Journal of Multidisciplinary Research in Healthcare
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The Journal of Multidisciplinary Research in Healthcare is an international, open access, double blind peer-reviewed journal, and established in 2014. The journal aims to provide an authoritative platform for researchers and professionals working in various capacities and at different levels within the healthcare system, its organization and its delivery. It seeks to present and share novel theoretical and empirical work from multidisciplinary teams involved in the preventive, promotive, diagnostic therapeutic, rehabilitative and palliative aspects of patient care. The journal welcomes original articles, review papers and case studies from medical practitioners, allied healthcare professionals, academicians, technicians, health educators, administrators, policymakers, and students in health-related disciplines.
The Journal of Multidisciplinary Research in Healthcare is published bi-annually and managed by a committed team of editorial board members and section editors. It complies with the publishing standards set by the Committee on Publication Ethics (COPE) and operates under a Creative Commons Attribution (CC-BY 4.0) International License. The journal is available in both online and print versions.
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Item Introducing Performance management in Secondary Government hospitals in Kerala and Tamil Nadu using the Balanced Scorecard framework(Chitkara University Publications, 2014-10-14) K. Ellangovan; T. J. KamalanabhanKerala has introduced decentralized planning for more than a decade now. As part of this, the Local Self Governments (Panchayat Raj Institutions) are vested with the responsibility to run the hospitals. The new element of elected representatives coming in the area of hospital administration has created more confusion than before. Similarly, Tamil Nadu has implemented a hospital systems project to improve the performance of secondary care hospitals. This paper tries to analyze whether one of the popular performance assessment tool – Balanced Score Card could be used to create a better administrative environment to improve the performance of the secondary care hospital. The paper conclusively argues that, Balanced Score Card is an important option for these hospitals to improve their performance.Item Assessing the Impact of Awareness program on Breast and Cervical Cancer Knowledge Empowerment among Working Women in Education Sector(Chitkara University Publications, 2014-10-15) Harmeet Kaur; Bandana BishtAccording to GLOBOCAN 2012 data released in December 2013 there are more than 10 lakh cancer cases per annum in India. The Incidence of breast cancer is growingin younger and elder women population worldwide. In India, the incidence of breast cancer is increasing at an alarming rate. The cervix cancer incidence is also very high in India especially in rural Indian women. The earlier studies have shown that raising the awareness regarding these two cancers can go long way as these are the progressive cancers and if women are made aware to get the diagnostic tests done regularly then there is more probability of getting the small tumors diagnosed early, which can be treated effectively and cure rate can be better. Therefore, a study was conducted to investigate the impact of awareness program on breast and cervical cancer knowledge empowerment among working women in education sector. Quasi experimental pretestpost test design was used on the sample of 110 working women which were selected by simple random sampling technique. A self reported questionnaire on knowledge assessment regarding breast and cervical cancer was prepared and validated. The questionnaire was administered to the respondents to measure their baseline pre test knowledge regarding breast and cervical cancer. After the pre test, information on breast and cervical cancer was sent to all the respondents through e-mail which included the information on risk factors, sign and symptoms, diagnostic tests, early detection and risk prevention aspects. After three days, post test was conducted to measure the impact of information on knowledge empowerment of respondents. Data was analyzed through descriptive and inferential statistics using SPSS 16.0 version. The study finding revealed that baseline knowledge of working women regarding breast and cervical cancer was inadequate. The knowledge of respondents improved significantly after sensitizing them through the information on breast and cervical cancer.The present study revealed that knowledge of breast and cervical cancer is astonishingly inadequate among educated and working women, which gives an insight to healthcare personnel to sensitize the women to take measures such as self breast examination, getting mammography and Pap smear tests done to detect these two deadly cancers at early stages. Therefore, there is need for organizing awareness programs at national, community and individual levels so that women can become aware regarding preventive aspects and early diagnostic techniques so that these cancers can be curbed before occurrence and at an early stage.Item Prevalence of Non Strabismic Binocular Vision Disorders in Patients with Asthenopia(Chitkara University Publications, 2014-10-15) Diwakar RaoNon-strabismic binocular vision disorders are highly prevalent conditions. Patients report to eye care practitioners with symptoms of eyestrain, headaches, blurred vision etc. These conditions are generally missed out unless a complete orthoptic and binocular vision examination is