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Eye Banking in India : A Road Map

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Higher costs of treating and managing diseases at a late stage. Lost earnings for the visually impaired and caregivers ... Lower quality of life in social, ... – PowerPoint PPT presentation

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Title: Eye Banking in India : A Road Map


1
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Why blindness prevention needs our attention
3
The Basics - A Global Problem
  • 161 million visually impaired
  • 37 million blind
  • 75 of blindness is avoidable -treatable or
    preventable, in a cost-effective manner
  • Nine in 10 blind persons live in low income
    countries

4
A Costly Problem
  • Higher costs of treating and managing diseases at
    a late stage
  • Lost earnings for the visually impaired and
    caregivers
  • Lower quality of life in social, economic, health
    and cultural terms
  • Annual global impact of unaccommodated blindness
    and low vision at nearly 42 billion

5
A Containable Problem
  • Of the 37 million blind worldwide, 17 million
    could be cured by a 15-minute, 50-dollar cataract
    operation with a 98 success rate
  • Blindness is not limited by age, socio-economic
    status or gender

6
A Containable Problem
  • Some blinding diseases and conditions result from
    poor sanitation and inadequate nutrition
  • The leading causes of avoidable blindness are
    cataract, refractive error, onchocerciasis,
    trachoma and vitamin-A deficiency

7
The Imperatives
  • Reducing blindness is linked to improving access
    to educational and employment opportunities
  • Reducing blindness alleviates household,
    community and national poverty

8
The Imperatives
  • The right to sight is an essential component of
    national development and poverty alleviation
  • Productivity gains from reducing visual
    disability would amount to a saving of US223
    billion over 20 years

9
The Demonstrated Impact
  • An Australian survey showed that
  • Vision impairment and blindness cost the country
    9.85 billion in 2004 and affected nearly 500,000
    Australians
  • Interventions over the lifetime of those impacted
    would lead to savings of more than 650 million
    in present value
  • Quality of life gains would accumulate to 7.7
    billion over the lifetime of populations

10
The Demonstrated Impact
The gains would depend on an investment of just
0.23 of the total health spend and 9.9 of the
spend on vision disorders
11
The Broader Implications
  • Blindness prevention is a step toward achieving
    the Millennium Development Goals, particularly in
    terms of
  • Poverty eradication
  • Universalisation of primary education
  • Reducing child mortality
  • Combating chronic and life-threatening diseases
  • Improving access to employment opportunities

12
The Process
  • Partnerships between eye care agencies,
    professional bodies and government institutions
  • Building capacity in human resources and
    infrastructure within the health care delivery
    system
  • Developing preventive and curative eye health
    services as part of general health care at
    primary, secondary and tertiary levels
  • Committing to the idea vision loss can and must
    be prevented through high quality, sustainable
    and equitable services

13
The Gains Thus Far
  • VISION 2020 The Right to Sight - a productive
    partnership between IAPB and WHO
  • Significant gains in disease control
  • An enhanced network of training opportunities
  • A focus on permanent infrastructure creation
  • Increased awareness of blindness as an issue that
    has many ramifications
  • Successful service delivery models incorporating
    sustainability, excellence and equity

14
The Gaps
  • Acceptance from more governments to the idea that
    blindness prevention is crucial to human
    development
  • Greater government commitment in terms of
    financial and human resources
  • To build training programmes
  • To develop infrastructure
  • To incorporate eye care into primary health care

15
Stepping ahead WHA, May 2006
  • Vote in favour of EB draft resolution 117.R4
  • Support the inclusion of prevention of blindness
    in the WHOs medium term strategic plan for
    2008-2013 and its biennial programme budget for
    2008-2009
  • Support the inclusion of prevention of blindness
    in WHOs 11th General Plan of Work

16
Leveraging the position of WHO
  • To raise the visibility of blindness prevention
  • To encourage the buy-in of governments
  • To enhance the networks already created by VISION
    2020
  • To move beyond the recognition achieved to WHA
    56.26 to realise the dream of a universal Right
    to Sight

17
Investing in Blindness Prevention is
  • An investment in
  • life
  • livelihoods
  • learning
  • living

18
Gullapalli N Rao International Agency for the
Prevention of Blindness
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