2. « Alone, we can do so little. Together we can do so much »
Helen A. Keller (1880 – 1968)

3. EYE HEALTH Cataract Refractive error : Childsight Diabetic retinopathy
Vitamin A deficiency

4. Nutrition Vitamine A supplementation Homestead gardening
Enhanced Food Production
Micronutrient Enriched flour and cooking oil
Breast feeding promotion

5. NEGLECTED TROPICAL DISEASES
Trachoma
Schistosomiasis
Onchocerciasis
Intestinal worms
Lymphatic filariasis

6. OBJECTIVE
In 2001, with support from Total E&P Myanmar and its partners, HKI launches the Eye Health Initiatives Project to help the Ministry of Health’s TC&PBL achieve the goal of Vision 2020: to reduce blindness by 50% by The focus is:
To improve the cataract surgical rate (CSR) and the quality of cataract surgeries
To improve managerial and technical capacity of eye care providers
To provide free quality cataract surgeries to the poor

7. MYANMAR PROJECT ACTIVITIES
Support Teaching and General Hospitals
Support TC&PBL Secondary Eye Centers
Provide Medical Training
Conduct Outreach Programs
Support Regular Maintenance
Provide Primary Eye Care Training
Support Quality Assurance
Independent Assessment, Survey, and Research
Treatment of advanced glaucomas (cyclodiode)
Treatment of Retinopathy of Prematurity

8. Formula for a successful cataract surgery program
Identify the needs
Realistic goals
Good relations with the host country MOH and ophthalmology community
Effective technical support and maintenance
Ongoing dependable funding

9. You need a good team!

10. The team approach in 2000 HE Minister of Health Major General Kat Sein
Prof U Than Aung (Prof of YEH 2000)
Dr. U Tan Aung Kyaw (Director of PBL in 2000)
Dr. Aung Kyaw Win (liason officer for MOH)
Prof Daw Myint Khine YEH
Prof U Mya Aung NOGH
Prof U Ko Ko Tin YEH
Prof U Soe Nyunt NOGH
Prof U Kyaw Htin MEENTH
Prof U Kan Nyunt YEH
Prof U Thein Tun MEENTH

11. Continuing support in 2016 ! Prof Tin Win YEH
Prof Chaw Chaw Khine DSMA
Prof Yee Yee Aung MEENTH
Prof Thuzar Han NOGH
Prof May Thet Hnin Aye UMMG
Prof Khin Aye Soe YEH
Prof Khin Ohnmar Khine YEH
Prof San Myint YEH
A Prof Kathi YEH
A Prof Khine Myat Su YEH
A Prof Khin Thandar Su NOGH

13. RESULTS: CATARACT SURGICAL COVERAGE
Cataract Surgical Coverage significantly increased from 30.87% in average to 73.06% in average among 3 districts at 2 divisions (Sagaing and Bago)

14. RESULTS:
In 2001, there were 252,000 cases of treatable cataract with an additional 50,000 new cases each year, while only 25,000 surgeries were being performed annually. The cataract surgical rate (CSR) was 644.
In 2015, 107,371 cases were operated for a CSR of 2,065 (52 Million population).
The increase in annual surgeries can be attributed in large part to HKI activities in the country.

15. RESULTS: PREVALENCE OF BLINDNESS
Prevalence of Blindness significantly reduced from 6.1% to 2.3% on average among 4 districts at 3 divisions (Sagaing, Mandalay and Bago)

16. cataract surgery outcomes in myanmar
WHO recommendation: obtain more than 80% > 6/18 vision
(Outcome improving but still unsatisfactory)

17. Financial Investment Since onset of project in 2001:
Total E&P Myanmar and partners have invested about $2.9 Million
Co financing and support, from Ministry of Health, Standard Chartered Bank UK and International Agency for Prevention of Blindness, HKI, Peter Bennett Foundation, Daewoo E&P Myanmar, CIL, Alcon, TFWA Care, United Engineering, Til, Asian Foundation for the Prevention of Blindness, and the British, German and Japanese Embassies in Yangon, has provided about $1.5 Million

18. SPIRIT OF HELEN KELLER AWARD
Past awardees include:
Dr. Alfred Sommer
Dr. and Mrs. Norval Christy
Dr. G. Venkataswamy
Lions International
Christophe de Margerie