Seeing the Future: Community-Based Vision Screening and Eye Health Education for Preschool Children in Papua, Indonesia

Authors

  • Elisa Nugraha Haryadi Salakay Universitas Cendrawasih Jayapura
  • Grace Fitriana Primasari Hau Mahu Universitas Cenderawasih
  • Samuel Octovianus Dimara Universitas Cenderawasih
  • Maryam Kathrien Labobar Universitas Cenderawasih
  • Eka Dian Ayu Agustina Fatem Universitas Cenderawasih

DOI:

https://doi.org/10.55927/jpmb.v5i1.577

Keywords:

Preschool Vision Screening, Refractive Errors, Strabismus, Early Childhood Development, Community-Based Health Intervention.

Abstract

This study aimed to evaluate the feasibility and outcomes of a low-cost, community-based preschool vision screening and eye health education program in Jayapura, Papua, Indonesia, addressing limited early detection in low-resource settings. The program assessed visual acuity, ocular alignment, and anterior segment conditions using smartphone-based Snellen testing, Hirschberg, cover tests, and penlight examination among 29 children aged 3–6 years from two early childhood centers during a single screening period. Results showed subnormal visual acuity in 20.7% of children, suspected strabismus in 3.4–6.9%, and one case of epiblepharon. Educational outreach successfully engaged parents and teachers. The findings demonstrate that simple screening integrated with education is feasible and supports early identification and public health integration of preschool eye care programs.

References

Alvarez-Peregrina, C., Sánchez-Tena, M. Á., Andreu-Vázquez, C., & Villa-Collar, C. (2020). Visual Health and Academic Performance in School-Aged Children. International Journal of Environmental Research and Public Health, 17(7), 2346. https://doi.org/10.3390/ijerph17072346

Anand, A. K., Kumar, S., & Tiwary, R. K. (2020). Prevalence And Pattern of Refractive Errors: A Cross Sectional Study At Tertiary Health Center. International Journal of Scientific Research, 2277, 46–47. https://doi.org/10.36106/ijsr/3401734

Atowa, U. C., Hansraj, R., & Wajuihian, S. O. (2019). Vision problems: A review of prevalence studies on refractive errors in school-age children. African Vision and Eye Health, 78(1), 1–7. https://doi.org/10.4102/aveh.v78i1.461

Birkeland Wilhelmsen, G., & Felder, M. (2021). Learning Is Visual: Why Teachers Need to Know about Vision. In Education at the Intersection of Globalization and Technology (pp. 1–17). IntechOpen. https://doi.org/10.5772/intechopen.93546

Chen, D., Li, R., Li, X., Huang, D., Wang, Y., Zhao, X., Zhang, X., Sun, Q., Hao, Q., Tong, H., Yao, X., Fan, W., Lu, W., Dang, J., Zhu, H., & Liu, H. (2021). Prevalence, incidence and risk factors of strabismus in a Chinese population-based cohort of preschool children: the Nanjing Eye Study. British Journal of Ophthalmology, 105(9), 1203–1210. https://doi.org/10.1136/bjophthalmol-2020-316807

Fabbro, L., Scuoteguazza-Filho, M., Moribe, E. K., Rodrigues, L., Oliveira da Silva, I. A., Konichi-Dias, R. L., Silva Muniz, D. N., Fabbro, N., Pacharone Bertolini Bidinotto, D. N., & Bidinotto, L. T. (2020). Impact of Visual Perception Restoration in Quality of Life in Early Childhood. International Journal of Research Studies in Medical and Health Sciences, 5(5), 15–19. https://doi.org/10.22259/ijrsmhs.0505004

Grzybowski, A., Kanclerz, P., Tsubota, K., Lanca, C., & Saw, S.-M. (2020). A review on the epidemiology of myopia in school children worldwide. BMC Ophthalmology, 20(1), 27. https://doi.org/10.1186/s12886-019-1220-0

Hashemi, H., Pakzad, R., Heydarian, S., Yekta, A., Aghamirsalim, M., Shokrollahzadeh, F., Khoshhal, F., Pakbin, M., Ramin, S., & Khabazkhoob, M. (2019). Global and regional prevalence of strabismus: a comprehensive systematic review and meta-analysis. Strabismus, 27(2), 54–65. https://doi.org/10.1080/09273972.2019.1604773

