IAPB GA 9 Hyderabad September 2012 1 CBM’s Global Involvement In Eye Care C Cook Hyderabad...
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Transcript of IAPB GA 9 Hyderabad September 2012 1 CBM’s Global Involvement In Eye Care C Cook Hyderabad...
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IAPB GA 9 Hyderabad September 2012 1
CBM’s Global Involvement In Eye Care
C CookHyderabad
September 2012
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IAPB GA 9 Hyderabad September 2012 2
CBM’s Global Involvement In Eye Care
• Who are we?• Where have we come from?• Where are we now?• How does our Medical Eye Work fit in with our general
programme development approach?• Where are we going?
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IAPB GA 9 Hyderabad September 2012 3
Who Are We?
• International Christian development organisation.
• Prime purpose is to improve the quality of life of the world’s poorest persons with disabilities.
• We seek to prevent and treat health conditions which lead to impairment and disability.
• We promote and provide opportunities for social inclusion, economic empowerment, and livelihood security.
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IAPB GA 9 Hyderabad September 2012 4
Where Have We Come From?
• 1908: Christoffel Blinden Mission was founded by Pastor Ernst Christoffel
• 1989: CBM is recognized by the WHO as a professional organisation
• 2002: Advisory status for the Economic and Social Council of the UN
• 2003: First international lobbying initiative starts with a permanent office in Brussels
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IAPB GA 9 Hyderabad September 2012 5
Where Have We Come From?(cont‘d)
• 2005: CBM commitment to disability and inclusive development
• 2009: Stronger emphasis on inclusion
• 2010: Launch of WHO-ILO-UNESCO CBR guidelines with significant input from CBM
• 2010: 10 millionth cataract operation
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IAPB GA 9 Hyderabad September 2012 6
Where are we now?CBM Member Associations (11)
CBM Regional Offices (9)
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IAPB GA 9 Hyderabad September 2012 7
Member Associations
International Boards
International Management
Regional Offices
Australia
Canada A Philippines
Germany S Thailand
Ireland S CBMI India
Italy E Board Senior EMRO
Kenya M Leadership South Africa
New Zealand B CBMeV Team East (Kenya)
South Africa L Board Central (Kenya)
Switzerland Y West (Togo)
UK Ecuador
USA
Where Are We Now?International Structure
950,000 donors 730 staff 31 million clients
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IAPB GA 9 Hyderabad September 2012 8
Where Are We Now? (cont‘d)
Region Number Of Eye Medical Programmes (2011)
Africa South 38
Africa East 73
Africa Central 24
Africa West 44
Asia South/East 16
Asia Central 32
Asia South/South 97
Asia South/North 25
Eastern Mediterranean Region 82
Latin America Region 134
Total 565
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IAPB GA 9 Hyderabad September 2012 9
Where Are We Now?Number of staff trained in CBM supported programmes in 2011
Medica
l Eye
Doc
tors
Eye
nurs
es/ a
ssista
nts
Optom
etris
ts/re
fract
ioni
sts
Ophth
alm
ic te
chni
cians
0
200
400
600
800
1000
1200
829955
386
554
2011
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IAPB GA 9 Hyderabad September 2012 10
Where Are We Now? Number of surgical interventions in CBM supported programmes in 2011
Glauc
oma
surg
erie
s
Trichi
asis su
rger
ies
Lase
r tre
atm
ent f
or D
R
ROP tre
atm
ent
0
5000
10000
15000
20000
25000
30000
35000
40000
45000
50000
34,603
43,100
28,953
816
2011
Eye surgeries Cataract surgeries
0
100000
200000
300000
400000
500000
600000
700000
800000
900000844,674
593,665
2011
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IAPB GA 9 Hyderabad September 2012 11
Eye Medical Work in the context ofInclusive Development
COMMUNITY BASED REHABILITATION (CBR)
HEALTH
PROMOTION
PREVENTION
MEDICAL CARE
REHABILITA-TION
EDUCATION
EARLY CHILDHOOD
DEVELOPMENT
NON-FORMAL
FORMAL INCLUDING PRIMARY
SECONDARY AND HIGHER
LIVELIHOOD
SKILLSDEVELOPMENT
INCOME GENERATION/
SELF-EMPLOYMENT
FINANCIAL SERVICES
EMPLOYMENT
SOCIAL
RELATIONSHIPMARRIAGE &
FAMILY
PERSONAL ASSISTANCE
CULTURERELIGION &
ARTS
SPORTS RECREATION &
LEISURE
EMPOWERMENT
SOCIALMOBILISATION
POLITICAL PARTICIPATION
COMMUNICA-TION
SELF-HELP GROUPS
ASSISTIVEDEVICES
LIFE-LONG LEARNING
SOCIAL PROTECTION
ACCESS TO JUSTICE
DISABLED PEOPLE'S
ORGANISATIONS
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IAPB GA 9 Hyderabad September 2012 12
Eye Medical Work in the context ofInclusive Development - CBR
• The CBR matrix is the framework for a twin track approach: • Track 1: Direct work for and with persons with
disabilities and those at risk• Track 2: Inclusion of persons with disabilities in
all development activities and initiatives
• The CBR matrix is the framework for planning and networking, following a holistic approach
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IAPB GA 9 Hyderabad September 2012 13
• Medical – Vision, hearing physical, mental
• Rehabilitation – low vision, audiology + speech therapy, physiotherapy + orthopaedic workshops, community based rehabilitation
• Education• Livelihood and economic
empowerment
Eye Medical Work and Other Disability and Inclusive Development Activities
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IAPB GA 9 Hyderabad September 2012 14
Where Are We Going? – Some Current Paradigm Shifts Within CBM
• Comprehensive programmes (comprehensive programmatic planning)
• CBR as the hub• Vision 2020 one of seven
programmes• Holistic approach and networking
are key• Focus is on entire person and living
environment, not only on impairment
• NOT: every programme has to do everything; BUT: every programme is part of network and knows who does what
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IAPB GA 9 Hyderabad September 2012 15
Where Are We Going? – Some Current Paradigm Shifts Within CBM (cont’d)
“Vision 2020 compliance” –• Partnerships with mission
hospitals partnerships with MOH
• Hospital based programmes district programmes
“Disease control” –• ECCE with IOL SICS with IOL
phaco with IOL• Cataract glaucoma +
diabetic retinopathy
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IAPB GA 9 Hyderabad September 2012 16
Where Are We Going? – Some Current Paradigm Shifts Within CBM (cont’d)
More strategic support to partners, focus on:
• High quality and accessible service delivery
• Good practice models• Training of professionals• Capacity development of
partners• Research and evidence for
practice• Moving towards inclusive eye
health services