VIEWS: 0 PAGES: 11 POSTED ON: 2/15/2012
The role of outreach in refractive error service delivery Kilimanjaro Centre for Community Ophthalmology Moshi, Tanzania Outreach • Surgical (cataract) – Settings that will soon have full-time surgical team • Non-surgical – Settings that do not have comprehensive eye care services – Screening and/or transport of surgical cases to hospital Outreach generally does not include school screening Rationale • Patients do not know why they “don’t see well” • Important to make services convenient (trust) • Team approach strengthens relationships between different professions • Potential for refractive services to support costs of conducting outreach Refractive errors integrated into outreach activities • Planning sites/activities • Promotion • Service provision • Spectacles • Profits supporting outreach • Monitoring/research Planning sites & activities • Planning based upon population needs • Decide on range of services to be provided • Avoid single-service trips • Services provided must be consistent (promotion must match service delivery) Promotion & health education • Mechanisms – Radio – Village leaders, religious leaders, other community leaders – Health facility workers • Clarity of messages – Elderly (presbyopia) – Cost of service Service provision on outreach • Clear outline of patient flow • Separate “station” for refraction • Display (with mirror) • Ability to refer back to clinician • Special tasks – Cataract post op follow up – Albino assessment Spectacles • Purchasing – Need for foreign exchange – Local purchases • Range of “ready-made” – Evidence of “best sellers” – Set price • Prescriptions • Stock control – Excel systems – Include cases & glasses chain • Recycled spectacles Profits supporting outreach • Rationale clearly understood • Requires local accounting system (receiving funds, etc.) • Salaries covered by government/ programme Monitoring/research • Sustainability & service monitoring • Operational research Refractive error service delivery should be part of outreach It must be planned for, integrated well, managed effectively, and monitored.
Pages to are hidden for
"Paul Courtwright - Outreach Models"Please download to view full document