Browsing by Author "Manganye, B.S."

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    Barriers related to the provision of cataract surgery and care in Limpopo province, South Africa: Professional ophthalmic service providers’ perspective
    (2020) Khoza, L.B.; Nunu, W.N.; Ndou, N.D.; Makgopa, J.; Ramakuela, N.G.; Manganye, B.S.; Tshivhase, S.E.; Mambanga, P. a; Mutwira, T.S.
    Background: Cataract has been reported to be the leading single cause of visual impairment and blindness. However, uptake of cataract services is very low in rural areas though these services are available for free. This study, therefore, sought to explore barriers related to the low uptake of these services through engaging health service providers. Methods: This study used a qualitative design to explore barriers related to the uptake of cataract surgery and care from professional nurses’ perspective in Vhembe District of Limpopo province, outh Africa. The target population comprised of 20 ophthalmic service providers. Of these 20 in Limpopo Province, 15 were general nurses involved in eye health service provision, 3 registered ophthalmic nurses and 2 registered eye specialists. Three Focus Group Discussions were held with 8, 6 and 6 participants respectively. Data was collected through the use of a digital tape recorder, transcribed and then thematically analyzed. Results: The majority of the respondents were aged between 56 and 60 years and females constituted 80% of the respondents. In terms of experience in working in the field of oph- thalmology, most of the respondents had between 1 and 10 years of experience. Reported barriers related to the provision of cataract services by patients were: Lack of provision of comprehensive awareness programs; Failure to tailor-make cataract programs that overcome cultural myths; Unavailability of cataract services at the grass-root level; Shortage of ophthalmologist and supportive ophthalmic health professionals; and inadequate cataract facilities and resources. Conclusion: There is a need for the development of comprehensive awareness campaigns and the integration of traditional health systems and the modern system to overcome myths associated with cataracts. There is a need for investment in the ophthalmic services and ensure that the service is decentralized to health facilities in the communities so as to increase coverage. More health service providers are to be trained to ensure that they are able to provide this service at the grass-root level. This would, in turn, reduce the waiting times and ensure efficient and effective ophthalmic services.
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    Survey on prevalence of cataract in selected communities in Limpopo Province of South Africa
    (Elsevier, 2020) Nunu, W.N.,; Ndou, N.D.; Manyange, B.S.; Ramakuela, N.J.; Manganye, B.S.; Tshivhase, S.E.; Mambanga, P.; Murwira, T.S.
    Background: Over three-quarters of all blindness worldwide are preventable and usually caused by cataract. However data on the prevalence and risk factors about cataract are not always available in South Africa. This study sought to determine prevalence and factors associated with cataracts in selected communities in Limpopo Province of South Africa. Methods: A population-based cross-sectional survey was conducted on respondents aged 18 years and above in selected villages of Vhembe District. Visual Acuity (VA) was evaluated at 6 m using Snellen’s E chart whilst eye examinations were conducted using torch light, 2.5 X magnifying lenses and an ophthalmoscope. Chi Squared tests ( χ2 ) and Multiple Logistic Regressions (MLRs) were conducted to determine associations of different variables using STATA V 13 SE. Results: About 387 out 467 targeted respondents participated in the study. Household heads were the majority of the respondents (246; 63.6%). Cataract prevalence amongst r5espondents was estimated at 44% of which 261 (67.4%) were females with 3.1% of the respondents having permanent blindness. Cataract knowledge still remains low as 228 (58.9%) and Age of respondent, gender specific, marital status, occupation, and primary care giver were significantly associated with prevalence of cataracts. Conclusions: There is an urgent need to improve eye care services so as to improve access to cataract surgery as soon as one is diagnosed. There is also need to conduct community awareness campaigns that are gender specific so as to improve community members’ knowledge on cataracts and ensure they develop proactive eye services seeking behavior. This would minimize chances of the community members suffering permanent blindness due to cataracts.