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Case Study of Project Addressing Inequity

Case Study of Project Addressing Inequity. Sumrana Yasmin. Equity is about bridging gaps Collective strength of all stakeholders. Right to Health Care . Rights are universal; apply to rich and poor; men and women; adults and children in all settings

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Case Study of Project Addressing Inequity

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  1. Case Study of Project Addressing Inequity Sumrana Yasmin

  2. Equity is about bridging gaps • Collective strength of all stakeholders

  3. 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

  4. 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

  5. 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

  6. Sri Lanka – National Low Vision Program • 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

  7. 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

  8. 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

  9. 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

  10. 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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