performed. Treatment of these conditions is very successful with vision therapy, lenses and prisms. Successful treatment leads to a significant improvement in the quality of life of the patients. This study was aimed towards finding the prevalence of non-strabismic binocular vision disorders in patients complaining of asthenopia.Item Psychological Injuries at Work – What Every Manager Should Know(Chitkara University Publications, 2014-10-15) A T Resmi; Mercy Mathew; Gemini V J; Paul Silvian SA psychological injury is a diagnosable illness that affects a person’s thinking, emotional state and behavior. It can disrupt their ability to work and carry out other daily activities, and to engage in satisfying personal relationships. Unlike a physical injury, a psychological injury cannot be easily recognized and understood. This research document is a conceptual work, which tries to define and isolate stress and stress related injuries, as well as psychological injuries at work. Such an understanding would help the top management to cater and prevent injuries of such extent. Based on literature, a model has been developed for the study and the research document has defined “Psychological injury as an employee’s explicit manifestation of distress in the form of affective behavioral and cognitive dysfunction in work context”. This research document can be considered a seminal work done in Indian context. This works gains importance in the light of increasing number of lawsuits in Indian courts on work- related stress and agony. India still does not have any laws that deal with emotional health and stress related injuries at work or psychological injuries as compared to other countries like Canada, U.K and the U.SItem Employee Empowerment(Chitkara University Publications, 2014-10-15) Preethi Pradhan; T J Kamlanabhan; R D Thulasiraj; V R MuraleedharanThe work done by the human resource in healthcare are the key to bringing about patient healing. As the tasks that each of the different human resource healthcare professionals have to do is quite enormous and varied and differs from patient to patient depending upon their unique needs it is also equally challenging to train the staff. The concept of employee empowerment is therefore extremely critical for staff to do what requires to be done for patients in a timely manner keeping the best interest of the patient in the mind. This article takes a thorough look at this concept as well as how it is measured. Its application is also discussed taking the example of the Aravind Eye Hospital.Item Spectral Measures of Loudness in Patients with Ataxic Dysarthriag(Chitkara University Publications, 2015-04-06) Vandana V. PDysarthria refers to a group of speech disorders characterized by neuromuscular involvement. This may affect different subsystems of speech like respiration, phonation, articulation and prosody differentially. Ataxic dysarthria is caused due to damage to the cerebellum. Excessive fluctuation in loudness or monoloudness typically characterizes ataxic dysarthria. These characteristics may be different in ataxic dysarthria due to lesions in different cerebellar loci. There is a need to address the spectral measures related to loudness in patients with lesions in different cerebellar loci.Seventeen subjects with ataxic dysarthria due to lesions in different cerebellar loci and matched controls performed an alternating motion rate (AMR) task. The recorded and digitized speech samples were analysed for spectral measures of maximum and minimum intensity. Intensity range was reduced in subjects with left (left superior paravermal, left anteroinferior), superior vermis, right superior paravermal and right anterosuperior lesions compared to normal controls in AMR task. It was comparable to normal controls in subjects with right posterosuperior lesions. Reduced intensity range seems to be because of increase in energy minima and decrease in energy maxima or due to decrease in energy maxima only.Item Impact of Uncorrected Vision on Productivity-A study in an Industrial setting a Pair of Spectacles(Chitkara University Publications, 2015-04-06) Keerti Bhusan PradhanBackground: According to the World Health Organization (WHO) around one billion people worldwide in developing countries need vision correction. Uncorrected vision is believed to be responsible for a widespread loss of labour productivity and quality, reading and literacy problems, and other problems such as road and domestic accidents. There is however, a lack of data on both the prevalence and the effects of uncorrected vision. As a result, governments and funding agencies have been hesitant to prioritise vision correction in their health and social development agenda. This acute lack of access to vision correction across the developing world is primarily due to inadequate number of eye care professionals, facilities and the high cost of providing spectacles. Objective of the study: As there are not any studies in the area of uncorrected vision and impact on productivity, this study was undertaken as a pilot study with an intention of understanding the impact of productivity among employees needing vision correction in comparison with those not needing correction but doing identical work, and to measure subsequent changes in productivity following vision correction among the former group through the supply of prescription spectacles. Method: The research was undertaken among a group of 238 workers engaged in spinning and winding function at a cotton spinning and textile factory in Madurai. productivity data was collected for 30 working shifts for each employee. Then the eye test