ORBIS International in Haiti Joan Mc Leod Ismael

ORBIS International in Haiti Joan Mc. Leod Ismael Cordero Haiti Eye Care Symposium May 18 -20, 2012 Port au Prince, Haiti 1 | ORBIS International

ORBIS Multi-Platform Yet Integrated Sight. Saving Program Approach § Operate the world’s only Flying Eye Hospital DC 10 plane which has worked in 78 countries § Provide hands-on training -skills & diagnostic to doctors, nurses and other eye care providers § One key focus is pediatric eye care § Offer doctors on-line consultations, e-learning, and medical education via Cyber-Sight. Telemedicine § Partner with leading eye surgeons and hospitals worldwide § Work to eradicate endemic tropical diseases, Trachoma in Ethiopia program 3 | ORBIS International

ORBIS Partnership Globally shows Results for Year 2011 § Enhanced training of over 2, 200 doctors & 12, 600 nurses & other eye care providers § Performed 2. 3 million vision screenings & examinations on adults & children § Provided 3. 4 million medical /optical treatments § Performed 76, 000 surgeries 4 | ORBIS International

ORBIS in Haiti In 2010, ORBIS participated in a joint agency assessment to determine requirements post earthquake for local ophthalmic community • Surveyed 19 facilities including government, NGOs, private, mixed • Examined infrastructure, equipment, supplies, personnel, level of activity, services performed, number of cataract surgeries, etc. • Results shared in a debriefing meeting of several NGOs and others “International Collaborating Group for the Reconstruction of Eye Care in Haiti” 8 | ORBIS International

Significant joint Assessment Findings At least 30% of ophthalmologists partially or totally lost offices, or their eye care facility was destroyed; none of the eye care facilities had insurance covering earthquake risk Few ophthalmologists were performing eye surgery since the earthquake Deteriorated equipment and facilities were further damaged Immediately after the earthquake the Government ordered state hospitals to provide free services to all patients; Many health personnel not being paid 11 | ORBIS International

ORBIS Project in Haiti: 2010 -2011 Recovery and Rehabilitation of Eye Care in Post. Earthquake Haiti Working with the National Blindness Prevention Committee-Haiti (CNPC), ORBIS and CBM, supported an eye care stabilization project to provide services to displaced persons in ‘ tent camps’ Project ran from Dec 2010 – July 2011 –with a potential to extend Objectives were to provide: • Eye care services (examination, treatment and surgery) to displaced persons living in tent cities throughout Pa. P • Minimal financial support for ophthalmologists at risk of leaving Haiti (practices destroyed, government not paying salary, no patient fees) • Capacity building and financial support to CNPC 12 | ORBIS International

Project Results reported to Jan-July 2011 8, 692 persons screened, examined and treated as necessary for eye problems in ‘tent cities’ and at eye clinics in Pa. P 3, 728 persons got eyeglasses 103 surgeries performed Trained one ophthalmologist in MSICS at Aravind Eye Hospital in India Supported training for 10 Eye care assistants / social workers for screening in “tent cities” 13 | ORBIS International

ORBIS External Review with IEF Project was reviewed in July 2011 by independent consultant from IEF Recommendations were for : • Screening and patient outreach to continue – Importance of patient counseling (pre and post surgery) – Ensuring patient accompanied and transported to surgical centers to optimize surgery uptake minimize loss of follow-up • Standardizing data management across surgical centers • Including one additional surgery center for surgery referral - ORLO • Improving patient flow practices within the hospital to ensure greater efficiency, and standard protocols for examination and follow-up 14 | ORBIS International

15 Month Project Extension to January 2013 Direct Service Delivery to 12, 000 persons living in ‘tent camps’ in need of screening and basic eye care Estimated 6, 600 persons from ‘tent camps’ and from Pa. P to receive examination and medical treatment at Eye Clinics Estimated 480 persons to receive eye surgery Additional 5 locations identified by CNPC Outreach to include 2 more sites 15 | ORBIS International

15 Month Project Extension to January 2013 Health Care Institutions and Human Resource Development Eye Care Clinics/Hospitals will receive increased patients load , thus fees from consultations and surgeries, allowing further stability for employed ophthalmologists , and sustainability of the institution Will include additional surgical centers Strengthen CNPC staff : support study tours in Santo Domingo and/or Guatemala, and in data management Build surgical skills in Manual Small Incision Cataract Surgery (MSICS) Training for biomedical engineers/technicians thru new initiatives 16 | ORBIS International

FY 2011 Achievements and FY 2012 Targets Planned Target for surgery was under achieved - due to low uptake, cultural barriers, and preference for glasses and drops 17 | ORBIS International

ORBIS Eye Care Projects in Haiti M e r c i 18 | ORBIS International