In the lead up to the March 2026 South Australian State Election, Cassandra Haines (Optometry Australia’s South Australia State Lead) and ophthalmologist Dr Joanna Black are calling on the state government to commit to a universal pre-school vision screening program for all four-year-olds in the state. The program would be delivered through kindergartens and long day-care centres, and would include robust referral and follow-up pathways, connecting families with SA Health services and community optometrists as appropriate.
Ms Haines said that every child deserves the chance to see and learn clearly from the start.
“Universal pre-school vision screening is a simple, evidence-based program that would deliver real outcomes for South Australian children,” she said.
“Too often, vision problems go undetected until they start affecting a child’s learning, development and confidence. By investing in early detection, we can make sure children are not held back by something as treatable as poor vision.
“This is an opportunity for the South Australian Government to lead with policy that builds strong foundations, so every child is ready to thrive at school and in life.”
A universal vision screening program would align with the South Australian Preventive Health Strategy and the First 1000 Days priorities, ensuring equity of access and giving all children the best possible start to life
Why Children’s Vision Matters
Undiagnosed vision conditions can have lifelong impacts on children’s learning, development, and wellbeing. Research by Flinders University (2021–2023) found that 17% of year 3 children failed a vision screening due to an undiagnosed vision condition, most commonly refractive error. Early detection is critical. Conditions like amblyopia can lead to permanent vision loss if not treated in the early years, and significant refractive error negatively impacts school performance and wellbeing.
Correcting children’s vision is also one of the most cost-effective health interventions available. International and interstate evidence demonstrates the effectiveness and affordability of universal screening.
The Current Gap In South Australia
At present, South Australia does not provide universal pre-school vision screening. While vision checks are included in the Child and Family Health Service (CaFHS) health and development check for 4–5-year-olds, only an estimated 40% of children access this service, and follow-up care is inconsistent. This means too many children are starting school without essential vision problems being identified and addressed.
A universal vision screening program would align with the South Australian Preventive Health Strategy and the First 1000 Days priorities, ensuring equity of access and giving all children the best possible start to life. It would also bring South Australia in line with other mainland states and territories, such as New South Wales, Western Australia and Queensland, that already have, or are implementing, universal vision screening.
Attend the Campaign Launch This Evening
Ms Haines and Dr Black will host a launch event tonight to draw attention to their joint proposal for universal vision screening, calling for urgent government investment in universal pre-school vision screening.
When: 6:00pm – 8:00pm (formalities from 6:30 pm)
Where: The Gallery, 30 Waymouth St, Adelaide 5000.
Drinks and canapés provided.
Register here.
Ms Haines and Dr Black will host a launch event tonight to draw attention to their joint proposal for universal vision screening, calling for urgent government investment in universal pre-school vision screening.
This event will spotlight the power of local, cross-sector collaboration, share lived experience from those impacted by early detection and demonstrate the opportunity for the South Australian Government to partner with the eye care sector to deliver evidence-based, child-focused vision screening for South Australian kids.
Together, Ms Haines and Dr Black will continue to meet with political leaders and stakeholders in the lead-up to the election, fighting for a commitment to universal pre-school vision screening, and a healthier, clearer future for every child.
