CBM’s Global Involvement
In Eye Care
C Cook
Hyderabad
September 2012
IAPB GA 9 Hyderabad September 2012
1
CBM’s Global Involvement
In Eye Care
Who are we?
Where have we come from?
Where are we now?
How does our Medical Eye Work fit in with our general
programme development approach?
• Where are we going?
•
•
•
•
IAPB GA 9 Hyderabad September 2012
2
Who Are We?
• International Christian
development organisation.
• Prime purpose is to improve
the quality of life of the world’s
poorest persons with
disabilities.
• We seek to prevent and treat
health conditions which lead to
impairment and disability.
• We promote and provide
opportunities for social
inclusion, economic
empowerment, and livelihood
security.
IAPB GA 9 Hyderabad September 2012
3
Where Have We Come From?
• 1908: Christoffel Blinden
Mission was founded by
Pastor Ernst Christoffel
• 1989: CBM is recognized
by the WHO as a
professional organisation
• 2002: Advisory status
for the Economic and
Social Council of the UN
• 2003: First international
lobbying initiative starts
with a permanent office
in Brussels
IAPB GA 9 Hyderabad September 2012
4
Where Have We Come From?
(cont‘d)
• 2005: CBM commitment to
disability and inclusive
development
• 2009: Stronger emphasis on
inclusion
• 2010: Launch of WHO-ILOUNESCO CBR guidelines with
significant input from CBM
• 2010: 10 millionth cataract
operation
IAPB GA 9 Hyderabad September 2012
5
Where are we now?
CBM Member Associations
CBM Regional Offices (9)
IAPB GA 9 Hyderabad September 2012
(11)
6
Where Are We Now?
International Structure
Member
Associations
International
Boards
International
Management
Regional
Offices
Australia
Canada
A
Philippines
Germany
S
Thailand
Ireland
S
CBMI
Italy
E
Board
Kenya
M
New Zealand
B
CBMeV
South Africa
L
Board
Switzerland
Y
IAPB GA 9 Hyderabad September 2012
Senior
EMRO
Leadership
South Africa
Team
East (Kenya)
Central (Kenya)
West (Togo)
UK
950,000
donors
USA
India
Ecuador
730 staff
31 million clients
7
Where Are We Now?
(cont‘d)
Region
Number Of Eye Medical
Programmes (2011)
Africa South
38
Africa East
73
Africa Central
24
Africa West
44
Asia South/East
16
Asia Central
32
Asia South/South
97
Asia South/North
25
Eastern Mediterranean Region
82
Latin America Region
134
Total
565
IAPB GA 9 Hyderabad September 2012
8
Where Are We Now?
Number of staff trained in CBM supported
programmes in 2011
1200
1000
955
829
800
554
600
400
386
2011
200
0
IAPB GA 9 Hyderabad September 2012
9
Where Are We Now?
Number of surgical interventions in CBM
supported programmes in 2011
50000
900000
43,100
45000
800000
40000
35000
30000
844,674
700000
34,603
28,953
500000
25000
2011
15000
300000
200000
10000
0
2011
400000
20000
5000
593,665
600000
816
100000
0
Eye surgeries
IAPB GA 9 Hyderabad September 2012
Cataract
surgeries
10
Eye Medical Work
in the context of
Inclusive Development
COMMUNITY BASED
REHABILITATION (CBR)
HEALTH
EDUCATION
LIVELIHOOD
SOCIAL
EMPOWERMENT
EARLY
CHILDHOOD
DEVELOPMENT
SKILLS
DEVELOPMENT
RELATIONSHIP
MARRIAGE &
FAMILY
SOCIAL
MOBILISATION
PREVENTION
NON-FORMAL
INCOME
GENERATION/
SELFEMPLOYMENT
PERSONAL
ASSISTANCE
POLITICAL
PARTICIPATION
MEDICAL CARE
FORMAL
INCLUDING
PRIMARY
FINANCIAL
SERVICES
CULTURE
RELIGION &
ARTS
COMMUNICATION
REHABILITATION
SECONDARY
AND HIGHER
EMPLOYMENT
SPORTS
RECREATION &
LEISURE
SELF-HELP
GROUPS
SOCIAL
PROTECTION
ACCESS TO
JUSTICE
DISABLED
PEOPLE'S
ORGANISATIONS
11
PROMOTION
ASSISTIVE
LIFE-LONG
DEVICES
LEARNING
IAPB GA 9 Hyderabad September 2012
Eye Medical Work
in the context of
Inclusive Development - CBR
• The CBR matrix is the framework for a twin track
approach:
• Track 1: Direct work for and with persons with
disabilities and those at risk
• Track 2: Inclusion of persons with disabilities in
all development activities and initiatives
• The CBR matrix is the framework for planning and
networking, following a holistic approach
IAPB GA 9 Hyderabad September 2012
12
Eye Medical Work
and Other Disability and Inclusive
Development Activities
• Medical – Vision, hearing
physical, mental
• Rehabilitation – low
vision, audiology + speech
therapy, physiotherapy +
orthopaedic workshops,
community based
rehabilitation
• Education
• Livelihood and economic
empowerment
IAPB GA 9 Hyderabad September 2012
13
Where Are We Going? – Some
Current Paradigm Shifts Within
CBM
•
•
•
•
•
•
Comprehensive programmes
(comprehensive programmatic
planning)
CBR as the hub
Vision 2020 one of seven
programmes
Holistic approach and networking
are key
Focus is on entire person and living
environment, not only on
impairment
NOT: every programme has to do
everything; BUT: every programme
is part of network and knows who
does what
IAPB GA 9 Hyderabad September 2012
14
Where Are We Going? – Some
Current Paradigm Shifts Within
CBM (cont’d)
“Vision 2020 compliance” –
• Partnerships with mission
hospitals  partnerships with
MOH
• Hospital based programmes
 district programmes
“Disease control” –
• ECCE with IOL  SICS with
IOL  phaco with IOL
• Cataract  glaucoma +
diabetic retinopathy
IAPB GA 9 Hyderabad September 2012
15
Where Are We Going? – Some
Current Paradigm Shifts Within
CBM (cont’d)
More strategic support to
partners, focus on:
• High quality and accessible
service delivery
• Good practice models
• Training of professionals
• Capacity development of
partners
• Research and evidence for
practice
• Moving towards inclusive eye
health services
IAPB GA 9 Hyderabad September 2012
16