Implementing effective cataract surgical coverage: a comparative qualitative study in Kenya and Nepal.

ABSTRACT:

Introduction

The WHO has set a 2030 target to raise effective cataract surgical coverage (eCSC) by 30 percentage points in every country, requiring gains in surgical access and quality. Despite this mandate, evidence on how low- and middle-income health systems are implementing eCSC remains limited.

Methods

We conducted a qualitative comparative case study in Kenya and Nepal. 20 interviews were held with senior stakeholders from government, non-governmental organisations, academic institutions and clinical networks. Transcripts were thematically analysed using the consolidated framework for implementation research, adapted into a growing systems framework to capture national-level dynamics.

Results

Implementation unfolds within the inherent structures of each c

SUBMITTER: Arazi M 

PROVIDER: S-EPMC12933774 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature