CURRENT PROGRESS OF THE PROJECT
July, 2016 to September, 2016
Refractive errors and trachoma have been identified as priority conditions for control within Vision 2020: The right to Sight – a global imitative launched by the World Health Organization (WHO) and its partners to substantially reduce the burden of blindness and visual impairment by 2020. It has been advocated that screening for these conditions among children can be affectively performed by teachers.
There is growing body of evidence that many schoolchildren needing glasses do not get them because their refractive errors are not detected despite concerns that uncorrected refractive errors might not only hamper children physical cognitive and psychosocial development but also future employability and earning opportunities.
In areas endemic for vitamin A deficiency and trachoma the WHO also recommends early detection of these disease in schools, and health education concerning their prevention and treatment. Globally an estimated 100 million children have active trachoma. Almost 50% of Pakistan’s total population of around 154 million are children but nationally representative data on childhood eye disease are lacking. Pakistan has been classified by the WHO as a country with severe subclinical vitamin A deficiency in parts or whole of the country and studies conducted in different areas of Pakistan show that 32-43% children under 5 have deficient serum vitamin A levels. Trachoma is endemic in parts of the country.
A general lack of health care workers as health educators in Pakistan and many other developing countries supports the involvement of teacher in eye health education. However, there is a lack of literature on what they themselves know about common eye disease, and their detection and management.
Schools also offer an excellent opportunity for health education about prevention of eye trauma which is a regular even among children and a major cause of blindness.
Khyber Eye Foundation apart from visiting various schools to find out refractive errors in school going children also carried out community mobilization and eye awareness sessions at remote areas of Peshawar in which parents, children, school teachers and community leaders attended. During the session they all were briefed in detail regarding eye care, which included squint, cataract and general eye disease, and its prevention, pamphlets were also distributed amongst the children and parents to follow the instructions for prevention of blindness specially in children. Khyber Eye Foundation apart from refractive error also worked on squint patients and referred them to Hayatabad Medical Complex for operation.
Community Mobilization and Eye Awareness Session
The Project Team of Khyber Eye Foundation continued its effort and ensured that maximum schools going children are screened for refractive error. The team also conducted eye awareness programme especially for the parents of children. During the period the team visited 21 schools and screened 892 students 165 teacher were trained to carry out vision of ach students out off 892 students 652 students were diagnosed as refractive error and were issued spectacles free of cost, worth of $ 728
Story of a young boy who had refractive error and how his life changed after he was issued spectacles by the project team.
Hamza lives in a small village of charsada and studying in government primary school chanchano mandani. He is the student of class 5th . His father is a driver and earning meager amount as his monthly salary and supporting 10 of his family members and has no other source of income. The school eye health program team visited GPS CHANCHANO mandani and received the vision testing form from teacher in which the name of hamza was written. His teacher complained that Hamza cannot copy class work from the black board. The school eye health team visited and checkup the vision of Hamza and found that his eye sight was weak that’s why he cannot copy the notes from the black board. His visual acuity was CF 2 meter in the right eye and 2 meter in the left eye. After refraction the team found that he has the myope of -11 in right eye and -10 in the left eye with -2 cylinder at 180 degree in both eyes. Hamza received his glasses from project team, after wearing his glasses his vision came 6/12 in both eyes. Now he could see the black board very clearly and became a very confident student of his class.
Khyber Eye Foundation is very thankful to his donors for donating and request to donate maximum so that the future of poor school going children is secured.
Raised $ 4123
Remaining $ 45377
April, 2016 to June, 2016
Uncorrected refractive error is the main cause of low vision and the second major cause of blindness. And estimated 153 million people are visually impaired due to uncorrected refractive error of whom, 8 million are blind. Refractive errors are disorders, not a disease, this order is easily correctable. While correct lense and refractive surgeries are among the refractive solutions for refractive error, it remain the most affordable solution that can be effectively dispensed to the large undeserved school going children.
The study was done on a student age 5 years to 15 years, from – randomly selected urban as well as rural schools in and around Khyber Pakhunkhwa. Formal permission was taken from the principal of these schools and the list of all students was taken with their age 5 to 15 years (Class 1 -10) and address. Are detailed ocular history was taken about present and past ocular along with history of used of spectacles. The prevalence of uncorrected refractive error, especially myopia, was higher in urban children.
Childhood blindness and visual impairment are as important and perhaps more devastating and disabling then a adult on set because of the long span of life still reaming to be live. School - age children constitute of particularly vulnerable where uncorrected refractive error put dramatic impact on learning capability and educational potential.
