Every year, the Indian economy faces productivity losses to the tune of $37 billion, due to eye related problems. Uncorrected refractive errors and presbyopia affect 10.2% (55 million) and 33% (177 million) of the adult population in India respectively. These conditions can be treated with an inexpensive pair of eye- glasses. Yet, only 25% of those who need glasses actually use them. What stops people from buying and wearing eye-glasses?
What can we do to encourage the take-up and regularity of glasses-wear? Does wearing glasses have an effect on workplace outcomes like productivity and attrition?
The Eye Health (EH) study seeks to evaluate the effect of take-up and regular use of glasses by garment factory workers suffering from refractive errors (especially presbyopia) on their individual productivity and attrition, by way of a randomized controlled trial. The instrument design pays careful attention to the barriers to take-up and adherence of eye care practices bringing into perspective our cross cutting treatment model;
To this extent, we have conducted extensive qualitative scoping work spanning 13 factories and 100 workers in Bangalore, Karnataka. We designed activities to elicit interviewees' preferences for glasses, and the individual and social perceptions on which these preferences were based. Through monetary resource mapping, picture association games and by taking rankings of celebrities' images with and without glasses, we could make the interview experience more inclusive and interactive.
Our qualitative research brought forth many key insights, some of which are shared below.
The objective of this study is to find the pricing and encouragement mechanisms for eyeglasses uptake and usage that can unlock labor productivity gains in the Indian garment manufacturing sector. Our qualitative study has shown that uncorrected refractive errors are common among the workforce, and hamper their performance at work and in their personal life through a negative impact on physical and emotional health. Using human centred design thinking, we are processing our qualitative data to create relevant nudges that would help build a positive attitude towards good eye health. Currently, we are developing some ideas around educational videos, motivational posters, inclusive public signs like toilet signs, multilingual eye care charts and factory announcement systems.
You can write to us to know more about the process we are using to design the nudges, the interventions we plan to test and good eye care practices in general. We would love to hear your nudge and intervention ideas and any research relevant to this project.
Image credits: Nayantara Parikh / Shalin Gor
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