Seeing the Future: Community-Based Vision Screening and Eye Health Education for Preschool Children in Papua, Indonesia
DOI:
https://doi.org/10.55927/jpmb.v5i1.577Keywords:
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
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Copyright (c) 2026 Elisa Nugraha Haryadi Salakay, Grace Fitriana Primasari Hau Mahu, Samuel Octovianus Dimara, Maryam Kathrien Labobar, Eka Dian Ayu Agustina Fatem

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