The school eye health program team of Khyber Eye foundation is continuing visiting the schools in district Charsadda and carrying out the training of teacher and screening of students to find out refractive error in the students. The team during the period has visited 25 schools and screened out 1356 students, 254 teachers were trained to carry out screening / vision students. Total of 862 students were diagnosed as refractive error and were issued spectacles free of cost worth of 1210 US$. The project team is visiting to all those schools where poor and underprivileged student are studying whose parents can’t afford to take their children to the doctor for checking their eye sight.
Story of a young girl who had refractive error and how her life changed after she was issued spectacles by the project team.
Miss Naima is living in the remote area of District Charsadda with her parents and studying in Class 1 in Government Primary School station Korona Charsada. She has 2 brothers and 3 sisters. Her father is a daily wages laborer and has a very meager source of income and can not afford to take her children to any hospital for vision testing on regular basis. The school eye health Program team of Khyber Eye Foundation visited her school and was informed by her teacher that she is very weak in her studies and can’t read from the black board. The refractionist carried out the refraction of miss naima and found that her vision was 6/60 of both eyes while with the correction her vision came to 6/6 of both eyes. She was provided spectacles free of cost. Now after receiving her spectacles she can read from the black board and became the confident student.
Raised $ 3523
Remaining $ 45977
January, 2016 to March, 2016
Uncorrected refractive errors are an important cause of visual impairment in many countries. In developing countries, however, it is often difficult to provide an efficient refraction service for a variety of reasons. The proportion of children who are blind or visually impaired due to refractive errors can used to assess the level of development of eye care services in a country. Vision testing in children is the process of detecting vision problems and is undertaken to improve prognosis and reduce disability. The word screening has a very precise meaning in public health and there are clearly defined criteria which should apply before any screening program is established.
There are several questions which need to be addressed and answered when planning a vision testing program for children. The most important is to decide the aim of the program. Others include:
Before establishing a vision testing program it is important to consider the aim of the program . If the aim is to detect and treat conditions that may lead to amblyopic i.e refractive errors, eye disease causing visual impairment and strabismus the program must focus on pre-school age children. This approach presents considerable challenges as examining your children and measuring their visual acuity or refractive errors is difficult, particularly in a non-clinical setting. Another difficulty is that in many countries there is not readily identifiable catchment population of pre-school age children, which adds logistical difficulties. For all these reasons formal pre-school screening program are not established in many industrializes countries. The frequency of vision testing needs to be linked to the availability of resources. If condition are favorable, children should be screened once during the primary school years (6-11 years) and once during early adolescence (12-14 years). This is the ideal for developing countries. However, if resources are limited, it is best to start in early adolescence, because most children would have manifested their myopia by that time, children of this age readily comply with vision testing, and because more are likely to wear spectacles when prescribe.
School vision testing program do not end with the provision of spectacles as it is important to evaluate the benefit of the program. This can be done by determining the proportion of children screened who needed spectacles; the number prescribed glasses who actually wear them, and the number of children whose vision has been improved as a result of the program. Evaluating the impact of the program is more difficult as this would involve making an assessment of the wider educational social and encomia benefits resulting form improved vision in school children. The impact will be low of only mild refractive errors are corrected. Vision testing program in schools not only help the children but also help communities as awareness about good vision is increased amongst teachers and parents. Teachers and parents should be taught to look for symptom and sign which indicate refractive errors. They can observe if children hold books unusually close to their eyes, sit close to the TV rub their eyes frequently or twist or tilt their heads to favour one eye.
The project team of Khyber Eye Foundation now started visiting the schools which are quite far away from main city, where hardly health facilities are available to poor and needy school going children. The team of Khyber Eye Foundation is determined to save the future of this country. The team will work till our objective is not achieved. The team during the period has visited 23 schools and screened out 1232 students, 293 teachers were trained to carry out screening / vision of students. 852 students diagnosed as refractive errors and were issued spectacles free of cost worth of 1192 dollars.
Story of a young girl who had refractive error and how her life changed after she was issued spectacles by the project team.
Miss Nosheen belongs to a small village of Charsadda. She studies in government girls high school Prang. She is the students of class 8th, her father is a farmer and supports 8of his family members from his meager source of income and cannot afford to avail medical facilities for his children. The school eye health team visited GGHS prang and found a shy girl sitting in the class. When the optometrist asked her teacher about her daily work routine, she replied that she copy the notes from her classed mate and she cant not write from blackboard. The reason her teacher give about note writing from blackboard was that she lacks mental abilities and confidence. After listening from her teacher’s complaint, the optometrist carried out the check of the Nosheen, the initial visual acuity was CF closed in both eyes, the radioscopy was performed and found that she had a refractive error -12.00 DS in both eyes. When a refractive error was corrected and was issued glasses, her vision improved to 6/18 in both eyes and she able to read and write from blackboard. Nosheen now has gained her confidence back and enjoy her study as a regular and normal student. .
Raised $ 3318
Remaining $ 46182