universal eye health ha noi – viet nam 27 june 2014
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UNIVERSAL EYE HEALTH Ha Noi – Viet Nam 27 June 2014. Why eye health?. Better eye health improves quality of life, and participation in work and the community Cost-effective interventions exist for cataract and refractive error - PowerPoint PPT PresentationTRANSCRIPT
Why eye health?
• Better eye health improves quality of
life, and participation in work and the
community
• Cost-effective interventions exist for
cataract and refractive error
• Every dollar spent on eye health
generates a four-fold return on
investment
• Most vision loss is avoidable. Four out
of five people who are blind don't
need to be.
• Globally, prevalence of blindness and visual impairment over the past 20 years is declining
• In 2010 there were nearly 100 million fewer people who were blind or with severe or moderate visual impairment than would have been expected
VISION 2020 is making a big difference
The number of blind people in the world
Those with moderate and severe visual impairment
Total
32million
191million
223million
Bourne R, Price H, Stevens G. Global Burden of Visual Impairment and Blindness. Arch Ophthalmol. 2012;130(5):645-647
• Links to poverty: rates of blindness in low income countries are considerably greater than in high income countries
• Women are disproportionately affected
• Cataract and refractive error remain the major causes of vision loss
The data confirmed
Universal Eye Health:A Global Action Plan 2014-2019
• Adopted by all health ministers at the World Health Assembly in May 2013
• Emphasis on:
• Universal access
• National plans
• Evidence
• Funding
• Integration and partnership
Global Action Plan:
Towards Universal Eye
Health
WesternPacific
Regional Action Plan
National initiatives
NGO initiatives
and programs
National Plan for Viet Nam 2014-2019
Provincial plans and initiatives
IAPB and international partners in Viet Nam are willing to support implementation and monitoring
National Plan for Viet Nam 2014-2019
• CSR has increased rapidly• Expanding health insurance • Good numbers of ophthalmologists• Trachoma close to elimination• Strong public health and education system• Committed partners, National PBL Committee• Guidelines for district level eye care, National
Plan drafted• Advanced training curriculum and teaching in
basic ophthalmology• Good infrastructure for eye care
Strengths
Lack of access to quality services for refractive error. Improve legal and policy frameworks to ensure a
greater quantity and quality of refraction services
Clearer policy and registration of spectacle shops
in public settings, including financing
Formalised training for optometrists
Insurance expanded to cover spectacles
Gather more evidence
Vision screening included in student health checks
Refractive error
While the CSR has increased, the cost and quality of surgery remains a problem.
Ensure affordable services are available to all, especially the poor and those close to the poverty line
Options of different services, for example SICS and ECCE /IOL
Increase public awareness of the benefits of cataract Health insurance to cover IOL for traditional method
(SICS) Clearer guidelines for monitoring of surgical
outcomes and standard procedures for follow-up to ensure quality, including CSSS
Cataract
Vulnerable groups – women and children, the poor, elderly and persons with disability, ethnic minorities – have limited access to quality eye health service
Training and awareness of health staff to be sensitive to different patient’s needs
Expand outreach to hard-to-reach and vulnerable groups in poor and remote areas
Adequate incentives for health staff to work in remote areas, including allowances for outreach
Prioritise and focus on primary eye care, cataract and refractive errors in remote areas
Promote the public benefits of eye health services Expand access and improve referral for low vision and
rehabilitation and disability support Guidelines for district level eye care should include
sections to promote inclusion
Inclusion and access
Diabetic Retinopathy
Almost 6 per cent of the adult population of Viet Nam has diabetes, and are at risk of losing their vision.
Improve capacity of health staff to diagnose and treat, particularly at the provincial level
Strengthen collaboration and referral mechanisms between diabetes sector and eye health
Include eye health in guidelines and protocol for managing diabetes
Gather evidence on prevalence and future projections Expand health insurance to ensure access to all
necessary screenings Improve facilities and equipment to manage diabetic
eye disease Increase public awareness to encourage early
intervention
THANK YOU!
For more information please contact IAPB
Damian Facciolo
www.iapbwesternpacific.org