Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,*,“Vision 2021:The right to sight,Dr.Rajesh Babu B,MS,FMRF,MSc(CEH)ICEH,LSHTM UK,Consultant,Uveitis&Ocular Immunology,Ocular Epidemiology&Community Eye Health,Narayana Nethralaya,Bangalore,“Vision 2021:The right to sight,An estimated 45 million people worldwide are blind.,Every year,an additional 1-2 million persons go blind.,More than two-thirds of this blindness is treatable and preventable.,A majority of the blind live in the poorest section of the developing world.,Without proper interventions the number of blind will increase to 75 million by 2021.,Restoration of sight is one of the most cost-effective interventions in health care.,Introduction,The World Health Organization(WHO)and the International Agency for the Prevention of Blindness have developed a global initiative for the elimination of avoidable blindness by the year 2021;Vision 2021:the right to sight.,“Vision 2021:The right to sight,Ministries,of Health,International NGOs,IAPB,UK,Sightsavers international,UK,CBM,Germany,ORBIS,USA,OEU,Canada,Established 20 years ago,the MECTIZAN Donation Program is the single largest,longest standing public/private partnership of its kind and is widely regarded as one of the most successful public-private health collaborations in the world.,Under the VISION 2021 programme Carl Zeiss will be major supporter for the establishment of five training centres within the next five years.The funds will be used for training staff and equipping the centre.,Seeing is Believing,programme has contributed substantially to the global VISION 2021 initiative,combining awareness-creating,volunteering as well as millions of dollars in fundraising support.,Major corporate members,“Vision 2021:The right to sight,The name is suggestive both of the goal,the prevention of avoidable vision loss and blindness by the year 2021 and the notion of good vision,20/20(6/6)vision as the target.,Five key areas for action,Cataract,Trachoma,Onchocerciasis,Childhood blindness,Refractive,error and low vision.,Three strategies,Implementing specific programmes to control the major causes of blindness.,Creating adequate eye-care facilities,particularly in underprivileged areas using appropriate technology.Creating a foundation of well-trained eye-care workers.,Creating a foundation of well-trained eye-care workers.,Human Resource Development,Infrastructure Development,Disease Control Programmes,Specific activities,Intensified surgical intervention for Cataract,which at present accounts for half of all blindness,Provision of spectacles,especially for school children.,Prevention and treatment of nutritional deficiencies that lead to blindness in children.,VISION 2021 APPROACH,Groups of communities with high levels of blindness will be identified.,Eye-care infrastructure and manpower will be provided to these communities-within catchment populations of 500,000 to 1 million people.,Affordable high quality eye care services would be provided using these resources.,Implementing specific programmes to control the major causes of blindness.,Disease Control Programmes,Cataract,Refractive Error,Diabetic Retinopathy,Glaucoma,Onchocerciasis,Trachoma,Childhood Blindness,SAFE,strategy,Ivermectin distribution,vector control,OCP,Childhood Blindness,To identify areas where childhood blindness from preventable disease is common and to encourage preventive measures,for example:,(a)Measles immunization;,(b)Vitamin A supplementation;,(c)Nutrition education;,(d)Avoidance of harmful traditional practices;,(e)Monitoring of use of oxygen in newborns.,To provide specialist training and services for the management of surgically remediable visual loss in children from:,(a)Congenital cataract;,(b)Congenital glaucoma;,(c)Corneal scar;,(d)Retinopathy of prematurity.,Childhood,Blindness,To develop low vision services for visually handicapped children.,To promote school screening programmes for the diagnosis and management of common conditions,i.e.:,(a)Refractive errors,particularly myopia;,(b)trachoma(in endemic areas).,To promote education about,How to look after your eyes,as part of the normal school curriculum for children.,To make sure that all children in blind schools are examined by an ophthalmologist (using the WHO form where possible)and receive medical,surgical,optical or low vision service to maximise potential vision.,Vitamin A deficiency.,To work closely with nutrition,immunisation and PHC systems to achieve and sustain elimination of vitamin A deficiency.,To establish surveillance systems to identify any new cases of blinding xerophthalmia and report the occurrence for action by child survival programmes.,Refractive,Error and Low Vision,Create awareness and demand for refractive services,through community-based services/primary eye care and school screening.,Develop accessible refractive services,for individuals identified with significant refractive er