Indonesia• Prevalence 1.5% blindness across all ages
• Half from cataract
• Vision impairment
• Cataract, refractive error, pterygium, childhood vision loss and blindness
• Lack of human resources
• Half from cataract
• Vision impairment
• Cataract, refractive error, pterygium, childhood vision loss and blindness
• Lack of human resources
• Not previously regarded as a high priority
Cataract
• Cataract surgical rate:– Current 450
– Target rate 2,000
• IOL (intra-ocular lens) rate
– Current 75%
– Target rate 90%
• Visual acuity target >85% 6/12 or better
Prevention of Blindness Committee
• Advocacy and communication
• Develop action plans at provincial and district levels
• Partnership
• Capacity building
• Resource mobilisation
• Advocacy and communication
• Develop action plans at provincial and district levels
• Partnership
• Capacity building
• Resource mobilisation
• Community based-services
Partnership
• Ministry of Health
• CBM: cataract, children, training (MLOP – middle level ophthalmic personnel, teachers for school vision screening)
• Helen Keller International – assessment of need for services, Vitamin A, refractive error for children, survey on diabetic retinopathy
• Ministry of Health
• CBM: cataract, children, training (MLOP – middle level ophthalmic personnel, teachers for school vision screening)
• Helen Keller International – assessment of need for services, Vitamin A, refractive error for children, survey on diabetic retinopathy
• Lions ???
ISEE
• Integrated into existing health services
• Sustainable – needs to be ongoing and long term
• Equitable – available to all sectors
• Integrated into existing health services
• Sustainable – needs to be ongoing and long term
• Equitable – available to all sectors
• Excellence – quality eye care
Comprehensive Eye Care
• Primary (community-based) care
• Secondary at district level
• Tertiary with specialised care
• Personnel trained at each level
• Primary (community-based) care
• Secondary at district level
• Tertiary with specialised care
• Personnel trained at each level
• Full range of eye care services including prevention and treatment of all eye diseases
Primary Eye Care
• Increase awareness and knowledge about preventive aspects of childhood eye diseases among health care staff
• trachoma and Vitamin A deficiency
• Increase awareness and knowledge about preventive aspects of childhood eye diseases among health care staff
• trachoma and Vitamin A deficiency
• Increase basic knowledge to identify common eye diseases and treat and/or refer (people with diabetes, catract surgery)
Strengthen SEC and TEC
• Increase awareness, skill and knowledge of eye and health care personnel
• Provide required equipment
• Increase awareness, skill and knowledge of eye and health care personnel
• Provide required equipment
• Train personnel in diagnosis and management of priorities in eye care
Training
• Technical training/skills development
• Ophthalmologist : paramedic (MLOP) ratio 1:5
• Management skills
• Community eye care (public health)
• Establish partnerships with existing centres of excellence
• Technical training/skills development
• Ophthalmologist : paramedic (MLOP) ratio 1:5
• Management skills
• Community eye care (public health)
• Establish partnerships with existing centres of excellence
• International Agency for Prevention of Blindness (IAPB)
Resources
• Appropriate technology is not 2nd class technology
• Choice based on requirement, quality and cost effectiveness
• Locally available and/or adapted for local use
• Local repair and maintenance
• What is the “must have”?
• Appropriate technology is not 2nd class technology
• Choice based on requirement, quality and cost effectiveness
• Locally available and/or adapted for local use
• Local repair and maintenance
• What is the “must have”?
• Vision 2020 standard list http://www.v2020.org/
Summary
• Political and professional will improved
• Good partnership and collaboration
• Small scale programs
• Highly committed full time person in charge
• Capacity building
• Strict monitoring and evaluationSustainable
• Political and professional will improved
• Good partnership and collaboration
• Small scale programs
• Highly committed full time person in charge
• Capacity building
• Strict monitoring and evaluationSustainable
SightFirst Mission Statement
The LCIF SightFirst program funds the efforts of Lions, Non-Government organisations, government agencies, and others to fight the major causes of preventable and reversible blindness through the support of eye health care delivery systems, training and infrastructure development.
