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HRD in Optometry. Luigi Bilotto Director Global Human Resource Development. What are the needs Strategic approach to address the HR shortages Relate relevant experiences Toward a working model Challenges. Global Avoidable Blindness. 802m VI 123m DVI due to URE
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HRD in Optometry Luigi Bilotto Director Global Human Resource Development
What are the needs • Strategic approach to address the HR shortages • Relate relevant experiences • Toward a working model • Challenges
Global Avoidable Blindness • 802m VI • 123m DVI due to URE • 517m NVI due to presbyopia • 90% in developing context 640 million people are blind or vision impaired simply because they don’t have a pair of glasses
HRD Shortage • Estimated Cost of Correcting URE, Fricke TR et al.
HRD Shortage 1 /10 000 250 000 325 000 75 % 20 % 1 M+ • 170 000 HR existing • 50 000 HR needed • Assumes: • Ratio = 1 / 50 000 • Fulltime commitment • Only dealing with VI
Optometry Programs Developing context ~ 30% 90% of the need
Strategic Approach • Targets good working basis • Effective needs call for a solid foundation • Integrated • Certified • Upscalable • Sustainable • Implement educational systems • Increase capacity of existing institutions
Evidence Basis • Experience in 3 countries Africa • Aim: 4-5 year degree • Multilevel scheme • Needs • Resources • Educational structures • Faculty development
Malawi Diploma (OT) in Lilongwe (2010) Degree (Optom) in Mzuzu (2008)
Malawi 10/year 20/year Target = 300
Malawi 20/year 40/year # Target = 300
Eritrea (Asmara) Diploma (OT) 2009 Degree (Optom) 2012
Eritrea 12/year 20/year Target = 100
Mozambique (Nampula) Degree (Optom) 2009
Mozambique (Nampula) 20/year Target = 400
Mozambique (Nampula) 60/year # Target = 400
Towards Best Practice Model Partnerships Support Empowerment Appraisal
Towards Best Practice Model Partnerships • Institutions • Government • NGO / Funders Support Empowerment Appraisal
Towards Best Practice Model Partnerships • Curriculum • Educational • Faculty • Infrastructure Support Empowerment Appraisal
Towards Best Practice Model Partnerships • Systems • Local HR • Sustainability Support Empowerment Appraisal
Towards Best Practice Model Partnerships • Monitor • Assess • Validate • Cost-effectiveness Support Empowerment Appraisal
Global Optometry Support Initiative • Africa • Mali (2009) • Cameroon (2011) • Kenya (2011) • Uganda (2013) • Tanzania • Ethiopia • Asia • Vietnam (2013) • India • China • ME • Pakistan • Bangladesh • Sri Lanka • Latin America
Indicators suggest that this approach is effective and probably cost-effective How do we facilitate it? escalate it?