Prof Kovin Naidoo_Refractive Errorx - International Agency for ...

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10 Νοε 2013 (πριν από 3 χρόνια και 11 μήνες)

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PROGRAMME MANAGEMENT

Successful refractive error programs

Health systems approach to eye health

Case Studies


Nigeria


Seeing is Believing



Uganda


National Intervention for
Uncorrected Refractive Errors (NIURE)



KwaZulu

Natal


Seeing is Believing

NIURE, Uganda


50 OCOs trained in refraction
(3 from armed services)



Services provided in over 40
districts



Sensitisation

conducted in
90% of the districts with trained
OCOs



3 Spectacle technicians
trained



1 optical workshop


Giving Sight in KZN




3


3


2


4


2


2

1

2

3

3

8

33 optometrists

11 Districts

123 clinics

100
000 patients


Seeing is Believing (
SiB
)


FCT Health &
Human Services
Secretariat



Zamfara

State
Ministry of Health


NIGERIA MAP SHOWING PROJECT LOCATIONS

ZAMFARA STATE

FCT
-

ABUJA

Total = 7562
Refractions



6917 Spectacles

Nigeria

Tanzania Vision
Centres

What makes a strong
Refractive Error
Program
1

Refractive
Error
Programs

Advocacy

Coordination

Research

National
Policies

Monitoring
and
evaluation

Equity

Ownership

Excellence

Sustainability

Collaboration

Advocacy

Research


Catalyst for change


Motivation


Identification of gaps



On
-
going process


Baseline information


Determine impact


Continuous improvement


Cost effective


RAAB

RARE

Systematic reviews


Large scale


RESC

Presbyopia


Leadership development


Should be integrated into refractive error
programmes


Local leadership development


Skills needed for


Advocacy


Financial management


Governance


Sustainability


Partnerships


Include various stakeholders ranging from
the community to corporate funders


Diversifying responsibilities


Government and local partners ensures
sustainability of services beyond exit of
civil society partners




Health Systems Policies


Integration with existing policies critical


Get change before starting if necessary


Monitoring and Evaluation


Integration into
Health
Management
Information
System


Internal and External evaluation



Ownershi
p


Not seen as the NGO program


Local health officials take the lead


Human Resource Development


Management and administration training


Vision Centre Toolkit


Primary to Secondary Level cadres



Plan
ahead


Regional Training Institutions


Strategic partnerships to support
sustainability


Governments


Major Development Agencies


Rural agencies


Women's Groups


Professional Associations


Business Development Units


Micro
-
finance Groups

Exit Strategy


Exit or downgrade?


Continuous professional education


Mentoring


Development of other components of the
eye care delivery system


KZNECC



References

1.
World Health Organisation (WHO). 2010.
Action plan for the
prevention of avoidable blindness and visual impairment, 2009
-
2013.
WHO
Library Cataloguing
-
in
-
Publication
Data, Geneva.



Acknowledgements


Pirindha Govender


Anne Ebri


Naomi Nsubuga