Vol 9 (2024): Continuous Publishing
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Published online: 2024-05-02

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Availability and helpfulness of low vision assistive devices for low vision learners attending inclusive schools in Kakamega County, Kenya

Doreen Eshiraba Ashioya1, Peter Clarke-Farr2
Ophthalmol J 2024;9:92-99.


BACKGROUND: Low-vision assistive devices play an essential role in improving the reading performance and quality of life of low-vision children.

MATERIAL AND METHODS: A school-based observational cross-sectional study design was employed based on a census survey that identified 21 low-vision learners who had been assessed and placed in 11 primary public inclusive schools in Kakamega County, of whom 19 consented to participate in this study. Participants responded to the LV Prasad Functional Vision Questionnaire, which elicited how their vision influenced their ease of functioning in day-to-day activities. Data was analyzed using SPSS version 25 software for descriptive and inferential statistics.

RESULTS: The majority (63.2%) of learners did not have assistive devices, which may have resulted in the participants’ poor performance in daily living activities. Available assistive devices included spectacle magnifiers (15.8%), dome magnifiers (5.3%), telescopes (5.3%), and spectacles (5.3%). One learner (5.3%) reported the use of multiple assistive devices. Only one learner (5.3%) reported that their assistive device served them perfectly well. The rest, 15.9%, reported that the devices served them reasonably well, 10.5% reported a little, and 5.3% reported that the device was not helping them.

CONCLUSIONS: The findings of this study highlight the lack of assistive devices as a critical barrier to the effective implementation of the inclusive learning system in Kenya. Most low-vision learners attending inclusive schools in Kakamega County did not use any assistive devices, and of the few who did use them, most reported that the devices did not serve them well.

