DOCSLIB.ORG

National Eye Health Strategic Plan Zambia

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
National Eye Health Strategic Plan Zambia MINISTRY OF HEALTH NATIONAL EYE HEALTH STRATEGIC PLAN ZAMBIA (YEAR 2017-2021) Developed and Compiled and adopted by National Prevention of Blindness Committee (NPBC) Technical Committee January 2017 THEME FOR THE NEHSP 2017 TO 2021 ”Universal Eye Health Coverage as we Enhance Primary Eye Health Care, Research and Technology in attaining the Vision 2020’’ i TABLE OF CONTENTS TABLE OF CONTENTS ............................................................................................................. ii ABBREVIATIONS AND ACRONYMS .................................................................................... iv ACKNOWLEDGEMENTS ....................................................................................................... vii STATEMENT BY THE HONOURABLE MINISTER OF HEALTH ................................... ix EXECUTIVE SUMMARY ......................................................................................................... xi 1.0. INTRODUCTION.............................................................................................................. 1 2.0. NATIONAL HEALTH STRATEGIC PLAN ................................................................. 5 3.0. NATIONAL EYE HEALTH STRATEGIC PLAN ........................................................ 6 3.1 Vision .................................................................................................................................... 6 3.2 Aim ....................................................................................................................................... 6 3.3 Values ................................................................................................................................... 6 3.4 General Objectives ................................................................................................................ 6 4.0 EFFECTIVE EYE HEALTH SYSTEM ............................................................................... 7 4.1 Eye Health Promotion and Primary Eye Health Care ........................................................... 7 4.2 Eye Health Service Delivery ................................................................................................. 7 4.2.1 Cataract .......................................................................................................................... 8 4.2.2 Trachoma ....................................................................................................................... 9 4.2.3 Refractive Errors .......................................................................................................... 10 4.2.4 Low Vision................................................................................................................... 10 4.2.5 Glaucoma ................................................................................................................... 111 4.2.6 Childhood blindness................................................................................................... 111 4.2.7 Retinoblastoma ............................................................................................................ 12 4.2.8 Diabetic retinopathy ..................................................................................................... 12 4.2.9 Corneal diseases ........................................................................................................... 13 4.3 Human Resources for Eye Health ....................................................................................... 14 4.3.1 Eye health worker training ........................................................................................... 14 4.3.2 Continuous Medical Education (CME) ....................................................................... 18 4.4 UTHs’ EYE HOSPITAL STRUCTURE ............................................................................ 20 4.4.1 ORGANOGRAM OF THE SENIOR MANAGEMENT UTHs’ EYE HOSPITAL ... 20 4.4.2 ORGANOGRAM OF CLINICAL CARE UTHs’ EYE HOSPITAL .......................... 21 4.4.3 ORGANOGRAM OF ADMINISTRATION UTHs’ EYE HOSPITAL ...................... 22 4.5 Infrastructure, Equipment and Medical and Surgical Consumables ................................... 23 4.5.1 Infrastructure Development ......................................................................................... 23 4.5.2 Equipment .................................................................................................................... 23 4.5.3 Supplies for optical services ........................................................................................ 24 4.5.4 Medicines and surgical consumables ........................................................................... 24 4.6 Health Management Information Systems (HMIS) ............................................................ 25 4.7 Leadership and Governance ................................................................................................ 26 4.7.1 National Prevention of Blindness Committee (NPBC) ............................................... 26 4.8 Finances and Resource Mobilisation .................................................................................. 27 5.0 INTEGRATION WITH THE WIDER HEALTH SYSTEM ........................................... 29 5.1 The role of non-eye health workers in eye health ............................................................... 29 5.2 Referral system ................................................................................................................... 29 ii 5.3 Integration in schools .......................................................................................................... 