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What is VISION 2020?. A Global Initiative to Eliminate Avoidable Blindness. AIM: “To intensify and accelerate present prevention of blindness activities so as to achieve the goal of eliminating avoidable blindness by the year 2020”. VISION 2020: The Right to Sight is about PARTNERSHIP.
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What is VISION 2020? A Global Initiative to Eliminate Avoidable Blindness AIM: “To intensify and accelerate present prevention of blindness activities so as to achieve the goal of eliminating avoidable blindness by the year 2020”
VISION 2020: The Right to Sight is about PARTNERSHIP
IAPB WHO
Global Blindness Projections The number of blind people was increasing by at least 1 million / yr. 76 50 38 28 Increasing populationIncreasing proportion of people aged 50 years +
Blindness Projections:With and Without Global Initiative 100 m people 2000 2010 2020
IAPB WHO VISION 2020 Ministries of Health Professionals Local NGOs Int. NGOs NATIONAL VISION 2020 GROUPS DISTRICT VISION 2020 SERVICE UNITS International Structure of VISION 2020
Global Burden of Blindness andvisual impairment • Update in 2004, based on 2002 population • Based on 55 new surveys 37 Mo Blind 124 Mo Low Vision 161 Mo V. Impaired
Effective disease control Cataract Trachoma Onchocerciasis Childhood Blindness Refractive Error and Low Vision Human resource development Infrastructure development VISION 2020 Components
Other 13 % Other 28 % ARMD 9% Cataract 42 % Cataract 47 % Ch Bl 4% Oncho. 1 % DR 5% CO 5% Glaucoma 14% Oncho. 0.8 % Trachoma 4 % Trachoma 15 % Glaucoma 12% 2002 1995 Global Distribution of Blindness by Cause1995 vs. 2002
Ongoing Challenges Cataract Trachoma Onchocerciasis Childhood blindness New Challenges Refractive Errors Diabetic Retinopathy Glaucoma Low Vision services Prevention of Blindness Challenges Need to develop new public health approaches(operational research) Ultimate goal: high quality, equitable and comprehensive eye care services
LVP INFRASTRUCTURE MODEL COE Delineation of Functions Efficiency & Effectiveness Referral Patterns Sustainability Excellence with Equity TC SC VC COMMUNITY
0-499 500-999 1000-1999 2000-3999 4000+ no data Cataract Surgery Rates WHO 2005
GLAUCOMA & DIABETIC RETINOPATHY • Human Resources • Infrastructure • Systems
GLAUCOMA & DIABETIC RETINOPATHY Long Term Comprehensive Eye Evaluation Residency Training MLOP Training Physician Education Public Education
VISION 2020 ADV. TERTIARY TERTIARY SECONDARY PRIMARY What at the each of these levels ?
Human Resource Development • ICO • AAO • IAPB • WCO • Institutions With local educational institutions and professional societies
Basic Minimum Standards • Care • Education
Research Capacity Building/Strengthening • National • International
Translational Research Laboratory Clinical Care Community
NEI • ARVO • ACADEMIA
Research Credible Information Advocacy
Advocacy • Policy Makers • Public • Professionals
World Health Assembly Resolution • Vote in favour of the adoption of the 117th EB resolution: EB117.R4 • Support adding Prevention of Blindness activities to the Medium Term Strategic Plan 2008 – 2013 of WHO as well as its Biennial Programme Budget 2008 – 2009 • Support inclusion of Prevention of Blindness and Visual Impairment activities within the WHO 11th General Programme of Work
Gullapalli N Rao International Agency for the Prevention of Blindness & L V Prasad Eye Institute Hyderabad