what is vision 2020? a global initiative to eliminate avoidable blindness aim: “to intensify and...
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What is VISION 2020? What is VISION 2020? What is VISION 2020? What is VISION 2020? A Global Initiative to EliminateA Global Initiative to Eliminate
Avoidable Blindness Avoidable Blindness
AIM:AIM:““To intensify and accelerate present To intensify and accelerate present
prevention of blindness activities so as to prevention of blindness activities so as to achieve the goal of eliminating avoidable achieve the goal of eliminating avoidable
blindness by the year 2020”blindness by the year 2020”
AIM:AIM:““To intensify and accelerate present To intensify and accelerate present
prevention of blindness activities so as to prevention of blindness activities so as to achieve the goal of eliminating avoidable achieve the goal of eliminating avoidable
blindness by the year 2020”blindness by the year 2020”
VISION 2020: The Right to SightVISION 2020: The Right to Sight
is aboutis about PARTNERSHIPPARTNERSHIP
VISION 2020: The Right to SightVISION 2020: The Right to Sight
is aboutis about PARTNERSHIPPARTNERSHIP
IAPBIAPBIAPBIAPBWHOWHOWHOWHO
Global Blindness Projections Global Blindness Projections Global Blindness Projections Global Blindness Projections
0
10
20
30
40
50
60
70
80
1975 1984 1990 2000 2010 2020
0
10
20
30
40
50
60
70
80
1975 1984 1990 2000 2010 2020
The number of blind people was increasing by at least 1 million / yr.The number of blind people was increasing by at least 1 million / yr.
28283838
7676
5050
Increasing population Increasing proportion of people aged 50 years +Increasing population Increasing proportion of people aged 50 years +
-
20
40
60
80
-
20
40
60
80
100 m people 100 m people
Blindness Projections:Blindness Projections: With and With and Without Global InitiativeWithout Global Initiative
Blindness Projections:Blindness Projections: With and With and Without Global InitiativeWithout Global Initiative
20002000 20102010 20202020
International Structure of International Structure of VISION 2020VISION 2020
International Structure of International Structure of VISION 2020VISION 2020
WHOWHOVISION
2020
VISION
2020
Professionals
Local NGOs
Int. NGOs
Professionals
Local NGOs
Int. NGOs
NATIONAL
VISION 2020
GROUPS
NATIONAL
VISION 2020
GROUPS
IAPBIAPB
Ministries
of
Health
Ministries
of
Health
DISTRICT VISION 2020 SERVICE UNITSDISTRICT VISION 2020 SERVICE UNITS
Global Burden of Blindness andGlobal Burden of Blindness and visual impairmentvisual impairment
Global Burden of Blindness andGlobal Burden of Blindness and visual impairmentvisual impairment
Update in 2004, based on 2002 populationUpdate in 2004, based on 2002 population Based on 55 new surveysBased on 55 new surveys
Update in 2004, based on 2002 populationUpdate in 2004, based on 2002 population Based on 55 new surveysBased on 55 new surveys
0
10
20
30
40
50
60
70
1990 1992 1994 1996 1998 2000 2002 2004 2006
0
10
20
30
40
50
60
70
1990 1992 1994 1996 1998 2000 2002 2004 2006
37 Mo Blind124 Mo Low Vision
161 Mo V. Impaired
37 Mo Blind124 Mo Low Vision
161 Mo V. Impaired
VISION 2020VISION 2020VISION 2020VISION 2020
Effective disease controlEffective disease control CataractCataract TrachomaTrachoma OnchocerciasisOnchocerciasis Childhood BlindnessChildhood Blindness Refractive Error and Low VisionRefractive Error and Low Vision
Human resource developmentHuman resource development Infrastructure developmentInfrastructure development
Effective disease controlEffective disease control CataractCataract TrachomaTrachoma OnchocerciasisOnchocerciasis Childhood BlindnessChildhood Blindness Refractive Error and Low VisionRefractive Error and Low Vision
Human resource developmentHuman resource development Infrastructure developmentInfrastructure development
ComponentsComponentsComponentsComponents
Global Distribution of Blindness by Global Distribution of Blindness by CauseCause 1995 vs. 20021995 vs. 2002
Global Distribution of Blindness by Global Distribution of Blindness by CauseCause 1995 vs. 20021995 vs. 2002
CataractCataract42 %42 %
CataractCataract42 %42 %
TrachomaTrachoma15 %15 %
TrachomaTrachoma15 %15 %
GlaucomaGlaucoma14%14%
GlaucomaGlaucoma14%14%
Oncho.Oncho.1 %1 %
Oncho.Oncho.1 %1 %
OtherOther28 %28 %
OtherOther28 %28 %
1995199519951995
CataractCataract47 %47 %
CataractCataract47 %47 %
TrachomaTrachoma4 %4 %
TrachomaTrachoma4 %4 %GlaucomaGlaucoma
12%12%GlaucomaGlaucoma
12%12%
Oncho.Oncho.0.8 %0.8 %
Oncho.Oncho.0.8 %0.8 %
OtherOther13 %13 %
OtherOther13 %13 %
ARMDARMD9%9%
ARMDARMD9%9%
Ch BlCh Bl4%4%
Ch BlCh Bl4%4%
DRDR5%5%DRDR5%5%
COCO5%5%COCO5%5%
2002200220022002
Prevention of Blindness ChallengesPrevention of Blindness ChallengesPrevention of Blindness ChallengesPrevention of Blindness Challenges
Ongoing ChallengesOngoing Challenges CataractCataract TrachomaTrachoma OnchocerciasisOnchocerciasis Childhood blindnessChildhood blindness
