Cataract surgery targeting low-income or rural populations was formerly performed in makeshift operating rooms with outdated technology. A 2007 study published in the an JourIndinal of Ophthalmology analyzed barriers that prevent people from seeking eye care in rural Andhra Pradesh, India. Where people had awareness of eyesight issues over the past five years but did not seek treatment, 52% of the respondents had personal reasons (some due to own beliefs about the minimal extent of issues with their vision), 37% economic hardship, and 21% social factors (such as other familial commitments or lacking an accompaniment to the healthcare facility).
Continued government funding for the programme was accompanied by regulations to require surgery to be done in hospitals and not in makeshift camps. The number of ophthalmologists trained has increased each year and the scope of the program has expanded beyond cataracts to other areas of eye care
Around half the eye care in India in 2018 is provided by non-government organisations. The equipment has reduced in price and more clinicians have been trained.
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