Main Article Content

Abstract








Background: The provision of primary eye care services is essential for the prevention and control of ocular morbidities as well as contribute in producing a healthy workforce. This study was thus aimed at assessing the manpower, equipment and material resources adequacy for providing Primary Eye Care (PEC) services, in primary healthcare (PHC) facilities in Rivers State, Nigeria.


methods: This study utilized the descriptive, cross-sectional design and was conducted in 83 PHC facilities in Rivers State, Nigeria. Data was collected using adapted manpower, equipment and materials checklists. Evaluation was done using PHC standards to identify the adequacy of the assessed resources. Data analysis was done using the Statistical Package for Social Sciences (SPSS) version 23


Results: The largest proportion of the PHC facilities were found to have one doctor 40 (48.2%), no optometrist 75 (90.4%), one nurse 22 (26.5%), one community health officer (CHO) 28 (33.7%), three community health extension workers (CHEW) 21 (25.3%), and one records officer 36 (43.4%) working in them. Also, only 8 optometrists were found to be providing PEC services in the PHC facilities. Assessing the adequacy of the various cadres of workers, revealed inadequacies affecting all cadres, with nurses (80%) and doctors (40%) having the highest proportion of inadequacies. An assessment of the adequacy of the equipment and materials using a 50% cut-off for categorization of availability into “adequate” and “inadequate” showed that most facilities 67 (81.0%) experienced inadequacies as they did not have a number of these equipment and materials.


Conclusion: The manpower, equipment and material resources were found to be inadequate. Task shifting, where primary healthcare workers are trained in the management of simple ocular diseases while the specialists attend to more serious ocular conditions, and the even distribution of equipment and materials needed to provide PEC services are recommended.








Keywords

Primary eye care (PEC) equipment manpower material resources Primary Health Care (PHC)

Article Details

Author Biography

Pearl Abereton, Rivers State Primary Health Care Management Board, Port Harcourt 500001, Rivers State, Nigeria

Environmental Health Department, School of Public Health, University of Port-Harcourt, Choba 500004, Rivers State, Nigeria

 

How to Cite
Dede, S., Wihioka, J., Abereton, P., Dagde-Kenneth, A., Omudu, H., & Oreh, A. (2026). MANPOWER, EQUIPMENT AND MATERIAL RESOURCES ADEQUACY FOR PROVIDING PRIMARY EYE CARE (PEC) SERVICES, IN PRIMARY HEALTHCARE FACILITIES IN RIVERS STATE. Journal of Public Health and Toxicological Research, 3(2), 252–260. https://doi.org/10.71637/jphtr.vol3no2.59

