Lions Aid Norway Zambia - 2011 Annual Report

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Zambia2011

Annual Report

Ensuring Vision for tomorrows Future


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1. Message from the Country Director2. Background.

3. Human Resource Development.

4. Infrastructure.

5. Service delivery.

6. A dream almost lost: Nawas Story.

7. Service Delivery continued.

8. Advocacy.

9 Advocacy continued.

10 Organisation.

11. Data and statistics summary.

12. Financial report. 13. Appendices.

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LIONS AID NORWAY _ ZAMBIA

Table of content.

A

School children perform a play during World Sight Day


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Message from the Director.Welcome to our 2011 Annual Report. The end of

2011 marks 15 months of Lions Aid Norways existence in Zambia

and particularly in Western Province. This year has been quite

an exciting journey for us. I am particularly proud that after a lot

of planning and unwavering support from Ministry of Health

and other partners, the construction of the Multi Million Kwa-

cha Eye Department at Lewanika General Hospital (LGH) has

commenced. The facility will be the first comprehensive eye

department in Western Province and it will serve over 1 million

people. 2011 has also seen us usher in an advisory board com-

prising of experienced and seasoned professionals in the field of

eye care issues. I am confident that this team will guide LAN in its

delivery of programs for many years to come.

In this report, you will have an insight into our work in supporting the development

of Human resource for Eye Care, our support to Ministry of Health in its delivery of Eye Care services

and our work in supporting advocacy initiatives aimed at raising awareness on issues of Eye Care. We

have also attempted to bring to you stories of people of Western Province whose lives have been

changed by our support to eye care in that Province. Mr. Subulwas story which you will find on page 6

of this report is one that clearly defines the purpose of our work in this field.

Looking ahead to 2012, we look forward to some exciting opportunities as well as

some challenges which we have carried forward from the year past. One of the opportunities include

our partnership with Vision Aid Oversees in the field of optometry. This will enable our outreach teams

and the Eye Department at LGH offer full optometry services from refractions to making of lenses.

One of the challenges continue to remain the limited financial resources. This has led us to cut down

on some of the activities initially planned in 2011.In conclusion, may I take this opportunity to thank our partner Ministry of Health both

at National and Provincial for the tremendous support that they have given to this project. Our grati-

tude also goes to the Lions for being there every step of the way, my fellow Lions back home in Nor-

way who have continued to support Lions Aid Norway and our funding partner the Norwegian Govern-

ment through its development agency NORAD. Lastly but not the least, I would like to thank my staff

who whose contribution and dedication has brought us where we are today.

Thank you and enjoy your reading.Jan Erik LarsenPage 1


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Background.

i. Introduction

The aim ofLAN is to reduceavoidable blindness throughthe provision and support ofAfford-able, Accessible andAvailable Eye Care servicesin Zambia. LAN is working inclose collaboration with the Ministry of Health andother partners to build, strengthen and supportexisting Eye Health systems and services inWestern Province in a sustainable and cost effec-tive manner. LANs support is within the contextand framework of the National Eye Health Stra-tegic Plan.

ii Our Vision

To provide people of Western Province with equity of access to cost effective qual-

ity eye care as close to the family as possible within the global initiative for elimina-tion of avoidable blindnessThe V2020: The Right to Sight.

iii Our Aims

1. To support the development of Eye care infrastructure.

2. To support the development of Human Resource for eye care.

3. To promote and provide appropriate technology and Infrastructure necessary for

delivering eye care services.

4. To create awareness on eye care conditions and related issues.

iv Our 2011 Objectives

1. Start construction of an Eye Department at Lewanika General Hospital.

2. Identify 8 cadres to be trained as Ophthalmic Clinical Officers (4) OphthalmicNurses (2) and Optometrists (2)

3. Train 80 Primary Eye Care (PEC) workers in 4 districts.

4. Support 2 surgical outreach activities in 2 districts..

5. Support of Surgical activities for Trachoma elimination in Kaoma District.

6. Develop 16 radio awareness programs on Eye Care issues.

7. Sensitize 4000 people on eye care issues.

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Human Resource Develeopment.

