Report of Vision 2020 IAPB Workshop

Indonesia

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Report of Vision 2020 IAPB Workshop
Indonesia

Contents
Pages

 Acknowledgement 2
 Executive Summary 3
 Programme Schedule 4
 Workshop Flow 5
 Conclusions and recommendations 8
 Appendix 9
 Budget allocation 11
 Participants List 12
 Photos 13

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ACKNOWLEDGEMENT

We place on record the contributions from London School Hygiene & Tropical
Medicine for supporting this venture and making it successful.
This workshop has been made productive by the valuable contribution by the
participants who shared their experiences and views on various topics related to the
review and development of actionable national plans. We express our sincere
gratitude to:

Dr. Nina Ratnaningsih, SpM, MSc (Indonesia Ophthalmologist Association)

Abu Raihan, MD, MPH(IAPB Co-chair Bangladesh)
Dr. Johan Hutauruk, SpM (Indonesia Ophthalmologist Association)
Dr. Rastri Paramita, SpM (RSM dr. YAP, Jogjakarta)
Dr. Mayang Rini, SpM, MSc, CEH (Cicendo Eye Hospital)
Dr. J. Prastowo Nugroho, MHA (BKMM Cikampek, West Java)
Dr. dr. H. Noor Syamsu, SpM(K), MARS, MKes (BKMM Makasar, South Sulawesi)
Dr. Dyana Watania, SpM (BKMM Manado, North Sulawesi)
Dr. Dyah Wiryastini, MARS (BKMM Surabaya, East Java)
Dr. Siti Farida I. T. Santyowibowo, SpM(K) (BKMM Mataram, West Nusa Tenggara)
Mr. Matthew Hanning (CBM )
Mr. Iskandar Atmodjo (FRED HOLLOW)
Mr. Prateek Gupta (Helen Keller International)
DR. Dr. Andhika Prahasta, SpM(K), MKes (Indonesia Ophthalmologist Association, Glaucoma)
DR. Dr. Iwan Sovani, SpM(K), MKes, MM (Indonesia Ophthalmologist Association, Retina)
Dr. Setiyo Budi Riyanto, SpM(K) (Indonesia Ophthalmologist Association, Cataract)
Dr. Yeni Dwi Lestari, SpM, MSc (Indonesia Ophthalmologist Association)
Dr. Syumarti, SpM(K), MSc, CEH (Indonesia Ophthalmologist Association)

The success of the workshop lay in the insightful reflections and the quality
discussions perpetrated by the involvement of the participants. We thank all the
participants from various Eye Health Institution for their active contribution.

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EXECUTIVE SUMMARY

A world in which no one is needlessly blind and where those with unavoidable vision loss can
achieve their full potential,- VISION 2020

Gift of sight is God’s precious gift to the mankind. Realizing the importance of eyes
and their functions is necessary. Today we see eye disorders more common.
Every five seconds one person in the world goes blind. It is estimated by WHO that
over seven million people become blind every year. By now it is estimated that 180 million
people worldwide are visually disabled, of those, between 40-45 million are blind and one
third of them are in South East Asia. Due to growing populations and ageing, these numbers
are expected to double by the year 2020. While actually eighty percent of all cases of
blindness can be treated even prevented, and by that the right to sight can and must be
fulfilled.
Blindness due to untreated cataract in Indonesia is pointed at 0.78% of population,
and in the National Survey 2014 was reported that cataract prevalence as 1.8%. Highest in
South East Asia and highest compared to glaucoma, corneal disease and other posterior
segment diseases. It affects the quality of life and socio-economic status of patients and
economy of a nation at micro level. The preventable blindness affects the economic
contribution of citizens in the age group of 50-65 years and the output of working class due
to the economic and social dependence of senior people in family. And due to climate in
Indonesia, the people is tend to bear cataract 15 years earlier than people in sub tropical
climate.
The advancement in the competencies and surgical techniques brings a ray of hope
for impossible cases assuring that the right to sight for all can be achieved and then again,
must be fulfilled.
We are now working toward achieving VISION 2020 which aims to improve eye
health for everyone, the global initiative for elimination of avoidable blindness jointly
launched by World Health Organization (WHO) and International Agency for Prevention of
Blindness (IAPB), in Geneva in the year 1999.

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 Partners including Government, NGOs, professional associations, eye care
institutions and corporations, each committed to the elimination of avoidable blindness by
the year 2020. With three indicators of Global Action Plan which are the prevalence/ causes
of visual impairment, the number of eye personne,l and cataract surgical rate/ coverage, the
eye care efforts of all providers were largely aligned towards these plans of preserving and
restoring vision.
The developments presented by the participants must be an outcome of lot of
research and knowledge understanding. Hope this workshop would be instrumental in
development of novel methods in vision restoration and management of chronic eye
complications.

PROGRAMME SCHEDULE

Objectives of the workshop: This workshop is aimed to come up with the document which
reflects the existing eye service situation of the country, identified the gap and suggested
measures to fulfil the gap to achieve the goal of vision 2020 the right to sight in Indonesia. It
is expected that the document will be helpful to show the national scenario of eye care
service and suggested methods can be transformed to provincial and district level of eye
care services.

Activity:
1. Paper presentations from each eye care program/ hospital/province on existing situation
on
human resource, service outputs, infrastructure and quality assurance of services
2. Guidelines from resource persons
3. Group work to identify the gap and suggest appropriate measures
4. Final draft preparation of workshop proceedings

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WORKSHOP FLOW

The workshop was opened by President of Perdami and Co-Chair IAPB SEA Indonesia, and
the workshop flow was smooth and doing well. Discussion done at the end of the meeting,
and chaired by Co-chair IAPB SEA Bangladesh Abu Raihan, M.D.

