ADDRESSING THE EYE HEALTH CRISIS IN THE ECSA REGION

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1 COECSA and IAPB AFRICA ADDRESSING THE EYE HEALTH CRISIS IN THE ECSA REGION Dr. Ibrahim Matende, President, COECSA

2 OUTLINE PART 1: THE SCALE OF THE CRISIS IN EYE HEALTH PART 2: WHAT WE ARE DOING? PART 3: WHAT NEEDS TO BE DONE? COECSA was created in 2012 following a merger of the Ophthalmology Society (OSEA) and the College of Ophthalmology (EACO). It exists to enhance the quality and quantity of ophthalmology in 12 countries in the region. The International Agency for the Prevention of Blindness (IAPB) was founded in 1974 and acts as the global umbrella body for over 100 members, including INGOs, professional associations, corporates, equipment and pharmaceutical companies.

3 PART 1 THE SCALE OF THE CRISIS ECSA REGION i. The burden of disease ii. Eye health workforce

4 Total Burden of Eye Disease in the Region Prevalence % ECSA Region (Pop. 2015, 210 million) Blindness 0.6% - 1% million Mod & Sev Vision Impaired 3.6% - 4% million Presbyopia 7% - 8% million Other Ocular Morbidities 8% - 10% million Total Eye Disease 18.2% - 25% million

5 WHO: KEY INDICATORS (ECSA REGION) COUNTRY PREVALENCE SURVEY SITUATION ANALYSIS REQUIRED CSR = 2,000 LESOTHO Pending 937 ZAMBIA 690 ZIMBABWE 631 MALAWI 523 TANZANIA 518 KENYA 494 UGANDA 192 SWAZILAND Pending N/D MAURITIUS N/D

6 EYE HEALTH Workforce Crisis

7 HReH - GAP ANALYSIS 1/250,000 1/250,000 1/100,000 Target Current Gap Target Current Gap Target Current Gap Tanzania (86) Kenya Uganda (134) Malawi Zambia Zimbabwe (2) (4) Lesotho (12) Swaziland (7) (7) Mauritius 5 16 (11) 5 20 (15) (38) TOTAL ,760 1,

8 BOTTOM LINE Yet, population growth and the eye care needs of an ageing population are increasing faster than our capacity to train and deploy more eye health workers. Palmer, Blanchet et al., Mapping, Distribution and Retention Study, 2014.

9 PART 2 WHAT ARE WE DOING? 1. COECSA 2. IAPB AFRICA

10 COECSA Production & Motivation Promote Quality Training for more skilled eye health workers TTT, Curriculum, Infrastructure, programs Standardized COECSA Fellowship Exam in the Region Advocate, Lobby and Manage Training Scholarships Promote and Advocate Interest in Eye Health Service as a Career Strategic Partnerships ICO, AOC, ECSA, MoH, RCO etc Advocate and Promote Eye Care Teams and Training

11 COECSA COECSA TTT Team 2014, Livingstone, Zambia

12 COECSA HReH Policy and planning Curriculum Harmonization across the region Develop Training Programs and Centres Residency & Specialty Advocacy & Lobbying: Inclusion of HReH into national HRH policy and plans Career Plans More resources edging for HReH training, Infrastructure Public Private partnerships / Industry linkages North to South & South to South Links / Exchange programs

13 COECSA Collaborating / Training institutions..include.. University of Nairobi Kilimanjaro Christian Medical Centre Muhimbili University of Health &Allied Sciences Mbarara University of Science &Technology Makerere University Addis Ababa University Jimma University Rwanda International Institute of Ophthalmology** University Teaching Hospital (Zambia) University of Malawi

14 IAPB AFRICA ALIGNMENT With the new WHO Global Strategy for Human Resources AND The WHO Global Action Plan For Universal Eye Health

15 IAPB AFRICA STRATEGY GOAL p Eye Health workers are integrated at all levels as part of an efficient and effective health system. b d across Africa IMMEDIATE OBJECTIVES 1 Integrate eye health workforce planning into broader HRH planning processes 2. Develop competency frameworks for the 5 different levels of the eye health workforce 3. Strengthen the eye health training institutions a

16 IAPB AFRICA ENGAGE ALL STAKEHOLDERS

17 IAPB AFRICA STRATEGIC ADVOCACY COUNTRIES Current Advocacy Plan Advocacy Plan Implemented Integrated HRH Plan HRH Plan Implemented MoH Funding for Eye Health Workforce SWAZILAND LESOTHO ZIMBABWE KENYA ZAMBIA TANZANIA UGANDA MAURITIUS 2017 MALAWI

18 PART 3 WHAT NEEDS TO BE DONE

19 WHO lead: Develop human resources for eye health as the essential prerequisite for sustainable, equitable and comprehensive eye health services

20 COECSA Priority Areas Harmonize Residency Program Quality Training and Product Grow COECSA Fellowship Exam to professional exit Exam Increase Residency training Centres and Programs Advocate and Popularize Eye Care Work as a Career Increased Funding for HReH Scholarships etc Advocate and Promote Well Structured Eye Care Teams

21 KEY ACTIONS IAPB and COECSA urge Ministries of Health to: a. Renew their commitment to WHA 66.4: Towards Universal Eye Health and, more specifically b. Integrate the eye health workforce into larger national health workforce plans

22 Advocacy Change Theme Effective and efficient health systems need eye health workers integrated at all levels of care.

23 Thank you