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BRIEN HOLDEN VISION INSTITUTE. Professor Kovin Naidoo Global Programs Director – Brien Holden Vision Institute ASHOKA FELLOW SCHWAB FELLOW. Source: http :// www.vision2020.org/main.cfm?type=WHATISBLINDNESS. Global Eye Health Challenge Global Visual Impairment (VA < 6/18 ).
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BRIEN HOLDEN VISION INSTITUTE Professor Kovin Naidoo Global Programs Director – Brien Holden Vision Institute ASHOKA FELLOW SCHWAB FELLOW Source: http://www.vision2020.org/main.cfm?type=WHATISBLINDNESS
Global Eye Health ChallengeGlobal Visual Impairment (VA < 6/18) Total: 832 million 640 million people are blind or vision impaired simply because they don’t have a pair of glasses
The Brien Holden Vision Institute: Multifaceted strategy Commercialisation Basic & Applied Research CollaborativeResearch & Product Development Public Health Licensing ATI Developing breakthrough solutions and surgical products Ophthalmic Research Institute Vision and Eye Health Vision Myopia and Presbyopia NGO Uncorrected refractive error Licenced 2 technologiesfrom Vision CRC to ATI ATA ComX ISO Certified Culture Not for profit Commercialization - For profit
Brien Holden Vision Institute • Preventing blindness and vision impairment by supporting the building of sustainable eye care systems worldwide • Optometry development through optometry school support, global access to optometry curricula & practitioner training • Developing breakthrough vision correction and eye health solutions • Developing research opportunities
Commercial Products • Silicone hydrogel lenses (account for 50% of $6.7b soft contact lens market sold annually – over $220m in royalties in the last 10 years) • Soft toric lenses • Myopia control spectacles • Multifocal contact lenses • Practitioner Education Programs: Essilor
Human Development: Public Health
Public Health Division • Founded as International Centre for Eyecare Education (ICEE) in 1998 • 2012 – renamed Brien Holden Vision Institute Foundationaka Brien Holden Vision Institute – Public Health Division • Addressing blindness and impaired vision due to uncorrected refractive error, through: - Human Resource Development - Service Delivery and Infrastructure - Research - Social Enterprise
Blindness Prevention and Eye Health Programs Mongolia Pakistan Haiti Mali Bangladesh Eritrea Gambia India Cambodia Nigeria Ghana Colombia Ethiopia Vietnam Uganda SolomonIslands Sri Lanka Cameroon PNG Kenya Paraguay Tanzania Malawi Public Health Division Locations Darwin Mozambique Samoa Argentina Sydney South Africa Education – 39,258 eye care personnel trained Optometry Development – Training in 57 schools and 1,652 educators Infrastructure – 400+ sites for eye care Service Delivery – 287,222 spectacles dispensed
Responding to the service delivery challengeFLEXIBILITY AND LOCAL RELEVANCE
Service Delivery: different approaches needed Reaching the 7 billion • Private Sector
Service Delivery: different approaches needed Reaching the 7 billion Public Sector
Service Delivery in KZN 3 4 2 3 3 2 3 2 33 optometrists 11 Districts 123 clinics 1000 000 patients 8 1 2
Service Delivery: different approaches needed Reaching the 7 billion • Social • Enterprise
Social Entrepreneurship: Spectacle Technicians Training • Developed a 6-week course, part of a 6 month in-house training • Ideal to economically empower individuals • Creates affordability in local communities
67 CURRENT VISION LINK SCHOOLS Beakseok College Deabul University Deajeon Health College Geunyang University Kyungwoon University Shinheong College Wongwang College SAUDI ARABIA 1 King Saud University KOREA 5 Beijing Tongren Hospital Jingling Institute of Technology North Sichuan Medical College Wenzhou Medical College West China Sichuan University Shenyang Medical College Tianjin Medical University Tianjin Professional College Shanghai Second Medical University VariluxCollege of Optometry Training, Tianjin Zhengzhou Railway Vocation & Technical College Hong Kong Polytechnic University Institute of Vocational Education (IVE) Chung Shan Medical University Jen-The Junior College of Medicine, Nursing & Management; Shu Zen College of Medicine & Management Kaoshuing CHINA 11 TAIWAN 3 HONG KONG 2 ARO Gapopin ARO Leprindo ARO Medan ARO Padang ARO Palembang ARO Semarang ARO Surabaya StikesDHB – Bandung International Islamic University of Malaysia, Kuantan International University College of Technology Twintech UKM, Kuala Lumpur UniversitiTeknologi MARA Cebu Doctors’ College Centro Escolar University South Western University, Cebu Singapore Polytechnic Manchester University Optometry Program Ngee Ann Polytechnic Rangsit University – Optometry Ramkaheng University - Doctor of Optometry Rama University - Ophthalmology SOUTH ASIA 21 THAILAND 3 PHILIPPINES 3 MALAYSIA 4 SINGAPORE 3 INDONESIA 8 INDIA 13 PGIMER, Chandigarh AravindEye Hospital, Madurai BVP School of Optometry, Pune Municipal Eye Hospital, Mumbai Elite School of Optometry, Chennai Lotus College of Optometry, Mumbai SNDT Women’s University, Mumbai LV Prasad Eye Institute, Hyderabad HariJyot College of Optometry, Gujarat Nagar school of Optometry, Ahmedabad Gujarat & Mainpal College of Allied Health Services Nasik College of Optometry and Ophthalmic Sciences All India Institute of Medical Sciences, Delhi Bausch & Lomb School of Optometry, Hyderabad VidyasagarCollege of Optometry Calcutta AUSTRALIA 5 NEW ZEALAND 1 SOUTH AFRICA 4 University of Melbourne University of New South Wales OTEN NSW College of TAFE Queensland University of Technology WA College of TAFE Auckland University Cape and Province University of Technology University of the Free State University of Johannesburg University of KwaZuluNatale
Optometry Resources: Class Notes Student Notes Lecture Presentations
Building the Intellectual Resources for Research • Over 1200 peer-reviewed papers • Supported over 160 PhD and MSc students
OPTOMETRY SCHOOLS • High quality optometry schools decrease dependance on NGOs in the long term Mozambique Mali Eritrea Vietnam Malawi
Global Optometry Support Initiative • Africa • Cameroon (2011) • Kenya (2011) • Uganda (2013) • Tanzania • Ethiopia • Latin America • Guyana • Haiti (2013?) • El Salvador • Nicaragua • Mexico • Asia • Vietnam (2013?) • China • India • Cambodia • Middle East • Pakistan • Bangladesh • Sri Lanka
MEASURING IMPACT • Baseline evaluation • Monitoring and Evaluation department • Monthly reporting of outputs • Research to determine social and economic impact • Impact on poverty: WOP ACCOUNTABILITY
Advocacy2 • Awareness of global burden of blindness $269 billion LOST PRODUCTIVITY 42% of visual impairment is due to Uncorrected Refractive Error Pascolini and Mariotti. Global estimates of visual impairment: 2010; BJO 2012, 96: 614 -618 Smith et al. Potential lost productivity resulting from the global burden of uncorrected refractie error. Bulletin of hte World Health Organisation. 2009; 87: 431-437
Leadership and Staff Development • Out of Africa: exception • Local leaders • Partner or Perish
Raise the Bar • Demand global standards of staff and partners • Zero tolerance for corruption