was done by a team comprising of Ophthalmologist and Optometrist from Aravind Eye Hospital (WHO Collaborating Centre) and given the corrective glass to those who were prescribed the correction. after a month of gap given to get used to the glasses, again the productivity data was collected for 30 working shifts for all the samples in the first phase and analysed. Results: Out of the 238 (111 Spinners + 127 Winders) workers undergone eyesight testing, 187 (90 + 97 Winders) workers needed vision correction which is around 80% of the total test done. Of these 187 needing vision correction, 169 (75%) were presbyopic and needed glasses for near vision correction. All those who were identified as needing vision correction were given spectacles. In terms of productivity measurement, though there were problems in tracking the data each employee wise due to various reasons as the industry was undergoing a transition at that point of time. With the best available data, the spinners showed an average improvement of 9.5% (with a standard error in the mean of 1.6); 44% improved their productivity by more 10% on previous output levels whilst 23% exceeded them by 20%. The winders showed less change after the provision of spectacles with 23% increasing their productivity by 10% of the factory standard, demonstrating that this task made less demand on workers visual acuity. Pradhan, KB120 Conclusion: A significantly higher proportion of industry workers having poor vision due to Refractive error. They never try to correct this error unless the vision problem is a major hurdle in their work and social life. The ignorance may be due to, not a painful problem, access to immediate services in eye care, cost of services, inconvenience in using a foreign object, cosmetic value, no realization of quality and performance attached to work. Constraints: study could have been better if these following constraints were not there Industry was undergoing a transition from Manual to Automation processes. There was drive of Voluntary Retirement scheme (VRSs). If the study team could have got more time to think over the strategy and methodology. Policy Issues: The sight test result showed a high percentage of uncorrected refractive error in a high profile industrial setting. This could mean some percentage of loss of productivity and also a stake in quality of the product due to sight problem. gives an impression to study on subjects who are involved in products linked to productivity and quality like export products, jewellery, thread work, handicrafts, textiles, manual industrial works and also life threatening workers like driving and food products industries, where good sight means a lot. As a policy the industrial settings should include eye testing into their regular health screening programmes as this has direct implications to the work and outcome of the industry.Item A Study to Assess The Effectiveness of Structured Teaching Programme on Knowledge Regarding Hepatitis-B among Nursing Students in Selected Schools of Nursing Moga, Punjab(Chitkara University Publications, 2015-04-06) Dhiraj RaniHepatitis is worldwide major public health problem including India. According to World Health Organization fact sheet near about one-third of the world population i.e. about 2 billion person has been infected with Hepatitis B Virus infection with serological evidence of past or present infection. Out of these 2 billion people who have been infected worldwide, more than 350 million approximately 5–7% of the world’s population are having the chronic HBV infection. Health care workers are more prone for getting infected with Hepatitis-B as they are in close contact with the patients; nursing students are the future staff nurses. Therefore, a study was conducted to assess the effectiveness of Structured Teaching Programme on Knowledge regarding Hepatitis-B among nursing students In Selected Schools of Nursing Moga, Punjab. The purpose of study was to assess the knowledge and to impart the health information regarding Hepatitis B so as to prevent the disease and reduce morbidity and mortality , with the main objectives to assess and compare the pre-test and post-test knowledge, to find out the relationship between pre-test knowledge and post-test knowledge of nursing students with selected demographic variables. Quasi experimental approach and two group pre-test and post test design was used for the present study by taking 60 Nursing students which were selected by purposive sampling technique. A self structured and self reported questionnaire on knowledge assessment regarding Hepatitis B was prepared and validated by the expert’s opinion regarding the relevance of the items. Reliability of the tool was estimated by split half technique which included computing Pearson’s coefficient of correlation and thereafter by applying Spearman Brown prophecy formula, which was found to be 0.8, and the statistical validity was found to be 0.9 hence the tool was highly reliable The questionnaire was administered to the Nursing students to assess their pre test knowledge scores in both the groups. After the pre test, the structured teaching program was given to experimental group by the investigator after one day of pretest with the help of A.V aids. The time spent on structured teaching program was 45 minutes. The post test was taken of both experimental and control group after giving a gap of three day to assess the effectiveness of structured teaching programme. Data was analyzed through descriptive and inferential statistics. The study finding revealed that pre test knowledge score of nursing students was inadequate