Beyond Community Health Service Provision: Assessing the Knowledge Attitude and Practice of Eye Care among Beneficiaries of an Intervention in an Inner-City Community in Lagos Metropolis
Akinwumi Fajola *
Regional Community Health, Shell Petroleum Development Company of Nigeria (SPDC), Nigeria.
Olayide Olabumuyi
Department of Community Medicine, College of Medicine, University of Ibadan, Nigeria.
Aloni Alali
Department of Community Medicine, Rivers State University, Nigeria.
Bunmi Adetula
Regional Community Health, Shell Petroleum Development Company of Nigeria (SPDC), Nigeria.
Rebecca Ogbimi
Regional Community Health, Shell Petroleum Development Company of Nigeria (SPDC), Nigeria.
Suodei Akenge
Regional Community Health, Shell Petroleum Development Company of Nigeria (SPDC), Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Background: A higher burden of preventable visual impairment has been reported in regions with poor knowledge of eye care, non-availability of or poor uptake of available screening services. This study assessed the knowledge, attitude, and practices as well as factors associated with eyecare among the residents of an inner-city community in Lagos, Nigeria.
Methods: A cross-sectional study using simple random sampling technique to select 254 consenting participants from a community on Lagos Island. Data was collected electronically using Microsoft office forms and analyzed with SPSS version 23. Frequencies, proportions and tables were used for descriptive analysis. Chi-square test and multivariate logistic regression analysis were done to identify predictors of the outcome variables.
Results: More of the respondents (52.4% and 61.4%) were middle-aged and female respectively with a mean age of 49.7±16.6 years. About 61.0% of them use prescription eyeglasses, 69.3% had a good knowledge of the importance of routine eye checks. Good attitude and practice of eye care were reported among 78.7% and 68.5% respectively. Respondents with a tertiary level of education were more likely to have a good attitude (OR=2.8; 95% CI=1.115-7.120) and good practice OR=2.7; 95% CI=1.207-5.869) versus lower educational levels.
Conclusion: This study revealed that efforts to increase access to education, particularly in low-income areas, can contribute to improved attitudes and practices related to eye health care. Addressing gaps in knowledge and promoting regular eye check-ups were seen to be essential steps toward achieving better eye health outcomes in Nigeria and similar settings.
Keywords: Eye Health, community eye care, inner city community, preventable visual impairments