SightFirst II
• Goal 1: Control and eliminate major causes of avoidable blindness
• Goal 2: Combat emerging threats to sight
• Goal 1: Control and eliminate major causes of avoidable blindness
• Goal 2: Combat emerging threats to sight
• Goal 3: Provide “Vision for All” through research, rehabilitation and outreach to vulnerable populations
SightFirst Structure
• Global
– SF Advisory Review Committee (SAC)
– WHO as technical advisors to SF
– SF Department at Oak Brook
– SFII long range planning groups
• Country level
– Lionistic SF Committees
• Global
– SF Advisory Review Committee (SAC)
– WHO as technical advisors to SF
– SF Department at Oak Brook
– SFII long range planning groups
• Country level
– Lionistic SF Committees
– Technical advisors for different regions
Project Planning
• Setting of priorities
– Based on needs assessment
– According to
• Magnitude and severity
• Cost-effectiveness of intervention
• Feasibility
• Setting of relevant and reasonable targets
– Measurable
– Time boundSustainable (cost recovery)
• Setting of priorities
– Based on needs assessment
– According to
• Magnitude and severity
• Cost-effectiveness of intervention
• Feasibility
• Setting of relevant and reasonable targets
– Measurable
– Time boundSustainable (cost recovery)
Project Management
• Role of grant administrator and project chair
• Reporting guidelines
• Disbursements
• Role of grant administrator and project chair
• Reporting guidelines
• Disbursements
• Publicity and communications
Project ChairmanGrant Administrator
• A LION involved in developing project
• Preferably a Past International Director
• Past MD Officer
• Past or present District Officer
• Send three names each in order of preference with CVs
• A LION involved in developing project
• Preferably a Past International Director
• Past MD Officer
• Past or present District Officer
• Send three names each in order of preference with CVs
• Selection made by LCIF Chairman with SAC
Role of Project ChairmanGrant Administrator
Ø Both should be able to visit project site regularly
Ø Both should be willing and able to serve throughout the life of the project
Ø Both are responsible for submitting a regular and comprehensive report to LCIF and the Technical Advisor
Ø Both should be able to visit project site regularly
Ø Both should be willing and able to serve throughout the life of the project
Ø Both are responsible for submitting a regular and comprehensive report to LCIF and the Technical Advisor
Ø They work together as a team
Role of Grant Administrator
• Responsibilities focus on financial aspects of the project
• Accounts for SightFirst Funds to LCIF
• Keeps activity within approved budget
• Accounts for SightFirst Funds to LCIF
• Keeps activity within approved budget
• Receives and requests for funds
Role of Project Chairman
• Responsibilities focus on coordination of day to day activity of the project
• Should be familiar with technical issues
• Reports on programmatic development
• Responsibilities focus on coordination of day to day activity of the project
• Should be familiar with technical issues
• Reports on programmatic development
• Collaborates with Technical Advisor and Partners
Monitoring and Evaluation
• Monitoring: a continuous review and surveillance of the implementation of the activity to ensure that actions are proceeding according to plan
• Evaluation: a process to determine the :
- Relevance
- Adequacy
- Progress
- Efficiency
- Effectiveness
- Impact
• Monitoring: a continuous review and surveillance of the implementation of the activity to ensure that actions are proceeding according to plan
• Evaluation: a process to determine the :
- Relevance
- Adequacy
- Progress
- Efficiency
- Effectiveness
- Impact
of activities in light of the objectives
Quality of Output
• Quality can be measured for patients
– Quantitatively – presenting and best corrected visual acuity
– Qualitatively – patient satisfaction, vision function and quality of life questionnaire
– % of people economically rehabilitated after intervention
• Quality can be measured for training
• Quality can be measured for patients
– Quantitatively – presenting and best corrected visual acuity
– Qualitatively – patient satisfaction, vision function and quality of life questionnaire
– % of people economically rehabilitated after intervention
• Quality can be measured for training
- Quantitatively and qualitatively
Example of Reports
* Cataract Projects
- Number of patients screened
- Number of operations conducted
- Pre- and post-operative visual acuity
- Complications
* Cataract Projects
- Number of patients screened
- Number of operations conducted
- Pre- and post-operative visual acuity
- Complications
- Impact of surgery
Publicity and Communications
• Local community
• Local and national Lions newsletters and magazines
• Local community
• Local and national Lions newsletters and magazines
• Check for permission for photographs
