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Eye Care Programme

WSD Catract beneficiaries in Kericho District Hospital (KBB CES 2010)

KSB is mandated by the Act, to offer, support and coordinate comprehensive eye care service in Kenya. KSB works in collaboration with the Ministry of Health (Medical Services and Public Health). The Ministry is represented in the Board by an appointee of the Permanent Secretary. 

In Kenya, eye care services (prevention and treatment) are coordinated through a department referred to as Division of Ophthalmic Services (DOS). From the public Health, we have a Division of Preventive Ophthalmic Services. The Head of DOS is the appointed representative of the Permanent Secretary in the KSB Board.

KSB in partnership with DOS and Sight Savers International are implementing the Kenya Ophthalmic Programme (KOP) through a tripartite agreement. This programme is responsible for eye care services that include eye health promotion, prevention, diagnosis and treatment of eye diseases.  Based on this agreement, KSB is supporting some zonal units including Makueni, Mwingi, Kangundo, Loitoktok, Mbagathi, Kajiado, Baringo, Maral, Nakuru, Machakos, Kitui and Koibatek) to implement KOP activities by working with the zonal eye surgeons

 KSB with her development partners are supporting public hospitals with equipment; coordinate training on primary health eye care services for District Health Management Teams (DHMT), Rural health workers, supports eye treatment and surgeries. Coordination involves holding strategic planning meetings, coordinating evaluation and monitoring prospects at clients and providers’ level. 

KSB operates an eye clinic and an optical shop within its offices and serves about 4000 patients yearly. This clinic is very unique in that it is most affordable and offers quality services and products. The clinic has all equipments required for refraction and screening. KSB also runs an eye check up outreach clinics every quarter.

The Kenya Ophthalmic Project (KOP) is a National eye care project under the Ministry of public Health and Sanitation in collaboration with Kenya Society for the Blind and other development partners. KOP is under Division of Ophthalmic Services (DOS) headed by Dr. Gichangi. DOS is mandate to reduce the incidence of preventable blindness in Kenya by providing preventive and curative of Eye Care Services through integration of Primary Eye Care into the existing Primary Health Care system in the Country.

 KOP is currently, being implemented in Nakuru and Machakos Zones. Nakuru zone covers: Nakuru, Baringo, Koibatek and Maralal hospitals while Machakos zone covers: Machakos, makueni, kangundo, mwingi, kitui, Kajiado, Loitoktok and Mbagathi Hospitals. Each zone is under the supervision of a Zonal Eye Surgeon supported by ophthalmic cataract surgeons, ophthalmic clinical officers and ophthalmic nurses.

During the period under review the overall response report rate was 90 % with a total number of 65,001 patients seen and 64,886 treated. This was slightly lower as compared to the previous year of 67,987 screened patients. Cataract surgeries rose from 1, 297 to 2,199.  The increment was due to additional eye camps held at Kabarnet. It is important to note that these statistics are not tallied with statistics captured by KSB programme activities.

Within the reporting period, an annual review and planning meeting was held in Machakos Level 5 hospital to review the achievements and challenges encountered and to plan for 2013. Training on program design was undertaken to equip participants on project planning and management in this era of performance contracting.

 An electronic Eye Health system was developed to improve accuracy of data collection and to facilitate data collation. This initiative within public hospitals is a good example of public and private partnership and is in line with the Vision 2030. Through this initiative, DOS under the ministry of public health and sanitation in collaboration with SSI/KSB provided software development, computers as well as basic training for staff on how to utilize the electronic eye health system. Other trainings under this same initiative involved the provincial Eye Care (PEC) team, the District Health Management Teams(DHMT)  and Rural Health Workers( RHW).

Other activities carried out through KOP included mobile and surgical outreach services in Koibatek district (Nakuru zone). Coordination and supervisory services was also enhanced

About KSB

The Kenya Society for the Blind has been carrying eye care activities in Kenya since the 19050”s. KSB has been achieving this true its main unit’s i.e. National Eye Drops Production Unit, Optical Services.KSB Static Eye Clinic, Outreach &Medical Camps.

 

National Eye Drops Production Unit

eye drops unit

KSB has been producing quality eye drops through its production unit which was established in the 1980’s as a joint project between the Ministry of Health and its partner Operation Eyesight. Local production of eye drops is an acceptable approach throughout the world by World Health Organization to making essential eye drops accessible, available and affordable in developing countries.

KSB has played a vital service in the eye care sector in Kenya and neighboring countries through the distribution of quality and affordable eye drops. To ensure that we continue with this noble cause KSB embarked in the implementation of Good Manufacturing Practices (GMP) as per the World Health Organization recommendations.

Due to technological changes in the pharmaceutical sector in the world, Kenya launched its Kenya GMP Road Map in 2014 as means of standardizing the pharmaceutical industry in Kenya to be at the same level with the world.

In the year 2015 April NEPU plant was assessed by the Pharmacy and Poisons Board (PPB) and United Nations Industrial Development Organization (UNIDO) to ascertain its performances in line with GMP. The Corrective Action Preventative Action (CAPA) report of the assessment exercise has been received by KSB and the implementation of the gaps identified has started.

