The situation of Eye Care in Francophone Africa. · The situation of Eye Care in Francophone...
Transcript of The situation of Eye Care in Francophone Africa. · The situation of Eye Care in Francophone...
The situation of Eye Care in
Francophone Africa.
Joseph Colin.
ICO symposium Eye Care in Africa.
How can Europe help?
• J.J.De Laey: Introduction.
• Volker Klauss. The situation of Eye Care in Anglophone Africa.
• Joseph Colin. The situation of Eye Care in Francophone Africa.
• Benedictus G.K.Ajayi. Tackling the burden of cataract blindness in Africa.
• Dan Kiage. New strategies for glaucoma management in Africa.
• Daniel Etya'ale.Diabetic retinopathy. Best ways to tackle the African
problem.
• Philippe Kestelyn. How can clinical research in Africa help?
• J.J.De Laey. Conclusion.
The role of French Ophthalmology
in Africa.
• NGO missions
• OPC : Organization for the Prevention of
Blindness
• SFO : grants ; French-African symposium
• Mauritius educational programme
O.N.G. AFRICA LUZ
Association Loi 1901
ONG AFRICA-LUZ
05 59 24 06 14
53 rue Gambetta
64500 Saint Jean de Luz
http://africa.luz.free.fr
BILAN DES MISSIONS :
9634 CONSULTATIONS
5045 ACTES CHIRURGICAUX :
-3598 CATARACTES
-384 GLAUCOMES
-921 TRICHIASIS
-142 AUTRES INTERVENTIONS
"OPHTALMO SANS FRONTIERES" est une Organisation Non
Gouvernementale créée en 1987. L'objet de l'association est la
lutte contre la cécité et la malvoyance en Afrique francophone.
Nous sommes installés au Cameroun depuis 1987 où
fonctionnent actuellement 7 centres ophtalmologiques. De 1995
à 1998, nous sommes également intervenus à Madagascar.
Actuellement, nous travaillons aussi au Maroc et en Mauritanie.
OSF
OSF centers are located in north rural areas (except
Maroua).
- MAROUA
- LAGDO
- YAGOUA
- KOLOFATA
- KOUSSERI
- MAYO OULO
- MOKOLO
Logistic center in GAROUA,
Main city in North-Cameroon (with an international
airport )
OSF :Surgical training for technicians
• Specific surgical training for technicians previously qualified in ophthalmology
• During one year
• 3 centers : Lagdo, Kolofata et Kousseri.
VISION 2020 – AFRICA
Constraints, Challenges
& Urgent Needs
Management of Noncommunicable Diseases (MNC)
Prevention of Blindness and Deafness (PBD)
Benin 4
Botswana 2
B. Faso 2+
Cap Verde 10+
Cameroon 3+
C. d'Ivoire 3+
Eq. Guinea 4
Gabon 6+
Ghana 2+
Mauritania 3+
Mauritius 2+
Nigeria 2
S. Africa 5
Senegal 2+
Togo 3
Zimbabwe 2
JUST TRAINING MORE
OPHTHALMOLOGISTS IS
NOT ENOUGH
AUDITING OF UNDERPERFORMING SERVICES: URGENT+++
0 200 400 600 800 1000 1200 1400 1600 1800 2000 2200
C. Afr. RepLiberia
RwandaBurundi
Benin
ChadGuinea
Sierra LeoneCongo
D. R. Congo
Equatorial GuineaGabon
SwazilandBurkina Faso
Comoros
Cote d’IvoireNiger
EthiopiaMadagascar
Togo
TanzaniaUganda
NigeriaNigeria
Cameroon
LesothoMali
Zambia Malawi
Zimbabwe
GhanaBotswana
KenyaSenegal
Mauritania
South AfricaNamibia
Eritrea Sudan
Gambia
SeychellesMauritius
AFRICA: CATARACT SURGICAL RATE (N° of cataract surgeries/mil pop)
20%
500
Anglophones
Francophones
Addressing the issue of Low
Productivity (CSR<500) of
existing personnel remains a top
priority throughout the continent
The Mauritius-Bordeaux
Educational Programme
Written exam for Mauritius MD
6 students selected
2 years in Mauritius : Moka Hospital
1 year internship in Bordeaux
1 year internship in Moka
Final exam >Bordeaux Universitary Diploma
Approved by the Mauritius Medical Council
Didactic programme
• Six 2 week missions in Mauritius by professors or associate professors
• C Schweitzer : Cataract , Glaucoma
• MN Delyfer : Medical retina
• J Colin : Refraction , Cornea
• MB Rougier : Uveitis ; neuro-opht
• JF Korobelnik : Surgical Retina
• B Mortemousque : Oculoplastics , pediatrics