Save 50,000 Pakistani children from blindness

 
$2,303 $47,197
Raised Remaining

CURRENT PROGRESS OF THE PROJECT

July, 2015 TO September, 2015

 

Refractive errors are the second major cause of blindness after cataract and the most common reason for patients to consult ophthalmologist or ophthalmic assistant. Over a quarter of the outpatient attendance at all eye clinics and hospitals is due to refractive errors(1). The availability and access of infrastructure, services, trained manpower, cost of spectacles, and community awareness is an area of concern. Pediatric ophthalmology, as a separate subspecialty, is not yet well established, and services targeting children are not often offered separately by ophthalmologists. Training to address ocular problems relating to children is not always a part of every residency program and very few institutions offer post-residency training programs in pediatric ophthalmology(2-5).

Children form one of the main age groups requiring attention to refractive errors because of the high prevalence of myopia, hypermetropia and astigmatism. The ultimate molding of a person’s personality and potentiality rests with his nature, surroundings and quality of eye sight. The school going years are formative for children in determining their physical, intellectual and behavioral development. Poor vision in childhood affects performance in school and has a negative influence on the development and maturity. Further, most school children do not realize that they are suffering from the ocular disability as they adjust to poor eye sight in different ways. They compensate for their poor vision by sitting closer to the blackboard, or by holding their books close to their eyes. They may also squeeze their eyes. They may also tend not to undertake any work that needs visual concentration, thus affecting their performance(6).

MAGNITUDE OF THE PROBLEM

It is estimated that there are 1.4 million blind children in the world. An additional 7 million suffer from low vision and a further 10 million children have a correctable refractive error causing visual impairment (refractive bilateral visual acuity of <6/ 18). Though no population based nation wide survey has been undertaken on the prevalence of blindness in Pakistan, is estimated to be 0.8/1000 children in the age group of0-15 years. Currently, there are an estimated 270,000 blind children in Pakistan(7,8). Most of the available studies demonstrate that corneal and lenticular conditions are the predominant causes of blindness whereas amongst children outside blind schools, refractive errors are important causes of visual impairment and blindness. Myopia is a common cause of visual impairment which is usually acquired and nearly always progressive. It rarely occurs before the age of 5 years and new cases appear throughout childhood and adolescence, particularly between the ages of 6 to 15 years.

School Eye Health program team of Khyber Eye Foundation is visiting remote areas of District Charsadda where the access of other medical teams is not even possible and carrying out screening of school going children and training of Teachers. The team has so far visited 29 schools and screened out 1242 students.  231 teachers were trained to carry out vision of each students, out of 1242 students 879 students were diagnosed as refractive error and issued glasses free of cost worth of 1160 $. The reason for visiting less schools was due to summer vacations. The future plan of project team is to start its program in District Nowshera, moreover all those students who have cataract problems are referred to Government’s hospitals for further operation / treatment.

The Story of a young boy who had refractive errors and how is life change after he was issued glasses by the project team.

      Waqas is a student of KG class of government primary school Koda Khail, lives in a small village in District Charsadda, and belongs to a very poor family. His father is a laborer and supporting his six family members and has no other source of income. The project team visited GPS Koda Khail and received vision testing form from teacher and which found the name of Waqas, when asked from him as to how he used to do his class work from black board, he replied that he sit close to the board and do will his work, and was finding difficulty in reading as well as in writing, he never visited any doctor for eye checkup as his father could not afforded.

Optometrist carried out refraction of Waqas, before refraction his vision was CF 3 meter in right eye and CF 2 meter in left eye, after refraction his vision came 6/12 both eyes, when Waqas received his glasses from school eye health team, a broad / sweet smile came on his face because now he could see what ever is written on the black board, and finding no difficulty in reading.

 Khyber Eye Foundation is very thank full to his donors for donating and request to donate maximum so that the future of poor school going children is secured.

 

Raised                                     2303 $

Remaining                               47197 $

CURRENT PROGRESS OF THE PROJECT

April, 2015 TO June, 2015

School children form an important large target group which must be screened adequately for early detection of eye diseases and prevention of blindness. Considering the fact that 30% of blind lose their sight before the age of 20 years and many of them are under five when they become blind, the importance of early detection and treatment of ocular diseases and visual impairment in young children is obvious. Vision problems affect one in 20 preschoolers and one in four school age children. During a child's first 12 years, 80 percent of all learning comes through vision. And yet most children have not had a comprehensive eye exam prior to starting school. Majority of students identified as problem learners have undetected vision problems.