References

  1. Ogu RN, Ephraim-Emmanuel BC. Nigerian Government Expenditure, Economic Productivity and the Prevention of Maternal Mortality: A Call to Action. J Econ Manag Trade. 2018;21(1):1–9.
  2. Anyiam F, Chinawa N, Nathaniel G, Wajuihian S. “PRELIMINARY FINDINGS OF OCULAR MORBIDITY IN PARTICIPANTS ATTENDING OPHTHALMIC OUTREACH SERVICES IN RURAL NIGERIA ". Niger Delta Med J. 2017;1(2):13–8.
  3. Sengo DB, Marraca NA, Muaprato AM, García-Sanjuan S, Caballero P, López-Izquierdo I. Barriers to Accessing Eye Health Services in Suburban Communities in Nampula, Mozambique. Int J Environ Res Public Health. 2022 Mar;19(7).
  4. Federal Government of Nigeria F. The Nigeria national blindness and visual impairment survey 2005-2007. 2007.
  5. Ephraim-Emmanuel BC, Adigwe A, Oyeghe R, Ogaji DS. Quality of health care in Nigeria: a myth or a reality. Int J Res Med Sci. 2018;6(9):2288–875.
  6. Bet-Ini NC. Primary Eye Care in Nigeria A Review of Human Resource for Health Development. Royal Tropical Institute; 2021.
  7. World Health Organization (WHO), United Nations Children Fund (UNICEF). A vision for primary health care in the 21st century: towards universal health coverage and the Sustainable Development Goals. 2018.
  8. Yasmin S, Schmidt E. Primary eye care: opportunities for health system strengthening and improved access to services. Int Health. 2022 Apr 6;14:i37–40.
  9. Abdull MM, Sivasubramaniam S, Murthy GVS, Gilbert C, Abubakar T, Ezelum C, et al. Causes of Blindness and Visual Impairment in Nigeria: The Nigeria National Blindness and Visual Impairment Survey. Invest Ophthalmol Vis Sci. 2009 Sep 1;50(9):4114–20. Available from: https://doi.org/10.1167/iovs.09-3507
  10. Eze UA, Obasuyi OC, Salihu DV, Bature M, Yeye-Agba OO, Kanmodi KK. Prevalence and Causes of Blindness and Visual Impairment Among Nigerian Children: A Systematic Review. Clin Ophthalmol. 2024;18:289–301: https://doi.org/10.2147/OPTH.S440744
  11. Moyegbone JE, Nwose EU, Anowa EI, Clarke A, Odoko JO, Agege EA. Prevalence of Visual Impairment among Primary and Secondary School Children in Delta State, Nigeria. 2023;25(1):42–53.
  12. Ezisi CN, Eze BI, Okoye O, Chuka-okosa CM, Shiweobi JO. Challenges in horizontal integration of eye care services into the pre-existing rural primary care structure: an operations research perspective from Nigeria. Fam Med Prim Care Rev. 2017;19(4):366–71. https://doi.org/10.5114/fmpcr.2017.70811
  13. Chinawa N, Odogu V, Ezeh E, Anyiam F, Triantafillidis J, Goenawan K, et al. Ocular Morbidity Pattern and Presentation among Residence of a Semi-Urban Community in Rivers State, Nigeria. Asian J Med Heal. 2020 Jul 23;18:14–20.
  14. Chukwuka IO, Chinawa EN, Ejele IO. Ocular morbidity pattern in Abonnema, Akuku–Toru local government area of Rivers state. Ann Biomed Sci. 2017;16(2):217–30.
  15. Moyegbone JE, Nwose EU, Nwajei SD, Agege EA, Odoko JO, Igumbor EO. Integration of Eye Care into Primary Healthcare Tier in Nigeria Health System: A case for Delta State. Clin Med Rev Reports. 2020;2(6):1–6.
  16. Eze C, Eze B, Chuka-Okosa C, Okoloagu N. Assessment of Resources for Primary Eye Care Delivery in a. Niger J Ophthalmol. 2020;28:49–56.
  17. Koce FG, Randhawa G, Ochieng B. A qualitative study of health care providers’ perceptions and experiences of patients bypassing primary healthcare facilities: a focus from Nigeria. J Glob Heal Reports. 2020;4(e2020073):1–10. https://doi.org/10.29392/001c.14138
  18. Burn H, Puri L, Roshan A, Singh SK, Burton MJ. Primary eye care in eastern Nepal. Ophthalmic Epidemiol. 2020;27(3):165–76.
  19. National Primary Health Care Development Agency. Minimum standards for Primary Health Care in Nigeria. 2021.
  20. Tafida A, Kyari F, Abdull MM, Sivasubramaniam S, Murthy GVS, Kana I, et al. Poverty and blindness in Nigeria: results from the national survey of blindness and visual impairment. Ophthalmic Epidemiol. 2015;22(5):333–41.
  21. Nigerian Bureau of Statistics N. Annual Abstract of Statistics [Internet]. Abuja; 2019. Available from: https://www.econbiz.de/Record/annual-abstract-of-statistics-national-bureau-of-statistics-federal-republic-of-nigeria/10009313434
  22. Ekpenyong BN, Ndep AO, Osuchukwu N, Ezenwankwo A, Aruotu N. Primary eye care services provided at the primary health care facilities: Evidence from Cross River State Nigeria Achieving Access to Eye Care Services through Primary Health Care Facilities: Current Situation in Nigeria. J Public Heal Dev Ctries. 2017;3(2):413–7.
  23. Jolley E, Mafwiri M, Hunter J, Schmidt E. Integration of eye health into primary care services in Tanzania: a qualitative investigation of experiences in two districts. BMC Health Serv Res. 2017;17(823):1–12.
  24. Onakpoya OH, Adeoye AO, Adegbehingbe BO, Akinsola FB. Assessment of Human and Material Resources Available for Primary Eye-Care Delivery in Rural Communities of Southwestern Nigeria. West Indian Med J. 2009;58(5):472–5.