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VISION 2020: The Right to Sight – international collaboration to combat avoidable blindness. Presentation to students: MSc in Community Eye Health. The Future?. Projected trends in Global Blindness due to demographic changes to 2020. 45 to 76 million (73% increase) . 2000. 2010.
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VISION 2020: The Right to Sight– international collaboration to combat avoidable blindness Presentation to students: MSc in Community Eye Health
Projected trends in Global Blindness due to demographic changes to 2020 45 to 76 million (73% increase) 2000 2010 2020
VISION 2020 Priorities Cataract RefractiveErrors and Low Vision AMD and otherdiseases Trachoma Vit A Def Oncho’ciasis DiabeticRetinopathy Glaucoma FOCAL DISEASES MORE DIFFICULT TREAT- ABLE ?
Without V2020 100 m people • With V2020 2005 2010 2015 2020
1999 A Global Initiative to Eliminate Avoidable Blindness W.H.O. and I.A.P.B.
VISION 2020International Activities ADVOCACY WHO/ IAPB PLANNING NATIONAL PBL PROGRAMMES DOING VISION 2020 CENTRES + COMMUNITY EYE CARE
IAPB – ORGANISATIONAL STRUCTURE 7 regions: Africa, N.America, S.America, SE Asia, Europe, Eastern Mediterranean, Western Pacific National Bodies
IAPB - MEMBERSHIP • Group A: 15 orgs $35Kpa • Group B: 12 orgs $10Kpa • Group C: 49 orgs $1Kpa • Founding Members: 2 orgs WBU and IFOS • Corporate/Foundation Members: Patrons: 5 B&L, Zeiss, SCB, Merck, Champalimaud Foundation Sponsors: 1 Alcon
IAPB – STRATEGIC PRIORITIES • Advocacy • Resource Mobilisation • Communications • Programme Facilitation
IAPB- ADVOCACY • WHO Medium Term Strategic Plan • Implementation of WHA Resolution • Inclusion in national and WHO country health plans and budgets • Contribution to MDGs
RESOURCE MOBILISATION • Foundations and Trusts • Corporates • OGS • Eye Fund
Optometry Giving Sight IAPB WCO ICEE Optometrists Patients Optical Companies National Committees V2020 Refractive Error Programmes
The Eye Fund Financial Institutions (Deutche Bank) IAPB Sustainable Eye Care Programmes
IAPB - COMMUNICATIONS • World Sight Day • Member communications; newsletters • Website • Publications • Press/Media • Industry and professional meetings
IAPB- PROGRAMME FACILITATION • National Plans • Selected Country Focus • Regional Priorities • Disease focus • Manpower development • Infrastructure development
V2020 Model for District Level Eye Care Team Equipment Supplies (£) PATIENTS
The Gambia Survey 1986 Blind people per million population
The Gambia 1985 1 ophthal-mologist One unit with 7 beds Little community work • Result: • 300 cataract ops per year • limited trachoma / vit. A def control
The Gambia 1995 2 ophthal-mologists + 2 cataract surgeons Three units each with eye beds Health Education Community Health Work • Result: • 1800 cataract ops per year • Active trachoma / vit. A def control
The Gambia Survey 1986 & 1996 Overall 40% decrease in the prevalence of blindness Blind people per million population
The Gambia National Programme 1986-1996 • Changes • TRAINED STAFF • Trained 4 cataract surgeons. • Trained eye nurses & community health workers. • INFRASTRUCTURE • One eye unit became 4 • COMMUNITY • Public awareness through radio. • Increased cataract ops from 200 to 1800 / yr.
GLOBAL BLINDNESS BLIND (millions)
Trends in Causes of Blindness 11 to 4 million