Grand Challenges in global eye health: a global prioritisation process using Delphi method

We undertook a Grand Challenges in Global Eye Health prioritisation exercise to identify the key issues that must be addressed to improve eye health in the context of an ageing population, to eliminate persistent inequities in health-care access, and to mitigate widespread resource limitations. Draw...

Full description

Saved in:

Bibliographic Details
Published in:	The Lancet. Healthy longevity Vol. 3; no. 1; pp. e31 - e41
Main Authors:	Foster, Allen, Kyari, Fatima, Wormald, Richard, Taylor, Hugh, Salam, Ahmad Shah, Paduca, Ala, Lazo Legua, Alberto, Davis, Amanda, Wali, Amina H, Bastos de Carvalho, Ana, Arvind, Anitha, Karanu, Anne M, Abeydeera, Asela P, Bacchav, Ashish, Hossain, Ava, Ilhan, Bayazit, Tousignant, Benoit, Wiafe, Boateng, Mueller, Brigitte, Caglar, Cagatay, Thiel, Cassandra L, Jan, Catherine L, Chuluunkhuu, Chimgee, Gilbert, Clare E, Ondeyo, Dennis M, D'Esposito, Fabrizio, Masila, Faith, Büsch, Fortunat, Topouzis, Fotis, Bandello, Francesco, Oyediji, Funmilayo J, Thumann, Gabriele, Cochrane, Gillian M, Burn, Helen, Filipe, Helena P, Monye, Henrietta I, Kandel, Himal, Randrianarisoa, Hoby Lalaina, Khan, Imran A, Sharma, Indra P, Hammou, Jaouad, Biao, Jean-eudes, Burr, Jennifer M, Keenan, Jeremy D, Blijkers, Jess, Furtado, Joao M, Buchan, John C, Lawrenson, John G, Stern, Judith, Blanchet, Karl, Ogundimu, Kolawole, Keay, Lisa, Mörchen, Manfred, Zondervan, Marcia, Chagunda, Margarida, Sandinha, Maria Teresa, Yee Melgar, Mariano, Gichangi, Michael, Wu, Min, Cano, Miriam R, Shalaby, Mohammad, Khairallah, Moncef, Bikbov, Mukharram M, Ramappa, Muralidhar, Khachatryan, Naira, Kennedy, Neil, Uche, Nkechinyere J, Lois, Noemi, Awe, Oluwaseun O, Ruamviboonsuk, Paisan, Mbulawa, Pearl K, Holland, Peter, Nasimee, Qais, Rambacal, Raizza A T, Das, Rajdeep, Azad, Rajvardhan, Geneau, Robert, Jacobs, Robert J, Finger, Robert P, Sevciuc, Rodica, Kawasaki, Ryo, Talero, Sandra, Joseph, Sanil, Dodson, Sarity, Mohammadi, Seyed Farzad, Muez, Shabir Ahmad, Pardhan, Shahina, Coulibaly, Sidi Mohamed, Salomao, Solange R, Kulkarni, Sucheta, Yasmin, Sumrana, Braithwaite, Tasanee, Ravilla, Thulasiraj, Fricke, Timothy R, Cogliati, Tiziana, Kassa, Tsehaynesh, Sheffield, Victoria M, Nolan, Winifred, Mahsood, Yousaf Jamal, Sapkota, Yuddha
Format:	Journal Article
Language:	English
Published:	England Elsevier Ltd 01-01-2022 Elsevier
Subjects:	Africa South of the Sahara Blindness Child Delphi Technique Female Global Health Health Services Accessibility Humans Male Africa South of the Sahara
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	We undertook a Grand Challenges in Global Eye Health prioritisation exercise to identify the key issues that must be addressed to improve eye health in the context of an ageing population, to eliminate persistent inequities in health-care access, and to mitigate widespread resource limitations. Drawing on methods used in previous Grand Challenges studies, we used a multi-step recruitment strategy to assemble a diverse panel of individuals from a range of disciplines relevant to global eye health from all regions globally to participate in a three-round, online, Delphi-like, prioritisation process to nominate and rank challenges in global eye health. Through this process, we developed both global and regional priority lists. Between Sept 1 and Dec 12, 2019, 470 individuals complete round 1 of the process, of whom 336 completed all three rounds (round 2 between Feb 26 and March 18, 2020, and round 3 between April 2 and April 25, 2020) 156 (46%) of 336 were women, 180 (54%) were men. The proportion of participants who worked in each region ranged from 104 (31%) in sub-Saharan Africa to 21 (6%) in central Europe, eastern Europe, and in central Asia. Of 85 unique challenges identified after round 1, 16 challenges were prioritised at the global level; six focused on detection and treatment of conditions (cataract, refractive error, glaucoma, diabetic retinopathy, services for children and screening for early detection), two focused on addressing shortages in human resource capacity, five on other health service and policy factors (including strengthening policies, integration, health information systems, and budget allocation), and three on improving access to care and promoting equity. This list of Grand Challenges serves as a starting point for immediate action by funders to guide investment in research and innovation in eye health. It challenges researchers, clinicians, and policy makers to build collaborations to address specific challenges. The Queen Elizabeth Diamond Jubilee Trust, Moorfields Eye Charity, National Institute for Health Research Moorfields Biomedical Research Centre, Wellcome Trust, Sightsavers, The Fred Hollows Foundation, The Seva Foundation, British Council for the Prevention of Blindness, and Christian Blind Mission. For the French, Spanish, Chinese, Portuguese, Arabic and Persian translations of the abstract see Supplementary Materials section.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Listed at the end of the Article
ISSN:	2666-7568 2666-7568
DOI:	10.1016/S2666-7568(21)00302-0