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  1. Resnikoff S, Pascolini D, Mariotti SP, et al. 2002 global update of available data on visual impairment: a compilation of population-based prevalence studies. Ophthalmic Epidemiol. 2004; 11(2): 67–115.
  2. Gyawali R, Paudel N, Adhikari P. Quality of life in Nepalese patients with low vision and the impact of low vision services. J Optom. 2012; 5(4): 188–195.
  3. Köberlein J, Beifus K, Schaffert C, et al. The economic burden of visual impairment and blindness: a systematic review. BMJ Open. 2013; 3(11): e003471.
  4. Bambara JK, Wadley V, Owsley C, et al. Family Functioning and Low Vision: A Systematic Review. J Vis Impair Blind. 2009; 103(3): 137–149.
  5. Do AT, Ilango K, Ramasamy D, et al. Effectiveness of low vision services in improving patient quality of life at Aravind Eye Hospital. Indian J Ophthalmol. 2014; 62(12): 1125–1131.
  6. Renieri G, Pitz S, Pfeiffer N, et al. Changes in quality of life in visually impaired patients after low-vision rehabilitation. Int J Rehabil Res. 2013; 36(1): 48–55.
  7. Scott IU, Smiddy WE, Schiffman J, et al. Quality of life of low-vision patients and the impact of low-vision services. Am J Ophthalmol. 1999; 128(1): 54–62.
  8. Stelmack J. Quality of life of low-vision patients and outcomes of low-vision rehabilitation. Optom Vis Sci. 2001; 78(5): 335–342.
  9. Fuglerud K. The Barriers to and Benefits of Use of ICT for People with Visual Impairment. Lecture Notes in Computer Science. 2011: 452–462.
  10. Ramani KK, Police SR, Jacob N. Impact of low vision care on reading performance in children with multiple disabilities and visual impairment. Indian J Ophthalmol. 2014; 62(2): 111–115.
  11. Jutai J, Strong J, Russell-Minda E. Effectiveness of Assistive Technologies for Low Vision Rehabilitation: A Systematic Review. J Vis Impairment Blind. 2019; 103(4): 210–222.
  12. Olusanya B, Onoja G, Ibraheem W, et al. Profile of patients presenting at a low vision clinic in a developing country. BMC Ophthalmol. 2012; 12: 31.
  13. Chimaliro B, Leaveson T, Kalua K, et al. Utilization of Optical Devices by Low Vision Students at Ekwendeni Primary School, Northern part of Malawi. J Ophthalmol Vis Neurosci. 2016; 1(2): 1–6.
  14. Hinds A, Sinclair A, Park J, et al. Impact of an interdisciplinary low vision service on the quality of life of low vision patients. Br J Ophthalmol. 2003; 87(11): 1391–1396.
  15. Copolillo Al, Teitelman JL. Acquisition and integration of low vision assistive devices: understanding the decision-making process of older adults with low vision. Am J Occup Ther. 2005; 59(3): 305–313.
  16. Nguyen NX, Weismann M, Trauzettel-Klosinski S. Improvement of reading speed after providing of low vision aids in patients with age-related macular degeneration. Acta Ophthalmol. 2009; 87(8): 849–853.
  17. Ovenseri-Ogbomo G, Osafo-Agyei H, Akpalaba R, et al. Impact of low vision services on the quality of life of low vision patients in Ghana. African Vis Eye Heal. 2016; 75(1).
  18. Hinds A, Sinclair A, Park J, et al. Impact of low vision services on the quality of life of low vision patients in Ghana. Br J Ophthalmol. 2003; 87: 1391–1396.
  19. Margrain TH. Helping blind and partially sighted people to read: the effectiveness of low vision aids. Br J Ophthalmol. 2000; 84(8): 919–921.
  20. Pollard TL, Simpson JA, Lamoureux EL, et al. Barriers to accessing low vision services. Ophthalmic Physiol Opt. 2003; 23(4): 321–327.
  21. Engineering R. Vision Aids for People with Impaired Color Perception. ; 2002: 1–9.
  22. Saarinen R, Järvi J, Raisamo R, et al. Supporting visually impaired children with software agents in a multimodal learning environment. Virtual Real. 2006; 9(2-3): 108–117.
  23. Damit DA, Ani AC, Muhamad A, et al. Dual braille code translator: Basic education tool for visually impaired children. 2014 International Conference on Computer, Communications, and Control Technology (I4CT). 2014.
  24. Plimmer B, Crossan A, Brewster S, et al. Multimodal collaborative handwriting training for visually-impaired people. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems. 2008.
  25. Cox R, Reimer A, Smitsman A. Low-vision aids for young visually impaired children: Learning to use a magnifier. In: Studies in Perception and Action IX: Fourteenth International Conference on Perception and Action. 2008.
  26. Janmohamed NS. Challenges Facing Implementation of Inclusive Education Programme in Public Primary Schools. , Nairobi, Kenya 2012.
  27. Elder B. Right to Inclusive Education for Students with Disabilities in Kenya. J Int Spec Needs Edu. 2015; 18(1): 18–28.
  28. MacCuspie PA. The social acceptance and interaction of integrated visually impaired children. ProQuest Diss Theses. Dalhousie University, Halifax 1990.
  29. Khan SA, Shamanna Br, Nuthethi R. Perceived barriers to the provision of low vision services among ophthalmologists in India. Indian J Ophthalmol. 2005; 53(1): 69–75.
  30. Gilbert CE, Ellwein LB. Refractive Error Study in Children Study Group. Prevalence and causes of functional low vision in school-age children: results from standardized population surveys in Asia, Africa, and Latin America. Invest Ophthalmol Vis Sci. 2008; 49(3): 877–881.
  31. Gyawali R, Moodley VR, Gyawali R, et al. Need for optical intervention in children attending a school for the blind in Eritrea. Clin Exp Optom. 2018; 101(4): 565–570.
  32. Lovie-Kitchin JE, Bevan JD, Hein B. Reading performance in children with low vision. Clin Exp Optom. 2001; 84(3): 148–154.
  33. Lorenzini MC, Wittich W, Lorenzini MC, et al. The Effect of a Head-mounted Low Vision Device on Visual Function. Optom Vis Sci. 2018; 95(9): 774–784.
  34. Zaki RGe, Elshinawy RF, Naguib KM. Functional outcome of the low vision aids for visual impairment secondary to central nervous system tumors in children. Int J Ophthalmol. 2019; 12(10): 1643–1648.
  35. Liebrand‐Schurink J, Boonstra F, Rens Gv, et al. Shape of magnifiers affects controllability in children with visual impairment. Acta Ophthalmol. 2016; 94(8): 761–767.
  36. Liebrand-Schurink J, Cox RFA, van Rens GH, et al. Infantile nystagmus syndrome is associated with inefficiency of goal-directed hand movements. Invest Ophthalmol Vis Sci. 2014; 56(1): 552–562.