DateInternational Eye Foundation1 Redesign of eye care services using business practices and income...
18
Date International Eye Foundation 1 Redesign of eye care services using business practices and income generation to support the poor Review of progress and constraints in three countries – Malawi, Guatemala, Egypt International Eye Foundation International Agency for the Prevention of Blindness Seventh General Assembly Free paper – International Thursday 23, 2004 12:12-12:24 PM
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Transcript of DateInternational Eye Foundation1 Redesign of eye care services using business practices and income...
Date International Eye Foundation 1
Redesign of eye care services using business practices and income
generation to support the poor
Review of progress and constraints in three countries – Malawi, Guatemala, Egypt
International Eye FoundationInternational Agency for the Prevention of Blindness
Seventh General Assembly
Free paper – International
Thursday 23, 2004
12:12-12:24 PM
Date International Eye Foundation 2
Contributors
International Eye FoundationRaheem Rahmathullah
John Barrows
Victoria M. Sheffield
IEF PartnersMoses Chirambo, Malawi
Mariano Yee Melgar, Guatemala
Akef El-Maghraby, Egypt
R.D. Thulasiraj, India
David Green, Consultant
Date International Eye Foundation 3
Guiding Principle
A paradigm shift in the way eye care is delivered using existing resources is critical to meeting the demand of the world’s growing and aging population.
Date International Eye Foundation 4
Approach to Design
Date International Eye Foundation 5
IEF Partners
Malawi Guatemala Egypt
Name
Lions SightFirst Eye Hospital, Lilongwe
Visualiza, Guatemala City
Magrabi Eye Hospital, Cairo
Organization type
Public/Free service eye
unit
Private practice
Private/NGO
Change goalCreate
mechanisms to earn income
Create social enterprise to
subsidize poor
Create NGO side to
subsidize poor
Date International Eye Foundation 6
Improved quality of clinical care = Satisfactory visual outcome
• All hospitals practice ECCE/IOL surgery
• Transition to small incision cataract surgery (SICS)
• Monitor quality of cataract surgical outcome
Date International Eye Foundation 7
Improved quality of service = Patient satisfaction and convenience
• Create service choices for patient self- selection
• Standardize protocols and practices
• Increase staffing• Introduce patient counseling services• Make physical improvements• Improve procurement
Date International Eye Foundation 8
Improved quality of service
• Improve information and reporting systems
• Introduce and test a computerized patient management information system
• Establish or reorganize outreach campaigns
• Establish or reorganize optical services
Date International Eye Foundation 9
Increased efficiency and productivity =
Lower cost & increased output (cataract)
0
1000
2000
3000
4000
5000
6000
2001 2002 2003
Pediatric Cataract Surgery
Date International Eye Foundation 10
Improved Equity = Services for poor & marginalized
Free and Paying Patients 2003
9886
46
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Malawi Guatemala Egypt
Paying Free
Date International Eye Foundation 11
Improved financial sustainability =
Better able to grow & increase services
Malawi
-
20,000
40,000
60,000
80,000
100,000
120,000
2001 2002 2003
Revenue Expenditure
Date International Eye Foundation 12
Improved financial sustainability =
Better able to grow & increase servicesGuatemala
-
50,000
100,000
150,000
200,000
250,000
2002 2003
Revenue Expenditure
Date International Eye Foundation 13
Improved financial sustainability =
Better able to grow & increase services
Egypt
-100,000200,000300,000400,000500,000600,000700,000800,000
2002 2003
Revenue Expenditure
Date International Eye Foundation 14
• Lack of ophthalmologists restrict growth
• Difficulty recruiting and retaining qualified staff
• Need to develop new leaders and change agents
Key Challenges
Date International Eye Foundation 15
Key Challenges
• Need for a culture and commitment to productivity, quality and sustainability
• Need capacity to address multiple organizational and management issues
• Need stakeholder networks, communication and information sharing
Date International Eye Foundation 16
IEF Investment in Partners
• IEF currently has eight partners in seven countries in Africa, Latin America, Middle East and India
• IEF’s investment has been between US$60,000 and US$160,000 per partner over three years.
Date International Eye Foundation 17
Plans for the Future
• Marshal new resources to invest in new partners
• Foster dialogue around strategic issues supporting leadership, organizational development, quality, sustainability
• Develop regional training and demonstration sites that support sustainability initiatives
• Lead dialogue on monitoring and evaluation to measure improvement and accountability
Date International Eye Foundation 18
Thank YouThank You!
International Eye Foundation