Role of Technical Advisor
• Promote SF policies and achievements
• Promote Lions and SF to eye care community
• Assist in identifying national and local eye care needs and priorities
• Inform Lions about Vision 2020 and prevention of blindness strategies
• Promote SF policies and achievements
• Promote Lions and SF to eye care community
• Assist in identifying national and local eye care needs and priorities
• Inform Lions about Vision 2020 and prevention of blindness strategies
• Be aware of evidence-based practice of eye care
Project Proposals
• Communicate with local Lions regarding preparation and submission of proposals
• Advise on relevance and acceptability of proposed projects; avoid duplication
• Use professional networks – national and international
• Communicate with local Lions regarding preparation and submission of proposals
• Advise on relevance and acceptability of proposed projects; avoid duplication
• Use professional networks – national and international
• Assist in identifying possible project partners – government, NGO and INGO
Preparation of Submission
• Advise on relevance of project to SF guidelines
• Assess aims, objectives and strategies of project
• Ensure monitoring and evaluation are incorporated into project
• Assess budget and costs
• Assess involvement of Lions
• Advise on relevance of project to SF guidelines
• Assess aims, objectives and strategies of project
• Ensure monitoring and evaluation are incorporated into project
• Assess budget and costs
• Assess involvement of Lions
• Seek outside assistance as necessary
Project Submission
• Advise on need for changes to proposal
• Check each new draft of proposal and advise Project committee
• Ensure proposal meets deadline for submission to SAC
• Advise on need for changes to proposal
• Check each new draft of proposal and advise Project committee
• Ensure proposal meets deadline for submission to SAC
• Liaise with LCIF Sight Programs Department
Project Monitoring
• Project activity through review of records, reports and on-site visits
– Numbers (treated)
– Patient outcomes
– Purchase and use of consumables
– Equipment availability and maintenance
– Milestones
– Budget
– Publicity
• Project activity through review of records, reports and on-site visits
– Numbers (treated)
– Patient outcomes
– Purchase and use of consumables
– Equipment availability and maintenance
– Milestones
– Budget
– Publicity
• Evaluation Team - WHO, LCIF, Technical Advisor
SightFirst Advisory Committee Process
• Application summarised by SightFisrt Department/Secretariat
• Application placed on SAC Agenda.
• Briefing Book sent to SAC members with Project summaries.
• Proposals introduced by Dr Mariotti and SF Department staff.
• Application summarised by SightFisrt Department/Secretariat
• Application placed on SAC Agenda.
• Briefing Book sent to SAC members with Project summaries.
• Proposals introduced by Dr Mariotti and SF Department staff.
• Proposal Applications considered by Committee
Grants Considered for Funding
• Have a measurable result in sight restoration/preservation.
• Respond to major causes and unmet needs at national or regional levels
• Utilise existing resources or develop new resources
• Employ cost effective/appropriate strategies and technologies
• Have a measurable result in sight restoration/preservation.
• Respond to major causes and unmet needs at national or regional levels
• Utilise existing resources or develop new resources
• Employ cost effective/appropriate strategies and technologies
• Serve un-served/underserved populations.
Some Reasons for Rejection of a Proposal
* Wrong priorities
* Not cost effective
* Duplication of services
* No prospect of sustainability
* Poor quality control
* Inappropriate technology
* Human resources not available
* Wrong priorities
* Not cost effective
* Duplication of services
* No prospect of sustainability
* Poor quality control
* Inappropriate technology
* Human resources not available
* No real Lions involvement
Tips of the Trade
• Contact SF Department before applying
• Submit application asap
• Background information on beneficiary organisation
• Lions financial contributions, management and involvement
• Full contact information
• Contact SF Department before applying
• Submit application asap
• Background information on beneficiary organisation
• Lions financial contributions, management and involvement
• Full contact information
• Multiple correspondence possible
• Clearly lay out project’s objectives, including number of people to be served
• Fill out all sections of application form including having all signatures
• Income and expense budget is needed; the more income collected the better
• Fill out all sections of application form including having all signatures
• Income and expense budget is needed; the more income collected the better
• Does it meet the higher humanitarian priorities of LCIF?
Tidak ada komentar:
Posting Komentar