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Female Community Health VolunteersNCT07443683

Does Orientation On Eye Health To Female Health Volunteers Increase Footfall In A Vision Center

A study testing Educational Session in people with Female Community Health Volunteers and Eye Disorders, run by Seva Canada Society at 1 site in Nepal.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this interventional comparative study is to see if one day eye health orientation to Female Community Health Volunteers will increase footfall of patients in a Vision Center. Total of 58 Female Community Health Volunteers of Dipayal Silagadhi Municipality will receive eye health education. Read more about this study

Who is it for?
Ages 18 to 58 yearsHealthy volunteers can take part
What is being tested?
Educational Session
Could I receive a placebo?
No, everyone receives an active treatment
How many people
149 participants
Where
1 siteNepal
Study dates
2 Feb 2026to 30 Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 58 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Female Community Health Volunteers of Dipayal Silgadhi Municiplality

Who cannot join

  • Female Community Health Volunteers of other Municipalities

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Parami Dhakhwa, Masters in Business Studies contact

9779841509003

pdhakhwa@seva.org

Nepal1 site, 1 recruiting
  • Geta Eye Hospital

    Dhangadi, Sudurpaschim

    Suresh Pant, Ophthalmologist, 977 984-1342757, drsrpant1@hotmail.com

    Ramesh Bhatta, Masters

    Recruiting

Other trials in Nepal

About this study

Official title: Assessing The Effectiveness Of Eye Health Orientation On Service Uptake: A Study Among Female Health Volunteers In Sudurpashchim Province, Nepal

The goal of this interventional comparative study is to see if one day eye health orientation to Female Community Health Volunteers will increase footfall of patients in a Vision Center. Total of 58 Female Community Health Volunteers of Dipayal Silagadhi Municipality will receive eye health education. There is one Vision Center at Dipayal Silagadhi. Similarly there is one Vision Center at Chainpur Bajhang. Here FCHV will not receive one day eye health orientation. Currently both Vision Centers provide similar number of services. We shall compare and see if there will be any change in the number of people coming to these vision center.

Female Community Health Volunteers in Dipayal Silgadhi will be asked to refer eye patients to the nearest Vision Center. They will be given

  1. Eye health orientation session
  2. Referral slip
Read the detailed description

Every year thousands of FCHVs receive orientation on eye health. These training sessions are organized by eye hospitals and eye centers. There is a belief that FCHV play vital role in bridging the gap between community and health providers. Eye hospital staff also feel that training FCHV helps connect with community. Some centers conducts FCHV training program just before surgical camps. It is assumed that doing so increases the community people attending the camps. Despite the existing practices little is known about the effectiveness of eye health orientation to FCHVs. This study will help to find out the result of orientating FCHVs on eye Health.

This study aims to evaluate the effectiveness of a one-day eye health orientation provided to Female Community Health Volunteers (FCHVs) on the utilization of eye care services in rural Nepal. The intervention is facilitated by Seva Foundation/Seva Canada Society, in collaboration with Geta Eye Hospital, the leading eye care provider in Sudurpashchim Province. Launched nationally in 1988, FCHVs play a critical role in linking communities to primary health services. Given their widespread reach and strong rapport with local populations, FCHVs are well-positioned to support eye care delivery, particularly in raising awareness and referring patients in need of services. While Seva Nepal and partners have oriented more than 3,000 FCHVs across Nepal, there is limited empirical evidence on the impact of such training. This study seeks to determine whether FCHV orientation leads to measurable increases in eye care service uptake and to explore optimal training

The study follows an interventional comparative study design. Study Population is FCHV's of Dipayal Silgadhi Municipality Doti District, Jayaprithvi Municipality and Chhabishpathivara Rural Municipality in Bajhang District. Convenience sampling method has been applied. The intervention group consists of 58 FCHVs in Dipayal Silgadhi Municipality (Doti District), where orientation will be provided. The non-interventional group includes 91 FCHVs from Jayaprithivi Municipality and Chabbis Pathibhara.

Inclusion Criteria: All the FCHVs in above mentioned municipalities whe are interested to take part in the study

Exclusion Criteria: FCHVs not interessted participate in the study.

Rural Municipality (Bajhang District). The populations served are comparable, approximately 5000

patients examined in each serving eye centers covering 34,000 to 36,500 people each.

The orientation session will last four hours and be delivered by an Ophthalmic Assistant trained in a

standardized Training of Trainers (ToT) format. Content will include the burden of eye diseases in

Nepal, common eye conditions, early detection, prevention, and available eye care services.

Training materials such as referral slips, pamphlets, and posters will be distributed. No incentives

will be provided for referrals.

Data collection will span one year, beginning from the day of orientation. Referral slips completed

by FCHVs will be collected monthly, and patient data including name, age, gender, presenting and

final visual acuity, diagnosis, and distance traveled, will be recorded at the Eye Care Centre level.

Pre- and post-training evaluations will also be conducted to assess FCHV knowledge improvement.

Key indicators include:

Change in patient footfall compared to the previous year

Number of referrals versus actual visits

Gender and age breakdown of referred patients

Comparison of referral in the intervention and non-intervention group

Data will be maintained securely in Excel and shared monthly with the project team. While the study is subject to selection bias, as municipalities were not randomized, the findings are expected to provide important insights. The anticipated outcomes are increased referrals, improved access across gender and age groups, and evidence of training effectiveness. Results will guide Seva and partner hospitals in determining the future scale-up of FCHV eye health orientation programs.

