iapb ga 9 hyderabad september 2012 1 cbm’s global involvement in eye care c cook hyderabad...

IAPB GA 9 Hyderabad September 2012 1

CBM’s Global Involvement In Eye Care

C CookHyderabad

September 2012


CBM’s Global Involvement In Eye Care

• Who are we?• Where have we come from?• Where are we now?• How does our Medical Eye Work fit in with our general

programme development approach?• Where are we going?


Who Are We?

• International Christian development organisation.

• Prime purpose is to improve the quality of life of the world’s poorest persons with disabilities.

• We seek to prevent and treat health conditions which lead to impairment and disability.

• We promote and provide opportunities for social inclusion, economic empowerment, and livelihood security.


Where Have We Come From?

• 1908: Christoffel Blinden Mission was founded by Pastor Ernst Christoffel

• 1989: CBM is recognized by the WHO as a professional organisation

• 2002: Advisory status for the Economic and Social Council of the UN

• 2003: First international lobbying initiative starts with a permanent office in Brussels


Where Have We Come From?(cont‘d)

• 2005: CBM commitment to disability and inclusive development

• 2009: Stronger emphasis on inclusion

• 2010: Launch of WHO-ILO-UNESCO CBR guidelines with significant input from CBM

• 2010: 10 millionth cataract operation


Where are we now?CBM Member Associations (11)

CBM Regional Offices (9)


Member Associations

International Boards

International Management

Regional Offices

Australia

Canada A Philippines

Germany S Thailand

Ireland S CBMI India

Italy E Board Senior EMRO

Kenya M Leadership South Africa

New Zealand B CBMeV Team East (Kenya)

South Africa L Board Central (Kenya)

Switzerland Y West (Togo)

UK Ecuador

USA

Where Are We Now?International Structure

950,000 donors 730 staff 31 million clients


Where Are We Now? (cont‘d)

Region Number Of Eye Medical Programmes (2011)

Africa South 38

Africa East 73

Africa Central 24

Africa West 44

Asia South/East 16

Asia Central 32

Asia South/South 97

Asia South/North 25

Eastern Mediterranean Region 82

Latin America Region 134

Total 565


Where Are We Now?Number of staff trained in CBM supported programmes in 2011

Medica

l Eye

Doc

tors

Eye

nurs

es/ a

ssista

nts

Optom

etris

ts/re

fract

ioni

sts

Ophth

alm

ic te

chni

cians

0

200

400

600

800

1000

1200

829955

386

554

2011


Where Are We Now? Number of surgical interventions in CBM supported programmes in 2011

Glauc

oma

surg

erie

s

Trichi

asis su

rger

ies

Lase

r tre

atm

ent f

or D

R

ROP tre

atm

ent

0

5000

10000

15000

20000

25000

30000

35000

40000

45000

50000

34,603

43,100

28,953

816

2011

Eye surgeries Cataract surgeries

0

100000

200000

300000

400000

500000

600000

700000

800000

900000844,674

593,665

2011


Eye Medical Work in the context ofInclusive Development

COMMUNITY BASED REHABILITATION (CBR)

HEALTH

PROMOTION

PREVENTION

MEDICAL CARE

REHABILITA-TION

EDUCATION

EARLY CHILDHOOD

DEVELOPMENT

NON-FORMAL

FORMAL INCLUDING PRIMARY

SECONDARY AND HIGHER

LIVELIHOOD

SKILLSDEVELOPMENT

INCOME GENERATION/

SELF-EMPLOYMENT

FINANCIAL SERVICES

EMPLOYMENT

SOCIAL

RELATIONSHIPMARRIAGE &

FAMILY

PERSONAL ASSISTANCE

CULTURERELIGION &

ARTS

SPORTS RECREATION &

LEISURE

EMPOWERMENT

SOCIALMOBILISATION

POLITICAL PARTICIPATION

COMMUNICA-TION

SELF-HELP GROUPS

ASSISTIVEDEVICES

LIFE-LONG LEARNING

SOCIAL PROTECTION

ACCESS TO JUSTICE

DISABLED PEOPLE'S

ORGANISATIONS


Eye Medical Work in the context ofInclusive Development - CBR

• The CBR matrix is the framework for a twin track approach: • Track 1: Direct work for and with persons with

disabilities and those at risk• Track 2: Inclusion of persons with disabilities in

all development activities and initiatives

• The CBR matrix is the framework for planning and networking, following a holistic approach


• Medical – Vision, hearing physical, mental

• Rehabilitation – low vision, audiology + speech therapy, physiotherapy + orthopaedic workshops, community based rehabilitation

• Education• Livelihood and economic

empowerment

Eye Medical Work and Other Disability and Inclusive Development Activities


Where Are We Going? – Some Current Paradigm Shifts Within CBM

• Comprehensive programmes (comprehensive programmatic planning)

• CBR as the hub• Vision 2020 one of seven

programmes• Holistic approach and networking

are key• Focus is on entire person and living

environment, not only on impairment

• NOT: every programme has to do everything; BUT: every programme is part of network and knows who does what


Where Are We Going? – Some Current Paradigm Shifts Within CBM (cont’d)

“Vision 2020 compliance” –• Partnerships with mission

hospitals partnerships with MOH

• Hospital based programmes district programmes

“Disease control” –• ECCE with IOL SICS with IOL

phaco with IOL• Cataract glaucoma +

diabetic retinopathy


Where Are We Going? – Some Current Paradigm Shifts Within CBM (cont’d)

More strategic support to partners, focus on:

• High quality and accessible service delivery

• Good practice models• Training of professionals• Capacity development of

partners• Research and evidence for

practice• Moving towards inclusive eye

health services

iapb ga 9 hyderabad september 2012 1 cbm’s global involvement in eye care c cook hyderabad...

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