diabetic retinopathy in Burundi

Vision 2020 INITIATIVE FOR THE ELIMINATION OF AVOIDABLE

BLINDNESS IN BURUNDI

Action Plan 2010–2014

Looking for FundsFunds to set up and run valid, cost-effective

programme for screening and treating Diabetic Diabetic

Retinopathy Retinopathy in Burundi Burundi

I. BACKGROUND

An estimated of 8,485,000 inhabitants in Burundi by the year 2010 and the rate of annual growth is 3%.

The average per capita income (in Burundi) is180 US$.                     

Diabetes Mellitus - Epidemiology

Incidence increasing world wide

Incidence increasing more in developing countries

1995 global prevalence - 135 million adults

2025 projected global prevalence – 300 million

adults

II. ESTIMATED BURDEN OF DISEASE IN BURUNDI

The Ministry of Health is aware of the

increasing rate of diabetes in Burundi and

diabetes is now recognised as a health

problem since it has now become the third

highest cause of hospitalisation in the

capital city Bujumbura.

II. ESTIMATED BURDEN OF DISEASE

Rural diabetic population in Burundi 1% severe NPDR / PDR 6.5% had macula edema Only 20% had an eye exam

Burundi University Hospital 20% severe NPDR/PDR Less than 10% had an eye exam

Ministry of Health 1500 active young people get blind and in poverty due to

DR every year

We can stop this!!!! Will you be willing helping us ?

II. ESTIMATED BURDEN OF DISEASE IN BURUNDI

developing strategies for diabetes prevention,

glycemic control, and early/regular eye

examination, would reduce the impact of

diabetes on vision

early diagnosis and treatment can potentially

eliminate blindness due to diabetic retinopathy

II. ESTIMATED BURDEN OF DISEASE

The most effective method for the treatment of

diabetic retinopathy, and prevention of the new

blood vessel formation that ultimately leads to

blindness, is photocoagulation by laser

Vision may also be restored with the time

consuming and expensive vitrectomy

III. INFRASTRUCTRURES – EQUIPMENTS - HUMAN

RESSOURCES - ACTIVITIES

Problem: no laser no angiography on the

whole territory of Burundi, the tertiary

university hospital did not have the funds to

purchase this equipment

We can stop this!!!! Will you be willing helping us ?

III. INFRASTRUCTRURES – EQUIPMENTS - HUMAN

RESSOURCES - ACTIVITIES

The non availability of treatment for

diabetes and its complications in Burundi

would conceivably make diabetic

retinopathy a major cause of blindness in

the future.

We can stop this!!!! Will you be willing helping us ?

III. INFRASTRUCTRURES – EQUIPMENTS - HUMAN

RESSOURCES - ACTIVITIES

In Burundi based 5 well trained

ophthalmologists have skills in diagnosis and

management of Diabetic

Retinopathy( indications, complications and

technique of performing lasers performing and

interpretation of Fundus Fluorescein

Angiography (FFA), and Optical Coherence

Tomography (OCT)

IV. ACTIVITIESScreening programmes for detecting diabetic

retinopathy at a stage at which treatment can prevent visual loss and health education programmes are the mainstay of prevention of blindness due to diabetic retinopathy.

trained eye-care professionals

adequate medical services and equipment

IV. ACTIVITIES-BUDGETYear 1 : - Equipments and

consumables:

buy a Topcon NW100 non-mydriatic camera

buy a fluorescein angiography

buy a laser

Year 1 : - Budget missing:

12 000 usd

35 000 usd

Year 1 : - Training:

train a nurses in in the use of the camera

train the general medical doctors to analyse these images, provide a photographic diagnosis and refer to ophthalmologist if treatment is needed

IV. ACTIVITIES-BUDGETYear 1:- Budget

recovered from local donor:

- usd

1 000 usd

IV. ACTIVITIESYear 1 : - IEC:

promote awareness by radio

talk show

train a councillormake sure all medical staff in

Burundi aware of the existence of this programme

Year 1:- Budget recovered from local donor:

2000 usd

500 usd

500 usd

IV. ACTIVITIES

Year 2 :

do a fundus photography to all patients coming to the diabetic clinic

take care of all patients needing treatment

IV. ACTIVITIES  Year 3 :

- IEC: promote awareness by radio talk show do a fundus photography to all patients coming to the diabetic clinic take care of all patients needing treatment

IV. CHALLENGES

  The main challenge is to start activities with a financed programme

Will you be willing helping us ?

Contact information

Burundi National focal point for prevention of blindness

Email: vision2020burundi@gmail.comPostal address: BP 1426

Bujumbura, Burundi