Annual Narrative Project Report 2013 - College of Health...

UNIVERSITY OF NAIROBI

COLLEGE OF HEALTH SCIENCES

DEPARTMENT OF OPHTHALMOLOGY

Annual Narrative Project Report 2013

Country / Area: Kenya

Project Name: University of Nairobi Department of Ophthalmology

Period covered by this report From: To:

1st Jan 2013 31

st Dec 2013

Author(s):

Prof. Dunera Ilako, University of Nairobi Winnie Kasina, University of Nairobi

Date: 30th Jan 2014

UoN Annual Narrative Project Report- 2013

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. Executive summary

This report gives highlights of events that took place at the University of Nairobi Department

of Ophthalmology in respect to training of ophthalmologists through support from Light for

The World (LFTW). The institution trains ophthalmologists not only for Kenya but also for

other countries in East and Central Africa

By every measure this year proved to be an unprecedented period of activities, growth and

accomplishments. The department was able to achieve most of its objectives and activities

for the year 2013.

In the reporting period, a number of activities were planned and achievements included; …

surgeries conducted in a total of 18 outreach camps conducted in 4 marginalized areas of

Kitui, Litein, Mwingi and Garissa; 1 vehicle was procured to facilitate movement to outreach

activities by students; 8 postgraduate students were graduated; 18 post graduate students

were given exposure through elective term rotations; 16 postgraduate students were

facilitated to sit International College of Ophthalmology examinations, the department

increased its human resource by recruiting 1 new academic staff and others were promoted

to senior lecturers and Professor, and the department also fostered partnerships and

linkages with other institutions. Several members and students attended various

conferences and workshops both national and international.12 postgraduate benefited from

scholarships for their studies. There was effective management of the budgets and timely

delivery of outputs relating to the program.

We are very grateful for making this work possible. Your support enables us to continue to

train Ophthalmologists eradicate preventable and treatable blindness.


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2. Factors that have affected/may affect the project

The procurement of a project vehicle to facilitate outreach activities will enhance reach to

marginalised areas for the outreach teams. This is further expected to help boost the

surgical numbers attained during the outreach activities

Official handing over of the outreach vehicle by SSI representative to the Department of Ophthalmology.

3a. Progress against objectives, outcomes and indicators

Objective 1 Provide quality eye care training to potential ophthalmologists, undertake research and clinical services Objective 2 Provide sustainable quality eye care services to underserved population through outreach services and training in various counties Objective 3 Develop academic staff and students through participation in CME/CPD activities (national/regional/international) Objective 4 Participate in VISION2020 activities and enhance networking

3b. Progress against activities

Activity

Progress

Conduct 1,000 cataract and other surgeries

In spite of the challenges the programme faced, a total of 18 free surgical eye camps were

undertaken between February and November under the joint sponsorship of our partners. During

each visit a team of consultants and doctors totaling to 8 were involved in the outreach activities

providing surgical, diagnostic and eye care counseling to the patients. A total of 3509 patients

(Adults and Children) were screened in rural areas of Litein, Mwingi, Garissa and Kitui. They

were able to restore sight to 1387 patients through eye surgeries conducted in the period under

review. The outreach team was able to treat and operate a total of 456 Paediatric patients who

come with various medical and surgical eye problems including significant numbers of eye

injuries/Traumas, Conjunctivitis, refractive errors, retinoblastoma among other eye diseases.

Surgeries conducted included, Cataract, Trauma repair, Conjunctivitis, Glaucoma, Retinoblastoma, corneal ulcer among others.

The department of ophthalmology received a VISALISTM100 phaco machine for cataract surgery.

This is a donation from Lions Club, Bavaria, through the facilitation of Prof. Dr. Volker Klauss.


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Support CME for staff and post graduate students (OSEA etc.)

Academic staff and students participated in more than 15 various local/international conferences,

workshops and training programmes where they also presented papers. 15 post graduate

students and 11 staff were supported to attend CMEs during the period under review.

Prof. Ilako and Dr. Kariuki take a photo with Dr. Bore who was awarded for the best poster presentation during the COECSA conference held in Rwanda, Kigali in August 2013


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Staff and students during the COECSA conference in Rwanda, Kigali, August 2013


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Participated in AGENT summer school expert seminar held in the department from October 28th –

31st 2013. All the staff and students in the department as well as alumni attended the seminar.


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AGENT summer school at the department in October 2013

Graduate 10 postgraduate students as ophthalmologists

The department has continued to build capacity within Kenya and other African countries and

reducing the human resource gap. A total of 8 postgraduate students graduated during this period

and were posted to various hospitals within Kenya and their home countries. This achievement

was against a target of 10. 2 students who did not qualify during this period as per the targets are

expected to graduate in the coming implementation period. We had 2 postgraduate students

sponsored by LFTW graduate during this period- Dr. Morris Musyoki and Dr. Alexandria Mashep.


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Enrol 12 postgraduate students from Kenya and other African countries

The development of human resource has been a priority for the department of Ophthalmology

and during this period, a total of 12 students were enrolled ; ( 6 from various parts of the country

and 6 foreigners drawn from South Sudan, Cameroon, Sierra Leone, Mozambique and Burundi).

