Bridging vision gaps: a comprehensive study of the RAAHI programme for improving truckers' eye health in India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20241192Keywords:
Eye health, Visual impairment, RAAHI, Truck driversAbstract
Background: Visual impairment presents a significant public health concern globally, with a notable impact on individuals' quality of life. Despite efforts to address this issue, unmet eye health needs persist, particularly in vulnerable populations such as truck drivers in low and middle-income countries like India. The RAAHI (National truckers eye health programme) initiative aims to fill this gap by providing essential eye care services in India.
Methods: This research manuscript delves into the journey of the RAAHI programme from 2017 to 2022, assessing its achievements, challenges, and lessons learned. A mixed-methods approach involving a secondary review of literature, programme records, and stakeholder interactions was employed. Quantitative analysis of beneficiary demographics and service utilization trends was complemented by qualitative insights from beneficiary feedback and stakeholder interviews.
Results: RAAHI demonstrated a significant presence across 54 locations, screening over 540,000 beneficiaries between 2018 and June 2022. The programme primarily targeted truck drivers, addressing their unmet eye health needs and raising awareness about prevalent health conditions. Beneficiary feedback highlighted overall satisfaction with RAAHI services, emphasizing the programme's structured approach and immediate access to quality spectacles. Furthermore, qualitative analysis suggests RAAHI's success enriching the programme's effectiveness and client-centric approach.
Conclusions: These findings offer valuable insights into addressing visual impairment among vulnerable populations and advocating for the integration of eye care into public health initiatives. Additionally, the study highlights the importance of sustained efforts and collaborative partnerships in ensuring the success and scalability of programmes like RAAHI.
References
Udeh NN, Eze B, Onwubiko SN, Arinze OC, Onwasigwe EN, Umeh RE. Oculocutaneous albinism: identifying and overcoming barriers to vision care in a Nigerian population. J Community Health. 2014;39(3):508-13.
Brown RL, Barett AE. Visual impairment and quality of life among older adults: an examination of explanations for the relationship. J Gerontol B Psychol Sci Soc Sci. 2011;66(3):364-73.
World Report on Vision, WHO. 2019. Available at: https://www.who.int/docs/default-source/documents/publications/world-vision-report-accessible.pdf. Accessed on 15 February, 2024.
Integrated people-centred eye care, including preventable vision impairment and blindness, WHO. 2021. Available at: https://apps.who.int/gb/ebwha/pdf_files/WHA74/A74(12)-en.pdf. Accessed on 15 February, 2024.
Towards Developing India Eye Health Action Plan. VISION2020. 2015. Available at: https://www.vision2020india.org/wp-content/uploads/2016/10/GAP_India_background_document_27102015.pdf. Accessed on 15 February, 2024.
Sabherwal. The prevalence of refractive errors and spectacle uptake in truck drivers: A North Indian cross-sectional study. Available at: https://www.jcor.in/article.asp?issn=2320-3897;year=2020;volume=8;issue=2;spage=51;epage=55;aulast=Sabherwal. Accessed on 15 February, 2024.
Prasad RJ, Krishna MB, Satyanarayana U. Refractive errors and colour blindness among truck drivers: A pilot study. J Dr NTR Univ Health Sci. 2013;2(2):89.
Verma R, Bharadwaj P. Assessment of Visual Function of Truck Drivers Travelling on National Highway of Central India: A Prospective Study. 2015;3(4):3.
Chanda S, Randhawa S, Bambrah HS, Thomson F, Vishal D, Shailendra H, et al. Bridging the gaps in health service delivery for truck drivers of India through mobile medical units. Indian J Occup Environ Med. 2020;24(2):84.
Status of Truck Drivers in India. SaveLIFE Foundation; 2020. Available at: https://savelifefoundation.org/wp-content/uploads/2020/02/design-single-page-27th-feb-2020. Accessed on 15 February, 2024.
Hege A, Perko M, Johnson A, Chong HY, Sevil S, Yorghos A, et. al. Surveying the Impact of Work Hours and Schedules on Commercial Motor Vehicle Driver Sleep. Saf Health Work. 2015;6(2):104.
Lemke MK, Apostolopoulos Y, Hege A, Sönmez S, Wideman L. Understanding the role of sleep quality and sleep duration in commercial driving safety. Accid Anal Prev. 2016;97:79-86.
Laden F, Hart JE, Smith TJ, Davis ME, Garshick E. Cause-Specific Mortality in the Unionized U.S. Trucking Industry. Environ Health Perspect. 2007;115(8):1192.
Birdsey J, Alterman T, Li J, Petersen MR, Sestito J. Mortality among Members of a Truck Driver Trade Association: AAOHN J. 2010;58(11):473-80.
Puhkala J, Kukkonen-Harjula K, Mansikkamäki K, Aittasalo M, Hublin C, Kärmeniemi P, et al. Lifestyle counseling to reduce body weight and cardiometabolic risk factors among truck and bus drivers-a randomized controlled trial. Scand J Work Environ Health. 2015;41(1):54-64.
Wood JM, Collins MJ, Chaparro A, Marszalek R, Carberry T, Lacherez P, et al. Differential Effects of Refractive Blur on Day and Nighttime Driving Performance. Invest Ophthalmol Vis Sci. 2014;55(4):2284-9.
Lalla-Edward ST, Ncube S, Matthew P, Catherine AH, Francois WDV, Gomez GB. Uptake of health services among truck drivers in South Africa: analysis of routine data from nine roadside wellness centres. BMC Health Serv Res. 2017;17(1):649.
Sabherwal S, Chinnakaran A, Singh BP, Sood I, Das GS, Kumar R. Barriers to Uptake of Eyecare Services amongst Commercial Truck-Drivers in North India: A Cross-Sectional Survey. Indian J Public Health Res Dev. 2020;11(6):853-9.
Mk O, Ao A, Bo A, Ao O. Visual functions of commercial drivers in relation to road accidents in Nigeria. Indian J Occup Environ Med. 2007;11(2):71-5.
Eyes-OK-Please-Report. 2019. Available at: https://www.sightsaversindia.in/wp-content/uploads/2019/03/Eyes-OK-Please-Report.pdf. Accessed on 15 February, 2024.
David RE. 70% truckers found to have weak eyesight at NHAI camp. Times of India. 2000. Available at: http://timesofindia.indiatimes.com/articleshow/61028120.cms?utm_source=contentofinterest&utm_medium=text&utm_campaign=cppst. Accessed on 15 February, 2024.
Kumar P. Refractive errors and spectacle compliance among truckers in India. J Dr. NTR University of Health Sci. 2022;2:89-91.