The most important partners in ophthalmology programs
• Ophthalmology physicians, assistants, optics specialist and nursing staff.
• Non-governmental organizations and international institutions concerned with development and training.
• Ministry of Health, departments of health services and health insurance.
• Private sector (Pharmaceuticals companies, optics shops ……………. etc.
• Ministry of Education representing the largest segment of beneficiaries in the age group from kindergarten until the end of primary education.
• National Organization for Potable Water and Sanitary Drainage.
• The media (video – audio – readable) and its role in highlighting the problem and raising awareness of vision loss.
Legal frameworks, international resolutions and covenants related to ophthalmology programs
- Ophthalmology programs implementation are closely connected with international agreement signed by some countries in 1998; namely Right to vision initiative or vision 2020 in order to fight against loss of vision by all means and to end all factors causing this disability by 2020 which was signed by Egypt in 2003. As a result of cooperation between WHO organization, the International Agency for the Prevention of Blindness with participation of Association of governmental and non-governmental organizations concerned with treatment of eye diseases, fight against blindness and rehabilitation of visually impaired through ophthalmology programs, the organization adopts implementation and activation of this initiative “right to vision for all” with the same general strategies to avoid blindness according to international estimates and indicators developed by WHO. If there wasn’t proper intervention, number of blind will increase around the world to reach 75 Million by 2020. However, if there was proper intervention, we will avoid 75% cases of blindness.
Article no. 16 of constitution states that
The country shall secure cultural, social and health services and to ensure providing them particularly to villages easily and regularly in order to improve its Living standard.
Article no. 17 of constitution states that
The country shall secure social and health insurance services, pensions of disability, unemployment and old age for all citizens in accordance with the law.
Specific tools and methods used in the ophthalmology programs
A lot of Specific tools and methods are used in the ophthalmology programs as below:
- Providing POWER POINT presentation about health messages about eye diseases used in meetings to raise the awareness.
2. Providing various publications such as (posters – Leaflet – …………… etc.) including health messages about eye diseases
3. Providing an educational guide for advice providers.
4. Scale model of eye
5. Providing (lenses- Torch) used by volunteer leaders in home visits.
6. Providing Snellen chart used for visual acuity testing
7. Using flipcharts to provide advice from (Noor Charitable Foundation)
Goals expected to reach in the future of the ophthalmology programs
- Expansion with other local partners to spread the right to vision for all 2020 initiative in a wider geographical scope.
• Support partnership with private sector
• Activation role of information systems for patients
• Giving priority to training and building of specialized personnel of medical staff and community leaders
• Increasing coordination and integration between different authorities providing the ophthalmology service.
• Continuing implementation of ophthalmology programs in accordance with primary health care system that depend on (prevention – awareness – community participation)
Logical steps taken to implement ophthalmology programs
The service provided to eyes in Egypt up to date is based only on medical services e.g. diagnosis and available treatment in the governmental, civil and private eye units or hospitals, but through implementation of the ophthalmology programs and adoption of the right to vision for All initiative, the meaning is more comprehensive of health care which includes
- ü prevention
- ü Awareness
- ü Community participation
Ophthalmology programs methodology is applied according to several steps divided into stages
- Targeting communities according to geographic basis.
2. Preparing field surveys to discover the size of eye diseases problem and their percentage between different categories, particularly among the elderly, children and women in the targeted areas.
3. Choosing local partners from civil societies within the targeted areas and society leaders.
- Monitoring and analyzing authorities providing ophthalmology service inside and outside the targeted areas.
2. Preparing Database describing the authorities providing the service, its cost with extent of availability to citizens
3. Preparing the used administrative work, illustrative tools and other technical tools.
4. Providing Technical and administrative training for partners of the targeted communities.
5. Signing cooperation protocols and developing systems for implementation of the referral systems with many authorities.
6. Setting mutual written plan with local partners.
7. Providing financial and technical resources
8. Providing means of advertising and marketing
- Carrying out campaigns in the targeted areas including patient examination and taking proper actions.
- Regular follow up with partners regarding providing the service and local partners.
- Continuation and trying to manage the program individually depending on local contributions.