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Caritas Takeo Eye Hospitalteh@caritascmbodia.org

Tel: (+855) 23 931 324/ 016 504 299Website: www.teh.caritascambodia.org

Present by: Te Serey Bonn, MPH,BBA,MA

Program Director Carias Takao Eye Hospital

INCLUSION AT CARITAS TAKEO EYE HOSPITAL

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Siem Reab

Bat Dambang

Otdar Mean Chey

Ka po

Kandal

PousatKracheh

Takeo

Kaoh Kong

Siem Reab

Phnom Penh

S ay Rieng

Kr ng Kaeb

Bat Dambang

i

Prey Veaeng

Kampong Cham

Kampong Thum

Preah VihearRotanak Kiri

Krong Pailin

Kampong Spueu

Stueng Traeng

Kampong Chhnang

Otdar Mean Chey

Banteay Mean Chey

Krong Preah Sihanouk

Takeo Eye Hospital

10000000 0 10000000 20000000 Miles

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General aspects of Cambodia

Ratanakiri

- Land area: 181,035 Km2

- Population is 14 million.

- Population density: 75 pp/Km2

- 85% of the population live in the rural area.-30.1% of Cambodian population living below national poverty line.

-The disabled persons is 1.44% of the country’s population in Cambodia.

Th

aila

nd

Vie

t Nam

Laos

General aspects of Takeo Province

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-Land area is 3,563 Km2 -Takeo divided in 10 districts-Total population: 843,931-Annual Growth rate in urban is 0.53% and 0.66% in rural.-Density population 237pp/Km2 (Cambodia 75pp/Km2)-Average household-size is 5 persons-85% of population are famer.

Age distribution: -0 -14 year old : 39.5% -15-50 year old : 55.7%-Older than 50 years: 13.6%

Prevalence of Blindness In Cambodia

Prevalence of blindness* (Best-corrected visual acuity < 3/60 in the better eye)

• In people aged 50+: is 2.8% (CI 95%: 2.3-3.3%), The prevalence in males (2.0%) is significantly lower than in females (3.4%)

• In the total population can be estimated at 0.38%

• Cataract Surgical Coverage is 34% of all blind eyes due to cataract and 55% of all persons bilaterally blind due to cataract

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*Summary of results of the Rapid Assessment of Avoidable Blindness in Cambodia 2007 by Hans Limburg

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Human resourcesTotal Staff : 50 regular staff (27M, 23F) , 3 resident doctors + 8 DON students •2 Master Public Health•2 Ophthalmologists•1 MD•1Residency student of Ophthalmologist (year 3)•16 Ophthalmic Nurses (4 refractionists)•2 secondary nurses•5 Orderly Staffs•2 Optical Technicians•2 Field workers•4 Admin Staffs•3 Finance and accountant staffs•6 Cleaners (2 part time staffs)•2 Technicians (1 maintenance & 1 I.T)•3 Guards•1 Driver

20 Government staffs 7

Statistic of CTEH from 1979 to Oct,2015

0

2000

4000

6000

8000

10000

12000

14000

16000

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

OPD New OPD Old Inpatient Operation

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62%11%

7%

7%

13%

Percentage Patient by Province

Takeo Kampot Kampong Spoeu Kandal Other Provinces

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Out-patient Department

Comparison patient received OPD services at CTEH

2012 2013 2014 20150

2000

4000

6000

8000

10000

12000

14000

16000

36% 35% 36%

34%

51%51% 51% 54%

7% 8% 7% 6%7% 7% 7%6%

MaleFemaleBoyGirl

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Operating Theatre

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Comparison of patients operation at CTEH

2012 2013 2014 20150

500

1000

1500

2000

2500

33%31%

37%34%

63%

62%58%

64%

2% 3% 3% 1%2% 3% 2% 1%

MaleFemaleBoyGirld

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67%5%

2%

23%3%

Percentage Surgery by disease

Cataract

Glaucoma

Trachoma

Major Other

Minor Other

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Refraction & Low Vision Services

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Comparison 9 months of Optical Shop

Refraction Prescription Spectacle Dispansing Made by Opticalshop0

500

1000

1500

2000

2500

3000

3500

20142015

I3% Increase

8% Increase 4% IncreaseI6% Increase

Women & Girl 59% 58% 51% 51%

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Child Protection

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Inclusive Disability & Gender

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Community Ophthalmology

Output of Community Ophthalmology

0

2000

4000

6000

8000

Screening Referals Came to CTEH Backlog

Year 2012

Year 2013

Year 2014

Year 2015

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Training Program1. Ophthalmic Nurse Training

• BEN 5 batches of training since 1997 to

2005 with 47 BENs (F:10).(9months)

• DON 8 batches since 2006 until to the

present 59 DONs (F:24) graduated and 8

students are on going (1year) will finish

on August, 2016.

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• BED 6 batches of training since 1997 to 2005 with 18 doctors (F:1) were graduated.(18 months curriculum at Takeo Eye Hospital)

• Residency Training started from 2007 to 2015, 9 batches with 18 residents (F:3) are on going, 22 (F:5) were completed 9 (F:0) upgrading & 13 (F:5) graduated MD (4 years curriculum.)

2. Residency program of Ophthalmology training:

3. Short Course training

• Basic Low Vision training• Local Anesthesia training• Refraction training

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4. Primary Eye Care Training

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Partners

• Tissue Vision (Subsidy Cataract & Pterygum surgery)

• Wilde Ganzen Netherland: Training, Subsidy poor patient who need eye care services and community outreach activities.

• GIZ through Action for health (Voucher project) subsidy Cataract surgery for people age 50+ from Kampot, Kampong Spoeu, Kep, Kampong Thom, Svay Reang, and Prey Veng.

• Caritas Czech Republic: Capacity building and Community outreach Activities.

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Thanks for your attention!