{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T16:01:15Z","timestamp":1785427275310,"version":"3.56.0"},"reference-count":31,"publisher":"AOSIS","issue":"0","license":[{"start":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T00:00:00Z","timestamp":1740096000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0Effective implementation of vision screening standards at driving licensing testing centres (DLTCs) necessitates adequate administrative and resource management.\n\nAim:\u00a0To ascertain the perspectives of site managers and driver\u2019s licence examiners regarding vision screening standards at DLTCs in Gauteng province, South Africa.\n\nSetting:\u00a0The study was conducted in Gauteng province, South Africa.\n\nMethods:\u00a0A qualitative study that utilised interview questionnaires to assess site managers\u2019 and driver\u2019s licence examiners\u2019 perspectives on the vision screening standards at the DLTC sites.\n\nResults:\u00a0A total of 30 participants, comprising 15 site managers and 15 driver\u2019s licence examiners, were interviewed from 15 out of 32 randomly selected functional DLTCs in the Gauteng province. The current vision policy and driving practices have remained unchanged since their inception. The vision screening equipment utilised at DLTCs has transitioned from manually operated to automated systems. Nevertheless, frequent machine breakdowns, primarily attributed to inadequate maintenance plans, were among the most frequently reported barriers to efficient vision screening.\n\nConclusion:\u00a0This study highlights the need to review and update vision-related policies and practices for driver licensing in South Africa. This entails establishing a Medical Advisory Board to ensure appropriate vision screening functions for driving and reliable vision screening technology. Specifically, this will include implementing a vision-related examiner\u2019s training programme with a certificate of competence, an electronic eye-testing interface, proactive equipment maintenance programmes, improved quality control mechanisms and standardisation of the vision screening process across all DLTCs.\n\nContribution:\u00a0This study identified challenges to the effective implementation of vision screening for driving.<\/jats:p>","DOI":"10.4102\/hsag.v30i0.2826","type":"journal-article","created":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T03:59:49Z","timestamp":1740110389000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Stakeholder perspectives on vision screening for drivers in Gauteng: Policy review implications"],"prefix":"10.4102","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8024-7000","authenticated-orcid":false,"given":"Gloria T.","family":"Tamenti","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04qzfn040","id-type":"ROR","asserted-by":"publisher"}],"name":"University of KwaZulu-Natal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6993-7905","authenticated-orcid":false,"given":"Tuwani A.","family":"Rasengane","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/009xwd568","id-type":"ROR","asserted-by":"publisher"}],"name":"University of the Free State"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8199-0891","authenticated-orcid":false,"given":"Khathutshelo P.","family":"Mashige","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04qzfn040","id-type":"ROR","asserted-by":"publisher"}],"name":"University of KwaZulu-Natal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2025,2,21]]},"reference":[{"key":"ref0","unstructured":"Allan, G. & Gillian, M., 2022, Assessing fitness to drive for commercial and private vehicle drivers: Medical standards for licensing and clinical management, Austroads Ltd, Sydney Australia."},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Alvarez-Peregrina, C., Martinez-Perez, C., Villa-Collar, C. & S\u00e1nchez-Tena, M.\u00c1., 2021, \u2018Influence of vision on drivers: A pilot study\u2019, International Journal of Environmental Research & Public Health 18(22), 12116. https:\/\/doi.org\/10.3390\/ijerph182212116","DOI":"10.3390\/ijerph182212116"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Ayukotang, E.N., Moodley, V.R. & Mashige, K.P., 2024, \u2018Keratoconus in the West Region of Cameroon: Stakeholder knowledge and management\u2019, African Vision and Eye Health 83(1), a905. https:\/\/doi.org\/10.4102\/aveh.v83i1.905","DOI":"10.4102\/aveh.v83i1.905"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Bron, A.M., Viswanathan, A.C., Thelen, U., De Natale, R., Ferreras, A., Gundgaard, J. et al., 2010, \u2018International vision requirements for driver licensing and disability pensions: Using a milestone approach in characterization of progressive eye disease\u2019, Clinical Ophthalmology 4, 1361\u20131369. https:\/\/doi.org\/10.2147\/OPTH.S15359","DOI":"10.2147\/OPTH.S15359"},{"key":"ref4","unstructured":"De Laey, J. & Colenbrander, A., 2006, Visual standards: Vision requirements for driving safety with emphasis on individual assessment, International Council of Ophthalmology (ICO), San Paulo."},{"key":"ref5","unstructured":"Dvla, U.K., 2021, Assessing fitness to drive a guide for medical professionals, viewed 25 January 2024, from https:\/\/www.gov.uk\/dvla\/fitnesstodrive."},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Honavar, S.G., 2022, \u2018Should visual function tests be mandatory for a driving license?\u2019, Indian Journal of Ophthalmology 70(6), 1871\u20131874. https:\/\/doi.org\/10.4103\/ijo.IJO_1273_22","DOI":"10.4103\/ijo.IJO_1273_22"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Irving, E.L., Harris, J.D., Machan, C.M., Robinson, B.E., Hrynchak, P.K., Leat, S.J. et al., 2016, \u2018Value of routine eye examinations in asymptomatic patients\u2019, Optometry & Vision Science 93(7), 660\u2013666. https:\/\/doi.org\/10.1097\/OPX.0000000000000863","DOI":"10.1097\/OPX.0000000000000863"},{"key":"ref8","unstructured":"Joyce, J., Lococo, K.H., Gish, K.W., Mastromatto, T., Stutts, J., Thomas, D. et al., 2018, Older driver compliance with license restrictions (No. DOT HS 412 486), National Highway Traffic Safety Administration, Washington, DC."},{"key":"ref9","unstructured":"Joyce, J., Lococo, K. 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