THE 2014 POST GRADUATE DIPLOMA IN COMMUNITY EYE HEALTH GENERAL INFORMATION WHAT IS COMMUNITY EYE HEALTH? Community eye health is the application of health promotion and disease prevention, together with the delivery of curative services, at the primary, secondary, and tertiary level of health care, in order to reduce eye disease, visual loss and disability in a community. Community eye health extends the traditional clinical practice of ophthalmology applied to individual patients to a consideration of the eye health of whole populations, and how these can be assessed and provided for. This requires training in specific skills not usually included in conventional clinical ophthalmology training. The role of a community eye health specialist will vary from country to country, but will include some or all of the following: Assessment of the eye care needs of the community. Design and planning of eye care programmes. Implementation and management of these programmes. Monitoring and evaluation of these programmes Development of human resources for eye care services. Advocacy for community eye health with politicians, health policy makers, and other decision-makers. Research into the main eye diseases, including aetiology and risk factors, clinical trials, and health service research. WHAT ARE THE AIMS OF THE COURSE? The aim of the course is to facilitate the implementation of community eye health programmes through the application of Vision 2020 strategies in countries in subSaharan Africa by offering appropriate training in community eye health to people working in blindness prevention programmes. Community Eye Health Institute, Division of Ophthalmology, Faculty of Health Sciences, University of Cape Town Private Bag 3, RONDEBOSCH 7700, Republic of South Africa Tel (+27)21-406 6215/6 fax (+27)21-406 6218 www.cehi.uct.ac.za Page 1 WHAT IS VISION 2020? Vision 2020 is a global initiative for the elimination of avoidable blindness. It is a partnership initiative of the World Health Organisation (WHO) and the International Agency for the Prevention of Blindness (IAPB). The global programme was launched in 1999. WHO IS THE COURSE FOR? The course is intended for people working in prevention of blindness programmes in sub-Saharan Africa. These may include national Vision 2020 coordinators, district, provincial or national Vision 2020 programme managers, and clinical professionals working in Vision 2020 programmes (ophthalmologists, ophthalmic medical officers, ophthalmic clinical officers, optometrists, ophthalmic medical assistants, and ophthalmic nurses). It is planned primarily for programme managers, with the intention that the participants would be able to plan and manage a district Vision 2020 programme. It does not provide clinical training in ophthalmology. The course is in English, and would therefore be most suitable for people from Anglophone countries in the African region. WHERE IS THE COURSE HELD AND WHO IS RUNNING IT? The course is held at the University of Cape Town’s Community Eye Health Institute at Groote Schuur Hospital, University of Cape Town, South Africa. It is run by the Division of Ophthalmology of the Faculty of Health Sciences of the University of Cape Town. Mr Deon Minnies, who is the Director of the Community Eye Health Institute (a unit of the Division of Ophthalmology), is the course convenor. The course faculty is made up of a combination of South African and international educators, ophthalmologists and management and public health specialists practicing in the sub-Saharan African region. WHAT ARE THE ENTRY REQUIREMENTS FOR THE COURSE? The course is a post-graduate diploma of the University of Cape Town. The entry requirements are: Community Eye Health Institute, Division of Ophthalmology, Faculty of Health Sciences, University of Cape Town Private Bag 3, RONDEBOSCH 7700, Republic of South Africa Tel (+27)21-406 6215/6 fax (+27)21-406 6218 www.cehi.uct.ac.za Page 2 An undergraduate degree in health sciences, social sciences, or business management, or an equivalent university qualification, or recognition of prior learning A minimum of two years of work experience in eye care, with an interest in management of Vision 2020 programmes. Fluency in English, as demonstrated by a Grade 12 (matric or school-leaving certificate) or equivalent pass in English Computer literacy is recommended. It is recommended that students should also obtain a written undertaking from the relevant MOH or INGDO that adequate support will be provided for the implementation of the planned Vision 2020 programme. Students who have previously successfully completed a community eye health certificate course at the University of Cape Town may receive recognition of this, with credits for the relevant modules. WHAT ARE THE COSTS? Students come to Cape Town for 10 weeks at the beginning of the course and again for 1 week at the end of the course. There is a university fee surcharge for students from non-SADC (Southern African Development Community) countries. A recommended budget for the 2014 academic year is – Item SADC students South African Rands (R) Non-SADC students South