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Vision 2020 : the right to sight
adopted in Ethiopia in 2002
Three essential elements :
strategies for disease control
human resource development
infra structure and appropriate technology development
Stakeholders in ophthalmology-Ethiopia
Ministry of Health Ophthalmological society of Ethiopia University teaching hospital Himalayan cataract project Christian Blind mission Orbis international Carter center, etc
Subspecialty services in Ethiopia only in Addis Ababa and teaching hospitals
Cornea
Eye bank of Ethiopia Retina
FFA, OCT
SB-----PPV, EL Glaucoma
VF----goldman, Humphrey, FDT, pachymetry Pediatrics ophthalmology Oculoplastics
Woldiya hospital Secondary Eye Unit, Northern Ethiopia providing Eye care since Dec. 2009 for Service area of 1.5 million people
Services at Woldiya hospital, SEU
1. Training
Training of nurses on Integrated Eye Care workers/ trichiasis surgery/ in collaboration with Carter center.
65 nurses trained
Health extension workers on trachoma/ Referrals
Networking CBR, Water and education sectors with health services in North Wollo.
2. Collaborating with research team
Costs of blindness and cost effectiveness of cataract surgery in Northern , Ethiopia
HCP, Rand corporation Baseline survey on Costs of Blindness March/April 2012
About 1900 house holds interviewed, of whom 1400 bilateral blind
Woldiya Eye campaign, May/2012 conducted by HCP
1131 cataract surgeries done/6day/ Drs. Geoffrey, Matt, Ruit, Tilahun and Alemu
Learning experience for Woldiya,SEU
Instruments and supplies donated Survey for refusals and Cataract Outreach June 2012
173 people got sight restoring surgeries Impact of cataract surgery to be assessed next year
3. Hospital base service
Patient evaluation and treatment
Refraction, biometry (keratometry and A- scan)
Glaucoma evaluation but no VF
Posterior segment evaluation Regular OR schedules on Tuesday, Thursday
and Friday Minor procedures on Monday and Wednesday.
Woldiya Hospital, SEU, Service Dec. 2009- Sept. 2012
Activity Male Female Total
SICS+PC IOL 1698 1443 3141
Trabeculectomy 112 58 170
Combined glaucoma +cataract surgery
30 23 53
Pterygium excision+autograft
24 35 79
TT surgery 123 302 425
OPD evaluation(New)
6849 4834 11683
Eye problems pose huge economic and social impact for affected individuals and to the society and the nation at large.
The policy makers will benefit from the data that the baseline survey and impact assessment of cataract surgery will generate and hence make data based decision on the allocation of resources.
Thus, implement appropriate, affordable and accessible interventions.