Eye health strategy 2013-2018 summary - Sightsavers

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Eye health strategy 2013-2018 summary - Sightsavers
Eye health
strategy
2013–2018 summary
Eye health strategy 2013-2018 summary - Sightsavers
Eye health in context

    285
                                     million
                                                                           Low vision
                                                                246 million
                                               of which

    people have a                                                39 million
                                                                           Blind
    visual impairment

    Inequality in numbers

        90% 80% 66%
     of people with visual                of blindness               or two-thirds of
     impairments live in a                is curable or             people who are
      developing country                   preventable              blind are women

    Avoidable blindness

    20                                          1.5
                          million people                                 million people
                          are blind from                                 are blind from
                          untreated                                      preventable
                          cataracts                                      NTDs

    Sightsavers’ eye health strategy 2013–2018 can be downloaded in full from
    www.sightsavers.org/policy-and-research/health

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Eye health strategy 2013-2018 summary - Sightsavers
Sightsavers’ vision and mission
Sightsavers’ vision is of a world where no one is blind from avoidable causes
and where visually impaired people participate equally in society.
We are an international organization working with partners in developing
countries to eliminate avoidable blindness and promote equality of
opportunity for people with disabilities.

Programme goals
Sightsavers’ ultimate strategic aim
is for governments to ensure that            Sightsavers’ eye health strategy
good quality eye care is available to        provides a clear vision of our
all people as an integral part of wider      programmatic approach to eye
health systems.                              health for the next five years
                                             (2013–2018). It describes where
We believe that strong health                we will invest resources and
systems aligned to clear government          how we will work with a variety
policy are essential to create an            of stakeholders to achieve our
environment for the elimination of           strategic goals.
avoidable blindness.

                                          We work to encourage individuals to seek help for their
                                          eye conditions and understand the value that treatment
                                          and healthy eyes can bring

                                            Eye health strategy 2013–2018 summary                   3
Programme approach
    Our programmatic approach is guided by the principle of affordable
    universal health coverage and a health system strengthening approach
    based on the World Health Organization’s (WHO) six building blocks.

    Our programmes work to address                                                                                                  approaches to providing universally
    both supply and demand challenges                                                                                               available eye health services within
    in each national context through                                                                                                the overall health system, which can
    interventions such as training of                                                                                               be scaled up and replicated.
    health care workers, community                                                                                                  In order to ensure that our
    sensitisation to encourage health                                                                                               interventions are reaching the most
    seeking behaviour and advocating                                                                                                marginalised people, our programme
    for policy change and inclusion for                                                                                             approach is to mainstream gender
    the most marginalised people.                                                                                                   and ensure the inclusion of people
    Our primary approach is to work with                                                                                            with disabilities.
    or influence ministries of health at                                                                                            Sustainability is a key focus of our
    national and district level to provide                                                                                          programme design and we work
    or facilitate the provision of quality,                                                                                         closely with our partners to ensure
    affordable eye care services as part                                                                                            interventions can be sustained after
    of the wider health systems. We                                                                                                 a project has ended.
    aim to demonstrate cost-effective

                                                                                              Demand objective                            Supply objective
     Sightsavers eye health objectives based on the WHO

                                                                                              Patients and communities benefit            Governments provide quality eye
                                                                                              from improved provisions and                care as an integral part of wider
     building blocks for health system strengthening

                                                                                              access to quality eye care services         health systems
                                                          WHO health system building blocks

                                                                                              Leadership                     Health information
                                                                                                                                                          Service delivery
                                                                                              and governance                 management systems

                                                                                                                             Medicines,                      Human resources
                                                                                              Health financing               technologies and
                                                                                                                             infrastructure                  for health

                                                                                              Improved               Improved                                     Social and
                                                                                                                                           Responsive             financial risk
                                                                                              health                 efficiency                                   protection
                                                                                              Strengthened health system outcomes

