COECSA, Journal, Ophthalmology
Developing a sustainable and scalable control programme for Retinopathy of Prematurity in Kenya: a health system perspective
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Retinopathy of Prematurity
Health Systems


How to Cite

Mwangi N, Sitati S, Onyango O, Mundia D, Njambi L, Gachago M, Murila F, Nyamu G, Bitok M, Gichangi M for the Kenya ROP working group. (2023). Developing a sustainable and scalable control programme for Retinopathy of Prematurity in Kenya: a health system perspective. The Journal of Ophthalmology of Eastern, Central and Southern Africa, 15(01). Retrieved from


Disease-control programmes have an important role to play in strengthening health systems to deliver the
interventions they recommend. In low and middle income countries, there is a shortfall in the coverage of
interventions for primary, secondary and tertiary interventions for the control of Retinopathy of Prematurity
(ROP)-related childhood blindness and visual impairment. We need strong health systems to ensure prevention,
timely diagnosis and access to effective care for ROP. If a health system strengthening approach is employed as
ROP interventions are being planned, health system issues that will affect implementation and outcomes can
be identified.

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Blencowe J, Lawn JE, Vazquez T, Fielder A, Gilbert C.

Beyond newborn survival: Paper 3. Preterm associated

visual impairment and estimates of retinopathy of

prematurity at regional and global level for 2010.

Pediat Res. 2013; 54:36–49.

Onyango O, Sitati S, Amolo L, Murila F, Wariua S,

Nyamu G, Lango M, Patel A. Retinopathy of prematurity

in Kenya: prevalence and risk factors in a hospital with

advanced neonatal care. Pan Afr Med J. 2018; 29:152.

Lee J, Dammann O. Perinatal infection, inflammation,

and retinopathy of prematurity. Semin Fetal Neonatal

Med. 2012; 17(1):26–29.

Ng YK, Fielder AR, Shaw DE, Levene MI.

Epidemiology of retinopathy of prematurity. Lancet.

; 2:1235–38.

The Cryotherapy for Retinopathy of Prematurity

Cooperative Group. Quinn GE, Dobson V, Saigal S,

Phelps DL, Hardy RJ, Tung B, et al. Health-related

quality of life at age 10 years in very low-birth-weight

children with and without threshold retinopathy of

prematurity. Archives Ophthalmol. 2004; 122(11):1659–

Epub 2004/11/10.

Gilbert C, Foster A. Childhood blindness in the

context of VISION 2020--the right to sight. Bull

World Health Org. 2001; 79(3):227–232. Epub


Gilbert C, Blencowe H. Retinopathy of prematurity:

it is time to take action. Comm Eye Health J. 2017;


Derari A, Darlow BA. Preventing sight-threatening

ROP: a neonatologist’s perspective. Comm Eye

Health J. 2017; 30(99): 50-52.

Blanchet K, Patel D. Applying principles of

health system strengthening to eye care. Indian J

Ophthalmol. 2012; 60(5): 470-473.

World Health Organization. The World Health Report

: Health Systems: Improving Performance.

Geneva: World Health Organization, 2000.

Poore S, Foster A, Zondervan M, Blanchet K.

Planning and developing services for diabetic

retinopathy in sub-Saharan Africa. Intern J Health

Policy Management. 2015; 4: 19–28.

Ministry of Health. Kenya Health Policy Framework

-2030, 2014.

Ministry of Health. Eye Health System Assessment.

Kenya Country Report, 2017.


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