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IAPB GA 9 Hyderabad 2012

IAPB GA 9 Hyderabad 2012. USING CSR/CSC AND OTHER METRICS TO SET TARGETS AND GUIDE POLICY Juan Carlos Silva MD MPH PAHO-WHO Office Americas. Data Purposes. Identify a problem Measure its magnitude and key determinants Develop plans or policies Monitor existing programmes & progress

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IAPB GA 9 Hyderabad 2012

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  1. IAPB GA 9 Hyderabad 2012 USING CSR/CSC AND OTHER METRICS TO SET TARGETS AND GUIDE POLICY Juan Carlos Silva MD MPH PAHO-WHO Office Americas

  2. Data Purposes • Identify a problem • Measure its magnitude and key determinants • Develop plans or policies • Monitor existing programmes & progress • Advocacy • Resources mobilization

  3. CSC - Impact Indicator • Identify a problem and its magnitude • Impact of services at the various levels of visual impairment • Policy: Strengthening cataract surgical services • Target: Increase coverage and reduce BL & SVI prevalence

  4. CSC RAABs 1999 -2006

  5. Converting Evidence in Policy • Develop regional strategies • Disseminate data widely • Congresses • Courses • Publications • Coalitions • IAPB • PAHO • PAAO • Approach Policy Makers

  6. Regional Policies After Surveys PAHO/WHO 49 DIRECTING COUNCIL CD 49.R11 2009 • Proposed actions for Member States Cataract • Assess cataract surgical services • Measure prevalence, coverage and barriers • Establish district specific programs and PEC • Develop HR for cataract programs • IEC strategies

  7. CSR - Performance Indicator: • Useful to set targets to increase outputs • Policy: Improve availability, accessibility, affordability & productivity of cataract services to increases outputs • Allows easy comparison between countries: • Policy: Capacity building in countries in more need

  8. PAHO – WHO 49 DIRECTING COUNCIL CD 49.R11 2009 • Indicators • Increase the number of countries that conducted a RAAB from 9 to 14 by the year 2013. 14 countries in 2011+ 2 repeat • Reach a cataract surgical rate (CSR) of 2,000 in the majority of countries by the year 2013. (Target 18) 15 countries in 2011

  9. Countries with CSR > 2000 2009-2011

  10. Countries with CSR < 20002009-2011

  11. National Policies after Surveys

  12. CSC - Priority Setting • Coverage in people by level of Visual Impairment • Priority BL and SVI • Coverage in eyes • total surgical workload for the ophthalmologists • Policy: Focus efforts on bilateral blind or SVI people

  13. CSR & CSC as Inequity Indicators • CSC higher in urban versus rural population • Policy: Develop cataract programs for rural people • CSC – CSR higher in male or female • Policy: Develop gender sensitive programs • CSC lower in poor – uninsured - ethnic groups • Policy: Increases coverage to underserved population

  14. COLLECT & ANALYZE DATACONVERT DATA INTO POLICY Thank you

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