30 6.0 EQUITY AND UNIVERSALITY OF ACCESS TO EYE HEALTH SERVICES ......... 31 6.1 Equity of access .................................................................................................................. 31 6.2 Information, education and communication (IEC) material development ......................... 31 7.0 STRONG AND EFFECTIVE PARTNERSHIPS .............................................................. 32 8.0 RESEARCH .......................................................................................................................... 35 9.0 MONITORING AND EVALUATION ............................................................................... 36 9.1 Measurement ....................................................................................................................... 36 10.0 SWOT ANALYSIS ............................................................................................................. 43 11. 0 REFERENCES ................................................................................................................... 48 12.0 APPENDICES ..................................................................................................................... 49 12.1 APPENDIX 1: Tools for Monitoring and Evaluation....................................................... 49 12.2 APPENDIX 2: List of equipment and surgical instruments recommended according to the level of facility .......................................................................................................................... 58 12.3 APPENDIX 3: List and amounts of essential eye medicines according to level of facility ................................................................................................................................................... 66 12.4 APPENDIX 4: Terms of Reference of the NPBC ............................................................ 76 12.5 APPENDIX 5: Dispute Settlement ................................................................................... 78 12.6 APPENDIX 6: Detailed Budget for the NEHSP 2017 to 2021 ........................................ 79 iii ABBREVIATIONS AND ACRONYMS ADR Alternative Dispute Resolution AIDS Acquired Immune Deficiency Syndrome CHAZ Churches Health Association of Zambia CME Continuous Medical Education CMV Cytomegalovirus CMVR Cytomegalovirus Retinitis CSR Cataract Surgical Rate DCR Dacryocystorhinostomy DCCDS Director Clinical Care and Diagnostic Services DM Diabetes Mellitus DR Diabetic Retinopathy FAMS Financial Administration Management System GG Geneva Global GET 2020 Global Initiative to Eliminate Trachoma GRZ Government of the Republic of Zambia HAART Highly Activated Antiretroviral Therapy HIV/AIDS Human Immune Virus/Acquired Immune Deficiency Syndrome HMIS Health Management Information Systems HSRP Health Sector Reform Process HTEP Harmful Tradition Eye Practices HZO Herpes Zoster Ophthalmicus IAPB International Agency Prevention of Blindness IEC Information Education Communication IEW Integrated Eye Worker IOL Intra-Ocular Lens IOP Intra-Ocular Pressure ITI International Trachoma Initiative IVV International Vision Volunteers KCH Kitwe Central Hospital LAN Lions Aid Norway iv LAT Leadership, Accountability and Transparency LCD Liquid Crystal Display LEH Lusaka Eye Hospital LV Low Vision LVD Low Vision Device MDA Mass Drug Administration MoH Ministry of Health MoU Memorandum of Understanding HTEP Harmful Traditional Eye Practice NECC National Eye Care Coordinator NEHSP National Eye Health Strategic Plan NGO Non-Governmental Organization NHSP National Health Strategic Plan NPBC National Prevention of Blindness Committee NTD Neglected Tropical Disease NTH Ndola Teaching Hospital NTTF National Trachoma Task Force OCO Ophthalmic Clinical Officer OCT Optical Coherence Tomogram OEU Operation Eyesight Universal ON
Load more

Recommended publications
  • Vision Guardians Becoming a Trustee of Vision Aid Overseas Can Open up New Opportunities for Skill-Sharing Abroad and Changing People’S Lives in the Developing World
    Voluntary work overseas Vision guardians Becoming a trustee of Vision Aid Overseas can open up new opportunities for skill-sharing abroad and changing people’s lives in the developing world. Optician talks to David Parkins about how his skills have made a difference ell us a bit more about Vision Aid a big job on its hands; it is estimated wearer myself and never once have I TOverseas (VAO) that 670 million people (10 per cent thought of myself as having a disability. VAO is an inspirational organisation of the world’s population) are disabled In Sierra Leone, children did not that aims to transform access to eye care simply because they do not have progress at school and parents were to people in developing countries. It glasses. But VAO is contributing to the prevented from working because they consists of a (relatively) small number international effort to make a difference didn’t have glasses. I am constantly of people making a huge difference and to people’s lives and is determined to do amazed at the difference we can make UK optical professionals using their a lot more. as a profession in these countries. skills to change lives in our partner countries Burkina Faso, Ethiopia, ho volunteers with VAO? hat is VAO looking for in a trustee? Ghana, India, Malawi, Sierra Leone, WThe organisation has an WFirstly, you will be an ambassador Uganda and Zambia. The charity has extraordinarily diverse membership for the charity and will need to and support network. We work with communicate the work of VAO to students, newly qualified dispensing a large audience of people, so being opticians, optometrists, optical passionate about our work is crucial.
