# What is the Zanzibari craftswomen’s experience on eyeglass use, business challenges and solutions? Participatory action research using solicited diaries and listening workshop narratives

**Authors:** Fatma Omar, Bhagyalaxmi Shivalingam Pillai, Omar Juma Othman, Eleanor Holland, Eden Mashayo, Kajal Shah, Ronnie Graham, Christine Graham, Ving Fai Chan

PMC · DOI: 10.1136/bmjopen-2024-090883 · BMJ Open · 2025-06-10

## TL;DR

Zanzibari craftswomen with presbyopia found eyeglasses improved their work and confidence, but business challenges like market access remain.

## Contribution

This study integrates firsthand narratives to highlight the intersectional challenges of vision correction and entrepreneurship among older Zanzibari women.

## Key findings

- Improved vision with eyeglasses increased productivity, quality, and income for craftswomen.
- Business challenges like limited market access and lack of skills hinder income growth.
- Combined vision care and business training are suggested for sustainable success.

## Abstract

To present older presbyopic Zanzibari craftswomen’s firsthand experiences with the eyeglasses, the challenges they face in advancing their businesses and proposed solutions to these challenges.

This participatory action research used solicited diaries, where 10 craftswomen documented their experiences with presbyopia correction for 6 months. The diaries were translated into English for qualitative content analysis. Researchers then held a 2-day listening workshop with 20 craftswomen to discuss the diary findings and gather their perspectives on challenges and solutions. These workshops included group discussions and debates to encourage open communication. Narrative analysis was conducted to identify the key narratives.

Zanzibar, Unguja and Pemba Islands.

Zanzibari craftswomen entrepreneurs with corrected presbyopia, 40 years and older.

Presbyopia near vision eyeglasses for 6 months.

The study found that improved vision with eyeglasses significantly benefits craftswomen in Zanzibar. They experience increased work efficiency, quality and income. Craftswomen also reported greater independence, confidence and participation in daily activities. However, limited market access and competition restrict their income growth. Business skills training in areas like marketing and finance is seen as a solution for sustainable success.

Improved near vision was associated with enhanced productivity, financial confidence and well-being among craftswomen. However, persistent barriers—including limited market access, competition and lack of business skills—highlight that a vision-only approach may not address the intersectional challenges faced by older women entrepreneurs in Zanzibar. These findings suggest that integrated strategies combining vision care with business mentoring may offer more sustainable support.

## Full-text entities

- **Diseases:** Presbyopia (MESH:D011305)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

40 references — full list in the complete paper: https://tomesphere.com/paper/PMC12182027/full.md

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Source: https://tomesphere.com/paper/PMC12182027