Perceptions of optometry coordinators on eye care services in public hospitals of Limpopo province

Background: Evaluation of eye care services (ECS) is essential for assessing the effectiveness and outcomes of eye care delivery, providing improvements, reducing avoidable vision impairment (VI) and promoting optimal eye health. Aim: This study aimed to determine the perceptions of optometry coordinators on ECS. Setting: Public hospitals in Limpopo province, South Africa. Methods: Qualitative exploratory research was conducted between May and September 2023 to investigate the perceptions of optometry coordinators on ECS. Data collection was facilitated through a structured interview guide. Data obtained from the participants’ responses were analysed to assess the outcome of ECS in public hospitals. Results: The study involved four optometry district coordinators aged 48–52 years. Participants found high estimates of VI cases among individuals aged 50 years and older, females in the adult population and males in the paediatric population. Most of the causes of VI were identified as avoidable (perceptions of eye health issues). The findings highlighted the absence of national guidelines, policies and plans for eye health services (perceptions of health policy and infrastructure). Eye care services were primarily delivered by optometrists, ophthalmic nurses and ophthalmologists. There was poor integration of VI services within the health system (perceptions of barriers to care). Conclusion: Provision of comprehensive ECS programmes in public hospitals of Limpopo province is inadequate and constrained. These services are critical to reducing the burden of VI among patients relying on public healthcare for ECS. Contributions: The study describes the perceptions of optometry coordinators on eye care services in Limpopo province.