PURPOSE: Eyelid repair surgery can prevent the effects of @entity5055 leading to @entity227 . Cost, transportation difficulties, and familial responsibilities have been identified as major barriers to surgical compliance. We evaluated whether offering @entity5055 surgery in the village was effective in increasing the rate of surgical acceptance and in decreasing perceived barriers to surgery. METHODS: In 1989, 205 @entity1 with @entity5055 were identified in Central Tanzania and were offered free surgery along with free transport. As of 1991, only 18% of these @entity1 had undergone the surgery. We followed-up these @entity1 7 years later after village level surgery was introduced. RESULTS: Since 1991, an additional 12% of the @entity1 had undergone eyelid surgery. 44% were conducted in the village. Surgical cases since 1991 reported shorter travel times to the place of surgery, similar post-surgical problems, and fewer days in the hospital. While providing benefits to the @entity1 , @entity735 did not increase the rate of surgical acceptance. The @entity1 who declined surgery did not know surgery in the village was available and the perceived cost and transportation difficulties continued to be barriers. 50% of the non-acceptors stated that there was nothing that would enable them to accept surgical intervention despite the fact that 3/4 of them reported eye symptoms that interfered with their daily activities. CONCLUSIONS: The cost efficacy of village level eye services needs to be evaluated and the awareness of these services increased.

Evaluation of barriers to surgical compliance in the treatment of XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'patient'] @entity735 :: ('MESH:D005124', 'Disease') :: ['increased village eye services'] @entity227 :: ('MESH:D014786', 'Disease') :: ['visual loss'] @entity5055 :: ('MESH:D058457', 'Disease') :: ['trichiasis']
@entity5055 :: (MESH:D058457,Disease) :: ['trichiasis']
