The study focuses on improving access to primary eye care (PEC) and referral efficiency for secondary eye care (SEC) to address vision impairment and blindness among rural residents in Xinjiang, China. Eye Diseases
Conditions
Interventions
The study will implement the iREACHES model, which integrates Health System Strengthening (HSS) and Behavioral Economics (BE) strategies, in 16 township health centers (THCs) across two rural counties
Sponsors
Peking University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Adults aged 18 years or older 2. Residents of rural communities served by the participating township health centers (THCs) in Shawan County and Jinghe County, Xinjiang 3. Individuals who have resided in the local community for at least six months prior to the study 4. Individuals who are willing and able to provide informed consent 5. Individuals who have not received ophthalmological treatment within two weeks prior to the study 6. Individuals without severe cognitive impairments or other conditions that would hinder their ability to provide informed consent
Exclusion criteria
Exclusion criteria: 1. Individuals who have received ophthalmological treatment within two weeks prior to the study 2. Individuals with severe cognitive impairments that hinder the ability to provide informed consent 3. Individuals with medical conditions that may interfere with participation or outcome assessment 4. Individuals who do not reside in the rural areas served by the selected township health centers (THCs) in Shawan County or Jinghe County, Xinjiang 5. Individuals under 18 years of age 6. Individuals who have not lived in the local community for at least six months prior to the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Utilization of PEC services at township health centers is measured using healthcare facility records at baseline and 12 months post-intervention 2. Number of appropriate referrals to secondary eye care at county hospitals is measured using referral logs and hospital health information systems at baseline and 12 months post-intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Availability of trained personnel, diagnostic tools, and screening capabilities at PHC level is measured using facility audits and healthcare provider surveys at baseline and 12 months post-intervention 2. Community knowledge about eye health is measured using structured interviews and community surveys at baseline and 12 months post-intervention 3. Vision-related quality of life is measured using the NEI VFQ-25 at baseline and 12 months post-intervention 4. General health-related quality of life is measured using the EQ-5D-5L at baseline and 12 months post-intervention | — |
Countries
China
Contacts
Public ContactXiaodong Dong
Outcome results
None listed