Heidi Laviers|Fatma Omar|H Jecha|Garnia Kassim|Clare Gilbert
Presbyopic Spectacle Coverage, Willingness to Pay for Near Correction, and the Impact of Correcting Uncorrected Presbyopia in Adults in Zanzibar, East Africa
London School of Hygiene & Tropical Medicine|London School of Hygiene & Tropical Medicine
purpose assess presbyopic spectacle coverage willingness pay impact correcting uncorrected presbyopia individuals 40 years age older zanzibar whether assessment presbyopia incorporated rapid assessment blindness raab surveys methods crosssectional populationbased survey presbyopia incorporated raab survey sample size 400 included individuals older 50 years raab survey 40 50 years old household corrected visual acuity va least 618 either eye ophthalmic clinical officer oco administered visual function vf quality life qol questionnaires followed clinical assessment optometrist participants requiring simple near addition dispensed free readymade spectacles team traced participants 6 months later readministered questionnaires requiring new spectacles near va measured given spectacles results three hundred eightyone participants examined prevalence presbyopia 892 340381 spectacle coverage 176 barriers accessing services included spectacles priority lack money followup 175 936 187 participants given spectacles still mean satisfaction high 895 mean amount participants willing pay spectacles increased 217 usd baseline 314 usd followup impact correcting presbyopia vf produced effect size 290 effect sizes ranging 115 390 mean qol scores conclusions study highlights value correcting presbyopia community perspective necessity providing affordable quality accessible near spectacles primary health level