From: Process evaluation of a National Primary Eye Care Programme in Rwanda
Observation element | Percent |
---|---|
Structures/Equipment | |
Eye record book and referral forms | 76.7 |
Eye examination protocol/checklist (proforma for examination) | 43.3 |
Rope (to measure correct distance for VA testing) | 83.3 |
Visual acuity chart | 96.7 |
String (to measure correct distance for reading vision test) | 76.7 |
Reading chart | 93.3 |
Pinhole | 93.3 |
Torch | 70.0 |
Reading glasses (for treatment) | 100 |
Adjustable glasses | 93.3 |
Eye dressings | 6.7 |
Eye pad and cotton buds | 3.3 |
Tape | 80.0 |
Gloves | 10.0 |
Antibiotic eyedrops | 93.3 |
Anti-allergy eye drops | 73.3 |
Flowchart (management algorithm) | 66.7 |
Processes | |
History taken in accordance to PEC curriculum | 93.3 |
Eye examination | |
Good communication and explanation prior to examination/test | 93.3 |
Observations of eyes made | 96.7 |
Distance visual acuity test procedure explained | 86.7 |
Effective communication with patient | 93.3 |
Correct distance applied for distance VA | 100 |
Appropriate lighting conditions for distance VA test | 93.3 |
One eye covered well for distance VA test | 93.3 |
Correct VA recorded for distance test | 90.0 |
Pinhole test offered for correct patient | 90.0 |
VA related diagnosis correct | 96.7 |
Explanation of near VA test offered | 90.0 |
Effective communication for near VA test | 95.2 |
Correct distance for near VA test | 93.3 |
Appropriate lighting conditions for near VA test | 100 |
Correct VA recorded for near test | 96.7 |
Correct diagnosis for near test | 96.7 |
Management | |
Correct management plan | 96.7 |
Correct glasses offered | 100.0 |
Correct eyedrops offered (n = 13) | 84.6 |
Instructions provided with correct eyedrops (n = 13) | 69.2 |
Consultations resulting in significant error (examination results, diagnosis or management of patient) | 6.7 |