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

Jacqueline Ramke*, Jennifer R. Evans, Esmael Habtamu, Nyawira Mwangi, Juan Carlos Silva, Bonnielin K. Swenor, Nathan Congdon, Hannah B. Faal, Allen Foster, David S. Friedman, Stephen Gichuhi, Jost B. Jonas, Peng T. Khaw, Fatima Kyari, Gudlavalleti V.S. Murthy, Ningli Wang, Tien Y. Wong, Richard Wormald, Mayinuer Yusufu, Hugh TaylorSerge Resnikoff, Sheila K. West, Matthew J. Burton, Ada Aghaji, Adeyemi T. Adewole, Adrienne Csutak, Ahmad Shah Salam, Ala Paduca, Alain M. Bron, Alastair K. Denniston, Alberto Lazo Legua, Aldiana Halim, Alemayehu Woldeyes Tefera, Alice Mwangi, Alicia J. Jenkins, Amanda Davis, Amel Meddeb-Ouertani, Amina H. Wali, Ana G. Palis, Ana Bastos de Carvalho, Anagha Joshi, Andreas J. Kreis, Andreas Mueller, Augusto Azuara-Blanco, Daksha Patel, Neil Kennedy, Noemi Lois, Prabhath Piyasena, Tiziana Cogliati, Tunde Peto, Grand Challenges in Global Eye Health study group

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

23 Citations (Scopus)
47 Downloads (Pure)

Abstract

Background: 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.

Methods: 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.

Findings: 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.

Interpretation: 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.



Original languageEnglish
Pages (from-to)e31-e41
JournalThe Lancet. Healthy longevity
Volume3
Issue number1
DOIs
Publication statusPublished - 01 Jan 2022

Bibliographical note

Funding Information:
The Lancet Global Health Commission on Global Eye Health is supported by The Queen Elizabeth Diamond Jubilee Trust, Moorfields Eye Charity (grant number GR001061), National Institute for Health Research Moorfields Biomedical Research Centre, Wellcome Trust, Sightsavers, The Fred Hollows Foundation, the Seva Foundation, and British Council for the Prevention of Blindness and Christian Blind Mission. MJB is supported by the Wellcome Trust (207472/Z/17/Z). JR's position at the University of Auckland is funded by the Buchanan Charitable Foundation, New Zealand.

Funding Information:
The Lancet Global Health Commission on Global Eye Health is supported by The Queen Elizabeth Diamond Jubilee Trust, Moorfields Eye Charity (grant number GR001061), National Institute for Health Research Moorfields Biomedical Research Centre, Wellcome Trust, Sightsavers, The Fred Hollows Foundation, the Seva Foundation, and British Council for the Prevention of Blindness and Christian Blind Mission. MJB is supported by the Wellcome Trust (207472/Z/17/Z). JR's position at the University of Auckland is funded by the Buchanan Charitable Foundation, New Zealand. Editorial note: the Lancet Group takes a neutral position with respect to territorial claims in published maps and institutional affiliations.

Publisher Copyright:
© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Family Practice
  • Psychiatry and Mental health
  • Health(social science)

Fingerprint

Dive into the research topics of 'Grand Challenges in global eye health: a global prioritisation process using Delphi method'. Together they form a unique fingerprint.

Cite this