Vision 2020: A Quick Look at Eye Health Among Adults 50+: Annotated Questionnaire

2020 ◽  
Author(s):  
Teresa A. Keenan
Keyword(s):  
2018 ◽  
Vol 9 (2) ◽  
pp. 105-107
Author(s):  
Rajiv Khandekar

In 2015, the United Nations (UN) adopted the resolution of transforming our world by the year 2030 through the agenda of Sustainable Development with a primary focus on strengthening universal peace with larger freedom [United Nations 2015, Griggs D 2012]. All member countries including Nepal agreed to this ambitious plan for relieving poverty and reducing global inequality over a span of 15 years starting from 2016 to 2030. All the health programs including, Millennium Developmental Goals, universal eye health or Vision 2020 – the elimination of avoidable blindness by 2020 are expected to thrive under the umbrella of Sustainable Development Goals (SDGs). There are 17 goals and 169 targets. The three dimensions of sustainable development - economical, social and environmental - are balanced in this new initiative [eye health Australia 2015]. The overall effect of this initiative will be beneficial to human beings and our planet with human health as one facet among many. All efforts would be directed to review, realign and integrate the ongoing public health activities to attain SGDs [World Health Organization 2016]


2021 ◽  
Vol 80 (1) ◽  
Author(s):  
Zamadonda N. Xulu-Kasaba ◽  
Khathutshelo P. Mashige ◽  
Kovin S. Naidoo

Background: The development of human resources for eye health (HReH), aimed at achieving a 25% reduction in visual impairment by the year 2020, was one of the VISION 2020 objectives.Aim: To assess HReH in the public sector of KwaZulu-Natal (KZN), and its effect on the accessibility of eye care in the province.Setting: All public eye facilities in KZN.Methods: A quantitative cross-sectional study using a close-ended questionnaire to assess distribution and outputs of HReH. At the end of the questionnaire, respondents gave general comments on their ability to provide services.Results: Human resource rates were 0.89 for ophthalmologists, 2.44 for cataract surgeons, 4.8 for optometrists and 4.7 for ophthalmic nurses per 1 million population. Most health facilities had some HReH working in them, albeit none had dispensing opticians. Regression analysis showed that 67.1% of variation in cataract surgery was because of the number of surgeons available. Cataract surgical rates were low with a waiting period of up to 18 months. In addition to the refractive error regression analysis of 33.7%, spectacle supply was low, with a backlog of up to 9 months in some facilities.Conclusion: Overall, HReH targets as per VISION 2020 and the National Prevention of Blindness have not been met in this region. Dispensing opticians are not employed in any of the province’s health districts. An increase in the eye health workforce is necessary to improve the eye health outcomes for people dependent on public eye facilities.


2017 ◽  
Vol 6 (2) ◽  
pp. 1-5 ◽  
Author(s):  
R Kharel Sitaula ◽  
S N Joshi ◽  
S Khanal

Blindness continues to remain a major public health problem in Nepal and cataract is the leading cause. Cataract surgical coverage is relatively low in the rural areas where prevalence of blindness is high. To evaluate the role of surgical out­reached eye camps in rural Nepal and its impact in Vision 2020. This is a descriptive cross sectional camp based study in a remote village of Nepal, where 4 days screening of the eye disease mainly the cataract was done. 250 patients (54.80% males and 45.20% females) underwent eye health screening tests. Cataract was the commonest ocular disease (29.6%) among the screened population and 24% (60 patients) of them required cataract surgery (57% male and 43% female). The mean age of the operated patient was 71.84 ± 10.6years. Among the operated cases, bilateral blindness was present in 21.66% and unilateral blindness in 70% but after vision restoring cataract surgery, normal visual acuity (6/6-6/18) was achieved in 31(51.66%), and vision of 6/24-6/60 in 23 (38.33%) cases. Cataract remains to be the major cause of blindness in Nepal and arrangement of repeated surgical eye camps in the remote areas of Nepal could aid in reducing the prevent­able cause of blindness thereby help in achieving the goal of Vision 2020. 


2021 ◽  
Author(s):  
Tiliksew Teshome ◽  
Omar Salamanca ◽  
Alana Calise ◽  
Jibat Gemida Soboka