1. Training of Ophthalmic Clinical Officers and Nurses. (2011 Objective: 8 to be trained bythe end of 2013)

2 candidates from Lewanika General Hospital (LGH) are currently training as OphthalmicClinical Officers in the Gambia. Two more candidates from LGH and 1 candidate from Lu-

kulu District are scheduled to commence training inthe same discipline at Chainama College of HealthSciences in January 2012. The five candidates so farrepresent a 62.5% progress towards meeting the ob-jective. The remaining 3 candidates will be supportedfor training in 2013.

2 Primary Eye Care Training (2011 Objective: 40health workers, 40 community health workers trainedin PEC by end of 2011)

In 2011, LAN has supported 4 Primary Eye Care train-ings in 4 districts namely Mongu, Senanga, Lukulu andSesheke. The objective of the training is to establish

and strengthen district Eye Care and referral system by equipping health workers with thebasic skills in disease identification, diagnosis and treatment. A combined total of 39 healthworkers and 40 community health workers have been trained from all the 3 districts. Thetarget is to train 10 health workers and 10 communityhealth workers per district per year until all the healthcentres have staff trained in Primary Eye Care. Thenumber of people trained represents a 97.8% progressagainst the planned objective.

3 Training of Health workers in TT Identification. (2011Objective: 10 health workers trained in TT identifica-tion)

A total of 10 health workers were trained in the identifi-cation TT in Kaoma District. The objective of the train-ing was to equip health workers with the skills required

to identify and book for surgery patients that requireTrichiasis surgery. Following the training in TT identifica-tion, 6 health workers were selected for training in con-ducting Lid rotation surgery. The training of surgeons isongoing as all candidates are yet to meet WHO require-ments for them to be certified as surgeons.

Wamulume and Precious currently in the Gambia

are expected to complete the training in July 2012

Lukulu DMO addresses a team of health workers

during a PEC training workshop

Dr. Kasongole orients a team of health workers

during the training.

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Support Sector 2: Development of Infrastructure for eye care inWestern Province.

(2011 Objective: start construction of EyeDepartment at Lewanika General Hospital)

In June 2011 LAN signed a contract with afirm which was responsible for preparing allthe drawings, bill of quantities and tender

document. The firm is also responsible formonitoring the whole project during theconstruction period as well as 6 months af-ter completion of the building. In Septem-ber 2011 LAN awarded the contract for theconstruction of the Eye Department to thesuccessful bidder and works have sincecommenced. Completion of the project isexpected in July 2012 and will be at a costof K6 billion.

Infrastructure.

Front view: A computer model of the Eye Department currently being constructed at Lewanika General

Arial view: A computer model of the Eye Department currently being constructed at Lewanika General

LAN Country Director and woodlands investments

Director at a signing ceremony for the award of the

contract to construct the Eye Department

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Support Sector 3: Delivery of eye care services in Western Prov-ince.

3.1 Surgical Outreach camps (2011 Objective:Conduct 2 eye camps in two districts)

In October 2011 LAN supported 1 eye camp or-ganised by the Ministry of Health in Senanga Dis-trict. A total of 90 cataract surgeries were con-ducted and over 2000 people were screened withabout 300 prescribed and given medicine. LANcould not support another eye camp in anotherdistrict due to lack of funds resulting from overexpenditure in other activities. This represents a50% progress towards the set target of 2 out-reaches.

3.2 Kaoma LidRotation Surgeries (2011 Objective: Treat 80TT cases in Kaoma District)

A total of 3 surgical camps in Lid Rotation havebeen conducted in a Kaoma. The support in-cludes funding of community sensitization andcommunity screening activities leading up to thesurgical camp. A total of 70 cases have beentreated. This represents 87.5% progress to-wards meeting the target. However, the exer-cise proved to be more costly and less effectivethan planned due to constraints in identificationand mobilisation of patients.

Service Delivery.

Cataract surgeries being conducted in Senanga

District

Lid rotation surgeries being conducted in Kaoma

District

Most cataract

patients are

old and the

condition

hampers

their abil-

ity to sus-

tain them-

selves eco-

nomically.

Successfulcataract operation

enables them to fend for

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NAWAS STORY

Mr. Nawa Sibulwa is a 41 year old middle aged manwho has a passion for Art and Football. Mr. Nawa who stays

with his wife, two children and two nieces leaves in Mu-lambwa compound of Mongu District in Western Province.

