Blindness Prevention

 

               

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BLINDNESS PREVENTIVE PROGRAMME

 

Policy / Legal Framework:

To control causes of blindness specially in endemic areas (foci) in the country to achieve the WHO slogan Health for all by the year 2000.

Basic Data:

Prevalence surveys were collected from endemic areas and the relevant data as regards causes of blindness and scheduled plans were put to deal with the main causes of blindness in the country and the necessary control measures to be implemented. Prevention of Blindness administration at the level of Federal Ministry of Health headed by senior consultant opthalmologist and other paramedical personnel required. There is an annual R/Budget from the Ministry of Health and a biennial R/Budget from the WHO to cater for the activities of the programme. UNICEF used to conribute until 1987, which is highly needed.

Short term consultant was suggested but now a National Team was suggested to formulate a protocol Prevalence of blindness and cayses 9th. of August 1997. To hold a National workshop to train Nationals to conduct prevalence Surveys programme to covering most States of the country. Accordingly data will be collected and scheduled plan will be suggested for control of different causes of Blindness in the country.

Objectives:

To control the main causes of Blindness in the country at present i.e. Cataract, Trachoma, Onchocerciasis and Vitamin A Difficiency to a level which no longer considered a major community Health problem.

Target:

To control causes of blindness to a level below 0.5% by the year 2000.

Approaches:

Oncho. treatment of patients in endemic areas with Mectizan tablets. Now the APOC will extend the activities and facilitate Community Iverectin distribution.

Cataract:

As scheduled plan to implement Cataract extraction campaigns in the country in collaboration with NGOs e.g. Islamic Control of Blindness in the country (Albasar International and Help Age International). Programmes at different States of the country. Looking for WHO strategy of Global Elimination of Trachoma. UNICEF stopped supplying since 1987.

Vit. A Deficiency : Vit A tablets are distributed by the Nutrition department in endemic areas e.g. Eastern Sudan.

PRODUCTS:

A. Activities Implemented: 

CAUSES OF BLINDNESS ACTIVITIES
ONCHOCERCIASIS Distribution  of Mectizan in endemic foci, Abu Hamad, Wau, RagaRadom and Juba, Training of personnel in the above mentioned areas
CATARACT Khartoum, Kadabas; (1993), Ruffa, El Obied; (94) El Kamlin, Nyala;(1995), Medani, Dongola, Marawi, Wad Hamid, Damazin and New Halfa(1995)                                                                    .(Al Basar Int. Foundation) Aroma (1995), Wad Sharifai (1996), Khashmel Girba (1997) Help Age Int.
VITAMIN DEFICIENCY Tablets were distributed by Nutrition Adm. In Eastern States, Kordofan States and other areas.

 

B - Programme Main Achievements: 

PROGRAMME NUMBER OF PATIENS TREATED: PERSONNEL TRAINED:
ONCHOCERCIASIS 15,828 (1994/1995)                               27,113 (1995/1996)                              .

80.

CATARACT 04,152 (1994/1995)                                   03,796 (1996/1997) NAT 389. (94/95)                                        NAT 32.   Dongola                                       NAT 36.   Kosti(97)

  

Main Problems Constraints:

(1) Lack of vehicles of smooth implementation of programme's activities and also of fuel.

(2) Migration of trained personnel to countries because of poor salaries, lack of incentives and satisfactory fields allowances.

(3) Lack of tetracycline eye ointment, essential Health Education equipments, logistics e.g. soap bars.

Future Plans:

(1) To expand the Mectizan treatment programmes in the present areas and to other endemic foci e.g. Khor Yabos and Upper Reaches of Atbara River.

(2) To convince UNICEF to resume supplying the programme as used to be in the past with vehicles, tetracycline eye ointment, soap and other logistics.

(3) To implement other cataract extraction campaign in Northern States.

(4) If UNICEF responds, prevalence surveys and evaluation surveys will be implemented together with school treatment in areas already covered by mass treatment programmes.

(5) To continue training and in-service training.

(6) To contact NGOs interested in the field of prevention of blindness.

(7) To continue national training, fellowships internal and external, complete the surveys according to the protocol for prevalence of blindness and causes.

Monitoring:

(1) To contact the local health and administrative authorities in the area scheduled for implementation of the programme in preparation for the programme activities.

(2) Through these authorities the community leaders in the area are contaced to facilitate matters and take active part in implementation.

(3) Sometimes prevalence surveys are conducted before implementation of the programme.

(4) In case of cataract data are collected about cataract backlog specially when ophthalmic unit is present in the area. Also the cataract surgery.

(5) Evaluation surveys are conducted after implementation of Trachoma programme (mass treatment).

(6) Maintenance treatment is implemented in primary school children in areas covered by mass treatment programme and in areas where prevalence is less than 50%.

(7) To collect data after cataract campaigns as regards number of cataract surgeries done, age, sex and etc.

Evaluation:

(1) Trachoma : Evaluation Surveys are done in areas covered by mass treatment programmes every three years.

(2) Onchocerciasis : Evaluation surveys are implemented in areas covered by Mectizan treatment after three years from the start of treatment, also data are collected about the vector as regards its density and general behaviour and microfilarial load.

(3) Cataract : Number of cataract surgeries done in each cataract extraction campaign. Collection of data about cataract (backlog) in before and after the campaigns. Also implementation of prevalence and evaluation surveys in scheduled area for causes of blindness and its prevalence.

 

  

General Director for Administration and Finance

* Improvement of administrative work.

* Implementation of public service laws and regulations.

* Preparation of budget proposals.

* Supervision of budget implementation.

* Control of public expenditures.

* Participation in Training

* Creation of good relationship with employees and their unions.

* Review of organizational structure.

* Review term of reference.

* Updating the statistical information concerning the manpower in the field of health.

* Follow up health economy and the cost of health services in Sudan.

* Administrative inspection.

* Solving working problems and conflicts.

* Facilitation of administrative working procedures.

* Consultation in same administrative aspects.

* Recruitment, promotion, transfers, performance appraisal and accountability of central occupied posts.

  

 

CURRICULUM VITAE

Name : IBRAHIM MOHAMED ABDALLA

Nationality : Sudanese

Age : 55 Years

Mailing Address : P.O. Box 303 Khartoum Sudan

Phone Office : 773005

Phone House : 722565

Education:

* B.A. of Commerce, Cairo University, Khartoum Branch.

* Post Graduate Diploma (Education) Cairo University, Khartoum Branch.

* Master of Public Administration, University of California, USA.

Training Courses:

* A short course in Personnel Management ,Egypt.

* A short course in Personnel Management , Mogadishu

* Regional Seminar on Targeting Public Expenditures, Nicoisa, Cyprus.

* A short course in Hospital Administration, Sudan Academy for Administrative Sciences.

* A short course in Time management, Sudan Academy for Administrative Sciences.

Experience:

1 - Assistance inspector of personnel in Ministry of Education 1966-1970.

2 - Inspector of personnel in the same location 1970-1973

3 - Personnel officer in Civil Service Department 1973-1976.

4 - Senior personnel officer in Civil Service Department 1976-1978.

5 - Assistant Director of Civil Service Department 1978.

6 - Personnel expert and consultant in Yemen Arabic Republic 1978-1980 - on secondment.

7 - Personnel specialist in University of Mohamed IBN Saud, Saudi Arabia 1982.

8 - Personnel management in Ministry of Health 1982-1985.

9 - Deputy, General Director of Personnel Budgeting in Civil Service Department.

10 - General Director for Administration and Finance, Federal Ministry of Health 1991-1997.