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Manal Bouhaimed MBChB, MSc, PhD, FRCS Faculty of Medicine Kuwait University. : Women Eye Health An Evidence Based Approach. Disclosure. I have no financial interest in the subject matter nor there is any conflict of interests.
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Manal Bouhaimed MBChB, MSc, PhD, FRCS Faculty of Medicine Kuwait University :Women Eye HealthAn Evidence Based Approach
Disclosure • I have no financial interest in the subject matter nor there is any conflict of interests. • The content of this presentation reflect my opinion and not that of Kuwait university or the Ministry of Health in the State of Kuwait.
Why focus on gender issues? What is # 1gender issue in Eye care? What are the linkages between gender inequalities and blindness?
Community Eye Health Initiative in Kuwait Why focus on gender issues?
WORLD SIGHT DAY 2009Gender and Eye Health:Equal Access To Care Why focus on gender issues?
Creation of UN Women In an historic move, the United Nations General Assembly voted unanimously on July 2nd, 2010 to create a new entity to accelerate progress in meeting the needs of women and girls worldwide. Why focus on gender issues?
Higher prevalence of blindness among women What is # 1gender issue in Eye care? • Nearly two-thirds of blind people worldwide are women & girls. • In many places, men have twice the access to eye care as women.
What is # 1gender issue in Eye care? Systematic review of blindness surveys (1980-2000): Findings from Meta-analysis Abou-Gareeb et al. Gender and blindness: a meta-analysis of population-based prevalence surveys. Ophthal Epidem. 2001;8:39-56.
Estimated number of blind people, according to WHO criteria in developed countries, China, India, and Africa (millions).
It was estimated last year that, “blindness and severe visual impairment from cataract could be reduced by around 11% in low- and middle-income countries if women were to receive cataract surgery at the same rate as men In some settings women less likely to receive an IOL. Women tend to come in later than men (more likely to be blind) . Cataract Surgical Coverage (2002-8) Lewallen et al, BJO 2009;93:295-8 Norregaard JC, et al. BJO 1998;82:1107-1111
What are the linkages between gender inequalities and blindness? 1- Different risk for acquiring eye diseases • Care of young children can result in repeated exposures to infections (Trichiasis). • Inappropriate hygiene practices from limited access to clean domestic water.
2- Unequal utilization of eye care services Lower levels of health literacy in women affects recognition of symptoms requiring care & leads to fear of negative outcomes. Distance to services: more women are restricted in mobility. What are the linkages between gender inequalities and blindness?
Women at certain areas are less exposed to outside community hence have less Knowledge of available service. • Perceived self “value” : Fear of being burden on family
Simple Strategies to Eliminate Gender Inequity • Acknowledge the problem. • Research to explain “how big”, “why”? • Document the evidence. • Generate interest groups to test strategies. • Build a coalition of professionals and organisations to map out “what next”.
EYE ON THE FUTURE THANK YOU ﺸﻛﺮﺍ