Abstract Background Ethiopia signed the VISION 2020 Global Declaration and launched its eye health program in 2002. Since then, there has been limited systematic and comprehensive evaluation of the progress towards VISION 2020 goals in Ethiopia.Purpose To evaluate Gurage Zone progress towards VISION 2020 targets and process indicators.Method An institutional-based cross-sectional study was conducted among all public and private eye health care facilities in the Gurage Zone within the Southern Nations, Nationalities, and People Region of Ethiopia. The evaluation protocol was adopted from the VISION 2020 situational analysis data collection tool. We used this structure to evaluate progress in terms of human resources, infrastructure, and service delivery at the Zonal Health Office and facility level.Result At the time of the study, the Gurage Zone had a 1.7 million catchment area population. There was a total of five eye care centers, of which one was established by a Non-Governmental Organization. Three of these facilities were secondary eye care centers with an operating theater and two of them were primary eye care centers. At the zonal level, there is no survey data available on the prevalence of blindness. There was no systemic evaluation of VISION 2020 process indicators. The budget allocation specific to eye health care was less than 0.7% of the total budget of the office. The human resources for eye health in the catchment area were: one ophthalmologist, two cataract surgeons, five optometrists, and 12 ophthalmic nurses, which is below the VISION 2020 targets for human resources for eye health. In terms of equipment, neither primary eye care center had a slit lamp biomicroscope, and two of the three secondary eye care centers did not have intraocular pressure (IOP) measuring equipment. Only one secondary eye care center was providing glaucoma surgical services, and no center provided either emergency or elective pediatric surgery. The cataract surgical rate (CSR) determined by the study was 1967.ConclusionGurage Zone had not achieved VISION 2020 goals in terms of critical human resources and service delivery. We recommend that the Zonal Health Office carries out a focused and baseline evaluation of eye health care service achievements.


2019 ◽  
Vol 2019 ◽  
pp. 1-10 ◽  
Author(s):  
Enyam Komla Amewuho Morny ◽  
Samuel Bert Boadi-Kusi ◽  
Stephen Ocansey ◽  
Samuel Kyei ◽  
Kwame Yeboah ◽  
...  

Purpose. The aim of this study was to analyse eye health delivery in Ghana and examine the progress towards achieving VISION 2020 indicator targets. Methods. This descriptive cross-sectional study was conducted between October 2017 and May 2018. It used a mixed method approach including desk-based reviews, a questionnaire-based survey of eye facilities in Ghana, and interviews with eye health system stakeholders to collect information on eye health delivery in facilities owned by the Ghana Health Service (GHS), quasigovernmental bodies (security agencies), and Christian Association of Ghana (CHAG). The information was benchmarked against the World Health Organization (WHO) targets for achieving the goals of VISION 2020. Results. The magnitude of blindness and moderate to severe visual impairment (without pinhole) was 0.9% and 3.0%, respectively. The number of ophthalmologists available at the country level was 80.6% of the VISION 2020 target with optometrists and ophthalmic nurses exceeding targets for VISION 2020. The distribution of human resources was heavily skewed towards two out of the 10 regions in Ghana. Cataract surgical rate was low and met 25% of the WHO target. Basic equipment for refraction was available in the majority of facilities; however, there was a general lack of specialised eye care equipment across the country. Comparatively, CHAG facilities were better equipped than GHS facilities at the same level. Conclusion. The Government of Ghana should revitalize the goals of VISION 2020 beyond the year 2020 and spearhead a concerted effort to ensure equitable distribution of human and infrastructural resources across the country.


2014 ◽  
Vol 12 (1) ◽  
Author(s):  
Jennifer J Palmer ◽  
Farai Chinanayi ◽  
Alice Gilbert ◽  
Devan Pillay ◽  
Samantha Fox ◽  
...  

2018 ◽  
Author(s):  
Kazim A Dhalla ◽  
Micheal Guirguis

AbstractBackgroundResearch is a critical component amongst the strategies to improve health outcomes of any country. The role of research assumes greater importance in Africa as it carries a larger share of global burden of diseases, blindness and low vision. “Vision 2020- the Right to Sight” is a WHO-IAPB collaborated initiative aiming to eliminate preventable blindness by the year 2020. High quality research in eye care is imperative for the initiative to succeed, however, there is a dearth of research in eye care in sub Saharan Africa in general and specifically in the Eastern, Central and Southern African (ECSA) region. Identifying the barriers that hamper research in this region is an important step towards elimination of preventable blindness.MethodsA structured questionnaire using the SurveyMonkey program was sent to ophthalmologists in the ECSA region and South Africa through their respective regional professional bodies. Data was analyzed using the SPSS program version.ResultsLack of funding, inadequate time and poor research knowledge were the main research barriers while ability to improve eye health care through research was the main incentive for conducting research.ConclusionThe barriers mainly center on financial, human and administrative infrastructure and resources. In spite of the barriers, ophthalmologists in the study region are enthusiastic in research aiming to increase evidence based knowledge to improve eye health care in line with the goals of “Vision 2020- the Right to Sight” initiative.


Author(s):  
Indra Prasad Sharma

Evidence suggests that improved eye health offers the potential to progress toward achieving United Nations Sustainable Development Goals (SDGs). With Vision 2020: Right to Sight Initiative coming to an end and the emergence of the coronavirus pandemic, it is necessary to revisit the priority of pediatric eye health. Considering the profound impact of childhood blindness and visual impairment, it is important to draw the attention of public health leaders, policymakers, organizations, and governments to create innovative and effective strategies to combat the emerging eye health challenges of children and their families.


2014 ◽  
Vol 12 (1) ◽  
Author(s):  
Jennifer J Palmer ◽  
Farai Chinanayi ◽  
Alice Gilbert ◽  
Devan Pillay ◽  
Samantha Fox ◽  
...  

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