Formative Research for the Development of an Eye Health Strategic Planning and Evaluation Framework and a Checklist: A Health Systems Approach

Abstract

<p>This formative research process aimed to develop an <em>Eye Health Strategic Planning and Evaluation Framework</em> and indicator <em>Checklist</em>. The research process utilized a multi‐phased multiple methods approach including literature review, initial expert review (n = 27), findings from a Cambodian Avoidable Blindness Initiative demonstration project (2009‐2012), observation and analysis of four rural sites of the Indian LV Prasad Eye Institute Pyramid Model (n = 21), and finally, a critique by Cambodian government eye health professionals/staff (n = 15), health center staff and community representatives (n = 77) and patients (n = 62). Results from three Cambodian population‐based surveys (KAP n = 599, patient follow‐up n = 354, and RAAB 4650) also informed the development of the <em>Framework</em> and the <em>Checklist</em>. The <em>Framework</em> domains include: situation analysis, determinants of accessibility, service delivery systems, operation systems, networks and linkages, outcomes, and impact. Domains were subdivided into 59 components. The <em>Checklist</em> consists of 253 indicator items. The <em>Eye Health Strategic Planning and Evaluation Framework</em> and the <em>Checklist</em> can assist policy makers, program planners, and evaluators to develop a comprehensive whole of systems approach to eye health care to improve coverage and utilization of services.</p>