Being tested
Educational Session
Keywords
Female Community Health Volunteers, Eye health awareness, Nepal
Medical subject headings
Eye Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Educational SessionBehavioural

    Educational Session

Study groups in NCT07443683
Study groupRoleWhat they receive
Vision CenterNo interventionNo Educational Session to Female Community Health Volunteers of the Municipality where Vision Center is located
Eye Health OrientationExperimentalOrientation On Eye Health To Female Health Volunteers Increase Footfall In A Vision Center
Receives: Behavioral: Educational Session

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. International comparative study to see if one day eye health orientation to Female Community Health Volunteers will increase footfall of patients in a Vision Center

    The goal of this international comparative study is to see if one day eye health orientation to Female Community Health Volunteers will increase footfall of patients in a Vision Center. Total of 58 Female Community Health Volunteers of Dipayal Silagadhi Municipality will receive eye health education. There is one Vision Center at Dipayal Silagadhi. Similarly there is one Vision Center at Chainpur Bajhang. Here FCHV will not receive one day eye health orientation. Currently both Vision Centers provide similar number of services. We shall compare and see if there will be any change in the number of people coming to these vision center. Female Community Health Volunteers in Dipayal Silgadhi will be asked to refer eye patients to the nearest Vision Center. They will be given 1. Eye health orientation session 2. Referral slip

    Measured: One year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Mar 2026
  2. Study start2 Feb 2026
  3. Primary completion30 Dec 2026 (estimated)
  4. Study completion30 Dec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
Female Community Health Volunteers of one municipality will receive eye health educational session. Similarly Female Community Health Volunteers of another municipality will not receive eye health educational session.
Masking
None (open label)
Enrolment
149 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07443683
Sponsor's protocol ID
FCHVs_48/2025
Status last verified
Apr 2026
First submitted
26 Jan 2026
Last updated
30 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Considering the nature of study there is no need for individual information

Publications

  • Rawal LB, Sun Y, Dahal PK, Baral SC, Khanal S, Arjyal A, Manandhar S, Abdullah AS. Engaging Female Community Health Volunteers (FCHVs) for cardiovascular diseases risk screening in Nepal. PLoS One. 2022 Jan 6;17(1):e0261518. doi: 10.1371/journal.pone.0261518. eCollection 2022.

    PubMed 34990481
  • Bechange S, Schmidt E, Ruddock A, Khan IK, Gillani M, Roca A, Nazir I, Iqbal R, Buttan S, Bilal M, Ahmed L, Jolley E. Understanding the role of lady health workers in improving access to eye health services in rural Pakistan - findings from a qualitative study. Arch Public Health. 2021 Feb 17;79(1):20. doi: 10.1186/s13690-021-00541-3.

    PubMed 33597017
  • Panday S, Bissell P, Teijlingen EV, Simkhada P. Perceived barriers to accessing Female Community Health Volunteers' (FCHV) services among ethnic minority women in Nepal: A qualitative study. PLoS One. 2019 Jun 10;14(6):e0217070. doi: 10.1371/journal.pone.0217070. eCollection 2019.

    PubMed 31181077
  • Gnyawali S, Bhattarai D, Upadhyay MP. Utilization of primary eye health services by people from a rural community of Nepal. Nepal J Ophthalmol. 2012 Jan-Jun;4(1):96-101. doi: 10.3126/nepjoph.v4i1.5859.

    PubMed 22344005
  • Acharya D, Singh JK, Adhikari S, Jain V. Association between sociodemographic characteristics of female community health volunteers and their knowledge and performance on maternal and child health services in rural Nepal. J Multidiscip Healthc. 2016 Mar 21;9:111-20. doi: 10.2147/JMDH.S98700. eCollection 2016.

    PubMed 27051292
  • O'Brien KS, Byanju R, Kandel RP, Poudyal B, Gonzales JA, Porco TC, Whitcher JP, Srinivasan M, Upadhyay M, Lietman TM, Keenan JD; Village-Integrated Eye Worker Trial Group. Village-integrated eye workers for prevention of corneal ulcers in Nepal (VIEW study): a cluster-randomised controlled trial. Lancet Glob Health. 2022 Apr;10(4):e501-e509. doi: 10.1016/S2214-109X(21)00596-9.

    PubMed 35303460
  • Dhital R, Silwal RC, Pokhrel KN, Pokhrel S, Tuladhar H, Bright S, Tunnacliffe EA, Thapa K, Makins A. Evaluating the impact of female community health volunteer involvement in a postpartum family planning intervention in Nepal: A mixed-methods study at one-year post-intervention. PLoS One. 2021 Oct 20;16(10):e0258834. doi: 10.1371/journal.pone.0258834. eCollection 2021.

    PubMed 34669735
  • Shrestha MK, Shrestha UD. Role of community volunteers in pediatric eye screening. Nepal J Ophthalmol. 2014 Jan;6(11):119-21. doi: 10.3126/nepjoph.v6i1.10784. No abstract available.

    PubMed 25341838
  • Panday S, Bissell P, van Teijlingen E, Simkhada P. The contribution of female community health volunteers (FCHVs) to maternity care in Nepal: a qualitative study. BMC Health Serv Res. 2017 Sep 4;17(1):623. doi: 10.1186/s12913-017-2567-7.

    PubMed 28870185
  • Khatri RB, Mishra SR, Khanal V. Female Community Health Volunteers in Community-Based Health Programs of Nepal: Future Perspective. Front Public Health. 2017 Jul 21;5:181. doi: 10.3389/fpubh.2017.00181. eCollection 2017.

    PubMed 28785555

Questions about this trial

What is this clinical trial studying?

A study testing Educational Session in people with Female Community Health Volunteers and Eye Disorders, run by Seva Canada Society at 1 site in Nepal.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 30 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Nepal. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Parami Dhakhwa, Masters in Business Studies (9779841509003, pdhakhwa@seva.org), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

International comparative study to see if one day eye health orientation to Female Community Health Volunteers will increase footfall of patients in a Vision Center (time frame: One year). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07443683, which also lists 10 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Apr 2026.

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