which get increased after imparting the STP. In this study the post-test mean knowledge score of experimental group was higher than the post-test mean knowledge score of control group at p < 0.05 level. This indicates that STP was effective. There was statistically significant effect of certain demographic variables on pre test and post test knowledge score of nursing students in experimental group. It was concluded that nurse plays an important role in disease prevention and promotion of health so providing continuing education programme is essential for nursing staff so as to reduce the morbidity and mortality due to Hepatitis B.Item Study on Nutritional Problems in Preschool Aged Children of Kaski District of Nepal(Chitkara University Publications, 2015-04-06) J Acharya; E van Teijlingen; J Murphy; M HindUndernutrition remains a key public health burden in Nepal. This study aimed to measure knowledge, attitudes, and beliefs about nutritious food amongst mothers of 3 – 5-year-olds from rural and urban areas. A cross-sectional mixed-methods approach comprised a quantitative survey and qualitative focus groups. The community-based survey included 524 mothers of children who are no longer breastfed. Open-ended and structured questions investigated knowledge, beliefs and attitudes about nutritious food, child feeding patterns, and major barriers, food insecurity, and health-seeking behaviours. Focus groups were held with key informants, a thematic analysis was applied to the qualitative data. Results: Major barriers to recommending nutritious foods included: lack of knowledge (19%); cost (21%); and culture/beliefs (7%). Nearly 55% children were given fruit once a week. Almost 37% of mothers never gave meat, fish and egg regularly to their children and 34% did not choose healthy food from stores, and 12% lacked food. Most children (57%) had been taken at least once to a spiritual healer and 16% had been taken more than once. The qualitative analysis suggested that important factors of knowledge, attitudes, and beliefs about healthy diet are poverty, education, strong cultural beliefs, family size, household income, time and a growing preference for fast food. Conclusion: Knowledge of and attitudes towards nutritious food is still poor. Beliefs about food practice are strongly embedded in Nepal. Thus, this study shows that policymakers should consider a public health intervention and approach based around changing these largely cultural beliefs and behaviours.Item Counseling in Eye Care(Chitkara University Publications, 2015-04-06) Manisha Kumari PatroHealth is a basic need. When patients come to the hospital they are very anxious about their condition, cause and the nature of their disease. Many questions play on their mind. Is it curable or not? How much time and money is required for cure ? Tthey are also anxious to know each and every information related to their disease. Counselling is a very powerful process to allay their fears. It plays a vital role in all segments of health care. Nowadays counseling is no more restricted to treat mentally deranged or drug addicted people. In eye care, counselling is very useful to increase compliance and allay fears.Item Prevalence of Depression and Associated Factors among Addis Ababa University Students, Addis Abeba, Ethiopia(Chitkara University Publications, 2015-10-05) Yetayale BerhanuDepression could affect the student’s academic success and his future such as withdrawal from study. Dropout ratio was found two-times higher in first-year students compared to second or third year students. It also causes people all across the world to have feelings of sadness, helplessness, worthlessness, and guilt. One of the important reasons in the current study is lack of data on the extent of mental disorders especially in higher learning institutions.Item Application of Lean Six Sigma in Reduction of Medication Errors(Chitkara University Publications, 2015-10-05) Pratima MiglaniThis study focuses on reduction of medication errors by application of lean Six Sigma approach in Medication administration by nurses in a corporate chain hospital of India. It helped the hospital to understand the impact of dedicated Medication Nurse on the Medication administration error rate. the purpose of the research is to redesign the policy on medication administration i.e. introducing the concept of Medication nurse for the management of medication administration errors and depletion of interruptions faced in medication delivery in order to improve the efficiency, effectiveness and safety of care delivered to patients. as per the study done on medication administration, the medication error rate found was very high in a ward (mostly contributing were 31% of missed dose, 21% of wrong dose and 17% at wrong time) due to many interruptions and challenges faced by nurses during drug administration which in turn affecting the safety of care delivered to the patients and total medication delivery time taken by a general nurse was 9 minutes. By using the lean Six sigma methodology, it was observed rate of medication errors was decreased, the complexity of the work flow became simple and systematic, the work load on all nurses was decreased, and the average time for drug administering was decreased by 55% i.e. to 4 minutes in three months. thus, it helped in reducing mess up and complexity in the ward with better utilization of other nurses to perform other activities which are needed to be done at the same time and delivering best quality of patient care with high efficiency.Item Burden of Disability in India (1881–2011)(Chitkara University Publications, 