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Practice scope and job confidence of two-year trained optometry technicians in Eritrea

机译：厄立特里亚经过两年培训的验光技术人员的业务范围和工作信心

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A two-year optometry technician (OT) training was started in Eritrea in 2009 to fulfill the immediate human resource needs in providing refractive, dispensing and primary eye care services in vision centers. This study aimed to assess the current practice pattern and confidence level among the OTs. A self-administered questionnaire was developed and administered to all available OTs in January 2017. The OTs were identified through the Ministry of Health’s database. The questionnaire included questions on demographics, scope of practice and confidence level in the clinical practice areas. A total of 94 OTs had graduated by the end of 2016 and 71 (75.5%) of them were involved in the country’s eye care services. All the 70 OTs who completed the survey were working under the Ministry of Health in various regions of the country. The mean age of the OTs was 25.6?±?4.7?years (range: 20 to 48?years) and 43 (61.4%) of them were male. Four out of six regions in the country lacked the required number of OTs for the recommended ratio of one refractionist to 50,000 population. All the OTs provided refraction services; however, they lacked experience in dispensing (62.9%), clinical examination of patients (35.7%) and low vision care (4.3%). While the OTs expressed confidence in refractive procedures, low levels of confidence were expressed for dispensing and primary eye care services. OTs contributed to the primary eye care sector in Eritrea. However, high attrition rate, imbalanced distribution, a limited practice in core areas and low clinical confidence were the key challenges for this profession in this country. With better facilities, improved infrastructure and extended education and career opportunities, the two-year trained OTs could potentially serve further in the Eritrean eye care system. Further studies to evaluate the competency, job satisfaction and effectiveness OTs are recommended.
机译：2009年在厄立特里亚开始了为期两年的验光技术员（OT）培训，以满足在视觉中心提供屈光，点胶和初级眼保健服务时的即时人力资源需求。这项研究旨在评估OT的当前实践模式和置信度。制定了一份自行管理的问卷，并于2017年1月将其分发给了所有可用的OT。通过卫生部的数据库识别了这些OT。该问卷包括有关人口统计学，业务范围和临床实践领域的置信度的问题。截至2016年底，共有94名OT毕业，其中71名（75.5％）参与了该国的眼保健服务。完成调查的所有70位旧职医生都在该国各个地区的卫生部工作。 OT的平均年龄为25.6±4。7年（范围：20至48岁），其中43例（61.4％）是男性。该国六个地区中有四个缺乏所需的OT数量，无法满足推荐的一名折射者与50,000人口的比例。所有OT都提供验光服务;但是，他们缺乏配药（62.9％），患者临床检查（35.7％）和低视力保健（4.3％）的经验。 OT对屈光手术表示信心，而配药和初级眼保健服务的信心却很低。 OT对厄立特里亚的初级眼保健部门有所贡献。然而，高流失率，分布不均，核心领域实践有限以及临床信心低下是该国该行业面临的主要挑战。有了更好的设施，改善的基础设施以及扩展的教育和职业机会，经过两年培训的OT可能会在厄立特里亚的眼保健系统中进一步发挥作用。建议进行进一步研究以评估能力，工作满意度和工作效率。

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