Community Eye Health

By
Dr Mustapha B Hassan FMCOph,
Associate
FWACS Lecturer, Department
of Ophthalmology, CHS,
Lecturer, College of Health LAUTECH, Osogbo.
Sciences, Osun State
University, Osogbo

500L Medical students Lecture Schedule

 Definition

This is a population – oriented approach to eye

health and eye diseases.

Also involves study of specific measures which

may be implemented to prevent eye diseases
in the community – Preventive
Ophthalmology.
 Key Components
Are four
1. Needs assessment – surveys

2. Control of Diseases

3. Planning

4. Health Education
 Personnel
• Eye care providers - Ophthalmologist

• Medical & Paramedical services providers – GPs

• Community workers – teachers etc

• Planners/managers and Policy makers –

governments, NGOs
 Prevention of Blindness
4 levels of prevention
1. Primary – before the condition occurs

2. Secondary – treat the condition before it

causes blindness

3. Tertiary – treat and reverse the blindness

4. Quaternary - rehabilitate a blind patient

 Primary eye care

• This means first contact

• PHC approach launched in 1978 – the Alma

Ata Declaration

-
Essential health care based on practical,
scientifically sound and socially accepted
methods and technology made universally
accessible to individuals and families in the
community through their full participation and
at a cost that the community and the country
can afford to maintain at every stage of their
development in the spirit of self reliance and
self determination
 Basic Principles
• Equitable distribution

• Community involvement

• Focus on prevention

• Appropriate Technology

• Inter-sectoral approach
 Primary Eye Care (PEC)
• Must be integrated into PHC

• Personnel
– Highly selective
– Training is task oriented and simple
– Use existing personnel eg CHEWs, PECT, DO
Summary

Thanks & God

Bless