Indonesia, North Sumatra (2016)

Indonesia, 2016
North Sumatra
Principal Investigator
Lutfah Rif'ati
Trainer
Nina Ratnaningsih
Sample size
2950
Response rate
98.9%
RAAB version
RAAB6
Diabetic retinopathy
No
Disability module
No

Survey comparison

Vision impairment

Prevalence (age-sex adjusted)

Female
Male
Total
Extrapolated magnitude
%
95% CI
Extrapolated magnitude
%
95% CI
Extrapolated magnitude
%
95% CI
Blind
22079
1.8
1.0 - 2.7
13524
1.3
0.5 - 2.0
35603
1.6
0.9 - 2.2
Severe
25956
2.2
1.4 - 2.9
15500
1.4
0.7 - 2.2
41456
1.8
1.2 - 2.4
Moderate
117186
9.8
8.0 - 11.6
78239
7.3
5.3 - 9.3
195425
8.6
7.1 - 10.2
Mild
163698
13.7
11.5 - 15.9
99465
9.3
7.2 - 11.3
263163
11.6
9.9 - 13.4

Cataract

Cataract surgical coverage (CSC) (age-sex adjusted)

Female
Male
Total
%
95% CI
%
95% CI
%
95% CI
<3/60
-
64.8
45.4 - 84.1
-
71.5
56.1 - 56.1
-
67.5
53.2 - 81.7
<6/60
-
47.9
32.0 - 63.8
-
62.5
47.5 - 77.5
-
53.2
40.3 - 66.1
<6/18
-
21.2
11.8 - 30.5
-
28.2
18.0 - 38.4
-
23.7
15.6 - 31.9
<6/12
-
14.1
8.4 - 19.9
-
15.4
9.0 - 21.7
-
14.6
9.7 - 19.5

Effective cataract surgical coverage (eCSC) (age-sex adjusted)

Female
Male
Total
%
95% CI
%
95% CI
%
95% CI
<3/60
-
25.9
12.9 - 38.9
-
47.5
28.0 - 66.9
-
34.7
23.2 - 46.1
<6/60
-
21.1
10.5 - 31.7
-
39.3
22.2 - 56.3
-
27.7
18.0 - 37.4
<6/18
-
9.0
3.9 - 14.1
-
16.8
8.4 - 25.2
-
11.8
7.3 - 16.3
<6/12
-
5.7
2.7 - 8.7
-
8.7
3.9 - 13.5
-
6.9
4.3 - 9.5

Unmet need for cataract surgery: magnitude & prevalence (age-sex adjusted)

Female
Male
Total
Extrapolated magnitude
%
95% CI
Extrapolated magnitude
%
95% CI
Extrapolated magnitude
%
95% CI
<3/60
10375
0.9
0.3 - 1.4
5751
0.5
0.1 - 1.0
16127
0.7
0.3 - 1.1
<6/60
22235
1.9
1.1 - 2.6
9142
0.9
0.3 - 1.4
31377
1.4
0.8 - 2.0
<6/18
79092
6.6
5.0 - 8.3
40850
3.8
2.5 - 5.1
119942
5.3
4.0 - 6.6
<6/12
145943
12.2
10.1 - 14.4
92810
8.7
6.3 - 11.1
238753
10.5
8.6 - 12.4

Refractive error

Effective refractive error coverage (age-sex adjusted)

Female
Male
Total
%
95% CI
%
95% CI
%
95% CI
eREC
-
22.6
15.2 - 30.0
-
28.4
20.0 - 36.7
-
25.1
19.2 - 31.1
REC
-
27.7
20.1 - 35.3
-
33.0
24.4 - 41.6
-
30.0
24.1 - 36.0

eREC = effective refractive error coverage; REC = refractive error coverage

Vision impairing refractive error prevalence (age-sex adjusted)

Female
Male
Total
Extrapolated magnitude
%
95% CI
Extrapolated magnitude
%
95% CI
Extrapolated magnitude
%
95% CI
Blind
0
0.0
0.0 - 0.0
0
0.0
0.0 - 0.0
0
0.0
0.0 - 0.0
Severe
715
0.1
0.0 - 0.2
992
0.1
0.0 - 0.3
1707
0.1
0.0 - 0.2
Moderate
18538
1.6
1.0 - 2.1
19358
1.8
1.0 - 2.6
37896
1.7
1.1 - 2.2
Mild
101327
8.5
6.8 - 10.2
67241
6.3
4.6 - 7.9
168568
7.4
6.1 - 8.8

Vision impairing refractive error is defined as presenting VA less than 6/12 improving to 6/12 with pinhole. Use of presenting VA accounts for the prevalence of uncorrected or undercorrected refractive error only.

Notes

Vision impairment categories defined according to WHO thresholds using presenting visual acuity in the better eye.

All prevalence and coverage estimates are adjusted to the age and gender distribution of the population 50 years and older in the survey area.

All 95% confidence intervals adjusted to account for the cluster design of the survey.

Effective cataract surgical coverage (eCSC) and cataract surgical coverage (CSC) are calculated according to the 2022 definition; eCSC is only reported where 6/12 data available.

Refractive error results, including effective refractive error coverage (eREC), only reported where 6/12 data available. RAAB6 surveys measured presenting visual acuity (not uncorrected visual acuity) so the alternative calculation for eREC is used.