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INCREASING CATARCTSURGICAL RATE

INCREASING CATARCTSURGICAL RATE. PRESENTATION BY DR.OR.OLOWU NATIONAL COORDINATOR NPPB/VISION2020 NIGERIA. Cataract is the leading cause of blindness globally. It constitutes about 50% of the causes of blindness in Nigeria.

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INCREASING CATARCTSURGICAL RATE

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  1. INCREASING CATARCTSURGICAL RATE PRESENTATION BY DR.OR.OLOWU NATIONAL COORDINATOR NPPB/VISION2020 NIGERIA

  2. Cataract is the leading cause of blindness globally. It constitutes about 50% of the causes of blindness in Nigeria. In reducing the burden of Cataract blindness one of the strategy is to increase the cataract surgical rate (CSR). • In Nigeria the CSR is about 400 (2006 data) .The strategic plan is to increase this CSR to at least 2000 per million population which may translate to about 260,000 cataract surgeries per year for the country • Cataract Surgical rate is defined as the no. of cataract operations done per million population per year i.e. No. of cataract operations per year million population

  3. In Nigeria Cataract services is provided by Eye care practitioners within the States • State eye care programmes • Non governmental organizations • NPPB through State eye care committee • NPPB usually involved in states with inadequate resources. • ECCE + PC IOL and Small Incision Cataract Surgeries (SICS) are the procedures being carried out now in eye camps and outreaches. Eye camps are organized during • Blindness Awareness/ prevention Week • World Sight Day • Others at instance of State, LGAs, Community or Development Associations. • In collaboration with professional Associations

  4. Quantitative and qualitative indicators of the success of the programme (existence of situation or data base, with regard to situation or  current data) • The quantitative evidence of the programme is the fact that Cataract surgical rate (CSR) is gradually improving even though it is still far below the expected 2000 per million population.

  5.   The  relationship between  the programme and the needs of the community • The programme was conceptualized to meet up with backlog of cataract cases. This programme is coordinated through the NPPB .The coordination is done in the six geopolitical zones of the country, at the states and Local Government areas. With the integration of Primary eye care into Primary Health Care System, Community volunteers ,Community Health Extension workers would be trained to identify cataract cases for referral to the next level of care.

  6. The accessibility of intervention to those that really need it (geographical, financial accessibility) • Cataract surgical services is provided : • i. Eye Camps where the service is taken to the people • ii. Fixed Base Hospital, and, • iii. Outreach services. • This service is also provided by private, Mission and hospitals.) Patients have access to all these facilities .It has been planned that VISION 2020 centres will be established one per million population.)The financial accessibility varies from one facility to the other. However, to reduce cost, the cataract services are subsidized in some cases or provided free of charge where the total cost is borne by the Government, private individual or an organization.

  7. The degree of integration into the existing health system (national health system or other) • Cataract services is gradually being integrated into Primary Heath Care System. The existing structure of the APOC/NOCP is being used where screening and cataract cases are referred for surgery. Proper record keeping, of all surgeries performed in LGA (whether in base hospital, outreach camps, private or government owned hospitals) should be recorded and collated by the health departments of the local government councils for onward delivery to state MOH on monthly basis (state PBL committees).

  8. Degree of involvement and ownership of the program by beneficiaries • Use of aphakic patients (‘satisfied customers”) for promotionand to motivate or encourage other patients to uptake the services. The Community volunteers are also used to identify cases and refer them .Efforts are being made to integrate Eye care into Primary Health Care. This collaboration is being explored through the National Primary Health Care Development Agency.

  9. Evidence of sustainability • A cost recovery system is being operated in some of the health facilities providing the services and where the service is provided by NGO’s ,some charge a token fee of N2000.00 per eye while the cost of consumables are subsidised.

  10. THANK YOU FOR YOUR ATTENTION

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