Ongoing ChallengesOngoing Challenges CataractCataract TrachomaTrachoma OnchocerciasisOnchocerciasis Childhood blindnessChildhood blindness
New ChallengesNew Challenges Refractive ErrorsRefractive Errors Diabetic RetinopathyDiabetic Retinopathy GlaucomaGlaucoma Low Vision servicesLow Vision services
New ChallengesNew Challenges Refractive ErrorsRefractive Errors Diabetic RetinopathyDiabetic Retinopathy GlaucomaGlaucoma Low Vision servicesLow Vision services
Need to develop new public health approachesNeed to develop new public health approaches (operational research)(operational research)
Need to develop new public health approachesNeed to develop new public health approaches (operational research)(operational research)
Ultimate goal: high quality, equitableUltimate goal: high quality, equitableand comprehensive eye care servicesand comprehensive eye care servicesUltimate goal: high quality, equitableUltimate goal: high quality, equitableand comprehensive eye care servicesand comprehensive eye care services
Delineation of FunctionsDelineation of Functions Efficiency & EffectivenessEfficiency & Effectiveness Referral PatternsReferral Patterns SustainabilitySustainability Excellence with EquityExcellence with Equity
Delineation of FunctionsDelineation of Functions Efficiency & EffectivenessEfficiency & Effectiveness Referral PatternsReferral Patterns SustainabilitySustainability Excellence with EquityExcellence with Equity
LVP INFRASTRUCTURE MODELLVP INFRASTRUCTURE MODELLVP INFRASTRUCTURE MODELLVP INFRASTRUCTURE MODEL
COE
TC
SC
VC
COMMUNITY
Cataract Surgery RatesCataract Surgery RatesCataract Surgery RatesCataract Surgery Rates
2000-3999
4000+
no data
0-499
500-999
1000-1999
WHO 2005WHO 2005
GLAUCOMA &GLAUCOMA &DIABETIC RETINOPATHYDIABETIC RETINOPATHY
GLAUCOMA &GLAUCOMA &DIABETIC RETINOPATHYDIABETIC RETINOPATHY
• Human Resources Human Resources • Infrastructure Infrastructure • SystemsSystems
• Human Resources Human Resources • Infrastructure Infrastructure • SystemsSystems
GLAUCOMA &GLAUCOMA &DIABETIC RETINOPATHYDIABETIC RETINOPATHY
GLAUCOMA &GLAUCOMA &DIABETIC RETINOPATHYDIABETIC RETINOPATHY
A.A. Comprehensive Eye Evaluation Comprehensive Eye Evaluation B.B. Residency TrainingResidency TrainingC.C. MLOP TrainingMLOP TrainingD.D. Physician EducationPhysician EducationE.E. Public Education Public Education
A.A. Comprehensive Eye Evaluation Comprehensive Eye Evaluation B.B. Residency TrainingResidency TrainingC.C. MLOP TrainingMLOP TrainingD.D. Physician EducationPhysician EducationE.E. Public Education Public Education
Long TermLong TermLong TermLong Term
VISION 2020VISION 2020VISION 2020VISION 2020
PRIMARY PRIMARY PRIMARY PRIMARY
SECONDARYSECONDARYSECONDARYSECONDARY
TERTIARYTERTIARYTERTIARYTERTIARY
ADV. TERTIARYADV. TERTIARYADV. TERTIARYADV. TERTIARY
What at the each of these levels ?What at the each of these levels ?
• ICOICO
• AAOAAO
• IAPBIAPB
• WCOWCO
• InstitutionsInstitutions
With local educational institutionsWith local educational institutionsand professional societiesand professional societies
With local educational institutionsWith local educational institutionsand professional societiesand professional societies
Human Resource DevelopmentHuman Resource Development
• CareCare
• EducationEducation
Basic Minimum StandardsBasic Minimum Standards
• NationalNational
• InternationalInternational
Research Capacity Building/Strengthening
Research Capacity Building/Strengthening
LaboratoryLaboratory
Clinical CareClinical Care
CommunityCommunity
LaboratoryLaboratory
Clinical CareClinical Care
CommunityCommunity
Translational ResearchTranslational Research
• NEINEI
• ARVOARVO
• ACADEMIAACADEMIA
ResearchResearch
Credible InformationCredible Information
AdvocacyAdvocacy
ResearchResearch
Credible InformationCredible Information
AdvocacyAdvocacy
• Policy MakersPolicy Makers
• PublicPublic
• ProfessionalsProfessionals
AdvocacyAdvocacy
• Vote in favour of the adoption of the 117th EB Vote in favour of the adoption of the 117th EB resolution: EB117.R4resolution: EB117.R4
• Support adding Prevention of Blindness activities to the Support adding Prevention of Blindness activities to the Medium Term Strategic Plan 2008 – 2013 of WHO as Medium Term Strategic Plan 2008 – 2013 of WHO as well as its Biennial Programme Budget 2008 – 2009well as its Biennial Programme Budget 2008 – 2009
• Support inclusion of Prevention of Blindness and Visual Support inclusion of Prevention of Blindness and Visual Impairment activities within the WHO 11th General Impairment activities within the WHO 11th General Programme of WorkProgramme of Work
World Health Assembly ResolutionWorld Health Assembly Resolution
Gullapalli N RaoGullapalli N RaoInternational Agency for the International Agency for the
Prevention of BlindnessPrevention of Blindness&&
L V Prasad Eye InstituteL V Prasad Eye InstituteHyderabadHyderabad
Gullapalli N RaoGullapalli N RaoInternational Agency for the International Agency for the
Prevention of BlindnessPrevention of Blindness&&
L V Prasad Eye InstituteL V Prasad Eye InstituteHyderabadHyderabad