2015-10-05) Kalosona Paul; Shrestha SahaIt is estimated that roughly in the world 10 percent or 650 million people live with disability while India consists of 26.8 million (Census 2011) & 58th round of National s ample survey (N ss), 2002 (18.5million) indicates that around 2 percent of country’s population suffers from disability. the overreaching aim of this paper is to estimate the prevalence of disability with its type and assess the changes of proportionate disabled population during pre-independence and post-independence period. the paper essentially explains the manifold increase in the prevalence of disability in post-independence period due to the adaption of new definition. to analyze the prevalence of disability the standardized Index of Diversity (s ID) which was dev eloped by lieberson (1969) and Rowland (2003) and further given in K.M. Ponnapalli and F.Ram (2010). Paper outcome be said that blindness which continues fluctuated from the colonial periods in India. Concentration of disabled females is more with speech and, hearing whereas males' movement and mental disabilities. s IDD index values indicates that all the states and districts have experienced a rising seeing disability and movement disability, but 2011 reveal that prevalence of hearing and movement disability gradually growing. this index reveals that North-east states like sikkim; Nagaland & Manipur districts are disabled population are direct effect on curvature of economic. However, there is a need for the much-detailed investigation of the demography of disability which could provide insights into the problem and suggest the efforts that are needed to tackle the issue.Item The Potential Role of Nicotine in the Treatment of Learning and Memory Impairment after REM Sleep Deprivation.(Chitkara University Publications, 2015-10-05) Idris Long; Norlinda Abd RashidSleep deprivation has become a contributing factor to the world’s health concerns such as cardiovascular disease, mental illness and inattentiveness in occupation and decision making. It can also disturb synaptic plasticity that can lead to learning and memory impairment. Therefore, boosting cholinergic activity using acetylcholine imitator that can be found in the tobacco plant, known as nicotine, is essential in reversing the negative influences of sleep loss in the brain. Thus, studies on the effects of nicotine treatment on molecular mechanisms and structural changes of hippocampal brain cells are vital in order to gain more understanding and to overcome the detrimental consequences of learning and memory impairment related to sleep divest.Item Frequency of Specimen Rejection and Associated Factors at St. Paul’s Hospital Millennium Medical College, Addis Ababa Ethiopia(Chitkara University Publications, 2015-10-05) Habtamu Molla Tesfaw; Astert Segaye; Fatuma HassenClinical laboratory diagnosis is an integral part of the clinical decision of health care service. while every phase is error prone, different literatures showed that more than 70% of errors in clinical laboratory occur in the pre analytical phase. The purpose of this study is to determine the frequency of specimen rejection and associated factors at st. Paul’ s Hospital Millennium Medical College, addis ababa, ethiopia.Item Gaps in Knowledge and Awareness Related to Equipment Safety Among Nursing Personnel Working in Pediatric and Neonatal Medical- Surgical Icus at Tertiary Care Hospital(Chitkara University Publications, 2016-04-04) Poonam Joshi; Raghavan S; Joshi MEquipments are the essential part of any pediatric or neonatal ICU required for monitoring and care to children and neonates during the ICU stay. The present study was conducted to identify gaps in knowledge and awareness related to equipment safety among nursing personnel working in pediatric and neonatal medical-surgical ICUs in a tertiary care hospital. Sixty one nursing personnel working in pediatric and neonatal ICUs were enrolled using universal sampling technique. A structured pretested and validated tool containing knowledge and awareness questionnaire was used to collect the data ( α = 0.82). More than half of the nursing personnel were between the age group of 26-35 years with the mean age of 30.24 ± 6.56 (22–46). Majority nursing personnel were female (93.4%), working as sister grade II (77%, working as bedside nurses) in PICU ((42.6%), with most having BSc Nursing as their professional qualification, Majority of nursing personnel (83.6%) had not attended in-service education programme and half of them did not have any bedside demonstration of the equipments prior to its installation in the unit. Majority nursing personnel were having medium knowledge (68.9%) and awareness scores (65.6%) related to equipment safety with mean knowledge and awareness scores of 11.5 ± 1.7 (6-16) and 32.9 ± 3.4 (20–40) respectively. No correlation was observed between knowledge and awareness scores of the nursing personnel (p> 0.05).Item Efficacy of Communication Strategies in Augmenting Quality of Life and Participation in Individuals with Aphasia(Chitkara University Publications, 2016-04-04) V. P. Vandana; M. JayaramUse of communication strategies are recommended frequently to individuals with aphasia in order to enhance their communication and societal participation. This study aims to explore the efficacy of communication strategy usage in persons with chronic aphasia and their communicative partners. For this purpose, interviews were conducted with five women and six men with chronic aphasia (N =11) and a qualitative analysis of the same was done. Different factors related to individuals with aphasia, their