Evaluating the Integration Model of a Standalone Eye Centre Into Provincial Government Hospital

NCT07547527 | Not Yet Recruiting

• 1 other identifier: KEH-DGH-INT-2025-01
• Study Type: interventional
• Target: 20
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study aims to evaluate the integration of a standalone eye centre into the Provincial Government Hospital in Kalaiya, Bara District, Nepal. The integration model seeks to improve access to comprehensive eye care services by combining the specialized expertise of an eye care facility with the infrastructure and patient flow of a provincial hospital. As the burden of avoidable visual impairment remains high in Nepal, strengthening service delivery at the district level has the potential to improve early detection, timely treatment, and continuity of care. 1 A mixed-method approach will be used to assess changes in service utilization patterns for example patient volume, follow ups and referrals following the integration. Additional focus will be placed on the acceptability of the integration model among patients, eye care professionals, and the hospital staff. This study will help to generate evidence-based recommendations to guide district-level planning for integrated eye care models by 2027. Data will be collected from patient records, hospital statistics, patient and staff interviews. The findings are expected to provide evidence on the feasibility, challenges, and benefits of integrating specialized eye care units into provincial hospital systems in low-resource settings. Ultimately, the study aims to inform policy decisions, support scalable models of eye care integration, and contribute to improved eye health outcomes for underserved populations.

Conditions

Eye Health Service Delivery; Health Services; Ophthalmology Services; Health Service Accessibility

Keywords

Eye care integration; Ophthalmology services; Health service accessibility; Eye Health delivery; Vision disorders

Outcome Measures

Primary Outcomes (1)

• Primary Outcome Measure: Change in patient service utilization • OPD visits • Follow-up visits • Referrals

  6 months pre-integration vs 6 months post-integration

Secondary Outcomes (1)

• Change in patient perception of accessibility and quality of services

  6 months

Study Arms (1)

Post-Integration Group

EXPERIMENTAL

Patients receiving services after integration into provincial hospital.

Other: Vision Centre Integration

Interventions

Vision Centre Integration OTHER

Patients receiving services after integration into provincial hospital.

Post-Integration Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• All individuals receiving eye-care services at the Kalaiya Eye Centre before and after integration.
• Patients from Bara district and catchment areas
• Patients attending eye services during study period
• New and follow-up patients

You may not qualify if:

• Patients outside catchment area (e.g., non-Nepalese)
• Incomplete or missing records

Sponsors & Collaborators

• Seva Canada Society: lead
• R. M. Kedia Eye Hospital: collaborator
• Pragyaan Sustainable Health Outcomes Foundation: collaborator

MeSH Terms

Conditions

Vision Disorders

Condition Hierarchy (Ancestors)

Sensation Disorders; Neurologic Manifestations; Nervous System Diseases; Eye Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 17, 2026
• First Posted: April 23, 2026
• Study Start (Estimated): June 1, 2026
• Primary Completion (Estimated): November 1, 2026
• Study Completion (Estimated): December 1, 2026
• Last Updated: April 23, 2026

Record last verified: 2026-04