He recalls that in August 2009, at the time when he and his

wife had started to build their dream home, his vision started

to detoriate. For the next two years, his condition continued

to worsen until June 2011 when he was diagnosed blind.

Dr. David Kasongole, the Provincial Ophthalmolo-gist who diagnosed Mr. Nawa described his case as a rare

form of cataract for a man his age. He said that he was bi-

laterally blind (blind in both eyes) with light perception only.

Usually, Dr. Kasongole explained, such kind of cataract is

common in diabetic patients and people leaving with HIV. How-

ever, Mr. Nawa was not affected by any of these diseases.

During the period that his sight became poorerand poorer, Nawas family dream of building his own

house came to a halt. He could no longer do any of his art

work hence he lost his income. He describes the period as

having been a difficult time for he was not able to pay rent

and school fees for his children. Mr. Nawa described those

times as having been the most scary moments of his time.

After being diagnosed with mature cataract atLewanika General Hospital, Mr. Nawa underwent surgery

made possible by the support from Lions Aid Norway Eye

Care program. Mr. Nawa explained how unbelievable it was

for him to be able to see again. His second operation was

also successful and Dr. Kasongole is impressed that his patients

visual acuity is so good that he doesnt need spectacle correc-

tion.

Mr. Nawa says that he cant still believe that heis able to see. He expressed his gratitude to Lions AidNorway and Ministry of Health staff explaining that he

had even been given a quotation of $ 300 just for con-

sultation at a private hospital in Lusaka. There is no way

i could have managed to pay for the operation at a pri-

vate hospital, Mr. Nawa explains, at that time, I could

not even afford transport to go to Lusaka.

Dr. Kasongole encouraged people with similar prob-lems to visit Lewanika General Hospital adding that the

service was free with the support of Lions Aid Norway.

Mr. Nawa is now actively back at his work and the dream

of building a family house which had seemed dead is now alive.

Am happy that we have now even managed to build a foundation for our house, Mr. Nawa happily exclaimed

in conclusion.

Due to Cataract, Nawa could not paint anymore and thus he lost his income

Nawa shows off some of his works

Nawa with one of his children and nieces


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3.2 Equipment and Consumables (2011 Objective: Equip Lewanika General Hospi-tal eye department with essential equipment and tools)

Equipment: Based on thesituation analysis conductedduring the first planningmeeting, LAN purchased anddonated equipment worth326 million Kwacha (NOK413,000). Among the equip-

ment includes an OperatingMicroscope, Slit Lamp andvarious instruments forLewanika General Hospital.(Please see appendix for adetailed list of equipment).In 2012 LAN will focus onequipping the eye depart-

ment whose completion is expected in July of the same year. It is estimated thatequipping the eye department will cost $800,000

Consumables:Also based on the needs assessment carried out at Lewanika Gen-eral Hospital, LAN has provided the eye clinic with various eye care drugs worthover 20 million Kwacha. LAN has also supported LGH with 50 cataract kits.

Service Delivery.

Part of the equipment donated to Lewanika General Hospital

Former Western Province Permanent Secretary during the handover of

equipment to Lewanika General Hospital

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Support Sector 4. Raising awareness on eye care issues through Advocacyand Information Sharing

4.1 Radio programs (2011 Objective: Develop 16 Radio programs on Eye Care)

LAN has been working in partnership with a Lo-cal Community Radio Station called Radio Liselito develop Radio Programs aimed at creatingawareness about Eye care issues. A total of 14programs have been aired as at the end of 2011.This represents 87.5% progress against objec-

tive. The programs are currently reaching an es-timated 400,000 people in four districts namelyMongu, Senanga, Lukulu and Kaoma. The radioprograms have played a key role during commu-nity mobilisations and sensitizations for outreachcamps and other public events such as WorldSight Day.

4.2 Development of IEC Materials (2011 Objective: Develop IEC materials for rais-ing awareness on eye care issues).

LAN has developed various IEC materials for use during sensitization meetings andtrainings. The materials which were developed with technical input from the Provin-cial Ophthalmologist and other experts include the following;

Advocacy.

What is Trachoma: A teachingaid for the community and

health workers in the identifica-

tion of Trachoma.

