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Purpose: To explore the barriers to the uptake of eye care services in urban and rural communities in Papua New Guinea. Methods: This was a population-based cross-sectional descriptive study and involved multi-stage sampling. Communities were randomly selected from each of the three clusters of Madang District for free eye care outreaches from June to September 2022. A structured questionnaire was used to collect data from the outreach patients. The study excluded attendees who refused to consent. Responses were rated from 1 (not a barrier) to 10 (a very strong barrier). The p-value significance was set at ≤ 0.05. Results: The majority of the 972 participants (60.2%) were from rural communities. The mean age of participants was 40.82 ± 13.14 years. Almost two-thirds of the participants (61.4%) never had an eye examination before this study was conducted. All the participants reported that time constraint, insufficient income, good vision in the fellow eye, not considering their eye conditions as serious issues and cultural beliefs were personal barriers to accessing eye care services. Provider-related challenges included long waiting periods at eye clinics and fear of procedure complications. There were differences in barriers with respect to the participants' demographic clusters. Conclusion: There are major personal- and service-related barriers to eye care services in Madang. These barriers could be overcome through strategic human resource development, health education, school screening programs, and establishing eye care centres in the communities to improve the uptake of eye care services in Madang and more widely across the country. [ABSTRACT FROM AUTHOR]

The science, technology, engineering, and math (STEM) fields have a well-documented racialized and gendered participation gap between males, particularly white males, and women of color (WOC). Through a Critical Race Feminist lens, this qualitative research study uses lifestory narrative analysis to understand the experiences of eleven WOC who participated in an urban STEM-focused out-of-school time (OST) program. Data analysis showed students story their experiences around three overarching themes: (1) Experiencing New Opportunities; (2) Cultivating Supportive Relationships; and (3) Expanding STEM Career Possibilities. Findings indicate that an urban STEM-focused OST program can activate an ecosystem of opportunities and support which can empower WOC to step out of their socialized comfort zones and step up to more advanced academic and career paths. Participant narratives demonstrate how their experiences in a particular urban STEM OST program opened doors and encouraged pathways otherwise historically made inaccessible to WOC in STEM fields. [ABSTRACT FROM AUTHOR]