Presenter Gail M Ormsby – CBM Australia; Centre for Eye Research Australia Noela Prasad – Centre for Eye Research Australia Manfred Mörchen – Takeo Eye Hospital, Cambodia Te Serey Bonn – Takeo Eye Hospital Ngeth Sarun – Takeo Eye Hospital Evangeline Dunton – Takeo Eye Hospital Myrna Porto – Takeo Eye Hospital Natalie Maggay – CBM Viet Nam Nguyen Hong Nga – CBM Viet Nam Nguyen Ngoc Anh – CBM Viet Nam Jill Keeffe – Centre for Eye Research Australia Symposium – The World Report on Disability: Implications for Asia and the Pacific University of Sydney, 5-6 December, 2011 Establishing an evidence- base for disability inclusion in eye health programmes
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Presenter Gail M Ormsby – CBM Australia; Centre for Eye Research Australia
Symposium – The World Report on Disability: Implications for Asia and the Pacific University of Sydney, 5-6 December, 2011. Establishing an evidence-base for disability inclusion in eye health programmes. Presenter Gail M Ormsby – CBM Australia; Centre for Eye Research Australia - PowerPoint PPT Presentation
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Presenter Gail M Ormsby – CBM Australia; Centre for Eye Research AustraliaNoela Prasad – Centre for Eye Research AustraliaManfred Mörchen – Takeo Eye Hospital, CambodiaTe Serey Bonn – Takeo Eye HospitalNgeth Sarun – Takeo Eye Hospital Evangeline Dunton – Takeo Eye HospitalMyrna Porto – Takeo Eye HospitalNatalie Maggay – CBM Viet Nam Nguyen Hong Nga – CBM Viet Nam Nguyen Ngoc Anh – CBM Viet NamJill Keeffe – Centre for Eye Research Australia
Symposium – The World Report on Disability: Implications for Asia and the PacificUniversity of Sydney, 5-6 December, 2011
Establishing an evidence-base for disability inclusion in eye
health programmes
Cambodia and Vietnam
“Disability” inclusive approach tocommunity eye health
• Our experience– Gender– Education– Disability
• As related to eye health knowledge, attitude and practice
• How this informed project implementation
Context: Disability Inclusion
AusAID strategy for disability inclusion - Development for All: Towards a disability inclusive Australian aid program 2009-2014,
– all AusAID funded activities will need to show consideration of disability mainstreaming,
– so disability inclusion training and guidelines were included under AusAID Avoidable Blindness Initiative.
Field research included Rapid Assessment of Avoidable Blindness (RAAB) and surveys of Knowledge, Attitude and Practice (KAP) to
– Provide baseline data on blindness and vision impairment– Provide a picture of the community’s perception of eye healthso that the project responds to needs of the community being served.
Baseline information
Results of RAAB surveyPrevalence of vision impairment in people over 50 years of age• Cambodia (conducted in 2007)
• Vietnam (conducted in 2010)
Region Prevalence of blindness <3/60
Prevalence of severe visual impairment<6/60 – 3/60
Prevalence of moderate visual impairment <6 / 18 – 6/60
Cambodia 2.8 % 17.61 %
Viet Nam 3.1 %
Son La 2010 1.7 % 1.3 % 7.1 %
Thanh Hoa 2011 5.44 % 3.48 % 12.24 %
Baseline information
Areas of focus for KAP surveyKnowledge and attitude of the community regarding their eye
health.Current practices and attitudes regarding uptake of eye care
services.Perception and practices on the inclusion of women, children
and persons with disability in community eye care programmes.
Survey LocationsThanh Hoa and Nghe An Provinces
Bati
Takeo
Kiri Vong
• 600 people surveyed from across 3 districts 200 people per district
• 30 randomly selected villages from across districts 10 villages per district
• 20 people surveyed from each village– 6 or 7 people from each age
group surveyed from each village (At least 1 or 2 people with a disability)
• Random walk to find people – Random lank mark chosen, called
in at consecutive houses until number of participants reached
– If people with disability not in this sample, convenient sampling used where village leader was asked where person with disability lives (was not found necessary)
• 4 cities & districts in each province selected according to the following criteria:
2 districts that will be sites of project implementation,
1 urban area where available eye services are linked to the project,
1 district adjacent to site of project implementation.
• Quota: people from each district75% of the total number of respondents in a province from each project district (94 people per district),15% from urban areas (37 people from each area),10% from adjacent sites (25 per site).
Ensure at least 1 or 2 people with a disability are included at each site.
SamplingCambodia Vietnam
Results
Potential service users surveyed 1130 people over 25 years of age
• 599 from one province in Cambodia• 531 from two adjacent provinces in Vietnam