Review Article

Ecological considerations for intervention strategy in the development of eye health promotion policy in South Africa

Hlupheka L. Sithole
African Vision and Eye Health | Vol 74, No 1 | a314 | DOI: | © 2015 Hlupheka L. Sithole | This work is licensed under CC Attribution 4.0
Submitted: 08 June 2015 | Published: 18 November 2015

About the author(s)

Hlupheka L. Sithole, School of Interdisciplinary Research and Graduate Studies, University of South Africa, South Africa


Eye health promotion is an important component of public health. To realise the essential aspects of eye health promotion, the formulation and implementation of policy as an intervention strategy is a major contributory factor and can best be described by an ecological framework. Ecological perspectives assert that people’s health affairs cannot be neatly grouped into diagnoses, symptoms and risk factors to be targeted and eliminated; this is because the core concept of an ecological model is that behaviour has many levels of influence, often including intrapersonal, interpersonal, organisational, physical environmental, and policy. Therefore, societal and personal issues can be directly linked to an ecological model that points to issues of numerous levels of influence on certain behaviours that affect the manner in which eye care services are utilised. These behaviours are therefore termed salient beliefs. Unfortunately, there is no study in South Africa that has identified the set of beliefs that are salient in any given population that might be responsible for influencing the uptake of eye care services. However, reorienting eye health care services through direct policy reforms and advocacy may change the landscape of eye health care services in South Africa.


ecological framework; eye health promotion; intervention strategy; eye health policy reform


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Crossref Citations

1. Eye health promotion-oriented policy statements in various national and provincial health policy documents in South Africa
Hlupheka L. Sithole
African Vision and Eye Health  vol: 80  issue: 1  year: 2021  
doi: 10.4102/aveh.v80i1.597