Table 2.

 Characteristics of the hospitals

	KDEC Hospital	KCMC Eye Department
Scope of services	90% of surgery is cataract and trabeculectomy. No general anaesthesia available	Eye department provides full services including paediatric, vitreoretinal, and oculoplastic services
Training	In-house training for KDEC staff (including cataract surgeon)	National tertiary training centre: enrols 3 cataract surgeons each year for 2 year training and 2–3 ophthalmology residents each year for 4 year training
Governance	This is an autonomous eye hospital that sets it own personnel policies and determines staff positions	The eye department exists within a large tertiary multispecialty referral hospital. Personnel policies and staff positions are subject to approval by central hospital