Ophthalmology in North Wollo, Ethiopia. Ethiopia.

ALEMU KERIE,MDWOLDIYA HOSPITAL,ETHIOPIA,NOV. 2012.

Ophthalmology in North Wollo, Ethiopia

Ethiopia

Vision 2020 : the right to sight

adopted in Ethiopia in 2002

Three essential elements :

strategies for disease control

human resource development

infra structure and appropriate technology development

Stakeholders in ophthalmology-Ethiopia

Ministry of Health Ophthalmological society of Ethiopia University teaching hospital Himalayan cataract project Christian Blind mission Orbis international Carter center, etc

Subspecialty services in Ethiopia only in Addis Ababa and teaching hospitals

Cornea

Eye bank of Ethiopia Retina

FFA, OCT

SB-----PPV, EL Glaucoma

VF----goldman, Humphrey, FDT, pachymetry Pediatrics ophthalmology Oculoplastics

Prevalence of national blindness 1.6%

Ethiop.J.Health Dev. 2007;21(3)

Ethiop.J.Health Dev. 2007;21(3)

Woldiya hospital Secondary Eye Unit, Northern Ethiopia providing Eye care since Dec. 2009 for Service area of 1.5 million people

Services at Woldiya hospital, SEU

1. Training

Training of nurses on Integrated Eye Care workers/ trichiasis surgery/ in collaboration with Carter center.

65 nurses trained

Health extension workers on trachoma/ Referrals

Networking CBR, Water and education sectors with health services in North Wollo.

2. Collaborating with research team

Costs of blindness and cost effectiveness of cataract surgery in Northern , Ethiopia

HCP, Rand corporation Baseline survey on Costs of Blindness March/April 2012

About 1900 house holds interviewed, of whom 1400 bilateral blind

Woldiya Eye campaign, May/2012 conducted by HCP

1131 cataract surgeries done/6day/ Drs. Geoffrey, Matt, Ruit, Tilahun and Alemu

Learning experience for Woldiya,SEU

Instruments and supplies donated Survey for refusals and Cataract Outreach June 2012

173 people got sight restoring surgeries Impact of cataract surgery to be assessed next year

Eye campaign at Woldiya, May/2012

Drs. Geoffrey, Matt, Ruit, Tilahun, Alemu at Woldiya

3. Hospital base service

Patient evaluation and treatment

Refraction, biometry (keratometry and A- scan)

Glaucoma evaluation but no VF

Posterior segment evaluation Regular OR schedules on Tuesday, Thursday

and Friday Minor procedures on Monday and Wednesday.

Woldiya Hospital, SEU, Service Dec. 2009- Sept. 2012

Activity Male Female Total

SICS+PC IOL 1698 1443 3141

Trabeculectomy 112 58 170

Combined glaucoma +cataract surgery

30 23 53

Pterygium excision+autograft

24 35 79

TT surgery 123 302 425

OPD evaluation(New)

6849 4834 11683

Eye problems pose huge economic and social impact for affected individuals and to the society and the nation at large.

The policy makers will benefit from the data that the baseline survey and impact assessment of cataract surgery will generate and hence make data based decision on the allocation of resources.

Thus, implement appropriate, affordable and accessible interventions.

Rock Hewn church in Lalibela (12th century)

Thank you