African Rands (R) Programme fee 30 000 50 000 Travel to Cape Town x 2 10 000 13 000 Cape Town living expenses (approximately R275 per day x 12 weeks) 22 000 23 000 Course materials 1 500 1 500 Total 62 000 92 000 Community Eye Health Institute, Division of Ophthalmology, Faculty of Health Sciences, University of Cape Town Private Bag 3, RONDEBOSCH 7700, Republic of South Africa Tel (+27)21-406 6215/6 fax (+27)21-406 6218 www.cehi.uct.ac.za Page 3 ** These are estimated amounts only. administrator. Please confirm amounts with course The South African Rand (R) usually trades between R8.00 and R9.50 to the US Dollar and between R9.50 and R11.50 to the Euro. However, the exact rates should be used to calculate the costs at the time of expected transactions. A limited number of scholarships may be available. However, prospective students should make every effort to obtain sponsorship from their employers, NGO funders or other sources, as the allocation of scholarships is a very competitive process. WHAT IS THE APPLICATION PROCESS? Persons interested in applying for admission to the course in 2014 should contact the course administrator at cehi@uct.ac.za. Application forms for admission to the course in 2014 will be available from 1 June 2013. These should be completed and returned to the course administrator. However, it is preferred that applicants use the UCT online application process. You can get more information on the procedures for online applications by clicking on http://www.health.uct.ac.za/apply/postgrad/degrees/. The closing date for applications is 30 September 2013. Applicants who are accepted for the course will be informed by the Postgraduate office of the Health Sciences Faculty of the University. Non South African applicants should apply for a study visa for the full course duration. In addition to the completed UCT application form and the Departmental application form, all applicants should submit a certified copy of their passport and copy of visa (if applicable). WHAT ARE THE DATES FOR THE COURSE IN 2014? Initial period in Cape Town (10 weeks) – 10 February to 18 April 2014 Intermediate period working back in the student’s health district (30 weeks) – 21 April to 24 October 2014 Final period in Cape Town (2 weeks) – 27 October to 7 November.2013 Please note these dates may be subject to change. Community Eye Health Institute, Division of Ophthalmology, Faculty of Health Sciences, University of Cape Town Private Bag 3, RONDEBOSCH 7700, Republic of South Africa Tel (+27)21-406 6215/6 fax (+27)21-406 6218 www.cehi.uct.ac.za Page 4 CURRICULUM OUTLINE Course Course Components Duration (weeks) Community eye health for Vision 2020 Introduction to Vision 2020 Cataract Childhood blindness, refractive error, low vision Other blinding eye diseases 4 Advocacy, health promotion and human resource development for Vision 2020 Advocacy for Vision 2020 Health promotion for Vision 2020 Human resource development and health education for Vision 2020 2 Management for Vision 2020 Management 1 - Management and strategic leadership Management 2 – Project management Management 3 – Programme development and implementation Management 4 – Programme administration and management 4 Implementation of Vision 2020 Programme implementation 30 Report back and debriefing on programme implementation 2 Community Eye Health Institute, Division of Ophthalmology, Faculty of Health Sciences, University of Cape Town Private Bag 3, RONDEBOSCH 7700, Republic of South Africa Tel (+27)21-406 6215/6 fax (+27)21-406 6218 www.cehi.uct.ac.za Page 5 SUMMARY OF COURSE OUTCOMES Course Course Component Outcomes 1 Introduction to Vision 2020 Demonstrate understanding and knowledge of the magnitude, causes, and alternative control strategies for the major blinding eye diseases in the world and in Africa Demonstrate understanding and knowledge of the components of the WHO / IAPB Vision 2020 initiative Demonstrate understanding and knowledge of the principles of programme planning Conduct a situational analysis of the needs and resources for a programme Demonstrate understanding and knowledge of the risk factors and pathophysiology of cataract Demonstrate understanding and knowledge of the different models of cataract surgical service delivery Demonstrate understanding and knowledge of the principles of the control of cataract blindness Design a programme outline for the control of cataract blindness Demonstrate understanding and knowledge of the risk factors and pathophysiology of the major blinding diseases of childhood and of refractive error, and the causes of low vision Demonstrate understanding and knowledge of the principles of the control of childhood blindness and visual impairment due to refractive error and low vision Design a programme outline for the control of childhood blindness, refractive error, and low vision Demonstrate understanding and knowledge of the risk factors and pathophysiology of each of trachoma, onchocerciasis, glaucoma, and diabetes Demonstrate understanding and knowledge of the principles of the control of blindness due to trachoma, onchocerciasis, glaucoma, and diabetes