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ORBIS International

ORBIS International. ORBIS International in Haiti Joan McLeod Ismael Cordero Haiti Eye Care Symposium May 18-20, 2012 Port au Prince, Haiti. ORBIS Multi-Platform Yet Integrated Sight-Saving Program Approach.

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ORBIS International

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  1. ORBIS International ORBIS International in Haiti Joan McLeod Ismael Cordero Haiti Eye Care Symposium May 18-20, 2012 Port au Prince, Haiti

  2. ORBIS Multi-Platform Yet Integrated Sight-Saving Program Approach • Operate the world’s only Flying Eye Hospital DC10 plane which has worked in 78 countries • Provide hands-on training -skills & diagnostic to doctors, nurses and other eye care providers • One key focus is pediatric eye care • Offer doctors on-line consultations, e-learning, and medical education via Cyber-Sight-Telemedicine • Partner with leading eye surgeons and hospitals worldwide • Work to eradicate endemic tropical diseases, -Trachoma in Ethiopia program

  3. ORBIS Partnership Globally shows Results for Year 2011 • Enhanced training of over 2,200 doctors & 12,600 nurses & other eye care providers • Performed 2.3 million vision screenings & examinations on adults & children • Provided 3.4 million medical /optical treatments • Performed 76,000 surgeries

  4. ORBIS in Haiti • In 2010, ORBIS participated in a joint agency assessment to determine requirements post earthquake for local ophthalmic community • Surveyed 19 facilities including government, NGOs, private, mixed • Examined infrastructure, equipment, supplies, personnel, level of activity, services performed, number of cataract surgeries, etc. • Results shared in a debriefing meeting of several NGOs and others “International Collaborating Group for the Reconstruction of Eye Care in Haiti”

  5. Significant joint Assessment Findings • At least 30% of ophthalmologists partially or totally lost offices, or their eye care facility was destroyed; none of the eye care facilities had insurance covering earthquake risk • Few ophthalmologists were performing eye surgery since the earthquake • Deteriorated equipment and facilities were further damaged • Immediately after the earthquake the Government ordered state hospitals to provide free services to all patients; • Many health personnel not being paid

  6. ORBIS Project in Haiti: 2010-2011Recovery and Rehabilitation of Eye Care in Post-Earthquake Haiti • Working with the National Blindness Prevention Committee-Haiti (CNPC), ORBIS and CBM, supported an eye care stabilization project to provide services to displaced persons in ‘ tent camps’ • Project ran from Dec 2010 – July 2011 –with a potential to extend • Objectives were to provide: • Eye care services (examination, treatment and surgery) to displaced persons living in tent cities throughout PaP • Minimal financial support for ophthalmologists at risk of leaving Haiti (practices destroyed, government not paying salary, no patient fees) • Capacity building and financial support to CNPC

  7. Project Results reported to Jan-July 2011 • 8,692 persons screened, examined and treated as necessary for eye problems in ‘tent cities’ and at eye clinics in PaP • 3,728 persons got eyeglasses • 103 surgeries performed • Trained one ophthalmologist in MSICS at Aravind Eye Hospital in India • Supported training for 10 Eye care assistants / social workers for screening in “tent cities”

  8. ORBIS External Review with IEF • Project was reviewed in July 2011 by independent consultant from IEF • Recommendations were for : • Screening and patient outreach to continue • Importance of patient counseling (pre and post surgery) • Ensuring patient accompanied and transported to surgical centers to optimize surgery uptake minimize loss of follow-up • Standardizing data management across surgical centers • Including one additional surgery center for surgery referral - ORLO • Improving patient flow practices within the hospital to ensure greater efficiency, and standard protocols for examination and follow-up

  9. 15 Month Project Extension to January 2013 Direct Service Delivery • Direct Service Delivery to 12,000 persons living in ‘tent camps’ in need of screening and basic eye care • Estimated 6,600 persons from ‘tent camps’ and from PaP to receive examination and medical treatment at Eye Clinics • Estimated 480 persons to receive eye surgery • Additional 5 locations identified by CNPC • Outreach to include 2 more sites

  10. 15 Month Project Extension to January 2013 Health Care Institutions and Human Resource Development • Eye Care Clinics/Hospitals will receive increased patients load , thus fees from consultations and surgeries, allowing further stability for employed ophthalmologists , and sustainability of the institution • Will include additional surgical centers • Strengthen CNPC staff : support study tours in Santo Domingo and/or Guatemala, and in data management • Build surgical skills in Manual Small Incision Cataract Surgery (MSICS) • Training for biomedical engineers/technicians thru new initiatives

  11. FY2011 Achievements and FY2012 Targets Planned

  12. ORBIS Eye Care Projects in Haiti Merci

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