Training | FirstSight

First Sight Kit training focuses on a small set of practical modules that non-healthcare professionals can master quickly to screen vision and assemble glasses safely. Training is designed for teachers, volunteers, community workers, and program staff.

Training modules

The purpose of this training module is to ensure that all First Sight collaborators provide consistent, accurate, and high-quality vision screening and eyeglass dispensing in every location where the First Sight system is used.

Quality control ensures that each recipient receives the correct vision correction and that the First Sight system continues to maintain the high standards expected by schools, communities, NGOs, and healthcare partners.

The modules are designed for both healthcare professionals (for them to use within their existing system), but mostly for non-medical personnel using the First Sight system.

Module 1: Kit contents, roles, setup
Module 2: Eye chart setup, Tumbling E, lighting, and distance
Module 3: Near vision screening, Lens Tree process
Module 4: Distance screening workflow
Module 5: Frame selection, lens insertion, fit checks
Module 6: Hygiene, safety, recipient instructions
Module 7: Data collection, paper forms, or free software
Module 8: Quality control and troubleshooting

1. Core Quality Principles

Every First Sight Screening Station should follow five basic principles.

a. Accuracy – The correct lens power must be selected for each recipient.

b. Consistency – Each screening must follow the same simple procedure.

c. Comfort – The eyeglasses must fit comfortably and securely.

d. Clarity – The recipient must confirm that vision is improved.

e. Documentation – Basic screening and dispensing information should be recorded.

2. Pre Screening Quality Checklist

Before beginning any screening session, confirm the following:

Equipment Setup

Ensure the following items are available and organized:

Vision screening chart
Lens Tree device
Frame selection
Lens inventory
Assembly tools
Cleaning clothes
Data recording device or forms

Environment

Choose a screening location that is well-lit, free of distractions, and large enough for proper viewing distance.

Chart Distance

The vision chart must be positioned at the correct distance. If distance cannot be measured precisely, mark the floor or ground to maintain consistent placement during the entire screening session.

3. Screening Accuracy

When conducting vision screening:

Ask the recipient to cover one eye at a time.
Observe carefully:
- hesitation when reading
- squinting
- leaning forward
- guessing letters
These signs may indicate that the current lens correction is not adequate.
Encourage the recipient to take their time. Do not rush the screening process.

4. Lens Selection Quality Check

After selecting the appropriate lens power using the Lens Tree system, ask the recipient:

"Is the vision clearer now?"
"Can you read the line comfortably?"
"Does the image appear sharp and steady?"

If the answer is uncertain, repeat the test with the next lens option. Always confirm the final lens power by rechecking the chart.

5. Eyeglass Assembly Quality Check

Before handing the glasses to the recipient, check the following:

Lens Installation

both lenses are firmly secured
lenses match the selected power
lenses are clean and free of fingerprints

Frame Condition

frames are not bent or damaged
temples open and close properly
screws are secure

Fit

Ask the recipient to wear the glasses.

Confirm that:

glasses sit comfortably on the nose
temples fit behind the ears
glasses remain stable when the person moves

6. Final Vision Confirmation

Before completing the process, perform a final confirmation.

Ask the recipient to read the chart again while wearing the glasses.

Confirm improvement compared to their original vision.
If vision does not improve, repeat the screening process.

7. Common Troubleshooting Situations

Problem 1

The recipient reports that vision is still blurry.
Possible causes:
- incorrect lens power selected
- recipient rushed during screening
- chart distance incorrect
Solution: Repeat the screening carefully and verify lens power.

Problem 2

The recipient says the glasses feel uncomfortable.
Possible causes:
- frame size not suitable
- temples too tight
- nose bridge uncomfortable
Solution: Select an alternative frame that fits better.

Problem 3

Recipients report dizziness when wearing glasses.
Possible causes:
- lens power too strong
- first time wearing glasses
Solution: Try one step lower lens power and reassess.

Problem 4

Recipients cannot read even with the strongest lens available.
Possible causes:
- severe refractive error
- possible eye disease
Solution: Recommend referral to an eye care professional if available.

8. Quality Documentation

Each screening session should record basic data such as:
- number of people screened
- number of glasses dispensed
- lens powers used
- location of the screening program
First Sight partners can use the KoboToolbox reporting system to submit data in real time.
Accurate data helps measure program impact and improve future programs.

9. Maintaining Quality in the Field

To maintain consistent quality:
- follow the same screening procedure each time
- avoid rushing the process
- ensure volunteers receive proper training
- maintain organized equipment and lens inventory
A well-organized screening station improves both accuracy and efficiency.

10. Continuous Improvement

First Sight encourages partners to report:
- operational challenges
- supply issues
- suggestions for improving screening efficiency

These insights help strengthen the program and ensure the highest quality vision services for communities worldwide.

Final Reminder

Every pair of glasses represents a life-changing moment for the recipient.
For a child, it may mean seeing the classroom clearly for the first time.
For an adult, it may mean the ability to work, read, and care for family members with renewed confidence.
Quality and care in every step ensure that First Sight continues to deliver that transformation.