diabetic retinopathy in Burundi

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  • 1. Vision 2020 INITIATIVE FOR THE ELIMINATION OF AVOIDABLE BLINDNESS IN BURUNDI Action Plan 20102014Looking forFundsto set up and run valid, cost-effective programme for screening and treatingDiabetic RetinopathyinBurundi

2. I. BACKGROUND

  • An estimated of8,485,000inhabitants in Burundi by the year 2010 and the rate of annual growth is 3%.
  • The average per capita income (in Burundi) is180 US$.

3. 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

4. II. ESTIMATED BURDEN OF DISEASE IN BURUNDI

  • The Ministry of Health is aware of the increasing rate of diabetes in Burundiandd iabetes is now recognised as a health problem since it has now become the third highest cause of hospitalisation in the capital city Bujumbura.

5. 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
    • 1500active young people get blindand in poverty due to DR every year
    • We can stop this!!!!Will you be willing helping us ?

6. II. ESTIMATED BURDEN OF DISEASE IN BURUNDI

  • developing strategies for diabetes prevention, glycemic control, andearly/regular eye examination, would reduce the impact of diabetes on vision
  • early diagnosis and treatment can potentially eliminate blindness due todiabetic retinopathy

7. 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,isphotocoagulation by laser
  • Visionmay also be restored with the time
  • consumingand expensive vitrectomy

8. 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 ?

9. III. INFRASTRUCTRURES EQUIPMENTS - HUMAN RESSOURCES - ACTIVITIES

  • The nonavailability of treatment for
  • diabetes and its complications in Burundiwould conceivably makediabetic retinopathy a major cause ofblindness in the future.
    • We can stop this!!!!Will you be willing helping us ?

10. 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)

11. IV. ACTIVITIES

  • Screening 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 servicesand equipment

12. IV. ACTIVITIES-BUDGET

  • Year 1 :- Equipments and consumables:
  • buy aTopcon NW100 non-mydriatic camera
  • buy a fluorescein angiography
  • buy a laser
  • Year 1 :- Budget missing:
  • 12 000 usd
  • 35 000 usd

13.

  • Year 1 : -Training:
  • train a nurses inin the use of the camera
  • train the general medical doctors to analysethese images, provide a photographic diagnosis and refer to ophthalmologist if treatment is needed

IV. ACTIVITIES-BUDGET

  • Year 1: - Budget recovered from local donor:
  • -usd
  • 1 000 usd

14. IV. ACTIVITIES

  • Year 1 : -IEC:
  • promote awareness by radio talk show
  • train a councillor
  • make sure all medical staff in Burundi aware of the existence of this programme
  • Year 1: - Budget recovered from local donor:
  • 2000usd
  • 500 usd
  • 500 usd

15. IV. ACTIVITIES

  • Year 2 :
  • do a fundus photography to all patients coming to the diabetic clinic
  • take care of all patients needing treatment

16. 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

17. IV. CHALLENGES

  • The main challenge is to start activities with a financed programme

18. Will you be willing helping us ? Contact information Burundi National focal pointfor prevention of blindness Email: vision2020burundi@gmail.com Postal address: BP 1426 Bujumbura, Burundi