“Vision problems affect nearly 13.5 million children.  Rates for vision problems increase as children age…a quarter of adolescents 12-17 are reported to have eye problems”  "Poor vision in childhood affects performance in school or at work and has a negative influence on the future of the childVision problems have been shown to adversely affect a child’s achievement in school. Myopic children have trouble reading blackboard notes or other classroom presentation materials.  Hyperopic children will have trouble reading or doing any kind of close work.  Additionally, several types of eye disorders can lead to permanent visual impairment if not identified and treated early by an eye doctor.  Vision problems can and do adversely affect students’ ability to function in and enjoy learning. 

There is large evidence that many schoolchildren needing glasses do not get them because their refractive errors are not detected, which might not only hamper children's physical, cognitive, and psychosocial development, but also future employability and earning opportunities. Moreover, if refractive error is detected late the child can suffer from amblyopia (lazy eye)-a condition where vision remains low even after wearing the glasses. This condition can be treated only till 7 to 8 yrs of age, hence the importance of early detection. 

The school eye health program team of Khyber Eye foundation has so far visited 69 school and screened out 29232 students 949 teachers were trained to carry out vision testing of each students, out of 4141 students 1509 were dignosed as refractive error and were issued glass free of cost worth of  2150 $   

The story of a young boy who had refractive error and how his life changed after, he was issued glasses by the project team.

 Hamid belongs to a small village of charsada. He is studding  in government primary school chanchano mandani. He is the student of 4th class. His father is carpenter and support 8 family members. The school eye health team visited GPS chanchano and found a shy boy sitting in the corner of the class. When the optometrist asked his teacher about his daily work routine. His teacher complained that he is uncooperative and shy because his right eye is deviated. He lack confidence because of his low eye sight. After listening to his teacher’s complaint the optometrist carried out the checkup of Hamid. The initial visual acuity was 6/60 in both eyes. The right eye had deviation outward while the left eye was normal. Then retinoscopy was performed and found that he had a refractive error of -1.75 diopter in both eyes. When a refractive error is corrected and was issued glasses his vision improved to 6/18 in right eye and 6/6 in left eye. Hamid now has gained his confidence back and enjoy his study as a regular student.

 

Khyber Eye Foundation is now planning to start the project in District Nowshera in a days to come. We request our donors to donate maximum so that maximum poor children are benefited as we all know children are the future of any nation.

 

Raised:                                     $ 2,253

Remaining:                               $ 47,247

CURRENT PROGRESS OF THE PROJECT

JANUARY, 2015 TO MARCH, 2015

Children in all regions of the world are affected by a range of eye diseases and conditions, some of which can lead to permanent visual impairment in childhood, or later in life. Many of these conditions are preventable or treatable. Interventions are available for most of the causes of childhood blindness and much can be done through the primary health care program by strengthening the mother child health component to include early detention and referral of children with eye problems. There are many causes of visual impairment but uncorrected refractive errors (URE) is the leading cause of visual impairment accounting to 42% of visual impairment worldwide. URE is the second leading cause of Blindness accounting to around 13% of blindness globally. According to WHO, an estimated 153 million people suffer from uncorrected distance refractive errors out of which 8 million are blind and 145 million have significant distance visual impairment. An estimated 12 million children (age 5 to 15) are visually impaired due to refractive errors.

The school eye health program team of Khyber Eye foundation delicately working and visiting school of remote areas where eye health facilities specially for poor students are not available. The project team so far visited 55 schools and screened out 27282 students 895 teachers were trained to carry out vision testing of each and every students, out off 3252 students 1360 were diagnosed as refractive error and were issued glasses free of cost.

The story of a young boy who had refractive error and how his life changed after, he was issued glasses by the project team.

 

 

 PICTURE 

 

 

Naimaullah is a student of class 1 and lives in a small village of charsadda, and studying in GPS major kalay, primary school. Naimatullah belongs to a very poor family, as his father is a laborer and has meager source of income, and supporting and supporting his 6 family members. Naimatullah off and on complained to his teachers as well as to his father for his vision problem and was finding difficulties while reading / noting down notes from black board, but his father could not afford to take him to the Doctor. The project team of Khyber eye foundation visited his school and screened out Naimatullah with refractive error. Before refraction his vision was CF close to eye (both eyes), after refraction and issue of glasses his vision came to 6/18 both eyes.

Khyber eye foundation is planning to visit schools in far flung areas with a view to provide eye care facilities to unprivileged and poor students free of cost, and also request our donors to donate maximum so that maximum poor students are benefited as young children are the future of any nation.

Raised:                                     $ 2,253

Remaining:                                $ 47,247

after refraction
after refraction

CURRENT PROGRESS OF THE PROJECT

October 2014 TO December, 2014

Children can be affected by a range of eye diseases that can lead to visual impairment in childhood or in later years of life. Many of these disease are preventable or treatable. Uncorrected refractive error is the most common eye disease and a leading cause of visual impairment in children. According to surveys conducted, around 4.6% school children in Pakistan suffer from visual impairment due to refractive errors. Such a high prevalence calls for strategies such as school vision programs on a large scale. In addition availability of trained human resource to perform quality refraction and ensuring availability of affordable spectacles is required. A refractive error is a very common eye disorder. It occurs when the eye cannot clearly focus the images from the outside world. The result of refractive errors is blurred vision which is sometimes so severe that it causes visual impairment including blindness.

