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Int. J. Environ. Res. Public Health 2019, 16(1), 23; https://doi.org/10.3390/ijerph16010023

Factors Influencing Disability Inclusion in General Eye Health Services in Bandung, Indonesia: A Qualitative Study

1
Nossal Institute for Global Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3040, Australia
2
Faculty of Medicine, Universitas Padjadjaran, Bandung, 40161 Indonesia
*
Author to whom correspondence should be addressed.
Received: 15 November 2018 / Revised: 11 December 2018 / Accepted: 11 December 2018 / Published: 21 December 2018
(This article belongs to the Special Issue Disability and Global Health)
Full-Text   |   PDF [796 KB, uploaded 21 December 2018]   |  

Abstract

The Inclusive System for Effective Eye-care (I-SEE) is a pilot project for disability inclusion in eye health in Bandung district of Indonesia. The aim of this research was to investigate factors influencing the introduction, i.e., adoption, implementation and continuation of I-SEE. A qualitative exploratory study was conducted by interviewing relevant stakeholders (n = 27) and users with disabilities (n = 12). A theoretical framework on the introduction of innovations in health care was used to guide data collection and thematic analysis. Factors related to the characteristics of the innovation (I-SEE) (e.g., infrastructure, equipment, engagement of people with disabilities, inclusive communication), service provider characteristics (e.g., motivation, attitudes, training), organizational characteristics (e.g., supervision, indicators, data), and the socio-political context of I-SEE (policy, motivation of users, family support, costs, transport) were essential for supporting the introduction process. Additionally, stakeholders proposed strategies for enhancing the introduction of I-SEE (e.g., awareness, collaborations). While there are specific disability related factors, most factors influencing the introduction of disability inclusive eye health were similar to introducing any innovation in general health care. Strategies for disability inclusion should be included from the planning phase of an eye health program and are reasonably simple to adapt. View Full-Text
Keywords: disability inclusion; eye health; inclusive eye health; universal health coverage; health services; access disability inclusion; eye health; inclusive eye health; universal health coverage; health services; access
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Marella, M.; Smith, F.; Hilfi, L.; Sunjaya, D.K. Factors Influencing Disability Inclusion in General Eye Health Services in Bandung, Indonesia: A Qualitative Study. Int. J. Environ. Res. Public Health 2019, 16, 23.

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