Cataract Surgical Services in Kwara State, Nigeria

Abstract

Introduction: Service provision for tackling cataract blindness is a key priority and remains a challenge for eye care programs in Nigeria. At the moment, paucity of data on these services makes evaluation and effective planning difficult. Background: To evaluate the infrastructure, equipment, and human resources for cataract surgical services, and determine the cataract surgical output in Kwara State, Nigeria. Materials and Method: A descriptive cross-sectional study of all cataract service institutions in Kwara state was conducted in May-July 2008 using pre-tested questionnaire and on-site review. Output data for 2003-2007 was collected and channels of yearly reporting of cataract surgical output for 2008-2009 established. Descriptive and analytical statistics were performed. For all comparisons, statistical significance was indicated by p<0.05. Results: There were 14 cataract surgical centres (9 Base Hospitals and 5 Surgical Outreach Centres); all the Base Hospitals were located in the urban centres with over two third cited in Ilorin, the state capital. The state had adequate equipment and infrastructures; however they are mal-distributed in favour of urban areas. A total of 157 eye care workers comprising 12(7.6%) ophthalmologists (consultants=8, Diplomates=4), 16(10.2%) trainee ophthalmologists, 94(59.9%) mid-level ophthalmic personnel and 35(22.3%) support staff serve the state's 2.37 million people. Eighty per cent of the eye care workers reside in the state capital where less than 30% of the population lives. Cataract surgical output increased from 218 in 2,003 to 1020 in 2009. Conclusion: There is adequacy of infrastructure, equipment and human resources with improving cataract surgical output. To attain vision 2020 target, mal-distribution of infrastructures, equipment and human resources and poor staff mix need to be addressed. There is urgent need for establishing state- and nation-wide systems for reporting cataract surgical output.