Optometric Public Health

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xmattODx

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Vision for the Future: Volunteer Based Vision NGOs and VISION 2020
xmattODx, OD MPH(candidate) and Thesis advisor XXX PHD, MPH, MSc

Abstract

Background: The global burden of visual impairment is high, with an estimated 161 million people visually impaired, 90% are in the developing world. Annually there is a net increase of 1-2 million blind. Two-thirds of blindness is avoidable. There are 1.4 million blind children in the world with 60-80% of newly blind children dying within one or two years of becoming blind. Visual impairment has extensive developmental, socio-economic and quality of life implications. In an effort to decrease the burden of visual impairment the World Health Organization and the International Agency for the Prevention of Blindness (IAPB) developed a comprehensive approach, known as VISION 2020, to eliminate avoidable blindness in the world by 2020. Thirteen multi-national NGOs comprise the IAPB VISION 2020 task force. All are active in the implementation of VISION 2020 strategies: disease control, human resource and infrastructure development. An unknown number of independent volunteer based vision NGOs are also active in treatment and prevention of visual impairment projects in developing countries. Most conduct short term vision camps as a means of disease control.

Objectives: To determine if volunteer based vision NGOs (VBVNGOs) are aware of VISION 2020 strategies and objectives. To determine if VBVNGOs follow these globally accepted strategies as they implement visual impairment prevention and treatment projects. To develop a preliminary set of indicators to evaluate VBVNGOs.

Methods: The VISION 2020 strategies will be reviewed and two major categories of non-governmental organizations active in the prevention of blindness and low vision - multi-national NGOs who are key partners on the VISION 2020 taskforce, and volunteer based vision NGOs will be considered. The strategies of the multi-national organizations will be compared to the strategies set out in VISION 2020. The multi-national NGOs will then serve as a benchmark for the VBVNGOs. Surveys were sent to 51 volunteer based vision organizations to determine their knowledge and understanding of VISION 2020 and what strategies they employ in their projects and programs.

Results:
The multi-national NGOs have similar strategies and common objectives. These strategies and objectives are in agreement with VISION 2020. Thirteen volunteer based vision organizations responded to the survey. From these surveys it is apparent that volunteer based vision NGOs are not aware of the VISION 2020 initiative and do not conduct their projects and programs in a way that is supported by VISION 2020.

Discussion: Volunteer based vision NGOs have the skills, resources, and enthusiasm to make an impact on the burden of visual impairment in the word. They do not, however, follow strategies accepted as most appropriate by the larger global eye health care community. It is recommended that volunteer based vision NGOs are discontinued in their current form. Volunteer based vision NGOs are encouraged to partner with national VISION 2020 programs and the IAPB Vision 2020 task force NGOs rather than continuing to work independently.
 
just curious... i really enjoyed your thesis🙂
 
non-governmental organization . . . I enjoyed it too 👍
iiiimonica said:
just curious... i really enjoyed your thesis🙂
 
S_SEEN2020 said:
non-governmental organization

I'm glad you guys enjoyed the abstract to my thesis. The thesis itself is 100 pages long or so. My next job is to condense it to article length and try to find someone to publish it.

While I am anti-eye-health-care-mission I have been on four trips. Three with a group called Amigos Eyecare at Pacific University (Palestine '99, Honduras '00, Moldova '01) and one other trip with a Canadian group (Romania '04). Each trip reinforced my desire to do more good than vision camps. If you want to go on a trip just go with intellectual honesty. Admit that the trip is more for your edification than the sustainable treatment of eye health in developing countries. If you go on a trip analyze the group you are going with to see if they fall in line with VISION 2020 (www.v2020.org) which calls for the development of eye health care systems locally not the provision of care sporadically.

In addition the vast majority of optometric groups who travel to developing countries treat refractive error through the distribution of recycled spectacles. This is discouraged by the World Health Organization and I would argue is unjust and irresponsible.
 
thanks for posting this. i'm interested in going on the vosh trip while in school and glad to read your perspective. are you working on a masters in public health?
 
You are welcome, thanks for sharing this info with us, who knows you may have recruited more minds to advance your cause. I didn't know this about recycled spectacles. People are always happy to donate them, and I admit when I was an optician and for other organizations I was happy to collect them. For views similar to yours, is why I have chosen optometry as a career. Whenever you are ready, I would love to learn more about this topic.

xmattODx said:
In addition the vast majority of optometric groups who travel to developing countries treat refractive error through the distribution of recycled spectacles. This is discouraged by the World Health Organization and I would argue is unjust and irresponsible.
 
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