A Cataract Surgery Barrier Model in Eastern Zone of Peninsular Malaysia

Abdul Mutalib, Nurulain Mat Zin, Ahmad Shahir, Asma Hassan


Cataract is a serious public health problem as it is the most common cause of blindness in Malaysia and globally. Timely cataract surgery is required to prevent visual loss. This model illustrates the barriers in accessing cataract surgery services in the eastern zone of Peninsular Malaysia. Factors identified are personal issues, followed by issues at the primary care and specialist care level. This model is designed to elucidate the effect of delayed presentation, detection, and referral procedure for the provision eye care and cataract surgery to prevent blindness required to maintain the best quality of life and wellbeing.

Keywords: Cataract blindness; Cataract surgery; Barriers; Interpretative phenomenological analysis

eISSN: 2398-4287 © 2018. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.



Cataract blindness; Cataract surgery; Barriers; Interpretative phenomenological analysis

Full Text:



Aisyah, A.B., Mariana, M.O., Syahriah, B., & Mansor, I. (2016). Investigating Rationales of Malaysia Quality of Life and Wellbeing Components and Indicators. Procedia - Social and Behavioural Sciences, 222, 132-42.

Andersen, R.M. (2008). National health surveys and the behavioural model of health services use. Med Care, 46, 647.

Bourne, R.R.A., Flaxman, S.R., Braithwaite, T., Cicinelli, M.V., Das, A., Jonas, J.B., et al. (2017). Vision Loss Expert Group. Magnitude, temporal trends, and projections of the global prevalence of blindness and distance and near vision impairment: a systematic review and meta-analysis. Lancet Glob Health, 5(9), e888–97.

Chew FLM, Salowi MA, Mustari Z, Husni MA, Hussein E, Adnan TH, et al. (2018) Estimates of visual impairment and its causes from the National Eye Survey in Malaysia (NESII). PLoS ONE, 13(6), e0198799.

Dhaliwal, U., & Gupta, S.K. (2007). Barriers to the uptake of cataract surgery in patients presenting to a hospital. Indian J Ophthalmol, 55(2), 133-6.

Ibrahim, S.A.S. & Dahlan, A. (2015). Engagement in Occupational Activities and Purpose in Life amongst Older People in the Community and Institutions. Procedia - Social and Behavioural Sciences, 202, 263-72.

Irfan, F.B., Irfan, B.B., & Spiegel, D.A. (2012). Barriers to accessing surgical care in Pakistan: Healthcare barrier model and quantitative systematic review. J Surg Res, 176, 84-94.

Kovai, V., Krishnaiah, S., Shamanna, B.R., Thomas, R., Rao, G.N. (2007). Barriers to accessing eye care services among visually impaired populations in rural Andhra Pradesh, South India. Indian J Ophthalmol, 55(5), 365-71.

McIntyre, D., Thiede, M., Birch, S. (2009). Access as a policy-relevant concept in low- and middle-income countries. Health Econ Policy Law, 4(2), 179.

Mutalib, A.S.A., Dahlan, A., Masuri, M.G., & Danis, A. (2016) Interdependence among Malay older people who live in the community: An Interpretative Phenomenological Analysis. Procedia - Social and Behavioural Sciences, 234, 90-7.

Obrist, B., Iteba, N., Lengeler, C., et al. (2007). Access to health care in contexts of livelihood insecurity: A framework for analysis and action. PLoS Med, 4, 1584.

Plummer-D’Amato. (2008). Focus Group Methodology Part 1: Consideration for design. International Journal of Therapy and Rehabilitation, 15(2), 69-73.

Salowi, M.A. (2015). National Eye Survey Report 2014. Ophthalmology service: Ministry of Health Malaysia. Kuala Lumpur.

Smith, J.A. (2016). Interpretative phenomenological analysis: Getting at lived experience. The Journal of Positive Psychology, 12(3),1-2.

Smith, J.A., Flowers, P., & Larkin, M. (2009). Interpretative Phenomenological Analysis: Theory, method and research. SAGE Publications Inc.

Vaidyanathan, K., Limburg, H., Foster, A., Pandey, R.M. (1999). Changing trends in barriers to cataract surgery in India. Bull World Health Organ, 77(2), 104-9.

World Health Organization. (2007). Vision 2020 - Global initiative for the elimination of avoidable blindness: action plan 2006–2011. Report of a WHO Working Group. Geneva.

DOI: https://doi.org/10.21834/e-bpj.v3i9.1500


  • There are currently no refbacks.