caregivers and topics of conversation were found to affect the efficacious use of communication strategies. The most important among this was the care givers awareness regarding the need and usage of communication strategies. It was evident from the current research that caregiver training on communication strategies should be an integral goal of aphasia rehabilitation. This will inturn enhance rehabilitation and integration of individuals with aphasia for societal participation.Item Progress in Demographic and Other Factors and Its Influence on Nutritional Status of Mothers and Children in India(Chitkara University Publications, 2016-04-04) Rajaram Yadav; Kalosona Paul; Shrestha SahaIt is well known that child nutrition is affected by many factors like socio-cultural, economic and demographic, etc. Studies found that maternal education, wealth index, and ethnicity have an influence on child nutrition. In this paper, comparative study of malnutrition among children and mothers between 1992-93 and 2005-06 has been done. Objective: The main objective of the paper is to study how progress in demographic and other socioeconomic factors influence nutritional status of mother and children. Data and Methods: First round (1992-93) and third round (2005-06) of National Family Health Survey has been used to reach the objective of the study. To show the progress in nutritional status, percentage change in prevalence of malnutrition in different background characteristics from 1992-93 to 2005-06 has been calculated. To show the progress in different background characteristics and its effect on child malnutrition decomposition analysis has been done. Result: Almost all variable are significantly associated with child malnutrition thus more contribution of any variable in bringing the change in prevalence of malnutrition shows the more progress in that variable from 1992-93 to 2005- 06. The decomposition analysis clearly shows that the condition of mother’s education and timing to initiate breastfeeding are found to be contributing significantly to the reduction of underweight among children between 1992- 93 and 2005-06. Conclusion: This study shows that improvement in mother’s education contributed the most in improving the nutritional status of children. Thus by increasing the educational in female under-nutrition can be reduced to a larger extent.Item Formal to Casual- Usage of Laptop Among Students- An Eye Opener(Chitkara University Publications, 2016-04-04) S. Paul Silvian; Priyanka G; Sayeda Begum; Gemini V Joy; S. Senthil KumarThe number of college students using laptops is on the rise so is the musculoskeletal disorders reported. This research tries to understand whether university students in India have the same discomfort level as reported in prior studies. The study tries to evaluate the role of parameters like postural adaptation, time related parameters like duration of laptop usage, frequency of rest breaks and the predisposition of MSD among the students. And it is found that neck pain is the most common pain among Indian college students. And that MSD is caused by poor postural adaptation, time spent on the laptop as well as lack of proper ergonomic knowledge.Item Barriers to availing refractive error services among an urban slum population in Mumbai, India(Chitkara University Publications, 2016-04-04) Prema K Chande; Urmi VoraBackground: A refractive error project for management of refractive errors in adults was undertaken in the urban slums of Mumbai, India. The project looked at the burden of refractive errors in the predominantly lower socio economic status groups as well as what common barriers prevent access to refractive services amongst this population. This presentation highlights the barriers that were elicited for availing and accessing refractive error services among the urban slum population in Mumbai, India. AIM: The study aimed to identify the common barriers to availing & accessing refractive error services among an urban slum population in Mumbai, India. Methods : A situation analysis of the community, with respect to availability of services was done as a part of the service delivery planning. The analysis revealed that services were available but the community was not accessing the same. Based on the situation analysis report a questionnaire with all perceived barriers was developed and the same was validated. Service delivery was done by establishing vision centers within the community. Trained health workers performed a door to door vision screening, identified and referred the needy population to the vision centre. Here the questionnaire was run by trained social workers on the people visiting the centers for eye examinations, who were referred by the social workers. Results : Data analysis was carried out to know the reasons for not availing the services within the community. Of the 4070 subjects who visited the vision centre, 4039 case records were complete and analyzed. The demographic associations of the use of spectacles and reasons for not availing services were assessed with age, gender, education, socioeconomic status. On further analyses it was revealed, that, 3373 (83.5%) were aware of their poor vision, of these 2000 people did not visit an eye doctor. When the questions were analyzed as economic reasons and lack of awareness, lack of awareness superseded economic reasons, as lack of awareness was 54.5% Vs economic was 53.70%. Conclusion: When refractive error service delivery was planned for this population, besides providing free spectacles, emphasis on generating awareness for need for refractive errors was also considered.