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The Economics of Eye Care

Spectacles: The Cheapest Fix

How many Indians need glasses but don't have them, research showing reading glasses raise workers' productivity, and why cheap glasses remain underused.

Glasses are a cheap fix, yet many people lack them.

Need

Hundreds of millions of Indians need glasses, especially reading glasses after age 40 (presbyopia).

Productivity research

A 2018 study (PROSPER) in Assam tea gardens found giving reading glasses to tea pickers raised their productivity by about 22%.

Why underused

  • Lack of eye tests.
  • Cost and distance.
  • Stigma and not knowing vision can improve.

Solutions

  • Vision centres in villages.
  • Ready-made reading glasses sold cheaply.
The tea picker

A tea picker gets reading glasses and plucks more leaves per day, earning more.

Thinking glasses are only about comfort

They raise productivity.

Key takeaways
  • Many need glasses but lack them.
  • Reading glasses raised tea pickers' productivity by 22%.
  • Cost, access and stigma limit use.
  • Vision centres help.
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