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1 | ORBIS International
ORBIS International
ORBIS International in Haiti
Joan McLeodIsmael Cordero
Haiti Eye Care SymposiumMay 18-20, 2012
Port au Prince, Haiti
3 | ORBIS International
ORBIS Multi-Platform Yet Integrated Sight-Saving Program Approach
Operate the world’s only Flying Eye Hospital DC10 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
4 | 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
8 | 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”
11 | 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
12 | 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 PaP
• 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
13 | 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 PaP
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”
14 | 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
15 | ORBIS International
15 Month Project Extension to January 2013
Direct Service Delivery
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 PaP 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
16 | 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
17 | ORBIS International
FY2011 Achievements and FY2012 Targets Planned
Total: Screened -camps and Examined-clinics 13,200 12,638 96% 14,867Number of patients screened in camps 8,400 9,238 110% 11,152Referred patients that were examined in clinics 4,800 3,400 71% 3,715
Total Medical/ Optical Treatments 2,942 2,269 77%Reading glasses 1,560 222 14%Prescription glasses 1,382 2,047 148%
Total Surgeries 636 178 28% 375Major surgeries 424 128 30% 271Cataract 68Glaucoma 14Minor Surgeries 212 46 22% 104
Project Indicators Annual Target Achieved % Achieved Planned FY2012
HAITI
Target for surgery was under achieved - due to low uptake, cultural barriers, and preference for glasses and drops