The Peek Practice-based evidence framework

Grantholders

  • Prof Andrew Bastawrous

    Peek Vision

  • Dr Nigel Bolster

    Department of Research and Evidence

  • Dr Michael Gichangi

    Department of Curative and Rehabilitative Services

  • Dr Oathokwa Nkomazana

    University of Botswana

  • Prof Matthew Burton

    London School of Hygiene and Tropical Medicine

Project summary

Worldwide, more than 250 million people are blind or have poor vision, with 90% of those being in low- and middle-income countries. Yet 75% of cases are avoidable, largely by using cost-effective, proven treatments. So many people live with poor vision despite there being effective treatments. One reason for this is that health services cannot access the information they need to improve care. Understanding the impact of changes requires resource-intensive clinical trials which can take years. This leads to entrenched inefficiency and poor outcomes simply because it is difficult to determine which improvements work.

We are developing a new way to test improvements to health services based on strategies derived from software development. It will allow services to rapidly test and optimise changes so their impact can be realised in months rather than years.  

If successful, this approach will enable eye health services to adapt and improve far quicker than before, ultimately strengthening them and improving outcomes for patients.