The situation of Eye Care in

Francophone Africa.

Joseph Colin.

ICO symposium Eye Care in Africa.

How can Europe help?

• J.J.De Laey: Introduction.

• Volker Klauss. The situation of Eye Care in Anglophone Africa.

• Joseph Colin. The situation of Eye Care in Francophone Africa.

• Benedictus G.K.Ajayi. Tackling the burden of cataract blindness in Africa.

• Dan Kiage. New strategies for glaucoma management in Africa.

• Daniel Etya'ale.Diabetic retinopathy. Best ways to tackle the African

problem.

• Philippe Kestelyn. How can clinical research in Africa help?

• J.J.De Laey. Conclusion.

The role of French Ophthalmology

in Africa.

• NGO missions

• OPC : Organization for the Prevention of

Blindness

• SFO : grants ; French-African symposium

• Mauritius educational programme

NGO

•Ophtalmos sans frontières :Cameroun ,Mauritanie ,

Maroc

•Africa Luz : Niger , Burkina Faso

O.N.G. AFRICA LUZ

Association Loi 1901

ONG AFRICA-LUZ

05 59 24 06 14

53 rue Gambetta

64500 Saint Jean de Luz

http://africa.luz.free.fr

africaluz@wanadoo.fr

BILAN DES MISSIONS :

9634 CONSULTATIONS

5045 ACTES CHIRURGICAUX :

-3598 CATARACTES

-384 GLAUCOMES

-921 TRICHIASIS

-142 AUTRES INTERVENTIONS

"OPHTALMO SANS FRONTIERES" est une Organisation Non

Gouvernementale créée en 1987. L'objet de l'association est la

lutte contre la cécité et la malvoyance en Afrique francophone.

Nous sommes installés au Cameroun depuis 1987 où

fonctionnent actuellement 7 centres ophtalmologiques. De 1995

à 1998, nous sommes également intervenus à Madagascar.

Actuellement, nous travaillons aussi au Maroc et en Mauritanie.

OSF

OSF centers are located in north rural areas (except

Maroua).

- MAROUA

- LAGDO

- YAGOUA

- KOLOFATA

- KOUSSERI

- MAYO OULO

- MOKOLO

Logistic center in GAROUA,

Main city in North-Cameroon (with an international

airport )

OSF :Surgical training for technicians

• Specific surgical training for technicians previously qualified in ophthalmology

• During one year

• 3 centers : Lagdo, Kolofata et Kousseri.

Organisation Prévention Cécité

The Mauritius-

Bordeaux

Educational

Programme

VISION 2020 – AFRICA

Constraints, Challenges

& Urgent Needs

Management of Noncommunicable Diseases (MNC)

Prevention of Blindness and Deafness (PBD)

Benin 4

Botswana 2

B. Faso 2+

Cap Verde 10+

Cameroon 3+

C. d'Ivoire 3+

Eq. Guinea 4

Gabon 6+

Ghana 2+

Mauritania 3+

Mauritius 2+

Nigeria 2

S. Africa 5

Senegal 2+

Togo 3

Zimbabwe 2

JUST TRAINING MORE

OPHTHALMOLOGISTS IS

NOT ENOUGH

AUDITING OF UNDERPERFORMING SERVICES: URGENT+++

0 200 400 600 800 1000 1200 1400 1600 1800 2000 2200

C. Afr. RepLiberia

RwandaBurundi

Benin

ChadGuinea

Sierra LeoneCongo

D. R. Congo

Equatorial GuineaGabon

SwazilandBurkina Faso

Comoros

Cote d’IvoireNiger

EthiopiaMadagascar

Togo

TanzaniaUganda

NigeriaNigeria

Cameroon

LesothoMali

Zambia Malawi

Zimbabwe

GhanaBotswana

KenyaSenegal

Mauritania

South AfricaNamibia

Eritrea Sudan

Gambia

SeychellesMauritius

AFRICA: CATARACT SURGICAL RATE (N° of cataract surgeries/mil pop)

20%

500

Anglophones

Francophones

Addressing the issue of Low

Productivity (CSR<500) of

existing personnel remains a top

priority throughout the continent

The Mauritius-Bordeaux

Educational Programme

Written exam for Mauritius MD

6 students selected

2 years in Mauritius : Moka Hospital

1 year internship in Bordeaux

1 year internship in Moka

Final exam >Bordeaux Universitary Diploma

Approved by the Mauritius Medical Council

Didactic programme

• Six 2 week missions in Mauritius by professors or associate professors

• C Schweitzer : Cataract , Glaucoma

• MN Delyfer : Medical retina

• J Colin : Refraction , Cornea

• MB Rougier : Uveitis ; neuro-opht

• JF Korobelnik : Surgical Retina

• B Mortemousque : Oculoplastics , pediatrics

Thank you !