    [Show full text]
  • Voluntary Contributions
    Beyond the consulting room Voluntary contributions ptical professionals are in an enviable position In the final part of our Beyond the consulting room series, when it comes to Mike Hale looks at the wide range of volunteering opportunities volunteering because they can offer skills and open to eye care professionals, at both home and abroad knowledge that can Omake a huge difference to people. In terms of helping people, improving, restoring or preserving vision must rank at the very top. When optical professionals travel to far flung countries to aid hundreds of people, play a part at international events like the Olympics or further their local community, the question really is, why wouldn’t you volunteer? One of the best known and most popular ways to volunteer is to do so through Vision Aid Overseas. The charity offers optometrists, dispensing opticians, optical technicians, optical assistants and ophthalmologists the opportunity to take part in short-term placements lasting two weeks. The placements involve joining a team of professionals working on a specific project suitable to the volunteer’s experience in one of the partner People travel from many miles away to attend the Slumdoctor project in Northen India countries, which are Burkina Faso, Ethiopia, Ghana, Malawi, Sierra Leone opportunities. The next Volunteer cameras,’ says Paul. ‘The eye tests are and Uganda. Development Programme where done by optometrists at the usual pace ‘For over 27 years, Vision Aid new members will be able to learn and dispensing opticians take care of Overseas has utilised the skills of about going on projects will be held dispensing new glasses.’ optometry professionals in the UK – in the spring of 2013.
    [Show full text]
  • Safari Njema! Chief Medical Editor’S Page
    SAFARI NJEMA! PAGE CHIEF MEDICAL EDITOR’S We are now well into the 21st century. Many Cameroon, China, Ethiopia, Ghana, India, Latin America, the of us thought that, by this time, world blind- Caribbean, Nepal, South Africa, and Vietnam. ness would have been adequately addressed. Despite these outreach efforts, there are few ophthalmolo- Although world blindness has decreased gists practicing full-time in developing countries. The ratio since the 1990s despite an aging world popu- across 23 of these is a staggering one ophthalmologist to every lation, the reality is that 285 million people 1 to 2 million people. On the other hand, of the more than around the world are still visually impaired, 200,000 ophthalmologists worldwide, half practice in only six 39 million of whom are blind.1 countries: China, United States, Russia, Japan, Brazil, and India.3 Great work has been done in reducing infectious diseases, To be more effective in treating world blindness, efficient care specifically onchocerciasis and trachoma, and governmental delivery programs are required. initiatives mostly in association with nongovernmental orga- Luckily, excellent work is under way, with projects for nizations (NGOs), charities, and private groups have reduced instance promoting rapid manual small-incision cataract world blindness by improving awareness, education, screening, surgery and information exchange to improve mechanisms and access to necessary treatments. However, refractive error for delivery by visionaries such as Sanduk Ruit, MD, and continues to account for a staggering 43% of the world’s visual Geoffrey Tabin, MD, both of the Himalayan Cataract Project impairment, cataract 33%, and glaucoma 2%.1 Further, approxi- (www.cureblindness.org).
    [Show full text]
  • Association of Inner Wheel Clubs No 19 DISTRICT Roundabout 19 Spring Newsletter March 2020   “Together We Can!”
