Effectiveness
The IM recorded a higher proportion of children (n=77/121, 63.6%; 95% CI 57.5% to 69.7%) seeking follow-up eye examinations at the nearest vision centre than the VM (n=46/100, 46%; 95% CI 35% to 57%). The main reasons for not going for eye examination among children in both models were lack of financial means and not being aware of the need for a further eye examination (Of the 61 children who received spectacles, more children in the IM (n=22/31, 71%) than the VM (n=4/30, 13.3%) wore their spectacles during the spectacle-compliance monitoring visit. Only one child was wearing them full time in the IM, and none wore them all the time in the VM. The main reasons for the part-time wear of spectacles in both models were that their friends teased them (IM, n=12, 33.3%; VM n=2, 66.7%). Another reason for low compliance in the IM was that the wearers did not think they needed to wear the spectacles all the time (n=11, 30.6%) (Children’s reasons for not going for an eye examination at the eye clinics, their daily spectacle-wearing time and reasons for not wearing their spectacles more frequently