The effect of eye health system strengthening on the productivity of services: a before-and-after evaluation conducted in seven counties in Kenya.

The training of 72 core eye health workers addressed 48% of the total workforce deficit at baseline across counties.

Of 53 purposively selected high-value equipment, 50 (94.0%) were fully operational, 49 (92.0%) were routinely used, and 33 (62.0%) were first acquisitions.

7 out of 8 secondary level facilities reported reduced patient referrals to higher-level facilities.

Five counties showed increased Cataract Surgical Rates (Cataract Surgical Rates).