Each Eye Health Institution plan and its targets were reviewed against the actual need in
their respective service area. The targets for resource mobilisation and performance were
reviewed to reflect the required service levels to meet the goals of Vision 2020 to ensure
eye care coverage in the community.

The participants from each Eye Health Institution presented the challenges and barriers they
faced in implementing a coordinated eye care programme that was aligned to the goals of
Vision 2020. The plans were then also reviewed to incorporate measures that would
overcome these identified implementation issues:
- Issues related to human resources – Sufficiency and capability of the existing eye
care workforce
- Issues related to access – awareness, affordability and accessibility of eye care to all
- Issues related to structure – a structure that enables effective execution of the
national programme.
The participants’ experiences with these issues as well as the cross-learning among the Eye
Health Institution present helped to elicit new approaches as well as ensure the review of
the plans in a way that would ensure effective execution.

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Current Eye Care Status and Major Challenges

Current Eye Status in Indonesia

In Indonesia :

 3 million blind people ( 1.5% of the population )

 Every minute one person goes blind
 Highest in Southeast Asia
 The incidence of blindness each year is 0.1% ( 210,000 people )
 Most are in the area of low economic
 The ability of 80,000 cataract surgery each year/ CSR
 Backlog (buildup) 130,000 each year
 Indonesian population suffering cataract 15 years earliar than the population
of developed country

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 Main cause of blindness in Indonesia

• Cataract 0.78%
• Glaucoma 0.20%
• Refractive disorders 0.14%
• Retinal disorders 0.13%
• Corneal abnormalities 0.10%

Cataract Surgical Rate And Coverage

Major Challenges of Eye Care in Indonesia

1. Lack of government schemes to support provision of eye care

2. Lack of ophthalmologist and concentration of service in and around the capital and
the major cities
3. Insufficient coverage of the population for specialty eye care services
4. Inaccuracy of existing data of blindness development in Indonesia in present time.

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CONCLUSION

1. An accurate national data serves as data baseline is urgently needed in order to

achieve Global Action Plan 2014 – 2019. The data from the RAAB ongoing research is
intentionally will meet the purpose. Thus, the RAAB research needs to be done in
several provinces in Indonesia to become a proper data to represent a national data.
2. There has to be a National Coordinator who will act as an initiator, collector and
regulator of blindness prevention activity in Indonesia.
3. The blindness prevention activity will take a serious commitment measured by
adequate policy and finance from the government to support it as integrated into
universal health coverage and universal health system.

RECOMMENDATION

 Encourage the government to provide more support for comprehensive eye care
 Improvement of eye care components such as human resource, infrastructure,
quality assurance and partnership in order to provide integrated, comprehensive
and sufficient coverage of eye health service at all levels.
 Encourage the effort to provide acurate present data of blindness in Indonesia in
order to determine precise strategy to accomplish Vision 2020.
 Planning next meeting to evaluate development and determine next step.

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APPENDIX

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Participant List
1. Abu Raihan, MD IAPB abu.raihan@orbis.org
2. dr. Nina Ratnaningsih IAPB/ CICENDO nratnanina@gmail.com
3. Prof. Farida Sirlan
4. dr. Iwan Sovani CICENDO
5. dr. Andika P. CICENDO andikapg2000@yahoo.com
6. dr. Setiyobudi Riyanto KBR PERDAMI/ JEC setiyobudi@gmail.com
7. dr. Erin Arsianti RSM DR. YAP e_arsianti@yahoo.com
8. dr.Mayang Rini CICENDO
9. dr. J. Prastowo BKMM JABAR prasnug2002@yahoo.com
10. dr. Noor Syamsu BKMM SULSEL
11. Dr. Dyana Watania BKMM SULUT dyanatheresia@yahoo.com
12. Dr. Dyah W. BKMM JATIM dyahwiryastini@yahoo.co.id
13. Dr. Siti Farida BKMM NTB
14. Mr. Matthew Hanning CBM mhanning@cbmindonesia.org
15. Mr. Maksum CBM
16. Mr. Prateek Gupta HKI
17. Dr. Syumarti CICENDO/ IAPB
18. Dr. Yeni Dwi Lestari CICENDO yeni2lestari@yahoo.com
19. Mr. Iskandar Atmodjo FRED HOLLOW iatmodjo@hollows.org
20. Dr. Djamaludin RSMM SURABAYA dr.jamaluddin@ymail.com
21. Mr. Bambang Setiohadji CICENDO bsetiohadji@gmail.com
Dr. Eko Hadi Waluyojati KLINIK MATA ekohadiw@gmail.com
22.
MAYESTIK
23. Dr. I Gusti Ayu Made Juliari RS SANGLAH DPS arie_mata@yahoo.com
24. Dr. Herti Rachmawati BKIM JATENG bkimjtg@yahoo.com
25. Dr. Ninuk Sumaryati BKIM JATENG bkimjateng@gmail.com
26. Dr. Parmono BKMM SAMARINDA parmonodharma@yahoo.co.id
27. Dr. Dianawati Kusumowardani RSMM JAWA TIMUR dianawati_k@yahoo.com
28. Mrs. Dina Herawati Djohansyah RSMM JATIM dina.djohansjah@yahoo.com
29. Dr. Miranda Johannes RSUD BA’A NTT mirandatherikj@gmail.com
30. Dr. Yuningwati RSMM SURABAYA dr_yuningwati@yahoo.co.id
31. Dr. Sriana Wulansari BKMM NTB sariw39@yahoo.com

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Group and Meeting Photographs

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