Promoting Community EyeHealth: A teaching aid forschools and communities in

basic eye care.

World Sight Day InformationPack: A one page brochure

highlighting the significance of

WSD and the role of LAN inthe province.

The radio programs reach an estimated 400 people

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4.3. Commemoration of World Sight Day. (2011 Objective: 3000 people sensitizedon eye care issues)

In October 2011 LAN supported the first ever commemoration of World Sight Day inWestern Prov-ince. The eventwhich was com-memorated inMongu was at-tended by over2000 people.

The event wascharacterised byvarious eyecare, advocacyand sensitizationactivities duringWorld SightWeek. Activitiesincluded;

Community eyescreening ser-vices.Eye health infor-mation sessions.Eye healthdrama, plays andpoems.

A total of over800 pupils

benefited fromthe eye health information sessions and a total of about 600 community membersreceived free eye screening. An estimated 400,000 people were reached throughthe Radio programs surpassing the targeted number of 3000.

Advocacy.

800 pupils benefited from eye health education

sessions600 community members received free eye screen-

ing

Traditional dances, poems and plays were used to

sensitize people on eye careFour schools participated in the match past

Speaking during the commemoration of world Sight Day, LAN country

director revealed that K6 billion had been set aside for construction of an

eye department at Lewanika General Hospital. He also emphasised the

need for MOH leadership in the Province to integrate the eye care pro-

gram in their programs

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Planning and Coordination.

Activity

Whenitwascon-

ducted

Deta

ils

Provincial

Planning

Meeting

February2011

Them

eetingwasattendedby6DistrictM

edicalOfficesandtheirEyeCarefo

cal

pointpersons.KeystafffromtheProvincia

lOfficeandLewanikaGeneralHosp

ital

wereinattendance.

Theaimofthemeetingwastodevelopthethreeyearstrate

gic

planfortheWesternProvinceEyeCarePla

n.

KaomaTrachomaPlan-

ning

February2011

AsecondTrachomaplanningmeetingwasheldinKaoma.Thiswasafollow

up

planningmeetingtocompletetheTrachom

aDistrictplan.

Thefirstplanningmeet-

ingwasfacilitatedbyformerSightsaversCountryDirectorMr.JosephMunsanje.

Them

eetingwasattendedbyallTrachom

ataskforcemembers.Theaimof

the

meetingwastocompletethethreeyearT

rachomaEliminationplanforthatD

is-

trict.

Districtorientationvis-

its

June2011

LAN

CountryDirectoraccompaniedbytheProgramOfficerandtheProvincial

Ophth

almologistconductedafamiliarisatio

ntourofSenanga,

ShangomboandLu-

kuluD

istricts.

Thepurposeofthevisitwastoassessthescopeofeyecareservices

andfindoutwhatisavailableinthedistrictsasregardstoeyecare.

Thegeneral

impressionofthevisitisthatalltheDistrictslackbasicandfundamentalrequire-

ments

neededtosupportandimplementEyeCareservices.

Forexample,all

the

distric

tshavelittleornosupplyofEyeCaredrugs.Equipmentandessentialinstru-

ments

requiredforprovidingtheservicearelacking.

IAPBConference

July2011

LAN

representedbytheProgramOfficer

attendedSouthernAfricaInternatio

nal

Agenc

yforthePreventionofBlindnessconference.

TrachomaActionPlan-

ningworkshop.

August2011

InJuly2011LANparticipatedinthedevelopmentofthenationalactionplan

for

theeliminationofTrachoma.Themeeting

whichwassponsoredbyITIwashosted

bythe

MinistryofHealth.

District

Monitoring

visits

September2011

LAN

throughtheMonguProgramOffice

conductedDistrictMonitoringand

re-

viewvisitstoselecteddistricts.Theaimo

fthevisitswastoassessanddocum

ent

theim

pactofLANsupportedprograms.

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Data and statistics summary .

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Financial Report.

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Appendices.

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For more information please contact

Lions Aid NorwayPlot 30991 Thabo Mbeki Road

Lusaka, Zambia

+260 211 840 234+260 211 840 233

[email protected]

Compilation, layout and design byLions Aid Norwaystaff

Lions Aid Norway Zambia - 2011 Annual Report

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