Undertake 18 outreach camps in 4 marginalized areas of Kitui, Litein, Mwingi and Garissa

18 outreach activities were conducted in the period under review during which a total of …

surgeries were conducted. Surgery, Diagnostic, Screening and treatment were conducted during

the outreach camps held in Litein, Mwingi, Kitui and Garissa. The outreach team was able to

attend to both adult and paediatric patients with various ailments including Cataracts, Glaucoma,

Corneal ulcer, conjunctivitis, refractive errors, squints, trauma among others. Bilateral and

Unilateral blindness was also noted.

Enhance international exposure and cooperation by attaching 10 postgraduate students for elective term rotations

The department closely cooperated with training partners during elective term rotations and

enhanced international exposure and cooperation whereby students on elective term were

attached in various hospital institutions in Kenya, Peru, South Sudan, Botswana and Zambia for

clinical exposure. 18 postgraduate students attended and successfully completed their elective

term rotations in the reporting period.


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Dr. Rebecca assisting in theatre at Tenwek mission hospital during elective term

Participate in various national/regional global prevention of blindness working group meetings/forums

The department implemented the following to contribute to the flagship of VISION 2020:

Engaged in policy dialogue with national ministries and regional authorities to promote inclusive

education, and curriculum development.

To enhance visibility and advocacy the academic staff published in peer reviewed journals.

The department carried out several consultancies with various organizations/institutes

The department has participated in national/regional global prevention of blindness activities by

maintaining links with the International Council of Ophthalmologists (ICO),German

Ophthalmological Society (DOG), and participated in joint planning and project implementation


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with stakeholders E.g. COECSA, MOH among others

Participated in AGENT summer school workshop held in the department

Facilitate 10 postgraduate students to sit international college of ophthalmology examinations

16 postgraduate students were facilitated to sit the ICO examinations in April 2013 at the

department.

The students also received 2012/2013 set of American Academy of Ophthalmology books. The

set has 13 volumes covering all fields in ophthalmology, this was made possible through

COECSA

Enhance relevant research activities for academic staff and postgraduate students

During this period we had 8 postgraduate students present their thesis papers on various topics

which were accepted by the University out of which five of the papers were presented during the


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annual COECSA conference held in Kigali, Rwanda.

The academic staff have been involved in Research and during this period the 6 staff published

articles in the Journal of Ophthalmology of Eastern Central and Southern Africa in August 2013

We had visiting lecturers from various countries coming to the department to give lectures on

various eye conditions and ongoing researches.

Visitors from Spain, president of Vision Mundi, paediatric ophthalmologist, teaching on diplopia after cataract

surgery study.


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Visiting lecturer from Canada, expert in ophthalmic-pathology teaching retinoblastoma genetics and new local success management in the department to the students

Commemorate the World Sight Day through outreach activities

The commemoration was done in October 2013 and a total of over 400 patients were screened

through outreach camps conducted by the department.

Foster partnerships and linkages with other organizations

The department has maintained links with the International Council of Ophthalmologists

(ICO),German Ophthalmological Society (DOG), and participated in joint planning and project

implementation with stakeholders E.g. COECSA, MOH among others.

Through our partnership, we had 2 postgraduate students from Muhimbili University of Health

and Allied Sciences (MUHAS) , Tanzania attend their elective term rotation in May 2013

The department was also happy to celebrate with LFTW their 25th Anniversary.

4. Strategic progress (from Sightsavers’ perspective)

Strengthening existing systems and organisations

All lecturers and support staff at the department are government employees and sustainability of training programmes is therefore guaranteed. Continued support to their capacity building through various activities including CMEs then contribute to the strengthening of the department of ophthalmology

5. Reflections and key learning points

What Worked Well

The department has continued its staff training development in new areas of subspecialisation

Project implementation of this project has proved so far to be effective and efficient from program, budget and administrative points of view. Utilizing existing partnerships and cooperation with government, partners and civil society and networks has allowed for an integrated approach to addressing project objectives.

The department in Partnership with LFTW has embarked on implementation of the HR development activities through postgraduate scholarships. The roll out will go a long way in responding to the institution capacity complementing the on-going initiative with partners.

The department has taken lead in undertaking eye care research in and out of the country. Joint research initiatives have been undertaken with other eye care collaborators and have provided the much needed information that has been used to plan eye care programmes in the country.

6. Planned activities for next year 2014

Please list the planned activities for next year (i.e. the things you need to undertake to achieve the above objectives), as per the latest version of your implementation plan.

1) Conduct 1000 cataract surgeries and other surgeries 2) Facilitate training of one academic staff in subspecialty in a field in Ophthalmology

3) Staff and students to participate in local, regional and international workshops,

seminars and conferences.

4) Staff and students to participate in the annual OSEA conference

5) Graduate 10 postgraduate students as Ophthalmologists

6) Enrol 12 postgraduate students from Kenya and other African countries

7) Undertake 18 outreach camps in 4 marginalised areas of Kenya

8) Enhance international exposure and cooperation by attaching 10 postgraduate

students for elective term rotations

9) Monitor quarterly progress of implementation

10) Participate in various national /regional global prevention of blindness activities

11) Postgraduate students to sit for their University examinations and ICO examinations

12) Enhance relevant research activities for academic staff and postgraduate students

13) Commemorate the World Sight day through outreach activities.

14) Foster partnerships and linkages with other organizations.


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OUTREACH PHOTOS

Postgraduate students doing small incision catarat surgery under tutilage of consultants at kitui hospital and Mwingi district hospital

In Theatre room during surgery at Mwingi district hospital

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