Sustainable eye care in Africa Kate Coleman Consultant eye surgeon Executive chairperson/founder...
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Transcript of Sustainable eye care in Africa Kate Coleman Consultant eye surgeon Executive chairperson/founder...
Sustainable eye care in Africa
Kate Coleman
Consultant eye surgeon
Executive chairperson/founder Right to Sight.
‘Needless’ Blindness
New technology and therapeutics mean more than 90% blindness in Africa can be
PREVENTED or TREATED
14
Why Right To Sight exists...
* Other causes include untreated refraction, alien bodies, trachoma, glaucoma
Dr Godelieve, CHUK, Rwanda
Nkhoma Eye Hospital, Malawi
A blind patient being led by his granddaughter - Gondar, Ethiopia
Dr Fitsum with his patients - Tigray, EthiopiaThis is a crisis . . .we can solve it
90% of blindness in the developing world is preventable – a needless waste
More people are needlessly blind than have HIV (37m globally vs. 32m)
0 10 20 30 40 50
D.R. Congo
Africa
Malaysia
Philippines
Vietnam
India
Singapore
China
Lat. Americ.
Korea
E.U
Opthalmologists per million population
23
The sustainability process
0
1,000
2,000
4,000
8,000
25% 50% 75% 100%
• Increase surgical output, and
• Improve cost recovery
Cataract Surgeries per annum (#)
• Increase surgical output,•Maintain cost recovery
• Maintain surgical output, • Improve cost recovery
Self-sustainability (cost recovery %)
• Start position
16,000
500
250
Nkhoma Mission Eye HospitalRTS Involvement • Needs Assessment - March, 2007• Onsite support-Ideas and Strategies• Vision Building and Strategic Planning-
LAICO Feb 2008• Staff skill development training – LAICO
Feb 2008
RTS Cost • $50,000
RTS Objectives • Increase capacity of surgery to 5,000 and
out-patients to 50,000 per annum • Expand training of key staff to allow
Ophthalmologists to focus on surgery • To introduce cross subsidy programmes
with a view to long term sustainability
28
Mahatma Gandhi Memorial Hospital (MGMH)
Dr. Abdi with the two newly trained
Ophthalmic Nurses at MGMH
Dr. Abdi from Right to Sight supervises as the Registrar from UKZN undertakes her first surgery using the new more cost effective Small Incision Cataract Surgery technique
(SICS), as the newly trained nurse assists (left)
Dr. Abdi performing SICS surgery on a
blind patient at the newly opened
MGMH eye unit
A total of 56 surgeries have been completed at MGMH since the unit opened in Aug 09’