HRD in Optometry Luigi Bilotto Director Global Human Resource Development
What are the needs Strategic approach to address the HR shortages Relate relevant experiences Toward a working model Challenges
Global Avoidable Blindness 802m VI 123m DVI due to URE 517m NVI due to presbyopia 90% in developing context 640 million people are blind or vision impaired simply because they don’t have a pair of glasses
HRD Shortage
WHO RegionsPOPDist URE VI (> 5 yo)Near URE VI (> 40yo)Total UREExisting URE HRRequired URE HR Africa Americas Eastern Mediterranean Europe South East Asia Western Pacific Unassigned (EUR + WPR) GLOBAL Estimated Cost of Correcting URE, Fricke TR et al.
HRD Shortage − HR existing − HR needed −Assumes: Ratio = 1 / Fulltime commitment Only dealing with VI / % 20 %1 M+
Optometry Programs Developing context ~ 30% 90% of the need Africa17 Asia Pacific88 Eastern Mediterranean24 Europe113 Latin America30 North America22 TOTAL295
Strategic Approach −Targets good working basis −Effective needs call for a solid foundation Integrated Certified Upscalable Sustainable 1.Implement educational systems 2.Increase capacity of existing institutions
Evidence Basis Experience in 3 countries Africa Aim: 4-5 year degree Multilevel scheme −Needs −Resources −Educational structures −Faculty development Post Grad Optometrist 2 years Optometric Technician 2-3 years
Diploma (OT) in Lilongwe (2010) Degree (Optom) in Mzuzu (2008) Malawi
Target = /year 20/year
Malawi Target = /year 40/year #
Diploma (OT) 2009 Degree (Optom) 2012 Eritrea (Asmara)
Eritrea Target = /year 20/year
Degree (Optom) 2009 Mozambique (Nampula)
Target = /year
Mozambique (Nampula) Target = /year #
Mali (Bamako) Target = 320 (64)
Mali (Bamako) Target = 320 (64)
Towards Best Practice Model Partnerships Support Empowerment Appraisal
Towards Best Practice Model Partnerships Support Empowerment Appraisal Institutions Government NGO / Funders
Towards Best Practice Model Partnerships Support Empowerment Appraisal Curriculum Educational Faculty Infrastructure
Towards Best Practice Model Partnerships Support Empowerment Appraisal Systems Local HR Sustainability
Towards Best Practice Model Partnerships Support Empowerment Appraisal Monitor Assess Validate Cost-effectiveness
Global Optometry Support Initiative Africa −Mali (2009) −Cameroon (2011) −Kenya (2011) −Uganda (2013) −Tanzania −Ethiopia Asia −Vietnam (2013) −India −China ME −Pakistan −Bangladesh −Sri Lanka Latin America
Indicators suggest that this approach is effective and probably cost-effective How do we facilitate it? escalate it?