Case Study of Project Addressing Inequity
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Case Study of Project Addressing Inequity
Sumrana Yasmin
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• Equity is about bridging gaps• Collective strength of all stakeholders
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Right to Health Care • Rights are universal; apply to rich and poor;
men and women; adults and children in all settings
• Huge inequity is evident - minimum levels of care being unavailable
• Influencing factors:• Health policies; economic structures; urban rural
divide; living and working conditions; cultural, social and community influences; and gender
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Low Vision - Coverage• Less than 5% in Asia• Less than 1% in Africa• Better in Europe, Australia and USA but
still less than 30%• Both a cause and consequence of poverty• Geographical coverage!• Concerted efforts - interventions directed
towards the reduction of inequity
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Sri Lanka – National Low Vision Program
• Started in 2003 - Provision of quality and effective clinical and rehabilitation services
• NLVP was launched in 2007 by MoH and supported by Sightsavers and Brien Holden Vision Institute
• To develop LV care as part of CEC and create the necessary linkages with other services i.e. education, rehabilitation and social services
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• Significant progress has been made• Ten secondary level clinics• Linked to the four tertiary clinics• Three LV resource centres • 7,749 (877, 11% children) have received low
vision services • Approx. 5 folds increase in last 5 years• Number is incrementally increasing
Sri Lanka – National Low Vision Program
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Sri Lanka – National Low Vision Program
• Cross-referral within clinical, education, and rehab/disability services
• Foundation for scale up• Next phase focus:
• Integration of LV into CBR program• Engagement with MoE• Addition of LV services
into VCs• Self-help groups
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Addressing inequity• Ownership• HSS is the foundation • LV services at district hospitals and
are easily accessible• Free provision of spectacles
and LVDs• Awareness about the services
is trickling down from health professional to educators to communities
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Strategies • Strategies will vary - there are some principles
that apply across• Include comprehensive low vision care in
national eye health plans• Cross-sectoral collaboration
• Health, education, rehabilitation, social services• Innovative partnerships at various levels
• Policy• Planning and implementation
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Strategies • Create peer support groups
and role model• Lead to enabling environment
for quality inclusive systems• Promote equity and equality • Ensure that we reach the
un-reach
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