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Dear Readers,
Globally about 50 million people are blind, and of this figure 64% are women. This equals an age-adjusted rate of 39% greater than for men. This figure could increase to 75 million by 2020 unless increased efforts are made to prevent blindness.

World Sight Day (WSD) is an international day of awareness, held annually on the second Thursday of October to focus attention on the global issue of avoidable blindness and visual impairment. This year it falls on October 8th. The theme of World Sight Day 2009 is Gender and Eye Health - equal access to care. We have immense pleasure in sharing with you resources related to gender and eye health during this month. In this edition we provide an overview of Why is gender and blindness an issue? Several studies have been carried out in various regions of the world to understand about gender and blindness. Different strategies are being tested to address this issue and the challenges in addressing the gender inequality in eye care are also presented. We have a section on ideas that an eye care service provider can implement in the eye care organisation to improve the gender?

The organization we are featuring is vision 2020.

We wish you an experience of learning that is very practical. Your feedback will let us know how we can improve. Please send in your feedback at eyesite@aravind.org. We look forward to your feedback. Wish you a productive reading!



Happy reading!

Regards,

Vision 2020 e-resource team
The Issue Features...
GENDER and EYE HEALTH
Equating access to eye care
Vol. 6 No. 9 September 2009
• Why is gender and blindness an issue?
• Studies on gender and blindness
• Strategies on addressing this issue
• Challenges - gender inequality in eye care
• What can you as an organisation do?
• Featured Organisation
• Talk to Us



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Nearly two thirds of the blind people in the world are women! In part, this disparity exists because women live longer than men-typically, by 7 years, according to 2006 data from the World Health Association. In the developed world, this translates into more women than men living with end-stage macular degeneration. In developing countries, however, more older women are blind because of cataracts compared with older men, not only because they live longer, but also because women are less likely to undergo cataract surgery than men.

Many surgeons in the developing world are unaware that women account for two thirds of the patients blinded by cataracts,1 and very few hospitals in those countries track or report the sex of the patients who seek cataract surgery. In fact, most hospitals lack a program that can educate its ophthalmic staff, managers, and the community at large about gender inequality in eye care. As a consequence, women often fail to get the treatment they need. New research and treatment initiatives, however, are beginning to address the factors that contribute to unnecessary blindness among women.




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In the last decade, there has been increasing evidence that women are affected by blindness and visual impairment to a much greater degree than men. A systematic review of global population-based blindness surveys carried out between 1980 and 2000 showed that blindness is about 40 per cent more common in women compared to men (in persons older than 50 years). Since then, there have also been a number of large national surveys (for example, in Pakistan and Nigeria), as well as many rapid assessment of avoidable blindness studies (RAABs), which have confirmed the earlier findings. Here we have a collection of studies on gender and blindness which is bifurcated based on continents.




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What can we do?
  1. When consulting with a community about eye care programmes or services, include women and encourage the community to involve women in decision-making.
  2. When designing services and delivering them, incorporate assistance to women, for example by providing transport to clinics or using female health workers where cultural or religious taboos exist.
  3. When conducting research or monitoring programmes, disaggregate the data by sex.



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Blindness is an increasing global health problem that afflicts approximately 50 million people, two-thirds of whom are women, and ninety per cent of whom live in poorer countries. Much world blindness is due to cataract, routinely curable through surgery, or due to chronic trachoma infection, preventable through clean water and improved sanitation. The Vision 2020 initiative of the World Health Organization is addressing this problem through advocacy, planning and programming.

In poorer countries, women of all ages utilise eye care services much less than men. As a result, more women than men are blind or visually impaired from cataract, trachomatous trichiasis and angle closure glaucoma.




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Global Key Messages for WSD09
  1. Nearly two-thirds of blind people worldwide are women & girls
  2. In many places, men have twice the access to eye care as women
  3. Equal access to eye care could substantially reduce blindness in poor countries
  4. Simple and effective strategies can and do successfully address this inequity within VISION 2020: The Right to Sight
  5. Don't forget:
  6. 80% of blindness is avoidable - either treatable, curable or preventable
  7. 90% of blind people live in low-income countries
  8. Cataract is the leading cause of blindness - yet it is curable by a simple, cost-effective operation
  9. 8 million people worldwide are blind due to uncorrected refractive errors. A simple sight test and glasses could restore sight to most of these people



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VISION 2020: The Right to Sight

Vision 2020 - the right to sight is providing Promotional materials on WSD 09 and here is the link World Sight Day 2009.

VISION 2020: The Right to Sight
VISION 2020 is the global initiative for the elimination of avoidable blindness, a joint programme of the World Health Organization (WHO) and the International Agency for the Prevention of Blindness (IAPB) with an international membership of NGOs, professional associations, eye care institutions and corporations.

