ORBIS International
ORBIS International in
Haiti
Joan McLeod
Ismael Cordero
Haiti Eye Care Symposium
May 18-20, 2012
Port au Prince, Haiti
1 | ORBIS International
ORBIS Multi-Platform Yet Integrated SightSaving Program Approach
 Operate the world’s only Flying Eye Hospital
DC10 plane which has worked in 78 countries
 Provide hands-on training -skills & diagnostic to
doctors, nurses and other eye care providers
 One key focus is pediatric eye care
 Offer doctors on-line consultations, e-learning,
and medical education via Cyber-SightTelemedicine
 Partner with leading eye surgeons and hospitals
worldwide
 Work to eradicate endemic tropical diseases, Trachoma in Ethiopia program
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ORBIS Partnership Globally shows
Results for Year 2011
 Enhanced training of over 2,200
doctors & 12,600 nurses & other eye
care providers
 Performed 2.3 million vision
screenings & examinations on adults
& children
 Provided 3.4 million medical /optical
treatments
 Performed 76,000 surgeries
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ORBIS in Haiti
 In 2010, ORBIS participated in a joint agency assessment to determine
requirements post earthquake for local ophthalmic community
• Surveyed 19 facilities including government, NGOs, private, mixed
• Examined infrastructure, equipment, supplies, personnel, level of
activity, services performed, number of cataract surgeries, etc.
• Results shared in a debriefing meeting of several NGOs and others
“International Collaborating Group for the Reconstruction of Eye Care
in Haiti”
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Significant joint Assessment Findings
 At least 30% of ophthalmologists partially or totally lost offices, or their
eye care facility was destroyed; none of the eye care facilities had
insurance covering earthquake risk
 Few ophthalmologists were performing eye surgery since the earthquake
 Deteriorated equipment and facilities were further damaged
 Immediately after the earthquake the Government ordered state hospitals
to provide free services to all patients;
 Many health personnel not being paid
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ORBIS Project in Haiti: 2010-2011
Recovery and Rehabilitation of Eye Care in PostEarthquake Haiti
 Working with the National Blindness Prevention Committee-Haiti (CNPC),
ORBIS and CBM, supported an eye care stabilization project to provide
services to displaced persons in ‘ tent camps’
 Project ran from Dec 2010 – July 2011 –with a potential to extend
 Objectives were to provide:
• Eye care services (examination, treatment and surgery) to displaced
persons living in tent cities throughout PaP
• Minimal financial support for ophthalmologists at risk of leaving Haiti
(practices destroyed, government not paying salary, no patient fees)
• Capacity building and financial support to CNPC
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Project Results reported to Jan-July 2011
 8,692 persons screened, examined and treated as necessary for eye
problems in ‘tent cities’ and at eye clinics in PaP
 3,728 persons got eyeglasses
 103 surgeries performed
 Trained one ophthalmologist in MSICS at Aravind Eye Hospital in India
 Supported training for 10 Eye care assistants / social workers for
screening in “tent cities”
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ORBIS External Review with IEF
 Project was reviewed in July 2011 by independent consultant from IEF
 Recommendations were for :
• Screening and patient outreach to continue
– Importance of patient counseling (pre and post surgery)
– Ensuring patient accompanied and transported to surgical centers
to optimize surgery uptake minimize loss of follow-up
• Standardizing data management across surgical centers
• Including one additional surgery center for surgery referral - ORLO
• Improving patient flow practices within the hospital to ensure greater
efficiency, and standard protocols for examination and follow-up
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15 Month Project Extension to January 2013
Direct Service Delivery
 Direct Service Delivery to 12,000 persons living in ‘tent camps’ in need
of screening and basic eye care
 Estimated 6,600 persons from ‘tent camps’ and from PaP to receive
examination and medical treatment at Eye Clinics
 Estimated 480 persons to receive eye surgery
 Additional 5 locations identified by CNPC
 Outreach to include 2 more sites
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15 Month Project Extension to January 2013
Health Care Institutions and Human Resource Development
 Eye Care Clinics/Hospitals will receive increased patients load , thus
fees from consultations and surgeries, allowing further stability for
employed ophthalmologists , and sustainability of the institution
 Will include additional surgical centers
 Strengthen CNPC staff : support study tours in Santo Domingo and/or
Guatemala, and in data management
 Build surgical skills in Manual Small Incision Cataract Surgery (MSICS)
 Training for biomedical engineers/technicians thru new initiatives
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FY2011 Achievements and
FY2012 Targets Planned
HAITI
Project Indicators
Total: Screened -camps and Examined-clinics
Number of patients screened in camps
Referred patients that were examined in clinics
Total Medical/ Optical Treatments
Reading glasses
Prescription glasses
Total Surgeries
Major surgeries
Annual Target
Achieved
% Achieved
Planned FY2012
13,200
8,400
4,800
2,942
1,560
1,382
636
424
12,638
9,238
3,400
2,269
222
2,047
178
128
68
14
46
96%
110%
71%
77%
14%
148%
28%
30%
14,867
11,152
3,715
22%
104
Cataract
Glaucoma
Minor Surgeries
212
Target for surgery was under achieved - due to low uptake, cultural barriers, and
preference for glasses and drops
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375
271
ORBIS Eye Care Projects in Haiti
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