Action Plan for the Prevention Action Plan for the Prevention of Avoidable Blindness and of Avoidable Blindness and

Visual ImpairmentVisual Impairment

Ivo KocurIvo Kocur

World Health OrganizationWorld Health Organization

The Global Initiative for theElimination of Avoidable Blindness

WHOWHO

The Global InitiativeThe Global Initiativefor the Elimination of Avoidable Blindnessfor the Elimination of Avoidable Blindness

by 2020by 2020

CountriesCountries

NGDOsNGDOsIAPBIAPB

http://www.v2020.org/

• 314 million people visually impaired (VA<6/18)

Global Magnitude of Blindness and Visual Impairment

153 MillionUncorrected

Refractive Errors(Avoidable)

161 MillionEye diseases(Avoidable or

Not Avoidable)

49%49% 51%51%© WHO

Global Causes of Blindness(Presenting Visual Acuity) - 2006

%

Cataract39 %

Trachoma 3 %

Glaucoma10%

Oncho. 0.7 %Other11 %

ARMD7%

Childhood Bl. 3%

Diabetic Ret. 4%

Corneal Op. 4%

UncorrectedRefractive

Errors18%© WHO 2006

Global Distribution of Blindness by Cause

CataractCataract5%5%

GlaucomaGlaucoma18%18%

OtherOther4%4%

ARMDARMD50%50%

Ch BlCh Bl3%3%

DRDR17%17%

COCO3%3%

CataractCataract50 %50 %

TrachomaTrachoma4 %4 %

GlaucomaGlaucoma12%12%

Oncho 0.8 %Oncho 0.8 %

OtherOther14 %14 %

ARMDARMD6%6%

Ch Bl 4%Ch Bl 4%

DR 4%DR 4%

CO 5%CO 5%

More DevelopedMore DevelopedCountriesCountries

Less DevelopedLess DevelopedCountriesCountries

World Health Assembly Resolutionson prevention of blindness and visual impairment

2003: WHA 56.262006: WHA 59.25

VISION 2020 National PlansVISION 2020 National PlansFebruary 2009February 2009

No dataNo Yes

Action Plan for the Prevention of Action Plan for the Prevention of Avoidable Blindness and Visual Avoidable Blindness and Visual Impairment - TimelineImpairment - Timeline

July 2008July 2008WHO decides to develop the Action Plan for submission WHO decides to develop the Action Plan for submission to the WHO EB scheduled for January 2009 to the WHO EB scheduled for January 2009 19 – 28 September 200819 – 28 September 2008A draft available on website for public commentsA draft available on website for public comments3 October 2008 3 October 2008 Informal Consultation with Permanent Missions in Informal Consultation with Permanent Missions in GenevaGeneva17 October 200817 October 2008Submission of the text to WHO Governing Bodies for Submission of the text to WHO Governing Bodies for editing and preparation for the WHO EB Meetingediting and preparation for the WHO EB Meeting19 – 27 January 200919 – 27 January 2009WHO Executive Board meetingWHO Executive Board meeting

Action Plan for the Prevention of Action Plan for the Prevention of Avoidable Blindness and Visual Avoidable Blindness and Visual Impairment - PurposeImpairment - Purpose

The plan aims to expand efforts by Member States, the Secretariat and international partners in preventing blindness and visual impairment by developing comprehensive eye-health programmes at national and subnational levels.

Action Plan for the Prevention of Action Plan for the Prevention of Avoidable Blindness and Visual Avoidable Blindness and Visual Impairment - StructureImpairment - Structure

Purpose and ScopeRelation to existing strategies and plansTime FrameSituation AnalysisObjectives and Action

Action Plan for the Prevention of Action Plan for the Prevention of Avoidable Blindness and Visual Avoidable Blindness and Visual Impairment - Situation AnalysisImpairment - Situation Analysis

Situation Analysis

Summary of the accomplishments in prevention of blindness to date and current situation

Identification of gaps and limitations

Proposed action

Action Plan for the Prevention of Action Plan for the Prevention of Avoidable Blindness and Visual Avoidable Blindness and Visual Impairment - Objectives and ActionImpairment - Objectives and Action

SecretariatSecretariat

InternationalInternational PartnersPartners

MemberMember StatesStates

Action Plan for the Prevention of Action Plan for the Prevention of Avoidable Blindness and Visual Avoidable Blindness and Visual Impairment - Objectives and ActionImpairment - Objectives and Action

OBJECTIVE 1.OBJECTIVE 1. Strengthen advocacy to Strengthen advocacy to increase Member States’ political, increase Member States’ political, financial and technical commitment in financial and technical commitment in order to eliminate avoidable blindness order to eliminate avoidable blindness and visual impairmentand visual impairment

Action Plan for the Prevention of Action Plan for the Prevention of Avoidable Blindness and Visual Avoidable Blindness and Visual Impairment - Objectives and ActionImpairment - Objectives and Action

OBJECTIVE 2.OBJECTIVE 2. Develop and strengthen Develop and strengthen national policies, plans and programmes national policies, plans and programmes for eye health and prevention of blindness for eye health and prevention of blindness and visual impairmentand visual impairment

Action Plan for the Prevention of Action Plan for the Prevention of Avoidable Blindness and Visual Avoidable Blindness and Visual Impairment - Objectives and ActionImpairment - Objectives and Action

OBJECTIVE 3.OBJECTIVE 3. Increase and expand Increase and expand research for the prevention of blindness research for the prevention of blindness and visual impairmentand visual impairment

Action Plan for the Prevention of Action Plan for the Prevention of Avoidable Blindness and Visual Avoidable Blindness and Visual Impairment - Objectives and ActionImpairment - Objectives and Action

OBJECTIVE 4.OBJECTIVE 4. Improve coordination Improve coordination between partnerships and stakeholders between partnerships and stakeholders at national and international levels for at national and international levels for the prevention of blindness and visual the prevention of blindness and visual impairmentimpairment

Action Plan for the Prevention of Action Plan for the Prevention of Avoidable Blindness and Visual Avoidable Blindness and Visual Impairment - Objectives and ActionImpairment - Objectives and Action

OBJECTIVE 5.OBJECTIVE 5. Monitor progress in Monitor progress in elimination of avoidable blindness at elimination of avoidable blindness at national, regional and global levelsnational, regional and global levels

Action Plan for the Prevention of Action Plan for the Prevention of Avoidable Blindness and Visual Avoidable Blindness and Visual Impairment - TimelineImpairment - Timeline

19 – 27 January 200919 – 27 January 2009

WHO Executive Board meetingWHO Executive Board meeting

World Health Assembly 2009

Action Plan Action Plan for the Prevention for the Prevention of Avoidable Blindnessof Avoidable Blindnessand Visual Impairmentand Visual Impairment