    Association of Inner Wheel Clubs No 19 DISTRICT Roundabout 19 Spring Newsletter March 2020 “Together we can!” Dear Friends, with all clubs world-wide, and It is hard to believe we are halfway then consider all the “Lives that through the Inner Wheel Year, how have been touched”, you can start time flies when we are having fun! to appreciate what a fabulous As I write this, on a grey misty organisation Inner Wheel is. day, there are signs Spring is just around the corner with Daffodils, Now is the time for our clubs to Snowdrops and Crocus coming into look to the future and to elect bloom – nature working at its best Officers for the coming year and no matter what the elements throw beyond; PLEASE do not be afraid at us. to come forward and take part in the running of your club and As I have travelled around the remember that “Together We Can”! District visiting our clubs, I have I would encourage members to witnessed such warmth, friendship share jobs, also to look at how and fellowship together with great you can minimise red tape and enthusiasm for working together work together to adapt in order friendship. I feel very privileged to to help those less fortunate than to meet the needs of YOUR CLUB. serve as your District Chairman and ourselves. Locally, Nationally and The past cannot be changed, but I look forward to welcoming you Internationally, the number of the future is in OUR hands; only to our District Rally on the 23rd Charities being supported, and WE can change our Inner Wheel, so March, followed by Association projects undertaken is amazing – let us all work together to Keep the Conference in Belfast in April.
    [Show full text]
  • Bond Report and Financial Statements 2015–2016
    Company number: 3395681 Charity Number: 1068839 British Overseas NGOs for Development (BOND) Report and financial statements For the year ended 31 March 2016 British Overseas NGOs for Development (BOND) Contents For the year ended 31st March 2016 Reference and administrative information ...................................................................................... 1 Trustees’ annual report .................................................................................................................. 3 Independent auditor's report ........................................................................................................ 23 Statement of financial activities (incorporating an income and expenditure account) ................... 25 Balance sheet ............................................................................................................................... 26 Notes to the financial statements ................................................................................................. 28 British Overseas NGOs for Development (BOND) Reference and administrative information For the year ended 31st March 2016 Company number 3395681 Charity number 1068839 Registered office and operational address Society Building 8 All Saints Street London N1 9RL British Overseas NGOs for development (BOND) Trustees Trustees, who are also directors under company law, who served during the year and up to the date of this report were as follows: Timothy Wainwright Chair Gibril Faal Vice Chair Caroline Nursey Vice Chair
    [Show full text]
  • Situation Analysis of Optometry in Africa
    The African Council of Optometry, the Brien Holden Vision Institute, The International Agency for the Prevention of Blindness and Vision Aid Overseas SITUATION ANALYSIS OF OPTOMETRY IN AFRICA Promoting Sight | Preventing Blindness | Enhancing Life Situation Analysis of Optometry in Africa CONTENTS 1. BACKGROUND ................................................................................................................................1 2. WHAT IS UNCORRECTED REFRACTIVE ERROR? ..........................................................................2 3. THE BURDEN OF DISEASE ............................................................................................................3 4. WHAT IS AN OPTOMETRIST: CORE COMPETENCIES ...................................................................7 5. THE NUMBER AND DISTRIBUTION OF OPTOMETRISTS IN AFRICA .............................................8 6. WHERE ARE OPTOMETRISTS TRAINED IN AFRICA? .....................................................................9 7. AFCO AND NATIONAL PROFESSIONAL SOCIETIES ...................................................................13 8. REGULATION AND ACCREDITATION ............................................................................................14 9. SUPPORT FOR OPTOMETRY IN AFRICA ...................................................................................... 17 10. SERVICE DELIVERY APPROACHES ............................................................................................. 17 11. TECHNOLOGY AND SOCIAL MEDIA ............................................................................................19
    [Show full text]
  • Situation Analysis of Eye Health Care in Zambia
    Situation analysis of eye health care in Zambia Fiammetta Bozzani and Ulla Kou Griffiths London School of Hygiene and Tropical Medicine 5th December 2011 Table of Contents List of figures and tables ......................................................................................................................... 3 List of abbreviations ................................................................................................................................ 4 Acknowledgements ................................................................................................................................. 5 Executive summary ................................................................................................................................. 6 1 Introduction .................................................................................................................................... 7 1.1 Background ............................................................................................................................. 7 1.2 Rationale for the study ........................................................................................................... 7 1.3 Aims of the study .................................................................................................................... 7 1.4 Structure of the report ............................................................................................................ 8 2 Overview of the Zambian health care system ...............................................................................