The project team of Khyber Eye Foundation now visiting small villages of district charsadda where no medical facilities are available, during the period the project team visited 48 primary and middle school and screened out 25262 students. 328 teachers were trained as to how the vision testing of the students be carried out. Out off 25262 students 985 students were diagnosed as refractive errors and were issued spectacles free of cost.

The story of a girl who had refractive error and her life changed after visiting by the project team to her school.  

Amina is a student of class 2nd and lives in a small village of charsadda and studying in government girls primary school Tarkha. Her father is a laborar and has a meager source of income and supporting 6 family members and has no other source of income. Amina used to complaint regarding her eye sight problem to her father, but her father could not afford to take her to doctor. The school eye health programme team visited on 12th November, 2014 to GGPS Tarkha and did screening of children and screened out Amina, when asked from her how she used to do her class work from green board, she replied that she used to sit close to green board and will do her work, before that she never visited any doctor for her eye checkup as her father could not afford it. Optometrist in a team carried out refraction, of Amina, before refraction her vision was 6/36 of both eyes, after refraction her vision came to 6/6 both eyes with -3.50 Ds both eyes, she was issued with glasses free of cost now she is a brilliant student of her class and easily read and write.   

Khyber Eye Foundation request our donors to continue to support our project and donate maximum so that poor school going students are benefited and can be issued with glasses / medicine free of cost and also get a opportunity to lead healthy life.  

  

Funding Information

 Raised                            $ 1,968                           

 

 

Remaining                      $ 47,532                  

CURRENT PROGRESS OF THE PROJECT

July 2014 TO September, 2014

 

 

The school vision screening program is based on the guidelines for school eye health for the eastern Mediterranean region (EMR) developed by the international agency for the prevention of blindness (EMR-IAPB) in collaboration with WHO and prevention of blindness union.  

 

The goal of the project is to improve quality of life and education capabilities by eliminating blindness and visual disability particularly due to uncorrected refractive errors in school children.

 

The project encompasses the following activities

  • Mapping location of primary and secondary schools
  • Making contact with relevant bodies and authorities in education and health
  • Identifying teachers to be trained
  • Training teacher in vision testing
  • Vision screening in schools by trained teachers
  • Refraction in schools by trained teachers
  • Refraction in schools of those who fail vision test
  • Referral of children whose vision cannot be improved to the local eye unit, with provision of low vision care ofor those who need it.
  • Providing free of cost spectacles that are high quality, affordable and comfortable
  • Health education / awareness raising among the children and teacher about eye health and activities to prevent or treat locally endemic diseases e.g. face washing and the importance of a clean environment
  • Ensuring quality control procedures are in place
  • Establishing effective management including information management systems
  • Monitoring and evaluating the program

 

Khyber Eye Foundation since its start of project was able to screening 42632 children in 96 government primary, middle and high schools. A staggering 1870 (4.4%) children were provided refractive error correction through providing free of cost spectacles. 463 teacher were trained in vision testing whereas 307 children were referred to KEF for further treatment. So far the affected students have been issued glasses / medicines worth of US $ 43250/-

 

 

 

The story of a boy who had refractive error and his life changed after visiting by the project team to his school.  

 

 Sohrab sir is a student of Class 3rd and lives in a small village of charsadda. He is studying is government primary school Shaheedan. His father is a labourar and has a meager source of income and supporting 8 family members. The school Eye health Team visited government primary school Shaheedan and found during screening that Soharab sir has weak eye sight. He was asked as to how he note down work from black board, he replied that he note down from his friend’s note book. He couldn’t get his eye sight checked as his father could not afford it. Project team optometrist carried out refraction and found that his vision was 6/60 in right eye and CF 2 in left eye. After issuance of glasses to him, his vision came to 6/18 both eyes. Now after issuance of glasses, he can read from the black board and leading a very healthy life.

 

Khyber Eye Foundation request our donors to continue to support our project and donate maximum so that poor school going students are benefited and can be issued with glasses / medicine free of cost and also get a opportunity to lead healthy life.  

 

Funding Information

 

Raised                            US $   1,958                   

 

Remaining                       US $   47,542          

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Organization

KHYBER EYE FOUNDATION

Peshawar City, Khyber Pakhtunkhwa, Pakistan
http://www.kefpk.org

Project Leader

Syed Khalid Mahmood

Peshawar, Pakistan

Where is this project located?

Map of Save 50,000 Pakistani children from blindness