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«  Alone , we can do so little . Together we can do so much  » Helen A. Keller (1880 – 1968)

«  Alone , we can do so little . Together we can do so much  » Helen A. Keller (1880 – 1968). EYE HEALTH. Cataract Refractive error : Childsight Diabetic retinopathy Vitamin A deficiency. Nutrition. Vitamine A supplementation Homestead gardening Enhanced Food Production

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«  Alone , we can do so little . Together we can do so much  » Helen A. Keller (1880 – 1968)

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  1. « Alone, wecan do solittle. Togetherwecan do somuch » Helen A. Keller (1880 – 1968)

  2. EYE HEALTH Cataract Refractiveerror : Childsight Diabeticretinopathy VitaminA deficiency

  3. Nutrition Vitamine A supplementation Homesteadgardening Enhanced Food Production MicronutrientEnrichedflour and cooking oil Breastfeeding promotion

  4. NEGLECTED TROPICAL DISEASES Trachoma Schistosomiasis Onchocerciasis Intestinal worms Lymphaticfilariasis

  5. OBJECTIVE In 2001, with support from Total E&P Myanmar and its partners, HKI launches the Eye Health Initiatives Project to help the Ministry of Health’s TC&PBL achieve the goal of Vision 2020: to reduce blindness by 50% by 2020. The focus is: • To improve the cataract surgical rate (CSR) and the quality of cataract surgeries • To improve managerial and technical capacity of eye care providers • To provide free quality cataract surgeries to the poor

  6. MYANMAR PROJECT ACTIVITIES • Support Teaching and General Hospitals • Support TC&PBL Secondary Eye Centers • Provide Medical Training • Conduct Outreach Programs • Support Regular Maintenance • Provide Primary Eye Care Training • Support Quality Assurance • Independent Assessment, Survey, and Research • Treatment of advanced glaucomas (cyclodiode) • Treatment of Retinopathy of Prematurity

  7. Formula for a successfulcataractsurgery program • Identify the needs • Realistic goals • Good relations with the host country MOH and ophthalmologycommunity • Effective technical support and maintenance • Ongoingdependablefunding

  8. You need a good team!

  9. The team approach in 2000 HE Minister of Health Major General Kat Sein Prof U Than Aung (Prof of YEH 2000) Dr. U Tan Aung Kyaw (Director of PBL in 2000) Dr. Aung Kyaw Win (liasonofficer for MOH) Prof DawMyintKhine YEH Prof U Mya Aung NOGH Prof U Ko Ko Tin YEH Prof U Soe Nyunt NOGH Prof U KyawHtin MEENTH Prof U Kan Nyunt YEH Prof U TheinTun MEENTH

  10. Continuing support in 2016 ! Prof Tin Win YEH Prof ChawChawKhine DSMA Prof Yee Yee Aung MEENTH Prof Thuzar Han NOGH Prof May ThetHnin Aye UMMG Prof Khin Aye Soe YEH Prof KhinOhnmarKhine YEH Prof San Myint YEH A Prof Kathi YEH A Prof KhineMyat Su YEH A Prof KhinThandar Su NOGH

  11. RESULTS: Cataract surgeries at supported sites • Outstanding results both quantitative and qualitative • with more than 95% rate of implant insertion in 2015

  12. RESULTS: CATARACT SURGICAL COVERAGE Cataract Surgical Coverage significantly increased from 30.87% in average to 73.06% in average among 3 districts at 2 divisions (Sagaing and Bago)

  13. RESULTS: In 2001, there were 252,000 cases of treatable cataract with an additional 50,000 new cases each year, while only 25,000 surgeries were being performed annually. The cataract surgical rate (CSR) was 644. In 2015, 107,371 cases were operated for a CSR of 2,065 (52 Million population). The increase in annual surgeries can be attributed in large part to HKI activities in the country.

  14. RESULTS: PREVALENCE OF BLINDNESS • Prevalence of Blindness significantly reduced from 6.1% to 2.3% on average among 4 districts at 3 divisions (Sagaing, Mandalay and Bago)

  15. cataract surgery outcomes in myanmar WHO recommendation: obtain more than 80% > 6/18 vision (Outcome improving but still unsatisfactory)

  16. Financial Investment • Since onset of project in 2001: • Total E&P Myanmar and partners have invested about $2.9 Million • Co financing and support, from Ministry of Health, Standard Chartered Bank UK and International Agency for Prevention of Blindness, HKI, Peter Bennett Foundation, Daewoo E&P Myanmar, CIL, Alcon, TFWA Care, United Engineering, Til, Asian Foundation for the Prevention of Blindness, and the British, German and Japanese Embassies in Yangon, has provided about $1.5 Million

  17. SPIRIT OF HELEN KELLER AWARD Pastawardeesinclude: Dr. Alfred Sommer Dr. and Mrs. Norval Christy Dr. G. Venkataswamy Lions International Christophe de Margerie

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