World Health Organization Resolution WHA66.4 “Universal eye health: a global action plan ” Ivo Kocur, MD MA MSc MBA Medical Officer Prevention of Blindness World Health Organization Geneva, Switzerland

World Health Assembly, Geneva, Switzerland

Magnitude of visual impairment 285 million visually impaired (worse than 6/18 better eye) Of them, 39 million blind (worse than 3/60 better eye) Opportunity: Opportunity: up to 80% of visual impairment globally is avoidable Source: WHO. Global data on visual impairments in 2010

Endorsed resolution WHA66.4 on Universal eye health: a global action plan a global action plan World Health Assembly Geneva, May 2013

The global eye health action plan Is centered around universal health coverage universal health coverage achieved in the area of eye health through the provision of comprehensive eye care services integrated into the national health system. integrated into the national health system.

Universal Health Coverage The goal is to ensure that all people obtain the health services they need without suffering financial hardship when paying for them.

Universal Eye Health: A Global Action Plan New: a continuum of eye care which includes rehabilitation comprehensive eye care services integrated in health system strengthening universal eye health

Objectives of the Universal eye health: a global action plan Evidence based advocacy OBJECTIVE 1 Health system approach for strengthening comprehensive eye care Multisectoral engagement and effective partnerships OBJECTIVE 2 OBJECTIVE 3

Objectives of the Universal eye health: a global action plan Evidence based advocacy OBJECTIVE 1 What can optometrists do?

Objectives of the Universal eye health: a global action plan Health system approach for strengthening comprehensive eye care OBJECTIVE 2

Source:

Objectives of the Universal eye health: a global action plan Multisectoral engagement and effective partnerships OBJECTIVE 3 What can optometrists do?

Universal Eye Health: A Global Action Plan New: For the first time Member States agreed the global target for the Action plan: the reduction in prevalence of avoidable visual impairment by 25% by 2019 from the baseline of 2010

American Academy of Ophthalmology USA, 2014, 2015 World Congress of Ophthalmology Japan, 2014 WHA66.4 Action plan sessions and symposia at major global eye care events at major global eye care events World Congress of Ophthalmology Mexico, th Asia Pacific Academy of Ophthalmology Congress China, th European Society of Ophthalmology Congress Austria, 2015 Pan-American Association of Ophthalmology Colombia, st World Congress of Optometry Colombia, 2015

WHO Region of the Americas Panama City, May 2015 WHO European Region Vienna, June 2015 WHO African Region Brazzaville, December 2013 WHO Eastern Mediterranean Region, Cairo, March 2014 WHO Western Pacific Region, Manila, Nov 2014 WHO South East Asia Region, Hyderabad, Nov 2014 Regional workshops for WHO Member States to promote implementation of WHA66.4 Global eye health action plan

World Health Organization Eye care indicators globally adopted for monitoring universal health coverage

Cataract Surgical Coverage

Additional indicators Cataract surgical rate and coverage Waiting time to elective surgery – cataract, coronary angioplasty, hip replacement, knee replacement

World Health Organization Resolution WHA66.4 “Universal eye health: a global action plan ” Ivo Kocur, MD MA MSc MBA Medical Officer Prevention of Blindness World Health Organization Geneva, Switzerland