Patterns of Service Utilization of Selected Primary Eye Care Centers in Eastern Nepal: A Mixed Method Exploration

Abstract

Introduction: Primary Eye Care Centers (PECCs) have been established with the purpose of delivering easily accessible eye care services within the reach of the community. The objective of this study was to assess the services offered by selected PECCs in Eastern Nepal that are being utilized by the target population.

Methods: A mixed method study was conducted to assess the service utilization of PECCs in eastern Nepal. A total of 163 client exit interviews were conducted to assess client satisfaction towards PECCs and 69 in depth interviews (IDIs) to explore factors influencing performance of PECCs. Frequency and percentage were calculated for quantitative data whereas thematic analysis for qualitative.

Results: Out of 163 participants, 87.1% were satisfied with the overall services of the PECC. General eye and ear treatment services were provided, and most of the community people used the primary eye care services. Major challenges faced by healthcare providers as well as consumers were lack of modern equipment, lack of advanced services, congested space, lack of insurance services, poor transportation facilities, high cost of glasses, preference for private service providers, and lack of coordination with the local municipal government. However, the services have been proven to be affordable and easily accessible to most of the community people which helped in early diagnosis and treatment.

Conclusions: The service utilization at PECCs was optimal. The majority of the participants seemed satisfied with the services, there’s a significant amount of prospect for improvement. Physical infrastructure, instruments, and frequent screening camps or outreach programs could be highly beneficial to enhance the effectiveness of these centers.