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ORBIS International

ORBIS International in Haiti

Joan McLeodIsmael Cordero

Haiti Eye Care SymposiumMay 18-20, 2012

Port au Prince, Haiti

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ORBIS Multi-Platform Yet Integrated Sight-Saving Program Approach

Operate the world’s only Flying Eye Hospital DC10 plane which has worked in 78 countries

Provide hands-on training -skills & diagnostic to doctors, nurses and other eye care providers

One key focus is pediatric eye care

Offer doctors on-line consultations, e-learning, and medical education via Cyber-Sight-Telemedicine

Partner with leading eye surgeons and hospitals worldwide

Work to eradicate endemic tropical diseases, -Trachoma in Ethiopia program

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ORBIS Partnership Globally shows Results for Year 2011

Enhanced training of over 2,200 doctors & 12,600 nurses & other eye care providers

Performed 2.3 million vision screenings & examinations on adults & children

Provided 3.4 million medical /optical treatments

Performed 76,000 surgeries

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ORBIS in Haiti

In 2010, ORBIS participated in a joint agency assessment to determine requirements post earthquake for local ophthalmic community

• Surveyed 19 facilities including government, NGOs, private, mixed

• Examined infrastructure, equipment, supplies, personnel, level of activity, services performed, number of cataract surgeries, etc.

• Results shared in a debriefing meeting of several NGOs and others “International Collaborating Group for the Reconstruction of Eye Care in Haiti”

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Significant joint Assessment Findings

At least 30% of ophthalmologists partially or totally lost offices, or their eye care facility was destroyed; none of the eye care facilities had insurance covering earthquake risk

Few ophthalmologists were performing eye surgery since the earthquake

Deteriorated equipment and facilities were further damaged

Immediately after the earthquake the Government ordered state hospitals to provide free services to all patients;

Many health personnel not being paid

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ORBIS Project in Haiti: 2010-2011 Recovery and Rehabilitation of Eye Care in Post-Earthquake Haiti

Working with the National Blindness Prevention Committee-Haiti (CNPC), ORBIS and CBM, supported an eye care stabilization project to provide services to displaced persons in ‘ tent camps’

Project ran from Dec 2010 – July 2011 –with a potential to extend

Objectives were to provide:

• Eye care services (examination, treatment and surgery) to displaced persons living in tent cities throughout PaP

• Minimal financial support for ophthalmologists at risk of leaving Haiti (practices destroyed, government not paying salary, no patient fees)

• Capacity building and financial support to CNPC

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Project Results reported to Jan-July 2011

8,692 persons screened, examined and treated as necessary for eye problems in ‘tent cities’ and at eye clinics in PaP

3,728 persons got eyeglasses

103 surgeries performed

Trained one ophthalmologist in MSICS at Aravind Eye Hospital in India

Supported training for 10 Eye care assistants / social workers for screening in “tent cities”

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ORBIS External Review with IEF

Project was reviewed in July 2011 by independent consultant from IEF

Recommendations were for :

• Screening and patient outreach to continue – Importance of patient counseling (pre and post surgery)– Ensuring patient accompanied and transported to surgical centers

to optimize surgery uptake minimize loss of follow-up

• Standardizing data management across surgical centers

• Including one additional surgery center for surgery referral - ORLO

• Improving patient flow practices within the hospital to ensure greater efficiency, and standard protocols for examination and follow-up

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15 Month Project Extension to January 2013

Direct Service Delivery

Direct Service Delivery to 12,000 persons living in ‘tent camps’ in need of screening and basic eye care

Estimated 6,600 persons from ‘tent camps’ and from PaP to receive examination and medical treatment at Eye Clinics

Estimated 480 persons to receive eye surgery

Additional 5 locations identified by CNPC

Outreach to include 2 more sites

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15 Month Project Extension to January 2013

Health Care Institutions and Human Resource Development

Eye Care Clinics/Hospitals will receive increased patients load , thus fees from consultations and surgeries, allowing further stability for employed ophthalmologists , and sustainability of the institution

Will include additional surgical centers

Strengthen CNPC staff : support study tours in Santo Domingo and/or Guatemala, and in data management

Build surgical skills in Manual Small Incision Cataract Surgery (MSICS)

Training for biomedical engineers/technicians thru new initiatives

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FY2011 Achievements and FY2012 Targets Planned

Total: Screened -camps and Examined-clinics 13,200 12,638 96% 14,867Number of patients screened in camps 8,400 9,238 110% 11,152Referred patients that were examined in clinics 4,800 3,400 71% 3,715

Total Medical/ Optical Treatments 2,942 2,269 77%Reading glasses 1,560 222 14%Prescription glasses 1,382 2,047 148%

Total Surgeries 636 178 28% 375Major surgeries 424 128 30% 271Cataract 68Glaucoma 14Minor Surgeries 212 46 22% 104

Project Indicators Annual Target Achieved % Achieved Planned FY2012

HAITI

Target for surgery was under achieved - due to low uptake, cultural barriers, and preference for glasses and drops

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ORBIS Eye Care Projects in Haiti

Merci