KSB is looking forward to implement fully the gaps and comply with the GMP as per the WHO standards. Already KSB has started packaging 9 Products out of is 28 range of products eye drops in the new package as per the GMP recommendation in packaging of pharmaceutical products. Below is a sample of the packaging:

eye drops unit products

New package of the KSB-NEPU eye drops produced

The year 2015 KSB-NEPU produced a total of 52,000 bottles of assorted eye drops. The plans are under way to increase the production capacity to 3,000,000 bottles of assorted eye drops annually.

 

Optical Services.

Since its inception in 2002 the optical services has continued to provide high quality spectacles to Kenyans. From the time it was established the optical shop has served 20,000 patients with high Quality and Affordable spectacles. In the year 2015 the optical services partnered with Brien Holding Vision Institute (BHVI) through the Kenyan compendium (Fred Hollows Foundation & Operation Eye Sight) to provide quality and affordable spectacles to school going children.

The BHVI project servers 9 counties this counties include :Kisii,Narok,Homabay,Kisumu,Kitale,Litein,Migori,Bungoma,Nakuru. In the month of January 2015 the optical shop received a bulk stock of frames, lenses, hard cases and soft clothes to support the project. In the month of June the optical shop was equipped with the latest technology in optical industries to support the project in fitting of spectacles. Among the equipments purchased and installed include: auto edger, lens blocker, lensometer, frame heater and tinting unit,

Since the BHVI project started it has supplied a total of 2,000 spectacles to school going children across the counties.

Below are the photos of the equipments and frames stocked at the optical shop

 

Equipments

New state of the art optical equipments installed at the KSB optical shop to make it a one stop shop.

Frames

Variety of Quality and Affordable range of designer and budget frames at the KSB optical shop.

 

Eye Clinic/Outreach/Medical

Since its inception in 1990’s the KSB eye clinic has continued to provide, Accessible, Quality and Affordable eye check to thousands of Kenyans with eye problems. In 2015 the KSB eye clinic served 2500 patients of who was managed with either one or two different types of eye drops.

In the same year KSB outreach/Medical camps activities served a total of 5000 patients in its 11 outreach activities in Kiserian and Medical Camps (Limuru Golf Club, Nyeri, All Saints Cathedral and Standard Group). All patients who were screened received either drugs or spectacles or both.

Also through the Child Eye Health we carried out school screening exercises in Homabay County where over 4,000 children were screened and treated. This exercise was made possible with the support from our partners Operation Eyesight, Fred Hollows Foundation AND Homabay County.

 

Frames

Pupils waiting to be screened during school screening in Nakuru organized by BHVI consortium (KSB, OE & FHF)

 

BHVI Student

A standard seven pupils with very high lenses shaking help during the school screening in Nakuru County.

Dr. Mwai

Mr. Mwai an OC with Nakuru county hospital dispensing KSB eye drops to the children during the free eye check up in Nakuru

 

Dr. Cheleli

Low vision specialist Dr Cheleli examining a patient at Kibera during a free medical camp organized by Kenya Society for the Blind and Carolina for Kibera.

 

Dr. Cheleli

A pupil with cataract surgery identified during the school screening exercise in Nakuru


For More Information Contact

The Kenya Society for the Blind (KSB)
Barclay House, Mai Mahiu road Off Langata road
http://www.ksblind.org
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

The Marsabit Trachoma (MT) Project is an integrated initiative designed to address in a holistic manner, the problem of trachoma in endemic communities in Upper Eastern Region in Kenya. This is a five-year project launched in 2011. The Marsabit Trachoma Control Project is designed to address the problem of trachoma in endemic communities in Upper Eastern Regions of Kenya. The project is being implemented in Marsabit County originally made up of 5 districts, but now 7 Districts. Marsabit is a disadvantaged predominantly rural community occupied by pastoralists with an estimated population of 291,166 people.

Marsabit County was chosen because it had over 10% trachoma (T.F of 14.1% and T.T of 1.7%) prevalence. This made the disease an issue of public health concern, based on WHO threshold for trachoma control. The project was set to benefit at least 232,932 (80%) within 5 years.

The Kenya Society for the Blind has been the lead implementing agency in partnership with Government of Kenya line ministries, Faith based organization, Local and international NGOs dealing with water and sanitation, corporate entities at the ground and the local communities. This project is yet another public-private partnership where Kenya Society for the Blind in partnership with Sight Savers and the Ministry of Public Health and Sanitation are involved. Trachoma ca uses blindness and discomfort due to trichiasis, the two are precursor to economic deprivation.

In the year 2012, a total of 8 comprehensive outreaches were conducted each lasting an average of 5 working days. A total of 2,522 people with various eye ailments were screened, 367 benefited from free surgeries. From this figure, 269 were benefited from Bilamellar tarsal plate rotation (BTPR), 83 from Cataract operations (Sics + IOL) and 15 minor extra ocular surgeries like pterygium excisions, chalazion incision and curettage. 4 paediatric ophthalmic cases were screened and referred to paediatric ophthalmologists. Two with congenital cataracts and other two with unilateral traumatic cataracts both were done operation in Kikuyu Eye Unit, one of the best Eye Units in Eastern and Central Africa. This project is in year two of its implementation and effective December 2012, the lead implementer has since changed from KSB.

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