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Table of Contents - WOC 2012

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FP-EPI-MO 384 (9)<br />

Eye Care Programme in a Poor Resource Setting: The First Five (5)<br />

Years <strong>of</strong> the Sokoto State Eye Care Programme.<br />

Maishanu Nuhu (1) , Muhammad Nasiru (1) , Muhammad Adamu (1) , Abiose A (1)<br />

1. Sight Savers International<br />

Introduction: The challenges <strong>of</strong> reaching the targets <strong>of</strong> the Vision 2020 (the<br />

right to sight) programme are many in developing countries where the human<br />

resources are scarce and the infrastructural support and primary health care<br />

services are weak. The Sokoto State Eye Care Programme is a collaboration<br />

between the Sokoto State Government in north-western Nigeria and the<br />

Sightsavers (a British non-governmental development organization). The first<br />

phase was implemented between 2005 and 2009. This paper intends to report<br />

the impact <strong>of</strong> the first five (5) years <strong>of</strong> the Sokoto State Eye Care Programme<br />

on human resources, infrastructure and equipment availability and service<br />

delivery in Sokoto state, Nigeria.<br />

Discussion: The programme has made an impact on key performance<br />

indicators but there were issues and challenges that need to be improved or<br />

strengthened. Appropriate recommendations were made on some strategies<br />

that could be useful in overcoming challenges in the second phase <strong>of</strong> the<br />

programme to improve both the quality and quantity <strong>of</strong> services.<br />

FP-EPI-MO 384 (10)<br />

Cost Recovery as a Part <strong>of</strong> Health Financing in the Nigerian Kwara<br />

Eye Care Programme<br />

Ezekiel Afolabi (1) , Ayinla Abubakar (1) , Ogundimu Kolawole (1) , Isiyaku Sunday<br />

(1) (2)<br />

, Amuda AbdulRazaq<br />

1. Kwara Eye Care Programme/Sightsavers<br />

2. Kwara State Ministry <strong>of</strong> Health<br />

Objective and Purpose: Kwara Eye Care Programme, a partnership between<br />

the Kwara State government and Sightsavers, faces challenge <strong>of</strong> financial<br />

sustainability due to limited resources from State government and gradual<br />

phase out or withdrawal <strong>of</strong> funding from supporting agencies. This study<br />

therefore evaluates the effectiveness <strong>of</strong> its management’s sustainability plan.<br />

Methods: Information collected from direct interview s with patients, focus<br />

group discussions, project evaluation reports, and annual reviews.<br />

Results: Service delivery continued to increase. There has been a linear<br />

improvement in Cataract Surgical Rate. Patients’ perception was that user fees<br />

are relatively affordable, but there are many who need the services that will not<br />

be able to afford it.<br />

Conclusion: Careful use <strong>of</strong> cost recovery systems can greatly enhance the<br />

capacity for financial sustainability. The use <strong>of</strong> social safety “nets” helps to<br />

mitigate any effects <strong>of</strong> excluding vulnerable groups. Meanwhile cost recovery<br />

measures including payment <strong>of</strong> user fees, direct payment for drugs and<br />

optimized purchase from manufacturers are modes <strong>of</strong> ensuring eye care<br />

services are available long-term for the benefit <strong>of</strong> the community.<br />

Prevention <strong>of</strong> Blindness: Priorities and Achievements<br />

Mon 20 Feb 10:30 - 12:00 Conference Room B3<br />

IS-WFS-MO 385 (1)<br />

What is Doable in Preventing Diabetic Blindness<br />

Vassileva Petja (1)<br />

1. University Eye Hospital Pr<strong>of</strong>. Pashev<br />

Purpose: To assess the current state <strong>of</strong> diagnosis and treatment <strong>of</strong> diabetic<br />

retinopathy in Bulgaria. Methods: Retrospective analysis <strong>of</strong> all diabetic patients<br />

referred and treated in a tertiary eye hospital. Full eye exam with fluorescein<br />

