International Council of Ophthalmology Coordinating Advocacy In sub-Saharan Africa Daniel Etya’ale ICO Council Member ICO World Ophthalmology Roundtable World Ophthalmology Congress, Hong Kong 27 th June 2008
International Council of Ophthalmology Context & Environment of Eye Care Delivery & Blindness Prevention in Africa
AFRICA: A DISPROPORTIONNALLY HIGHER NUMBER OF BLIND International Council of Ophthalmology Pop by Region (% Total Pop) Total Blind) Blind by Region (%
AFRICA: THE HIGHEST CONCENTRATION OF THE POOREST PEOPLE International Council of Ophthalmology
AFRICA: THE REGION WITH THE HIGHEST “OUT OF POCKET” EXPENDITURE FOR HEALTH International Council of Ophthalmology
INEQUALITY IN HEALTH SPENDING – BY REGION (WHO, 2000) International Council of Ophthalmology
EXTERNAL AID AS PERCENTAGE OF TOTAL HEALTH SPENDING (2000) International Council of Ophthalmology
International Council of Ophthalmology AFRICA: A REGION WHERE DONOR COMMITMENT FOR HEALTH CARE IS QUITE VOLATILE & UNPREDICTABLE
International Council of Ophthalmology ? ? ? VISION 2020 ? ? ?
International Council of Ophthalmology Africa Challenges in Coordination & Advocacy
Ultimate Goal NATIONAL COMMITTEE FOR VISION 2020 ACTIVITIES CENTRAL AND REGIONAL COORDINATION A good Eye care Infrastruct. Essential MOH Teams Fully functional Eye Medic. Partners Monitoring O’Gists Eye Care Units & Equipmt NGDOs System Nation. List Missions Data Collect. Offering Cat. Surg. Opht. Nurse Optometr. + Other Essential A Procurmt Foundations Transmiss. Surgeries L. V. Techn. UN & Feedback & Distribut. Comm. Wkr. Minim. Functional System that Prof. Assoc. Activities Equipmt. Managers Works! Training Centr. Reports A COMPLETE & FULLY FUNCTIONAL EYE CARE SYSTEM (Community, Primary, Secondary & Tertiary) COUNTRY POLITICAL AND FINANCIAL COMMITMENT A Clear and Coherent National Eye Care Policy A fully developed, V 2020 compliant National Plan A non fictitious budget line for Vision 2020 Activities
VISION 2020 Many Partners in AFRICA International Council of Ophthalmology 46 COUNTRIES IAPB, WHO NGDOs: Al Noor Foundation, Christoffel-Blindenmission (Christian Blind Mission International), Helen Keller Worldwide Organisation pour la Prévention de la Cécité, Operation Eyesight Universal, ORBIS International, Sight Savers International, The Carter Center, The Fred Hollows Foundation Dark & Light, Seva Foundation, International Centre for Eyecare Education , Lions Clubs International Foundation, The International Eye Foundation, Operation Eyesight Universal, International Trachoma Initiative. Foundations & Others: , International Council of Ophthalmology, The American Academy of Ophthalmology, etc
Africa Challenges in Coordination & Advocacy International Council of Ophthalmology Three Levels of Operation • Global • OK • Regional/Sub-Regional • Work in Progress • Country • Work in Progress 13
Achievements so far International Council of Ophthalmology Addis Ababa, 2006 & Accra, 2007: • Two coordination/consultation/advocacy meetings with all NGDOs Accra, April 2008: • All stakeholders coordination/advocacy meeting: WHO, IAPB, NGDOs, Countries, ICO, Training Institutions, Other subregional health organisations involved in Eye care
Achievements so far International Council of Ophthalmology The Addis Ababa & Accra meetings: Main outcomes: • A consensus on work together among NGDOs • An agreement on building NGDOs coalitions at sub-regional and country to support eye care and blindness prevention • To date, 2 sub-regional coalition groups (West & Southern Africa) are already working well • Joint funding of projects also started
Achievements so far International Council of Ophthalmology The Accra “All stakeholders meetings”: Main outcomes: • A consensus on ways to accelerate VISION 2020 activities throughout the region, in a more equitable way (support to “neglected countries”) • A proposed new structure for IAPB mandate & Coordination in Africa • The development of the new SS African Strategic and Business Plan
THE PROPOSED COORDINATION STRUCTURE AT COUNTRY LEVEL LOCAL NGDOS + Mission Eye Care Services INTERNATIO NAL NGDOs & OTHER AGENCIES WHO & OTHER UN AGENCIES PRIVATE SECTOR MINISTRY of HEALTH Chairman, Nat’nal Coord, Secretariat DISTRICT PROGRAMS Regional Ophthalmologists District Eye Workers (+NGO/Mission Eye Workers) PROFESSIONAL GROUPS O’gists, OCOs/AMOs, Optometrists, Nurses TRAINING INSTITUTIO NS SCHOOL EYE HEALTH
Resources for Advocacy International Council of Ophthalmology The importance of Country Data & Policies E. g. , MDG More & More data on HRD, Eye Care Structures & Infrastructure Disease Control Activities are now available Contact WHO/PBD The new V 2020 Strategic Document Contact IAPB or WHO ICEH Journal: Advocacy www. cehjournal. org
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