Transcript Document

Hearing and Vision
Integration at the Primary level
July 2014
Peter Ackland, CEO.
IAPB
<10% of people who need
eye care utilize eye screening camps
Vision Centres
Services Offered
Infrastructure
• Preliminary
Examination
• Refraction Cubicle
• Refraction
Staffing
• Urine/Blood Test
• Computer, Web cam
• Blood Pressure
• Satellite Connectivity
with Base Hospital
1 Coordinator
• Consultation with
Ophthalmologist
through Video –
Telemedicine
1 Eye Health Field
Worker
• Eye health education
through Counseling
1 Technician
• Slit Lamp
• Glasses & Medicines
dispensing services
• Optical dispensing unit
• Autoclave
• Generator
Primary Ear and Hearing Care pilot project
Dr Shroff’s Charity Eye Hospital, Sound Hearing 2030 & CBM
Two Vision Centres in Mustafabad (Delhi) and Rajgarh (Rajasthan)
• Vision Centre Technicians – 3 months training in ear and hearing
(WHO intermediate module for PEHC workers)
• Provision of essential equipment (Otoscope, Bull’s lamp, Head
Mirror, Tuning fork, syringe cannula, kidney tray and boiler)
• Community sensitisation – ear health awareness materials +
combined ear and eye screening camps
Very positive evaluation - integration at primary level is possible but
some concerns about scalability.
Nepal Netra Jyoti Sangh
Biratnagar Eye Hospital, Biratnagar
12,416 Ear patients examined 222,457 Eye patients examined
201 Ear surgeries
52,979 Eye surgeries
67 joint eye and ear camps conducted
Nepal Netra Jyoti Sangh
Programme Development
2014
• Ophthalmic assistants receiving
training in ear problems.
• Six District Eye Care Centres
started to provide ear care
services.
Future
• Ophthalmic Assistants in all remote
areas to be trained.
• ENT surgeon to be deployed in 5
tertiary level eye hospitals.
IMPACT
e.g. Lifeline Express India
Zanzibar Outreach Programme
School Programmes
FRESH
(Focusing Resources on Effective School Health)
Vision and Hearing Thematic Indicators included in the
Monitoring and Evaluation Guidance for School Health
Programs
Global Partnership for Education
EFAVI Campaign - ICEVI
Disability was a big issue at the recent GPE funding
replenishment conference
Barriers to integrating ears with eyes:
• Attitudes & silo working
• From an eye care providers view: the need to
invest in many other aspects – technology,
training & skills development, supply chain of
drugs and hearing aid, referral links, etc.
E
Evidence
A
Awareness, Advocacy, Attitude
R
Resources – financial + information
S
Sharing, Showcasing, Stamina, Scaling