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Coordinating Advocacy In sub-Saharan Africa

Coordinating Advocacy In sub-Saharan Africa. Daniel Etya’ale ICO Council Member ICO World Ophthalmology Roundtable World Ophthalmology Congress, Hong Kong 27 th June 2008. Context & Environment of Eye Care Delivery & Blindness Prevention in Africa .

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Coordinating Advocacy In sub-Saharan Africa

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  1. Coordinating AdvocacyIn sub-Saharan Africa Daniel Etya’ale ICO Council Member ICO World Ophthalmology RoundtableWorld Ophthalmology Congress, Hong Kong 27th June 2008

  2. Context & Environment of Eye Care Delivery & Blindness Prevention in Africa

  3. AFRICA: A DISPROPORTIONNALLY HIGHER NUMBER OF BLIND Pop by Region (% Total Pop) Blind by Region (% Total Blind)

  4. AFRICA: THE HIGHEST CONCENTRATION OF THE POOREST PEOPLE

  5. AFRICA: THE REGION WITH THE HIGHEST “OUT OF POCKET” EXPENDITURE FOR HEALTH

  6. INEQUALITY IN HEALTH SPENDING – BY REGION (WHO, 2000)

  7. EXTERNAL AID AS PERCENTAGE OF TOTAL HEALTH SPENDING (2000)

  8. AFRICA: A REGION WHERE DONOR COMMITMENT FOR HEALTH CARE IS QUITE VOLATILE & UNPREDICTABLE

  9. ??? VISION 2020 ???

  10. Africa Challenges in Coordination & Advocacy

  11. NATIONAL COMMITTEE FOR VISION 2020 ACTIVITIES Ultimate Goal CENTRAL AND REGIONAL COORDINATION Infrastruct. Fully functional Eye Care Units Offering Cat. Surg. + Other Essential Surgeries Minim. FunctionalEquipmt. Eye careTeams O’Gists Opht. Nurse Optometr. L.V. Techn. Comm. Wkr Managers Essential Eye Medic.& Equipmt Nation. List A Procurmt& Distribut. System that Works! MOH Partners NGDOsMissions Foundations UN Prof. Assoc. Training Centr. A goodMonitoringSystem Data Collect. Transmiss. & Feedback Activities Reports A COMPLETE & FULLY FUNCTIONAL EYE CARE SYSTEM (Community, Primary, Secondary & Tertiary) COUNTRY POLITICAL AND FINANCIAL COMMITMENTA Clear and Coherent National Eye Care PolicyA fully developed, V2020 compliant National Plan A non fictitious budget line for Vision 2020 Activities

  12. VISION 2020 Many Partners in AFRICA 46 COUNTRIES IAPB, WHO NGDOs: Al Noor Foundation, Christoffel-Blindenmission (Christian Blind Mission International), Helen Keller Worldwide Organisation pour la Prévention de la Cécité, Operation Eyesight Universal, ORBIS International, Sight Savers International, The Carter Center, The Fred Hollows Foundation Dark & Light, Seva Foundation, International Centre for Eyecare Education , Lions Clubs International Foundation, The International Eye Foundation, Operation Eyesight Universal, International Trachoma Initiative. Foundations & Others: , International Council of Ophthalmology, TheAmerican Academy of Ophthalmology, etc

  13. Africa Challenges in Coordination & Advocacy Three Levels of Operation • Global • Regional/Sub-Regional • Country • OK • Work in Progress • Work in Progress

  14. Achievements so far Addis Ababa, 2006 & Accra, 2007: • Two coordination/consultation/advocacy meetings with all NGDOs Accra, April 2008: • All stakeholders coordination/advocacy meeting: WHO, IAPB, NGDOs, Countries, ICO, Training Institutions, Other sub- regional health organisations involved in Eye care

  15. Achievements so far The Addis Ababa & Accra meetings: Main outcomes: • A consensus on work together among NGDOs • An agreement on building NGDOs coalitions at sub-regional and country to support eye care and blindness prevention • To date, 2 sub-regional coalition groups (West & Southern Africa) are already working well • Joint funding of projects also started

  16. Achievements so far The Accra “All stakeholders meetings”: Main outcomes: • A consensus on ways to accelerate VISION 2020 activities throughout the region, in a more equitable way (support to “neglected countries”) • A proposed new structure for IAPB mandate & Coordination in Africa • The development of the new SS African Strategic and Business Plan

  17. THE PROPOSED COORDINATION STRUCTURE AT COUNTRY LEVEL LOCAL NGDOS+ Mission Eye Care Services PRIVATE SECTOR PROFESSIONAL GROUPS O’gists, OCOs/AMOs, Optometrists, Nurses MINISTRY of HEALTHChairman, Nat’nal Coord,Secretariat INTERNATIONAL NGDOs & OTHER AGENCIES TRAINING INSTITUTIONS DISTRICT PROGRAMS Regional Ophthalmologists District Eye Workers (+NGO/Mission Eye Workers) WHO & OTHER UN AGENCIES SCHOOL EYE HEALTH

  18. The importance of Country Data & Policies Resources for Advocacy E.g., MDG More & More data on HRD, Eye Care Structures & Infrastructure Disease Control Activities are now available Contact WHO/PBD The new V2020 Strategic Document Contact IAPB or WHO www.cehjournal.org ICEH Journal: Advocacy

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