title: How Do Patients Choose Their Spectacles in the Public Sector of South Africa?
abstract: OBJECTIVE
  This study was designed to understand the profiles of the patients who attended and chose to purchase spectacles from the public sector eye clinics in KwaZulu Natal, South Africa. Furthermore, we wished to explore patients' perceptions of the spectacle frames on offer and to understand the motivation of the patients in selecting their spectacle frames.
  
  
  METHODS
  This descriptive study consented 674 patients from seven eye clinics in KwaZulu Natal. Each was interviewed using a questionnaire containing open-ended, close-ended questions and questions with a Likert-scale response.
  
  
  RESULTS
  Females comprised 68.4% of the study population. The majority of participants had not completed secondary school or had no schooling (78.9%), were unemployed (70.9%), and earned less than R2000 per month or did not have any form of income (89.2%). Of the 670 who chose to buy spectacles from the eye clinics, 79.4% indicated that this was convenient (79.4%) and 23.0% said that they were motivated in their decision because they liked the available frames. More than 95% of participants rated the design, quality, and price as good to excellent. Factors influencing their decisions included design, recommendations from staff, and quality. Those who bought the spectacles from the budget range were prepared to pay more for the next pair of spectacles, whereas almost all reported that they would return to the same eye clinic for their next pair of spectacles and that they would recommend relatives and friends to the clinic.
  
  
  CONCLUSIONS
  The results from the study indicate that there is high acceptance by patients of the range of spectacles offered in public sector eye clinics with specific suggestions to improve it. Increased understanding of the perceptions and motivations in spectacle choice will help inform planning and procurement decisions in supplying the needs of the patients and broadening the patient base.
authors.affiliation: *BCom †MSc, BOptom ‡MPhil, BSc §PhD, OD Brien Holden Vision Institute, Durban, South Africa (VP, V-FC, FSC, KSN); and African Vision Research Institute, University of KwaZulu-Natal, Durban, South Africa (FSC, KSN).
authors.forename: Vivasan
authors.initials: V
authors.lastname: Pillay
authors.forename: Ving Fai
authors.initials: VF
authors.lastname: Chan
authors.forename: Farai S
authors.initials: FS
authors.lastname: Chinanayi
authors.forename: Kovin S
authors.initials: KS
authors.lastname: Naidoo
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000554:Ambulatory Care Facilities; D002648:Child; D002675:Child, Preschool; D003657:Decision Making; D005139:Eyeglasses / Q000191:economics; D005260:Female; D005382:Financing, Personal; D006301:Health Services Needs and Demand; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010361:Patients / Q000523:psychology*; D017150:Public Sector; D012030:Refractive Errors / Q000534:rehabilitation*; D012424:Rural Population / Q000706:statistics & numerical data; D013019:South Africa / Q000453:epidemiology; D011795:Surveys and Questionnaires; D014505:Urban Population / Q000706:statistics & numerical data