What is VISION 2020? A Global Initiative to Eliminate Avoidable Blindness AIM: “To intensify and accelerate present prevention of blindness activities so as to achieve the goal of eliminating avoidable blindness by the year 2020”

VISION 2020: The Right to Sight is about PARTNERSHIP VISION 2020: The Right to Sight is about PARTNERSHIP

IAPBIAPB WHOWHO

Global Blindness Projections The number of blind people was increasing by at least 1 million / yr Increasing population Increasing proportion of people aged 50 years +

100 m people Blindness Projections: With and Without Global Initiative

International Structure of VISION 2020 WHO VISION 2020 VISION 2020 Professionals Local NGOs Int. NGOs Professionals Local NGOs Int. NGOs NATIONAL VISION 2020 GROUPS NATIONAL VISION 2020 GROUPS IAPB Ministries of Health Ministries of Health DISTRICT VISION 2020 SERVICE UNITS

Global Burden of Blindness and visual impairment  Update in 2004, based on 2002 population  Based on 55 new surveys  Update in 2004, based on 2002 population  Based on 55 new surveys 37 Mo Blind 124 Mo Low Vision 161 Mo V. Impaired 37 Mo Blind 124 Mo Low Vision 161 Mo V. Impaired

VISION 2020  Effective disease control  Cataract  Trachoma  Onchocerciasis  Childhood Blindness  Refractive Error and Low Vision  Human resource development  Infrastructure development  Effective disease control  Cataract  Trachoma  Onchocerciasis  Childhood Blindness  Refractive Error and Low Vision  Human resource development  Infrastructure development ComponentsComponents

Global Distribution of Blindness by Cause 1995 vs Cataract 42 % Cataract Trachoma 15 % Trachoma Glaucoma14%Glaucoma14% Oncho. 1 % Oncho. Other 28 % Other Cataract 47 % Cataract Trachoma 4 % Trachoma Glaucoma12%Glaucoma12% Oncho. 0.8 % Oncho. Other 13 % Other ARMD9%ARMD9% Ch Bl 4% 4% DR5%DR5% CO5%CO5%

Prevention of Blindness Challenges Ongoing Challenges  Cataract  Trachoma  Onchocerciasis  Childhood blindness Ongoing Challenges  Cataract  Trachoma  Onchocerciasis  Childhood blindness New Challenges  Refractive Errors  Diabetic Retinopathy  Glaucoma  Low Vision services New Challenges  Refractive Errors  Diabetic Retinopathy  Glaucoma  Low Vision services Need to develop new public health approaches (operational research) Ultimate goal: high quality, equitable and comprehensive eye care services Ultimate goal: high quality, equitable and comprehensive eye care services

 Delineation of Functions  Efficiency & Effectiveness  Referral Patterns  Sustainability  Excellence with Equity  Delineation of Functions  Efficiency & Effectiveness  Referral Patterns  Sustainability  Excellence with Equity LVP INFRASTRUCTURE MODEL COE TC SC VC COMMUNITY

Cataract Surgery Rates no data WHO 2005

GLAUCOMA & DIABETIC RETINOPATHY GLAUCOMA & DIABETIC RETINOPATHY Human ResourcesHuman Resources InfrastructureInfrastructure SystemsSystems Human ResourcesHuman Resources InfrastructureInfrastructure SystemsSystems

GLAUCOMA & DIABETIC RETINOPATHY GLAUCOMA & DIABETIC RETINOPATHY A. Comprehensive Eye Evaluation B. Residency Training C. MLOP Training D. Physician Education E. Public Education A. Comprehensive Eye Evaluation B. Residency Training C. MLOP Training D. Physician Education E. Public Education Long Term

VISION 2020 PRIMARYPRIMARY SECONDARYSECONDARY TERTIARYTERTIARY ADV. TERTIARY What at the each of these levels ?

ICOICO AAOAAO IAPBIAPB WCOWCO InstitutionsInstitutions  With local educational institutions  and professional societies  With local educational institutions  and professional societies  Human Resource Development

CareCare EducationEducation  Basic Minimum Standards

NationalNational InternationalInternational  Research Capacity Building/Strengthening

Laboratory Clinical Care CommunityLaboratory Community  Translational Research

NEINEI ARVOARVO ACADEMIAACADEMIA

Research Credible Information AdvocacyResearch Advocacy

Policy MakersPolicy Makers PublicPublic ProfessionalsProfessionals  Advocacy

Vote in favour of the adoption of the 117th EB resolution: EB117.R4Vote in favour of the adoption of the 117th EB resolution: EB117.R4 Support adding Prevention of Blindness activities to the Medium Term Strategic Plan 2008 – 2013 of WHO as well as its Biennial Programme Budget 2008 – 2009Support adding Prevention of Blindness activities to the Medium Term Strategic Plan 2008 – 2013 of WHO as well as its Biennial Programme Budget 2008 – 2009 Support inclusion of Prevention of Blindness and Visual Impairment activities within the WHO 11th General Programme of WorkSupport inclusion of Prevention of Blindness and Visual Impairment activities within the WHO 11th General Programme of Work  World Health Assembly Resolution

Gullapalli N Rao International Agency for the Prevention of Blindness & L V Prasad Eye Institute Hyderabad Gullapalli N Rao International Agency for the Prevention of Blindness & L V Prasad Eye Institute Hyderabad