A Cross-Sectional Study of Ocular Morbidity in Urban Slums Non-schooling Children of Ahmedabad City, Gujarat
Study of Ocular Morbidity in Urban Slums Non-schooling Children
Keywords:
prevalence, ocular morbidity, non-schooling children, urban slumsAbstract
Background: Data on eye diseases among non-schooling children is very rare. Considering the fact those 19 million visually impaired children, 12 million children are due to refractive errors while 1.4 million are irreversibly blind for the rest of their lives. Early detection and treatment of ocular morbidity among children is important. Objective: To estimate the prevalence of ocular morbidity among urban-slums, non-schooling children of age 0-15 years. Methods: A cross sectional community based study was carried out in five slum areas of urban health training center, Asarwa, adopted by Dept. of Community Medicine to cover non-schooling children of below 15 years of age, from November 2010 to December 2010. Information was collected on a pretested semi structured proforma. An ophthalmologist from Regional Institute of Ophthalmology (RIO) did visual acuity and detailed ophthalmic examination. Data was analyzed with appropriate statistical tests like simple proportions and chi-square (x2) test. Result: Total 391 (14.2%) children in urban –slums community, who were not going to school, were included. Prevalence of ocular morbidity was 21.2%, Trachoma 4.9%, vitamin A deficiency 3.6 %, conjunctivitis 3.3%, refractive errors 3.3% squint 2.5% & color blindness 1.0%. Overall prevalence of ocular morbidity in government hospital and non-schoolings did not show any statistical significant difference. Conclusion: A high prevalence of ocular morbidity among non-schooling children was observed. School health services should be further expanded as child health check-up for the benefit of non-schooling children as well.
References
2. Curable blindness: data table. Available from http://www.curableblindness.org/region/south-asia/india.html. [last assessed on 2012 January 02]
3. Bhagyalakshmi J. Presenting Educational Science: What next?†Yojana. 2001; 45:48–9.
4. Drop out in Himachal Pradesh. Available from http://www.indiastat.com/india/showtable.asp?secid=363047andptid=6373andlevel=4.[last assessed on 2010 Nov 20]
5. Chaturvedi S, Aggarwal OP. Pattern and distribution of ocular morbidity in primary school children of rural Delhi. Asia Pac J Public Health 1999; 11:30–33.
6. Murthy GVS, Praveen Vashist, Neena John. Manual for District Level Ophthalmologists: Community Based Interventions for Control of Childhood Blindness and Visual Impairment. 2007.
7. WHO Vitamin A Deficiency and Xerophthalmia. Report of a Joint WHO/USAID Meeting, TRS 590, 1976; P.36.
8. Stephen J.H.Miller. Parsons’ Diseases of the Eye, 18th edition. Churchill Livingstone, International student edition, 1998; 75-127.
9. Madhu Gupta, Bhupinder P Gupta, Anil Chauhan, Ashok Bhardwaj, Ocular morbidity prevalence among school children in Shimla, Himachal, North India Indian J Ophthalmol. 2009 Mar–Apr; 57(2): 133–138.
10. Amruta S. Padhye, Rajiv Khandekar, Sheetal Dharmadhikari, Kuldeep Dole, Parikshit Gogate, and Madan Deshpande, Prevalence of Uncorrected Refractive Error and Other Eye Problems Among Urban and Rural School Children; Middle East Afr J Ophthalmol. 2009 Apr–Jun; 16(2): 69–74.
11. Khurana AK, Sikka KL, Parmar IP, Aggarwal SK. Ocular morbidity among school children in Rohtak city. Indian J Public Health 1984; 28:217–20.
12. Desai S, Desai R, Desai NC, Lohiya S, Bhargava G, Kumar K. School eye health appraisal. Indian J Ophthalmol 1989; 37:173–5.
13. Kalikivayi V, Naduvilath TJ, Bansal AK, Dandona L. Visual impairment in school children in Southern India. Indian J Ophthalmol 1997; 45:129–34.
14. Conjunctivitis. Community Eye Health. 1999; 12:20. Available from http://www.jcehcouk/download/ceh_12_30_020.pdf.[ last assessed on 2010 Nov 20]
15. Arlappa N, Balakrishna N, Laxmaiah A, Nair KM, Brahmam GN. Prevalence of clinical and sub-clinical vitamin A deficiency among rural preschool children of West Bengal, India. Indian Pediatr. 2011 Jan 7; 48(1):47-9.
16. Sethi S, Kartha GP. Prevalence of refractive errors in school children (12-17 years) of Ahmedabad City. Indian J Community Med 2000; 25:181–83.
17. Pratap VB, Lal HB. Pattern of pediatric ocular problems in North India. Indian J Ophthalmol 1989; 37:171–2.