MISSION
To eliminate the main causes of avoidable blindness by the year 2020 by facilitating the planning,development and implementation of sustainable national eye care programmes based on the three core strategies of disease control, human resource development and infrastructure and technology, incorporating the principles of primary health care. This will be achieved by mobilising the will and passion for action through advocacy and by mobilising resources.

VISION
A world in which no one is needlessly blind and where those with unavoidable vision loss can achieve their full potential. The overall aim is to eliminate the main causes of avoidable blindness by the year 2020 and to prevent the projected doubling of avoidable vision impairment between 1990 and 2020.From the outset, it has been clear that the goal of eliminating avoidable blindness by the year 2020 will best be achieved by integrating an equitable, sustainable, comprehensive eye-care system into every national health system. The VISION 2020 initiative is intended to strengthen national health-care systems and facilitate national capacity-building.

OBJECTIVES
  • Increase awareness, within key audiences, of the causes of avoidable blindness and the solutions to the problem;
  • Advocate for and secure the necessary resources to increase prevention and treatment activities;
  • Facilitate the planning, development and implementation of national VISION 2020 programmes in all countries.
National programmes have three main elements: cost-effective disease control, human resource development and infrastructure and technology. VISION 2020 is built on a foundation of community participation. Overarching issues, such as equity, quality of services and visual outcomes, are addressed as part of national programmes.



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Vision 2020 e-resource team,
Lions Aravind Institute of Community Ophthalmology,
1, Annanagar, Madurai - 625 020,
Tamil Nadu, India,
E-mail:eyesite@aravind.org
Phone: 91-452-2537580
  1. August 2009 - Vision Rehabilitation
  2. July 2009 - Patient Empowerment
  3. June 2009 - Service Marketing
  4. May 2009 - Medical Tourism
  5. April 2009 - Pharmacy Management
  6. February and March 2009 - Hospital Accreditation
  7. December 2008 and January 2009 - Monitoring In Eye Care
  8. November 2008 - Inpatient Management In Eye Care
  9. October 2008 - Advocacy in Eye Care
  10. September 2008 - Macular Degeneration
  11. August 2008 - Amblyopia
  12. July 2008 - Computer Vision Syndrome
  13. June 2008 - Creating Awareness about Eye Care
  14. May 2008 - Resource Utilization
  15. April 2008 - Eye Care Barriers
  16. March 2008 - Global Eye Care Programme
  17. February 2008 - Standardization through Clinical Protocols
  18. January 2008 - Materials Management in Hospitals
  19. December 2007 - Glaucoma Management
  20. November 2007 - Outpatient Management
  21. October 2007 - Demand Generation
  22. September 2007 - Trachoma
  23. August 2007 - Eye Banking
  24. July 2007 - Diabetic Retinopathy
  25. June 2007 - Paediatric Eye Care Services
  26. May 2007 - Managing People
  27. April 2007 - Ophthalmic Emergencies in Eye Care
  28. March 2007 - Eye Care Information Resource Center
  29. February 2007 - Patient Education Resources
  30. January 2007 - Financial Planning for Eye Hospital
  31. December 2006 - Patient Satisfaction
  32. November 2006 - MLOP for Effective Delivery of Eye Care
  33. October 2006 - Low Vision & Refractive Error
  34. September 2006 - Tele Ophthalmology
  35. August 2006 - Medical Records in Hospitals
  36. July 2006 - Housekeeping in Hospitals
  37. June 2006 - Quality Assurance in Eye Care
  38. May 2006 - Refractive Correction
  39. April 2006 - Evidence for Action - Cataract Control
  40. March 2006 - Leadership
  41. February 2006 - Community Outreach - Cataract
  42. January 2006 - Counselling
  43. December 2005 - Vision Centre
  44. November 2005 - Human Resources in Eye Care
  45. October 2005 - Ophthalmic Equipment and Instruments
  46. September 2005 - IEC
  47. August 2005 - Start up eye Hospital
  48. July 2005 - Refractive Error
  49. June 2005 - Low Vision
  50. May 2005 - Cataract
  51. April 2005 - Paediatric Eye Care Service Delivery
  52. March 2005 - Strategic Planning Tools
  53. February 2005 - Frequently Asked Questions on Eye Glasses!
  54. January 2005 - Refractive Error Service Resources
  55. December 2004 - Highlighting Starting a New Eye Hospital Tool
  56. November 2004 - Diabetic Retinopathy Knowledge, Attitude and Practice Study
  57. October 2004 - Strategy worksheet for continually improving quality of services and checklist
  58. September 2004 - Quality Cataract Series - Paramedical Contributions Module
  59. August 2004 - Sterilization Protocol
  60. July 2004 - Medical Records Protocol
  61. June 2004 - Magnitude of Cataract Blindness Estimation Tool
  62. May 2004 - Cataract Frequently Asked Questions
  63. April 2004 - Introduction to SiteNews
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