    [Show full text]
  • Vision Aid Overseas' Strategic Principles
    ANNUAL REPORT Year ended 31 March 2018 1 CONTENTS Message from the Chair & CEO- 3 About Vision Aid Overseas – Vision, Mission, Objects-4 Strategic Principles- 5 Summary -The year in numbers- 6 Progress towards our strategic goals 2016-2021 - 7 Legal and Administrative Information- 19 Trustees’ Report- 19 Independent Auditors’ Report- 25 Statement of Financial Activities- 28 Balance Sheet- 28 Cash flow Statement-29 Notes to the Financial Statements- 30 Honorary Life Members, Vice Presidents, Institutions-36 Trusts and Foundations and Corporate Partners-38 3 Name: Nurhusei Occupation: Clothes Merchant Country: Ethiopia Before Nurhusei was seen by Vision Aid Overseas, he had never had an eye test before or worn glasses. He had been struggling to see clearly especially when using his sewing machines and taking measurements. Thanks to supporters like you, at a cost of £5 Nurhusei received an eye test and a pair of glasses which meant he could once again see clearly to work and earn a living to support his family. 5 new countries by 2021; enhancing our almost £60k as a shares donation, over contribution to Our Children’s Vision £50k from the Specsavers team taking by increasing school eye health and part in the Great Ethiopian Run in A welcome from the Chair school screening in Zambia, Sierra November and legacies totalling £236k Leone and Ethiopia and increasing during the period. We are very grateful and Chief Executive Officer our role in advocacy; further piloting to all of our supporters, corporate and the Social Enterprise model of Vision individual. Centres to ensure affordable eye care is provided; strengthening our monitoring This is David’s final year of reporting to and evaluation; and establishing new you as Chair of Vision Aid Overseas, after 6 partnerships to achieve greater impact; years in the role.
    [Show full text]
  • The History and Current Status of Optometric
    ARTICLES SAMPSON LISTOWELL ABU, OD THE HISTORY AND CURRENT STATUS OF OPTOMETRIC EDUCATION IN AFRICA Sampson Listowell Abu, OD Department of Ophthalmology and Visual Sciences University of Alabama at Birmingham Birmingham, Alabama 35233 [email protected] 10.14434/hindsight.v51i4.31557 ABSTRACT Over the past decade, 16 new optometry programs have been established across Africa and there are efforts to set up additional training institutions in the future. Also, existing optometry programs are undergoing modifications to offer an international standard of optometric education and training. This paper focuses on the history and further assesses the current status of optometric education on the continent of Africa. Additionally, optometric education in Africa is compared to North American training programs. Challenges facing optometric programs in Africa are highlighted with recommendations to address them. KEYWORDS As new schools emerge on the continent, it is imperative International optometry, optometric education, optometry to keep an updated historic account of the development school curricula, optometry degrees, optometry history. of optometric education in Africa. A record of the history juxtaposed to the current status of optometry education will give cause for reflection on the strides that have been made INTRODUCTION in expanding optometric education in Africa. Highlighting It is believed that the noble beginnings of optometry the obstacles that confronted the establishment of are tied closely to the invention of spectacles in the early existing programs offers guidance to emerging optometry 1300s.1, 2 Optometry has evolved from the art of making institutions. Furthermore, such an account can serve as a eyeglasses into a sophisticated health care profession.
