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Sustainable eye care in Africa

Sustainable eye care in Africa. Kate Coleman Consultant eye surgeon Executive chairperson/founder Right to Sight. ‘Needless’ Blindness. New technology and therapeutics mean more than 90% blindness in Africa can be PREVENTED or TREATED. Solutions are available worldwide. Cataract

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Sustainable eye care in Africa

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  1. Sustainable eye care in Africa Kate Coleman Consultant eye surgeon Executive chairperson/founder Right to Sight.

  2. ‘Needless’ Blindness New technology and therapeutics mean more than 90% blindness in Africa can be PREVENTED or TREATED

  3. Solutions are available worldwide

  4. Cataract Glaucoma Glasses Children Eye care?

  5. INSPECTION OF THE AUTO REFRACTOMETER

  6. VISION SCREENING AT RUAL CAMP ; VILLAGE BONAMOUTONGO

  7. EYE TESTING FOR THE INDIGENT POOR AT THE RUAL CAMP

  8. EYE EXAMINATION FOR TEAHCERS

  9. Past interventions....no sustainable providers

  10. Why Right To Sight exists... • 90% of blindness in the developing world is preventable – a needless waste • More people are needlessly blind than have HIV (37m globally vs. 32m) Dr Godelieve, CHUK, Rwanda A blind patient being led by his granddaughter - Gondar, Ethiopia Nkhoma Eye Hospital, Malawi Dr Fitsum with his patients - Tigray, Ethiopia This is a crisis . . .we can solve it * Other causes include untreated refraction, alien bodies, trachoma, glaucoma

  11. Eye CARE SUSTAINABLE AFFORDABLE ACCESSIBLE

  12. First Day – 9 cataract surgeries; ALL regained Good Vision

  13. 2006 • Affordable SOLUTION to most causes of traditional blindness!

  14. Why can these children not have their glasses???

  15. Why is this 46yo healthy man still blind?

  16. November 2009 n Right to Sight works in in 8 African countries and India

  17. 8,000 4,000 2,000 1,000 0 25% 50% 75% 100% The sustainability process • Increase surgical output, •Maintain cost recovery • Increase surgical output, and • Improve cost recovery 16,000 Cataract Surgeries per annum (#) • Maintain surgical output, • Improve cost recovery • Start position 500 250 Self-sustainability (cost recovery %) 23

  18. Surgery every 5 minutes...

  19. Public vs Private • 12 private NOT for Profit • 13 government hospitals

  20. Nkhoma Mission Eye Hospital RTS Involvement • Needs Assessment - March, 2007 • Onsite support-Ideas and Strategies • Vision Building and Strategic Planning-LAICO Feb 2008 • Staff skill development training – LAICO Feb 2008 RTS Cost • $50,000 • RTS Objectives • Increase capacity of surgery to 5,000 and out-patients to 50,000 per annum • Expand training of key staff to allow Ophthalmologists to focus on surgery • To introduce cross subsidy programmes with a view to long term sustainability

  21. OCO trained as a cataract surgeon

  22. Mahatma Gandhi Memorial Hospital (MGMH) A total of 56 surgeries have been completed at MGMH since the unit opened in Aug 09’ Dr. Abdi performing SICS surgery on a blind patient at the newly opened MGMH eye unit Dr. Abdi from Right to Sight supervises as the Registrar from UKZN undertakes her first surgery using the new more cost effective Small Incision Cataract Surgery technique (SICS), as the newly trained nurse assists (left) Dr. Abdi with the two newly trained Ophthalmic Nurses at MGMH 28

  23. First Day – 9 cataract surgeries; ALL regained Good Vision

  24. Glaucoma 30% blindness over 50yr age in Africa NO DROPS!!!!

  25. 80 cataract surgeries in one day

  26. Prevent Needless blindness • Early diagnosis and awareness • Early treatment

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