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SITUATION ANALYSIS: EYESITUATION ANALYSIS: EYE CARE IN MYANMAR

Dr Khin Nyein Lin, Program ManagerPrevention of Blindness program,

MYANMAR.

Eye care in MyanmarEye care in Myanmar

1. Hospital Eye Services

2. Trachoma control and Prevention of blindness programblindness program

Collaborating for the prevention ofCollaborating for the prevention of blindness in Myanmar

Prevalence of blindness (MYANMAR)Prevalence of blindness (MYANMAR)

Prevalence of blindness in all ages --- 0.6% (1998)Prevalence of blindness in all ages 0.6% (1998)Cataract 63 %

Glaucoma 16 %Posterior segment

diseases 7 % Trachoma 4 %

Corneal opacity 3 %Trauma 1 %Trauma 1 %Others 6 %

Prevalence of Low Vision ------ Not studied yetPrevalence of Low Vision Not studied yet

Rapid assessment of avoidable BlindnessRapid assessment of avoidable Blindness

- conducted at three district in 2010 (Meikhtila, Shwebo, Sagging)

Meikhtila Sagging Shwebo

Blindness rate

3.4% 4.25% 8.08%

( > 50yrs of age )

Visual 36.21% 15.3% 24.15%impairment

Severe visual

5.9% 5.91% 6.52%visual

impairment

Principal causes of Blindness in personPrincipal causes of Blindness in person

M ikhtil S i Sh bMeikhtila Sagging Shwebo

Cataract 73.3% 56.8% 78.5%

Post. segment 11.1% 21.6% 6.2%

Glaucoma 6.7% 14.8% 5.1%

Trachoma 4 2% 9 1% 5 2%Trachoma 4.2% 9.1% 5.2%

Refractive error

6.7% 3.7 % 7.3%error

OBJECTIVE 1. STRENGTHEN ADVOCACY TO INCREASE MEMBER STATES POLITICAL, FINANCIAL AND TECHNICAL COMMITMENT IN ORDER TO ELIMINATE AVOIDABLE BLINDNESSAND VISUAL IMPAIRMENTTO ELIMINATE AVOIDABLE BLINDNESS AND VISUAL IMPAIRMENT

In Myanmar Chairman of National Health CommitteeIn Myanmar, Chairman of National Health Committee launched Vision 2020: The Right to Sight on 10th October,2000.

Current PracticesCurrent Practices - Advocacy meeting for vision 2020

on World Sight Day since 2000.

- School eye health care activity& PEC training

- Village eye health exam:

Information on prevention of avoidable blindness pin Myanmar news paper

OBJECTIVE 2. DEVELOP AND STRENGTHEN NATIONAL POLICIES, PLANS AND PROGRAMMES FOR EYE HEALTHPOLICIES, PLANS AND PROGRAMMES FOR EYE HEALTH AND PREVENTION OF BLINDNESS AND VISUAL IMPAIRMENT

-

Current PracticesCurrent Practices • Annual budget for prevention of blindness --- 540 Million Mks

• Extension of Prevention of blindness program to three secondary centers in 2009 – 2011secondary centers in 2009 2011.

• Ophthalmologist are to be assigned down to district level h it lhospitals.

OBJECTIVE 3 INCREASE AND EXPANDOBJECTIVE 3. INCREASE AND EXPAND RESEARCH FOR THE PREVENTION OF BLINDNESS AND VISUAL IMPAIRMENTBLINDNESS AND VISUAL IMPAIRMENT

Current PracticesCurrent Practices• RA AB in 2010 at three districts

assisted by WHO and Helen keller International.

OBJECTIVE 4. IMPROVE COORDINATION BETWEEN PARTNERSHIPS AND STAKEHOLDERS AT NATIONAL AND INTERNATIONAL LEVELS FOR THE PREVENTIONAND INTERNATIONAL LEVELS FOR THE PREVENTION OF BLINDNESS AND VISUAL IMPAIRMENT

N i l l lNational level --Other Ministries ,Private sectors , Well wishers , and Religious leaders .

Thank you!

ASIAN EYE CARE

Thank you!

Association for Eye Care Development in Asia

Mass cataract surgery activitiesMass cataract surgery activities• 35 Mass cataract surgery activity in35 Mass cataract surgery activity in

2010 supported by local NGOs, Private sectors and Religious leaders. (7900

t t i 2010 )cataract surgery in 2010.)

OBJECTIVE 5. MONITOR PROGRESS IN ELIMINATION OF AVOIDABLE BLINDNESS AT NATIONAL, REGIONAL AND GLOBAL LEVELS

Monthly report from SECs of prevention of y p pblindness program to Department of health ( Program Manager).

Annual report to Ministry of Health

Monitoring of cataract surgical results from some centers.

Infrastructure in Myanmar for eye care (tertiary care t d f iliti i i t t i icentres, secondary eye facilities, vision centres, training

institutes)Tertiary Center 4Tertiary Center 4

S d t 60Secondary centers 60

Training centers for ophthalmologist 4Training centers for ophthalmologist 4

Training center for Refractionist 1Training center for Refractionist 1

Training center for PEC 20Training center for PEC 20

Primary Eye CarePrimary Eye Care -

200 - 400 BHS are trained in primary eye care per year.

-

HR in your country (Ophthalmologists, Ophthalmic Technicians)

• No.of Ophthalmologist in Myanmar -- 280 for 59 million populationp p

• No. of people trained per year ---10 - 20 ophthalmologist

• Training of refractionist and ophthalmic nurse - not lregular.

Human resources & Infrastructure availability

Ophthalmologist 280

Optometrist 3

Ophthalmic technician 17

Refractionist 35

Mid level personal 350

BHS trained in PEC 6400

Service Delivery Achievements y(April 2010 – March 2011)

CATARACT SURGERY --- 84 ,516

REFRACTIVE ERROR AND --- 42,397 PRESCRIPTION OF GLASS

DIABETES RETINOPATHY ---- No data

CHILDHOOD EYE CARE ----- 1,90,209

CSR -- 1457.17

National Plan of Action for Vision 2020

Sr2010 2020

SrNo. Particular

Target Implemented Target

1 Ophthalmologist 250 280 400

2 Ophthalmic nurse 350 380 450

3 Equipment Technician 9 17 23

4 Optometrist/ Refractionist 60 35 80p

5 Secondary Eye Care Centers 40 60 50

6 Cataract Surgery Rate 900 1457.17 2000