    [Show full text]
  • Planning for Comprehensive Child Eye Health Care in Sub-Saharan Africa
    Planning for Comprehensive Child Eye Health Care in sub-Saharan Africa © Clare Louise Thomas, Image Incubator Summary Report of the Meeting Hosted by ORBIS Europe, Middle East and Africa 4 – 5 May 2011 Contents EXECUTIVE SUMMARY .......................................................................................... 3 THE IMPORTANCE OF CHILD EYE HEALTH IN SUB -SAHARAN AFRICA .............................. 3 FINDINGS ................................................................................................................... 3 NEXT STEPS ............................................................................................................... 4 1. INTRODUCTION ................................................................................................... 6 2. A SITUATIONAL ANALYSIS OF CHILD EYE CARE SERVICES ........................ 7 2.1 SUMMARY COMMENTS FROM GROUP WORK ............................................................ 8 ONE CEHTF PER 10 MILLION PEOPLE .......................................................................... 8 GEOGRAPHICAL SPREAD AND POPULATION ................................................................... 9 DOMINANT LANGUAGE OF TRAINING ............................................................................ 10 CURRENT HUMAN RESOURCES FOR CHILD EYE CARE ................................................... 10 MODELS FOR A COMPREHENSIVE CHILD EYE CARE SERVICE ......................................... 11 EXISTING TRAINING REQUIREMENTS AND OPPORTUNITIES ...........................................
    [Show full text]
  • Introducing the New Phase 5 Projects Country Partner Type 1 Sierra
    Introducing the new Phase 5 Projects Country Partner Type 1 Sierra Leone Sightsavers Philippines CBM Botswana (1/2) Addenbrokes Abroad South Africa (1/2) Brian Holden Vision Institute Indonesia Helen Keller International Vietnam Fred Hollows Foundation Zambia ORBIS Pakistan Sightsavers India Sightsavers Ghana Operation Eyesight Universal Type 2 China ORBIS East Africa CBM East Africa Brian Holden Vision Institute Below some of the projects discuss the approaches they are using in their own words. Type 1 Projects Fred Hollows Foundation Vietnam Our programmatic approach to sustainable eye care is one that is comprehensive and touches all levels of the eye care network, from provincial to grassroots. Our community eye care model addresses all aspects of eye health human resources, diseases control and facility development as well as advocacy and partnership to ensure that the impact of the project not only benefits the professional eye care system but reaches whole communities. In addition to this we ensure that support is provided to the people who cannot access eye care services via outreach campaigns that bring eye care to them. Applying this eye care model is one that ensures that sustainable services are available to treat and prevent avoidable blindness in the community. To do this, the project develops networks for eye health care delivery and blindness prevention at the grass roots using a bottom-up approach, from village level to provincial level. In our new project provinces, Dak Nong and Lam Dong, we are establishing new partnerships and in Vinh Long and Tien Giang we are strengthening our existing networks. Taking full advantage of existing commune and village health workers who are closest to the project target groups has proven successful in Vinh Long and Tien Giang, and is a pivotal part of establishing a sustainable community eye care program.
    [Show full text]
  • Report 2013 - 2014
    Specsavers La Villiaze St Andrew’s Guernsey Channel Islands GY6 8YP Tel +44 (0)207 2020 241 specsavers.com CORPORATE RESPONSIBILITY REPORT 2013 - 2014 Printed on recycled paper Introduction I am delighted to introduce Specsavers’ third corporate responsibility report, which describes the progress that has been made over the past year in terms of supporting our local communities, trading ethically and protecting our environment. It also sets out our plans for the year ahead. Corporate responsibility continues to be an integral part of our values as the Specsavers Partnership, just as it has been for the past 30 years since Specsavers was founded with the vision of providing best value eyecare to everyone. I hope you find the report useful and interesting and welcome your feedback. Please email [email protected]. Paul Fussey Chief Financial Officer Chair of the Specsavers Corporate Responsibility Steering Group Contents Supporting Our position our local Our progress communities 4 Our plans Our position Trading Our progress ethically 16 Our plans Protecting Our position our Our progress environment 22 Our plans Supporting our local communities Our position At the Specsavers Partnership, we believe in In addition, we generate and collect citizenship. We are passionate about giving back a number of other taxes such as employee to and working with our local communities, and sales taxes. In 2013-14, the total amount wherever we operate in the world, as a supporter contributed to tax authorities around the world of local and national causes. We are also committed as a consequence of Specsavers’ commercial to supporting eyecare and hearing care projects activities exceeded £430m.
    [Show full text]