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Specific programmatic                     Diabetic retinopathy: developing
interventions                             and incorporating elements of
                                          prevention and treatment of sight-
Sightsavers works in an integrated        threatening diabetic retinopathy
way to target conditions causing          through public health awareness
avoidable blindness. Our eye health       campaigns, early detection, and
programmes are designed to meet           referral mechanisms linked to
specific needs for the countries          existing diabetic and general health
where we work. Interventions and          services.
approaches include:
                                          Neglected tropical diseases:
Cataract surgery: Focusing on             developing and implementing
increasing quality and coverage.          neglected tropical disease
Uncorrected refractive error:             (NTD) fast track initiatives to
developing innovative interventions       accelerate elimination of river
to deliver quality, equitable and cost-   blindness (onchocerciasis) and
effective refractive error services to    trachoma in all Sightsavers-
children and adults by using patient-     supported countries.
centred approaches.
                                          For further information on our
Low vision: Working to
                                          approach to eye health and
integrate low vision rehabilitation
                                          programmatic activities visit the
into health, educational and social
                                          Policy and Research pages on
inclusion services to increase the
                                          www.sightsavers.org
awareness among communities,
health and education professionals,
and governments.
Glaucoma: implementing and
piloting public health strategies for
the prevention and treatment of
glaucoma.
Child eye health: focusing on
integrating vision screening and
treatment of uncorrected refractive
error for children, within school
health programmes, for the
treatment of childhood cataracts
and other leading causes of visual
impairment in children.                            We support global initiatives dedicated to
                                                   improving the numbers of health workers
                                                   in developing countries, with an emphasis
                                                   on human resources for eye health

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Evidence generation
    High quality research is essential       blindness, and allow people with
    for successful delivery of our eye       disabilities equal opportunities for
    health strategy and programmes.          participation within society.
    Gathering and disseminating sound        As an organisation we have robust
    research evidence is the best way        monitoring and evaluations systems
    of ensuring our programmes are           in place which are applied to all of
    demonstrating scalable and cost-         our programmes. This ensures high
    effective approaches that are            quality learning is generated and
    meeting the needs of the people          utilised in real time.
    they are designed to serve.
                                             Sightsavers’ research strategy 2014-
    Research evidence is also a strong       2019 sets out key objectives to guide
    tool for advocating with governments     our decisionmaking around research
    and policymakers for improved            focuses over this strategy period.
    policies and environments that
    lead to the elimination of avoidable

    Policy and advocacy
    We recognise that our work in eye health will only be truly sustainable if we
    are also able to change the policies and practices of the wider health system.

    Our global advocacy strategy focuses     with governments, and other
    on implementation of the Sustainable     stakeholders, to ensure that their
    Development Goals and the WHO            plans, policies and legislation
    Global Action Plan on Universal          effectively integrates eye health
    Eye Health. We work to ensure that       within stronger health systems in
    regional and international policy        order that our impact is national
    frameworks promote equitable             and not confined to the project area.
    access to eye health, and that
    international development policies
    in the UK and other countries             Our eye health programmes
    effectively promote health system         focus on key cross-cutting
    strengthening and universal access.       themes, including: gender,
                                              disability, sustainability, system
    Informed by research findings,            strengthening, and training and
    programme evidence and policy             capacity building
    analysis, Sightsavers engages

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Where we work*

     Countries where we currently have active eye health projects

Country specific interventions include:
 Bangladesh                                                                   Mozambique
 Benin                                                                        Nigeria
 Burkina Faso                                                                 Pakistan
 Cameroon                                                                     Senegal
 Caribbean                                                                    Sierra Leone
 Chad                                                                         South Sudan
 Congo                                                                        Sri Lanka
 Côte d’Ivoire                                                                Sudan
 Democratic Republic                                                          Tanzania
 of the Congo                                                                 The Gambia
 Ghana                                                                        Togo
 Guinea Bissau                                                                Uganda
 Guinea Conakry                                                               Zambia
 India                                                                        Zimbabwe
 Kenya
 Liberia
                                                                                        Cataract                     Onchocerciasis
 Malawi
 Mali                                                                                   Trachoma                     Uncorrected
                                                                                                                     refractive error
                                                                                        Health worker
                                                                                        training

*S
  ightsavers programming is continually evolving to best support demand and supply objectives. For the latest description visit www.sightsavers.org

                                                                                                                                                       7
We work with partners
in developing countries
to eliminate avoidable
blindness and promote
equal opportunities for
people with disabilities.

www.sightsavers.org
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2a Halifax Road, Melksham, SN12 6YY UK
+44 (0)1444 446 600       info@sightsavers.org

Registered charity numbers 207544 and SC038110
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