Health
 Pakistan
Project #4994

Save 50,000 Pakistani children from blindness

by KHYBER EYE FOUNDATION
Vetted

CURRENT PROGRESS OF THE PROJECT

October, 2016 to December, 2016

 School Children form an important large target group which must be screened adequately for early deduction of eye diseases and prevention of blindness. A total approach in a school eye health program must include teacher orientation and health education of children in addition to screening of eye diseases.

 As we all know, Refractive error remains the second largest cause of visual impairment despite the fact that a simple pair of glasses can provide the correction. Uncorrected refractive error in school children can not only lead to amblyopia and loss of vision, but also affects the academic output of the child and eventually his economic productivity. Lack of refractive services or a lack of access to them compounds the issue in most developing countries. Previous studies have shown reasons for low uptake of corrective services to include inadequate access to services and the lack of affordable corrections. In Pakistan, 4% of the children below the age of 15 have refractive error and this age group constitutes 40% of the country’s population. The effort in extending refractive services to these populations should be designed for creating a significant impact. This research intends to study the costs and benefits of providing refractive screening and spectacle dispensing services to the school children in Pakistan The overall objective of School Eye Health program is to improve quality of life and educational capabilities by eliminating blindness and visual disability due to uncorrected refractive errors in school children of Khyber Pakhtunkhwa. The specific objectives/purpose of the School Eye Health Program  is that “the prevalence of eye disease and refractive error decreased among children at community level. (age group 5 to 12)“. It will be achieved through following results.

  • Adequate eye care services available at community level (schools & communities) through vision van
  • Behavior and attitude of communities especially school going children and parents towards eye care changed through holding health promotion and education sessions at community level
  • Trained staff available  at school and community level
  • Operational research on uncorrective refractive error & advocacy with government, ministries and ophthalmological society done

 

Khyber Eye Foundation making its concerted effort to ensure that maximum students are screened for refractive error and are issued with glasses, so that the future of these children is secured. The team during the period visited 31 schools and screened 1235 students, 263 teacher were trained to carry out vision of each student, and out off 1235 students 835 students were diagnosed as refractive error and were issued spectacles free of cost worth of 825$

 

Story of a young boy who had refractive error and how his life changed after he was issued spectacles by the project team.

 Ayaz is a student of class 1st.. Lives in a small village in Charsadda and studying in Government primary school Gul Abad. His father is driver and supporting 10 members of his family and has no other source of income. The School eye health program team visited to GPS gul abad district Charsadda and received vision testing form from teacher in which there was a name of Ayaz, when asked from him that how he used to do his class work from black board, he replied that he used to sit close to board to do his work but couldn’t see properly, he also told that he never goes out to play because of his weak vision. Before this, he never went anywhere for his eye check up because his father couldn’t afford to take him to doctor for his eye checkup.

Optometrist in a team did Ayaz’s refraction, before refraction his vision was 6/60 in both eyes. After refraction his vision becomes 6/6 in both eyes. He became really excited for his clear vision and was thankful to the team.

 

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

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

 

CURRENT PROGRESS OF THE PROJECT

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.

 

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                          $ 3523

 

Remaining                   $ 45977

 

CURRENT PROGRESS OF THE PROJECT

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:

  • At what age will children be tested?
  • Where will vision testing be done?
  • What method of visual acuity measurement will be sued?
  • What level of visual acuity will be sued to identify children who need further examination / refraction?
  • Who will measure the vision?
  • Where will the follow up examinations and refraction be performed?
  • Who will do this?
  • How will services be provided for children who need them?
  • How will the program be monitored and evaluated?

 

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.  .

 

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                                    $ 3318  

 

Remaining                            $ 46182

CURRENT PROGRESS OF THE PROJECT

October, 2015 to December, 2015

 

Childhood blindness and visual impairment are as important and perhaps more devastating and disabling than adult onset blindness, because of the long span of life still remaining to be lived. Refractive errors and more particularly myopia, place a substantial burden on the individual and society. School  age children constitute a particularly vulnerable group where uncorrected refractive errors may have a dramatic impact on learning capability and educational potential. As we all know that refractive error remains the second largest cause of visual impairment despite the fact that a simple pair of glasses can provide the correction. Uncorrected refractive error in school children can not only lead to amblyopia and loss of vision, but also affects the academic output of the child and eventually his economic productivity.Lack of refractive services or a lack of access to them compounds the issue in most developing countries. Previous studies have shown reasons for low uptake of corrective services to include inadequate access to services and the lack of affordable corrections. In Pakistan, 4% of the children below the age of 15 have refractive error and this age group constitutes 40% of the country’s population. The effort in extending refractive services to these populations should be designed for creating a significant impact.

 

The overall objective of the project by Khyber Eye Foundation “is to improve quality of life and educational capabilities by eliminating blindness and visual disability due to uncorrected refractive errors in school children of Peshawar and its surrounding areas.”  The project team still working in out skirts of district Charsadda which is quite far away from populated area. Where hardly medical facilities are available for poor school going children. The team has so far visited 31 schools and screened out 1392 students, 321 teachers were trained to carry out vision of each students out of 1392 students, 921 students were diagnosed as refractive errors and were issued spectacles free of cost worth of $ 1230

 

Story of a young girl who had refractive error and how her life changed after she was issued spectacles by the project team.

 

Miss Aysha belongs to a small village of Charsadda and studying in class one in Government primary school Tangi Barazai 2. Her father is a carpenter and supports 8 of his family members within his meager source of income. The school eye health team visited GGPS Tangi Barazai 2 found a very shy girl setting in the corner of the class. The optometrist asked her teacher about her daily work routine, the teacher complaint that she is feeling difficulties studying and lack of confident because of her poor eye sight. Her father couldn’t take her to the hospital for the examination of her sight being a poor man.   After listening all this, the optometrist carried out the check up Ayesha’s vision, the initial visual acuity was 6/60 in both eyes. Both eyes showed deviation which increased near target, the retinoscopy was performed and found that she had a refractive error of +3.00 diaptors in both eyes. When are refractive corrected and was issued glasses, her vision improved to 6/18 both eyes and her eyes deviation decreased to almost straight. Miss Ayesha has now gained her confidence back and enjoys her study as a regular student.

 

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

 

 

Raised                                   $ 2528  

 

Remaining                            $ 46972

 

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Organization Information

KHYBER EYE FOUNDATION

Location: Peshawar City, Khyber Pakhtunkhwa - Pakistan
Website: http:/​/​www.kefpk.org
Project Leader:
Syed Khalid Mahmood
Peshawar, Pakistan
2016 Year End Campaign
Time left to give
$4,123 raised of $49,500 goal
 
65 donations
$45,377 to go
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