Design a programme outline for the control of blindness and visual loss due to each of trachoma, glaucoma, and diabetes Demonstrate understanding and knowledge of the principles of advocacy Demonstrate understanding and knowledge of the theories of health promotion Design the strategies for health promotion for a Vision 2020 programme Cataract Childhood blindness, refractive error, low vision Other blinding eye diseases 2 Advocacy for Vision 2020 Health promotion for Vision 2020 Community Eye Health Institute, Division of Ophthalmology, Faculty of Health Sciences, University of Cape Town Private Bag 3, RONDEBOSCH 7700, Republic of South Africa Tel (+27)21-406 6215/6 fax (+27)21-406 6218 www.cehi.uct.ac.za Page 6 Human resource development and health education for Vision 2020 3 Management 1 – advocacy and strategic leadership Management 2 – project management Management 3 – programme development and implementation Management 4 – programme administration and management 4 Vision 2020 programme implementation Vision 2020 programme administration and management 1 Programme administration and management 2 Programme monitoring Report back and debriefing on programme implementation Demonstrate understanding and knowledge of the human resource needs for Vision 2020 programmes Demonstrate understanding and knowledge of the theories of teaching and learning Design the programme strategies for the training, recruitment, deployment, and retention of the personnel needed for a programme Design a curriculum for the training of a cadre of primary eye care workers Demonstrate understanding and knowledge of the principles of management in eye care programmes Demonstrate understanding and knowledge of the principles of strategic leadership Be able to apply these in managing a district Vision 2020 programme Demonstrate understanding and knowledge of the principles of project management Be able to apply these in managing a district Vision 2020 programme Demonstrate understanding and knowledge of the principles of programme development and implementation Be able to apply these in managing a district Vision 2020 programme Demonstrate understanding and knowledge of the principles of programme administration and management Be able to apply these in managing a district Vision 2020 programme Demonstrate an ability to implement a district Vision 2020 programme Demonstrate an ability to administer and manage a district Vision 2020 programme Demonstrate an ability to administer and manage a district Vision 2020 programme Demonstrate an ability to monitor the progress of a district Vision 2020 programme Demonstrate an ability to evaluate a district Vision 2020 programme and to plan the programme activities for the next period Community Eye Health Institute, Division of Ophthalmology, Faculty of Health Sciences, University of Cape Town Private Bag 3, RONDEBOSCH 7700, Republic of South Africa Tel (+27)21-406 6215/6 fax (+27)21-406 6218 www.cehi.uct.ac.za Page 7 COURSE STRUCTURE The courses are based on planning, implementing, and managing a Vision 2020 programme for a one million population (0,5 million – 2 million) “service unit” (district, region, province) specific to the student’s own country. In courses 1-3 during the initial 10 week period in Cape Town, the students develop strategies for human resource development, infrastructure development, and disease control. These strategies are integrated into a Vision 2020 programme for the specified service unit. A Vision 2020 programme plan is produced. During this period, the students have opportunity to acquire the knowledge and skills needed to successfully manage a district Vision 2020 programme. In course 4 during the intermediate 30 week period, the students return to their health districts, where they implement, administer, manage, and monitor a Vision 2020 programme. This period is one of “reflective practice”, during which students have opportunity to apply the knowledge and skills acquired during the initial period. During the final 2 week period in Cape Town, the students report back and debrief on the progress (or lack thereof) that has been made with their programmes. During this period, the students have opportunity to share experiences and to plan their programme activities for the following one year period. METHODS OF LEARNING The methods of learning include interactive didactic teaching, individual exercises, group work and reflective practice. METHODS OF ASSESSMENT 1. Formative Assessment – This comprises Short answer tests Written assignments 2. Summative Assessment – This comprises Short answer tests Written assignments Written examination. Students are required to obtain a minimum of 50% in each course to pass the diploma. CERTIFICATION The diploma is a post graduate diploma in community eye health, awarded by the University of Cape Town. Graduation is usually held in the third week in December. Community Eye Health Institute, Division of Ophthalmology, Faculty of Health Sciences, University of Cape Town Private Bag 3, RONDEBOSCH 7700, Republic of South Africa Tel (+27)21-406 6215/6 fax (+27)21-406 6218 www.cehi.uct.ac.za Page 8