Primary Eye Care and Community Participation - PowerPoint PPT Presentation

Primary eye care and community participation l.jpg
Download
1 / 26

Primary Eye Care and Community Participation. Dr. Saman Wimalasundera MBBS, DO, PhD Senior lecturer in community medicine & community ophthalmologist Community Ophthalmology center Department of community medicine P.O.Box 70, Galle Sri Lanka. Primary eye care and community participation.

I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.

Download Presentation

Primary Eye Care and Community Participation

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Primary eye care and community participation l.jpg

Primary Eye Care and Community Participation

Dr. Saman Wimalasundera MBBS, DO, PhD

Senior lecturer in community medicine

& community ophthalmologist

Community Ophthalmology center

Department of community medicine

P.O.Box 70,

Galle

Sri Lanka


Primary eye care and community participation2 l.jpg

Primary eye care and community participation

Delivery of primary eye care has its specific roles and targets in the community and good community participation is an essential component in the successful prevention of blindness program.


Slide3 l.jpg

Primary eye care is the primary health care approach to the prevention of blindness.


Essential components of primary eye care l.jpg

Essential components of primary eye care

  • Promotive

  • Preventive

  • Curative

  • Rehabilitative


1 promotive eye care l.jpg

(1)Promotive eye care

1.Creating and awareness of the blinding diseases existing in the community and the ways of preventing or curing it.

2.How to use the available recourses to overcome the problems.


2 preventive eye care l.jpg

(2)Preventive eye care

1.Motivation of individuals and their

communities to participate in blindness

prevention activities.

2.Social and community development that promotes health

3.Change of behavior and environment


Examples l.jpg

Examples

  • Provision of adequate safe water.

    construction of latrines &refuse pits

  • maintenance of environmental hygiene.

  • Consumption of food rich in vitamin A.

  • Care for individuals at risk.


Slide8 l.jpg

  • Prevention of measles, malnutrition and

    diarrhea in children

  • Protection of eyes against injuries.

  • Immunization (E.g. Measles)

  • Screening of antenatal mothers for sexually

    transmitted diseases.

  • Family planning


3 curative activities l.jpg

(3)Curative activities

1. To carry out treatment procedures for simple common diseases that lead to blindness or impaired vision if not treated

e.g. corneal ulcers, refractive errors etc.

2. First aid treatment for eye injuries.

3.Timely referral to secondary level.

4.Identification of potentially blinding disease

conditions for proper management

5.Identification of curable blinding diseases

e.g.cataract and referral for treatment


4 rehabilitative activities l.jpg

(4)Rehabilitative activities

Target group: Incurably blind people

What can the primary eye care workers

do to them ?

They should be assured that they are not

completely useless


Slide11 l.jpg

  • Some carefully selected appropriate training should be given to them to acquire some skills

  • Make them functional and do not allow to depend on the others totally.


Development of primary eye care program l.jpg

Development of primary eye care program

A good primary Eye care Program will depend on :

  • existing health care services and availability of trained health care workers (Manpower)

  • Political and professional motivation


Slide13 l.jpg

(3) Resources for training, to conduct programs and to monitor it.

  • Supplies for primary eye care workers.

  • Funding for capital and recurrent expenditure.

  • Close liaison with secondary and tertiary centers

  • Careful Planning and evaluation


Basic equipment essential for pec program l.jpg

Basic equipment essential for PEC program

  • Snellens chart and pinhole

  • Hand magnifying lens

  • Good source of light (Torch with batteries)

  • Eye dressings

  • Teaching materials


Different types of primary eye care programs that can be used in the community l.jpg

Different Types of Primary Eye care Programs that can be used in the community

  • Depend on the need of the local community

    and available resources

    1. Need assessment Programs

    2. Screening for blinding diseases

    3. Comprehensive care Eye camps

    4. Out reach Surgical Camps

    5. Health Education Programs


Sustainability of the pec programs l.jpg

Sustainability of the PEC programs

Depend on the following areas

  • Technical sustainability :- Training of technical staff

  • Financial sustainability :- Continuous allocation of funds necessary

  • Operational sustainability :- Monitoring of the activities regularly.


Community participation l.jpg

Community Participation


Ottawa charter and health promotion l.jpg

Ottawa charter and health promotion

In 1986 an international conference

called Ottawa charter adopts five principal

elements that improve health promotion.


The five principals are l.jpg

The Five principals are

  • Healthy public policy

  • Personnel skills development

  • Community participation

  • Healthy and supportive environment

  • Re-organization of health services

    Community participation is a major

    emphasis in eye health promotion.


Slide20 l.jpg

The promotion of eye health and to

reduce the risk of blindness though

community ophthalmology needs good

community participation


Community participation is influenced by l.jpg

Community participation is influenced by

  • Community beliefs and perceptions

  • Motivation of people in the community

  • Awareness of the problems related to blindness


Community participation can be improved by l.jpg

Community participation can be improved by

  • Encouraging the people with early symptoms by their families to attend to available health services


Slide23 l.jpg

  • By creating and awareness through health education programs

    - Mass media programs

    - Through volunteers or community health workers by small group discussions

    -Through community leaders

    -Self help groups

    -Improving education of children through schools


Community participation enhances eye health l.jpg

Community participation enhances eye health

  • By attending to the community health programs for early detection

  • By following treatment procedures until full recovery


Slide25 l.jpg

  • By adopting changes in life style that encourages eye health

  • By improving the living environment in the communities to reduce the risk of transmission of eye diseases

  • By creating a community demand by the people of the community to develop infra structure facilities by policy makers that improves eye care services.


Slide26 l.jpg

There is a high demand for a

community based approach in the

prevention of blindness. That needs

proper community participation.


  • Login