Assessement Of The Extent To Which The Vision 2020 Eye Care Service Delivery Targets Had Been Met In Burundi By 2015
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Date
2015Author
Niyonzima et al., Jean Claude
Type
ThesisLanguage
enMetadata
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Purpose: To conduct a situation analysis of the implementation of VISION 2020 “The Right to
Sight” global initiative in Burundi.
Methods: This was a descriptive cross-sectional study targeting District, Regional, and National
Hospitals in Burundi. Structured questionnaires were used to collect data on number and
distribution of different cadres of eye personnel, infrastructure and equipment, Cataract
surgical rate achieved one year prior to the study, availability of coordination, structure and
membership of a prevention of blindness committee, eye training programmes and access to eye
care services. Data were compiled in 7 ophthalmic regions.
The recommendations of Vision 2020 were used to benchmark resources as meeting, exceeding
or not meeting targets.
Results: There was a National committee for Prevention of Blindness in place in Burundi even
though it was operating on outdated strategic plan of 2006-2011 and managed to meet only once
in 2011,2013 and2014 and no meeting in 2012 and 2015. Burundi had not met any of the Vision
2020 targets for human resources. The country had achieved the following: 37.5% of the target
for Ophthalmologists, 66.0% for Ophthalmic Clinical Officers and 5.1% for Optometrists. The
mean deficit for all cadres was 72.8%. Out of the 15 ophthalmologists in Burundi, 80% were
based in Bujumbura with 4 out of 7 regions having no ophthalmologist at all. Sixty eight percent
of eye care facilities belonged to private sector and 75% were in urban areas. The Cataract
Surgical Rate for 2015 was 138. The ratio of ophthalmologists who performed cataract surgery
to those who did not was 1:3.75. All the centres well equipped to offer refractive services
whereas there were only two centres equipped with laser for management of diabetic retinopathy
and three centres equipped with Visual fields for follow up of glaucoma patients.
Conclusions: Burundi had not met the targets for human resources by 2015. Most of eye care
services were concentrated in the capital Bujumbura leaving most of other areas grossly
underserved. Most of eye care activities were offered by the private sector. Only refractive
services were available in most centres with inadequate equipment for management of diabetic
retinopathy and glaucoma. The CSR was low and most ophthalmologists were not performing
cataract surgery.
Publisher
University Of Nairobi
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Attribution-NonCommercial-NoDerivs 3.0 United StatesUsage Rights
http://creativecommons.org/licenses/by-nc-nd/3.0/us/Collections
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