Transcript Eye Banking in India : A Road Map

What is VISION 2020?
A Global Initiative to Eliminate
Avoidable Blindness
AIM:
“To intensify and accelerate present
prevention of blindness activities so as to
achieve the goal of eliminating avoidable
blindness by the year 2020”
VISION 2020: The Right to Sight
is about
PARTNERSHIP
WHO
IAPB
Global Blindness Projections
The number of blind people was increasing by at least 1 million / yr.
76
80
70
60
50
50
40
38
28
30
20
10
0
1975
1984
1990
2000
2010
2020
Increasing population Increasing proportion of people aged 50 years +
Blindness Projections: With and
Without Global Initiative
80
60
100 m people
40
20
-
2000
2010
2020
International Structure of
VISION 2020
WHO
Ministries
of
Health
VISION
2020
NATIONAL
VISION 2020
GROUPS
IAPB
Professionals
Local NGOs
Int. NGOs
DISTRICT VISION 2020 SERVICE UNITS
Global Burden of Blindness and
visual impairment
 Update in 2004, based on 2002 population
 Based on 55 new surveys
70
60
40
37 Mo Blind
124 Mo Low Vision
30
161 Mo V. Impaired
50
20
10
0
1990 1992 1994 1996 1998 2000 2002 2004 2006
VISION 2020
Components
 Effective disease control
 Cataract
 Trachoma
 Onchocerciasis
 Childhood Blindness
 Refractive Error and Low Vision
 Human resource development
 Infrastructure development
Global Distribution of Blindness by
Cause 1995 vs. 2002
Other
13 %
Other
28 %
Cataract
42 %
Oncho.
1%
Trachoma
15 %
Cataract
47 %
Ch Bl
4%
DR
5%
CO
5%
Glaucoma
14%
1995
ARMD
9%
Oncho.
0.8 %
Glaucoma
12%
2002
Trachoma
4%
Prevention of Blindness Challenges
Ongoing Challenges
New Challenges








Cataract
Trachoma
Onchocerciasis
Childhood blindness
Refractive Errors
Diabetic Retinopathy
Glaucoma
Low Vision services
Need to develop new public health approaches
(operational research)
Ultimate goal: high quality, equitable
and comprehensive eye care services
LVP INFRASTRUCTURE MODEL
COE
TC
SC
VC
COMMUNITY





Delineation of Functions
Efficiency & Effectiveness
Referral Patterns
Sustainability
Excellence with Equity
Cataract Surgery Rates
0-499
2000-3999
500-999
4000+
1000-1999
no data
WHO 2005
GLAUCOMA &
DIABETIC RETINOPATHY
• Human Resources
• Infrastructure
• Systems
GLAUCOMA &
DIABETIC RETINOPATHY
Long Term
A.
B.
C.
D.
E.
Comprehensive Eye Evaluation
Residency Training
MLOP Training
Physician Education
Public Education
VISION 2020
ADV. TERTIARY
TERTIARY
SECONDARY
PRIMARY
What at the each of these levels ?
Human Resource Development
•
ICO
•
AAO
•
IAPB
•
WCO
•
Institutions
With local educational institutions
and professional societies
Basic Minimum Standards
•
Care
•
Education
Research Capacity
Building/Strengthening
•
National
•
International
Translational Research
Laboratory
Clinical Care
Community
•
NEI
•
ARVO
•
ACADEMIA
Research
Credible Information
Advocacy
Advocacy
•
Policy Makers
•
Public
•
Professionals
World Health Assembly Resolution
• Vote in favour of the adoption of the 117th EB
resolution: EB117.R4
• Support adding Prevention of Blindness activities to the
Medium Term Strategic Plan 2008 – 2013 of WHO as
well as its Biennial Programme Budget 2008 – 2009
• Support inclusion of Prevention of Blindness and Visual
Impairment activities within the WHO 11th General
Programme of Work
Gullapalli N Rao
International Agency for the
Prevention of Blindness
&
L V Prasad Eye Institute
Hyderabad