Kilimanjaro Centre for Community Ophthalmology Experience of Community Optometry in Kilimanjaro Region and Arumeru District (from June to December 2004)

Population 1.4 million DRS DRS in Kilimanjaro Region KCMC

Arumeru 563 Refraction tests per District

Arumeru Presbyopic tests per District

Refraction and presbyopic tests per visit

Total sales of spectacles

DRS conducted with Lions Clubs

Number of sales by number of refractions

Sales among people refracted (by sex) District MALE FEMALE TOTAL Arumeru Hai Moshi R Moshi U Mwanga Rombo Same TOTAL

Most common selling powers

Most common selling spectacles by frame style

The cost of affordable ready- made spectacles Purchasing + shipping costs per pair = Tsh. 3,020/- Purchasing a spectacle case = Tsh 500/- Selling price for metallic spectacles =Tsh 6,000/- Selling price for plastic spectacles = Tsh 4,000/- Selling price for spectacle cases = Tsh 1,000/-

Income/Expenses Income Spectacles = 4,638,000 Cases = 417,000 Total = 5,055,000 Tsh Expenses Spectacles + shipping = 2,190,584 (about 100 donated) Cases = 208,500 Salary = 1,200,000 Field expenses = 110,400 Office supplies = 50,000 Total = 3,497,596 Tsh

Expenses

Refining Kilimanjaro programme Improve teaching of optometry students Refine and finish manual of operations Negotiate with Lions Clubs so they sell spectacles of higher quality Monitor progress and prepare manuscript for publication on programme successes (July 2005)

Expansion of community optometry to additional regions Training of optometrists from Tanga, Singida and Mara regions in community optometry Establishment of programmes in these regions Teach district eye coordinators basic refraction (districts without optometrists)?

KWA HERINI Mr Mworia Simon Damas KCCO Community Optometrist