Kukuh Mujiono, Yasmin Yasmin, & Sony Agung Santoso. (2024). Prevalensi Kelainan Refraksi pada Anak Sekolah Dasar (SD) dan Sekolah Menengah Pertama (SMP) di Kota Batu. JURNAL AKADEMIK PENGABDIAN MASYARAKAT, 2(2), 37–40. https://doi.org/10.61722/japm.v2i2.2844

Kulp, M. T., Ciner, E., Ying, G., Candy, T. R., Moore, B. D., & Orel-Bixler, D. (2022). Vision Screening, Vision Disorders, and Impacts of Hyperopia in Young Children: Outcomes of the Vision in Preschoolers (VIP) and Vision in Preschoolers – Hyperopia in Preschoolers (VIP-HIP) Studies. Asia-Pacific Journal of Ophthalmology, 11(1), 52–58. https://doi.org/10.1097/APO.0000000000000483

Lam, M., & Suh, D. (2022). Screening, Diagnosis, and Treatment of Pediatric Ocular Diseases. Children, 9(12), 1939. https://doi.org/10.3390/children9121939

Lawrenson, J. G., Huntjens, B., Virgili, G., Ng, S., Dhakal, R., Downie, L. E., Verkicharla, P. K., Kernohan, A., Li, T., & Walline, J. J. (2025). Interventions for myopia control in children: a living systematic review and network meta-analysis. Cochrane Database of Systematic Reviews, 2025(2).

https://doi.org/10.1002/14651858.CD014758.pub3

Lueck, A., & Heinze, T. (2005). Designing intervention methods for young children with visual impairments to promote vision use. International Congress Series, 1282, 201–205. https://doi.org/10.1016/j.ics.2005.05.019

Mahayana, I. T., Indrawati, S. G., & Pawiroranu, S. (2017). The prevalence of uncorrected refractive error in urban, suburban, exurban and rural primary school children in Indonesian population. International Journal of Ophthalmology, 10(11), 1771–1776. https://doi.org/10.18240/ijo.2017.11.21

Metsing, I. T., Jacobs, W., & Hansraj, R. (2018). A review of vision screening methods for children. African Vision and Eye Health, 77(1), 1–10. https://doi.org/10.4102/aveh.v77i1.446

Orlansky, G., Wilmer, J., Taub, M. B., Rutner, D., Ciner, E., & Gryczynski, J. (2015). Astigmatism and Early Academic Readiness in Preschool Children. Optometry and Vision Science, 92(3), 279–285. https://doi.org/10.1097/OPX.0000000000000485

Tegegne, M. M., Fekadu, S. A., & Assem, A. S. (2021). Prevalence of strabismus and its associated factors among school-age children living in bahir dar city: A community-based cross-sectional study. Clinical Optometry, 13, 103–112. https://doi.org/10.2147/OPTO.S300124

Thurston, A. (2014). The Potential Impact of Undiagnosed Vision Impairment on Reading Development in the Early Years of School. International Journal of Disability, Development and Education, 61(2), 152–164. https://doi.org/10.1080/1034912X.2014.905060

Varma, R., Tarczy-Hornoch, K., & Jiang, X. (2017). Visual Impairment in Preschool Children in the United States. JAMA Ophthalmology, 135(6), 610. https://doi.org/10.1001/jamaophthalmol.2017.1021

Wang, Y., Zhao, A., Zhang, X., Huang, D., Zhu, H., Sun, Q., Yu, J., Chen, J., Zhao, X., Li, R., Han, S., Dong, W., Ma, F., Chen, X., & Liu, H. (2021). Prevalence of strabismus among preschool children in eastern China and comparison at a 5-year interval: a population-based cross-sectional study. BMJ Open, 11(10), e055112. https://doi.org/10.1136/bmjopen-2021-055112

Yusni, Y., & Meutia, F. (2023). Myopia Prevalence and its Correlation with Demographic Characteristics Before the COVID-19 Pandemic among Acehnese School Children (6-19 years) in Indonesia. Medicina Moderna - Modern Medicine, 30(2), 125–131. https://doi.org/10.31689/rmm.2023.30.2.125

Zhang, Y., & Glauben, T. (2015). Seeing is learning: Vision care for rural and migrant children in China. 23.

Zimmerman, D. R., Ben-Eli, H., Moore, B., Toledano, M., Stein-Zamir, C., & Gordon-Shaag, A. (2019). Evidence-based preschool-age vision screening: health policy considerations. Israel Journal of Health Policy Research, 8(1), 70. https://doi.org/10.1186/s13584-019-0339-z

Published

2026-02-01