angiography, OCT, treatment procedures: lasers and pars plana Vitrectomy.<br />

Results: The majority <strong>of</strong> patients are diagnosed late, in the advanced stage <strong>of</strong><br />

the diabetic retinopathy. Conclusions: Legislative measures are required in<br />

order to reduce the risk <strong>of</strong> diabetic blindness.<br />

IS-WFS-MO 385 (2)<br />

Telemedical Screenings for Prevention <strong>of</strong> Blindness<br />

Nemeth Janos (1)<br />

1. Hungarian Ophthalmological Society<br />

<strong>WOC</strong><strong>2012</strong> Abstract Book<br />

One <strong>of</strong> the leading causes <strong>of</strong> blindness is retinopathy <strong>of</strong> prematurity in<br />

childhood and diabetic retinopathy in adults. In both diseases, the prevention<br />

<strong>of</strong> severe complications and loss <strong>of</strong> vision is possible with timely ophthalmic<br />

screening and laser intervention in due time. In both diseases, the only<br />

long-term sustainable screening method with large population coverage is<br />

the telemedical screening using fundus photography. Besides Hungarian<br />

telemedical screening programs, the lecture will discuss the worldwide results<br />

and possible future developments.<br />

IS-WFS-MO 385 (3)<br />

Prevention <strong>of</strong> Blindness in Turkey: Achievements in the New<br />

Millennium<br />

Kaskaloglu Mahmut (1)<br />

1. Kaskaloglu Eye Hospital<br />

Integration <strong>of</strong> the private health sector in the social security system resulted in<br />

accessible health care in Turkey. Ophthalmology benefited from the reforms,<br />

leading to a much better eye care. On the other hand, the way ophthalmologists<br />

practice and their way <strong>of</strong> life were permanently changed. The success <strong>of</strong> the<br />

reforms may be an example to other countries, and I will discuss the pros<br />

and cons <strong>of</strong> the current system from the point <strong>of</strong> view <strong>of</strong> ophthalmologists and<br />

patients.<br />

IS-WFS-MO 385 (4)<br />

Prevalance and Treatment Possibilities <strong>of</strong> Keratoconus in South<br />

Eastern Europe<br />

Gabric Nikica (1)<br />

1. Eye Clinic Svjetlost<br />

Keratoconus has prevalence in approximately 54 per 100,000 in the general<br />

population <strong>of</strong> Southeast Europe. Contact lens wear remains the most successful<br />

option for managing mild cases <strong>of</strong> keratoconus. New surgical options, such<br />

as corneal rings and crosslinking procedures, have been developed to treat<br />

moderate to severe cases. DALK is an option for the treatment <strong>of</strong> cases without<br />

the involvement <strong>of</strong> the endothelium while PKP is necessary in very advanced<br />

keratoconus due to scarring and extreme thinning. All <strong>of</strong> these methods are<br />

available in Clinic Svjetlost in Zagreb.<br />

IS-WFS-MO 385 (5)<br />

Prevention <strong>of</strong> Blindness and Eye Care in Serbia<br />

Latinovich Slobodanka (1)<br />

1. Eye Hospital Vidar Orasis Swiss<br />

The leading causes <strong>of</strong> blindness in Serbia, among people older than 50 years<br />

are cataract, diabetic retinopathy, glaucoma and AMD. In Prevention <strong>of</strong><br />

Blindness we discuss the methods and number <strong>of</strong> operated cataract and<br />

cataract surgical rate, and the reduction <strong>of</strong> blind people from cataract 2009.<br />

Diabetic retinopathy as a cause <strong>of</strong> blindness is deeply correlated with poor<br />

control <strong>of</strong> diabetes. We present the preventive possibility and medical treatment<br />

<strong>of</strong> glaucoma and AMD.<br />

IS-WFS-MO 385 (6)<br />

Primary IOL implantation in infants with congenital cataracts – main<br />

source <strong>of</strong> visual and social rehabilitation<br />

Bobrova Nadya (1)<br />

1. Institute Filatova<br />

Abstract not available<br />

375

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