening and referral services was USD 97,745.78. The cost of surgical services per child was USD 50.20 and the cost of glasses per child with refractive error was USD 4.30. Sensitivity analysis showed several cost drivers, including surgery and glass costs. The cost estimates suggest that the program could be scaled up at a national level. The availability of the information on the cost estimates of school vision screening programs may help policy makers and all other developmental agencies to invest on the integration of school vision screening programs as an integral part of all children health program.

Language

English

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