Barriers to the Uptake of Cataract Surgery in Lumbini Nepal and Aranyaprathet Thailand

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Pornchai Simaroj
Ravee Phol
Sorawis Chalalai
Rosita Phol


Health care access is the ability to obtain healthcare services such as prevention, diagnosis, treatment, and management of disease, illness, disorders, and other health-impacting conditions. For healthcare to be accessible it must be affordable and convenient. Many people do not have access to adequate healthcare. This is the situation for many in developing countries, but we also see lack of access to health services in developed countries like the United States. Healthcare professionals, institutions, and governments face difficult choices when providing adequate and equitable healthcare. Inaccessibility to healthcare is a public policy issue and, many people feel, a moral issue. Three important themes in healthcare access are: the problem of poverty, the many barriers to healthcare access, and the question of healthcare resource allocation. These themes generate controversies about the role and alleviation of poverty, how to overcome access barriers, and how to fairly allocate limited resources to those most in need.


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Simaroj P, Phol R, Chalalai S, Phol R. Barriers to the Uptake of Cataract Surgery in Lumbini Nepal and Aranyaprathet Thailand. BKK Med J [Internet]. 2023 Sep. 30 [cited 2023 Dec. 5];19(2):134. Available from:
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Javitt JC, Wang F, West SK. Blindness due to cataract: epidemiology and prevention. Annu Rev Public Health 1996;17(1):159–77. doi: 10.1146/annurev. pu.17.050196.001111.

Zhang T, Jiang W, Song X, Zhang D. The association between visual impairment and the risk of mortality: a meta-analysis of prospective studies. J Epidemiol Community Health 2016;70(8):836-42. doi: 10.1136/jech-2016-207331.

Tetteh J, Fordjour G, Ekem-Ferguson G, et al. Visual impairment and social isolation, depression and life satisfaction among older adults in Ghana: analysis of the WHO’s Study on global AGEing and adult health (SAGE) Wave 2. BMJ Open Ophthalmol 2020;5(1):e000492. doi: 10.1136/bmjophth-2020-000492.

Chia EM, Wang JJ, Rochtchina E, et al. Impact of bilateral visual impairment on health-related quality of life: the Blue Mountains eye study. Invest Opthalmol Vis Sci 2004:71-6. doi: 10.1167/iovs.03-0661.

National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Population Health and Public Health Practice; Committee on Public Health Approaches to Reduce Vision Impairment and Promote Eye Health; Welp A, Woodbury RB, McCoy MA, et al., editors. Making Eye Health a Population Health Imperative: Vision for Tomorrow. Washington (DC): National Academies Press (US); 2016 Sep 15. 3, The Impact of Vision Loss. Available from:

Chen X, Xu J, Chen X, et al. Cataract: advances in surgery and whether surgery remains the only treatment in future. Advances in Ophthalmology Practice and Research. 2021; 1(12):100008. doi:10.1016/j.aopr.2021.100008.

Limwattananon C, Limwattananon S, Tungthong J, et al. Association between a centrally reimbursed fee schedule policy and access to cataract surgery in the universal coverage scheme in Thailand. JAMA Ophthalmol 2018;136(7):796-802. doi: 10.1001/jamaophthalmol.2018.1843.

Rasaily S, Pokhrel K, Subedi S, et al. Access of marginalized groups for free surgical camp in remote areas of the Midwestern region of Nepal. J Comm Med And Pub Health Rep 2021. doi: 10.38207/Jcmphr20210005.

Bizuneh ZY, Gessesse GW, Anbesse DH. Barriers to cataract surgery utilization among cataract patients attending surgical outreach sites in Ethiopia: a dual center study. Clin Optom (Auckl) 2021;13:263-9. doi: 10.2147/OPTO.S324267

Wikipedia, the free encyclopedia. List of countries by GNI (nominal) per capita. (Accessed March 2,2023, at https:// nal)_per_capita).

Wikipedia, the free encyclopedia. List of countries by Human Development. (Accessed March 2,2023, at https://en.wikipe dex).

Government of Canada. What is Population Health Approach? on September 24, 2004. (Accessed March 2,2023, at https:// population-health/population-health-approach.html).

Shi H. Cataract formation and prevention. Expert Opin Investing Drugs 2 0 0 4 ; 1 3 ( 6 ) : 6 9 1 - 7 0 1 . doi:10.1517/13543784.13.6.691.

Ravallion M, Chen S, Sangraula P. Dollar a day revisited. World Bank Econ Rev 2009;23(2):163–84. doi: 10.1093/wber/ lhp007.

Phol R, Chaiyurawat S, Phol R, et al. Barriers to the uptake of cataract surgery in Sawankhalok district,Thailand. Thai J Ophthalmol 2023;57(1)19-28.

Johns AW. The role of international non-governmental organisations in dealing with cataract blindness in developing countries. Doc Ophthalmol 1992;81(3):345–8. doi: 10.1007/ BF00161772.