Nkhoma Eye Hospital

603 views

Published on

Dr Will Dean, Consultant Ophthalmologist at the CBM-supported Nkhoma Eye Hospital, Malawi, talks about his work restoring sight through cataract surgery.

Published in: Health & Medicine, Business
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
603
On SlideShare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
8
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide
  • I am honoured to be here this evening, and thank Dr Bill McAllister for inviting me to come and talk. I thank you all for coming, and for helping us celebrate together this incredible milestone, this evening.
    My name is Will Dean, and I am an eye surgeon living in rural Malawi for the past 3 years
  • On the flight over to Heathrow from Lilongwe, I spent hours trying to imagine how to describe where I live and work, but I’m not sure if I can really indulge this.
    I have the urge right now to hurry up this presentation, as it’s about this time every evening that the electricity goes out for 3 hours. My mum and dad are here this evening and I am very honoured. My dad sent a text message last Friday warning that the London tube would be on strike when I landed on Monday. Back in Malawi, just a minute before I received my dad’s text, the chief security guard at my house warned me that I shouldn’t stand by the outside tap, as a snake had taken up residence there. The travel to Stratford through London is a constant game of dodging busy commuters, tourists, buses, taxis, and eye contact with anyone. In the village I live in, there is no supermarket or petrol station; and the hour-long trip into town for shopping is a constant game of dodging goats, chickens, cyclists, pedestrians and smoky trucks.
  • In Africa there is a proverb about ‘How do you eat an Elephant’. A little peace at a time, with help from lots of friends.
    The population of Greater London, or New York City is blind, in Africa.
  • Only 5% of our patients walk into the hospital
    The other 19 out of 20 we have to go out to the villages and find.
  • This operation took just less than 5 minutes. I’m showing it here at 5 times speed, so we have just under a minute. It is this easy and simple to do the cataract operation in trained hands. It takes this long, and not too much money to change a persons life forever. To change their family’s life forever. And it is thanks to the support of CBM that this is possible thousands of times a year at Nkhoma, and 10 million times throughout the World over the past century. All of us here together, and all who support CBM around the world, are here tonight to celebrate that together, we really really can do more.
  • Nkhoma Eye Hospital

    1. 1. Nkhoma Eye Hospital, Malawi October 2010 Nkhoma Eye Hospital Malawi Malawi CBM-supported eye care programme in Southern Africa
    2. 2. Nkhoma Eye Hospital, Malawi October 2010 Nkhoma Eye Hospital Malawi Malawi CBM-supported eye care programme in Southern Africa QuickTime™ and a Cinepak decompressor are needed to see this picture.
    3. 3. Nkhoma Eye Hospital, Malawi October 2010 Nkhoma Eye Hospital • Africa • Malawi • Nkhoma Christian Mission Hospital • Nkhoma Eye Hospital
    4. 4. Nkhoma Eye Hospital, Malawi October 2010 10 Million Celebration • cbm work throughout the world • Largest INGO tackling disability • 10 million cataract operations in past 100 years
    5. 5. Nkhoma Eye Hospital, Malawi October 2010 The Scale of Blindness • 45 million blind people globally • 7 million blind in Africa • Malawi has 14 million population • 1% are blind • 70,000 are blind from cataract • 350,000 need cataract operation for blindness or severe visual impairment
    6. 6. Nkhoma Eye Hospital, Malawi October 2010 Nkhoma’s Area of Work • Central Malawi • 4 million population • 4 eye surgeons • 100,000 people who need cataract surgery • Childhood blindness, glaucoma, trachoma • Training
    7. 7. Nkhoma Eye Hospital, Malawi October 2010 Nkhoma Eye Hospital • Since 1999, Dr Nick Metcalfe from Sunderland developed the most productive district eye unit with a single eye surgeon, in African history. • Dr Nick & the Nkhoma team pioneered high volume high quality cataract surgery in a rural African setting
    8. 8. Nkhoma Eye Hospital, Malawi October 2010 Nkhoma Eye Hospital Sustainability • Malawian Clinical Officer Cataract surgeon • Training Malawi Ophthalmologists
    9. 9. Nkhoma Eye Hospital, Malawi October 2010 Nkhoma Eye Hospital • To date, over 30,000 cataract operations performed at Nkhoma.
    10. 10. Nkhoma Eye Hospital, Malawi October 2010 cbm Support • CBM supported Nkhoma for past • 34 years
    11. 11. Nkhoma Eye Hospital, Malawi October 2010 Cataract Surgery • In UK NHS, one cataract operation costs £1,000 • Privately £bit more • In Nkhoma, one cataract operations costs £20 • The average annual income in Malawi is £250 • Surgery costs the patient £0
    12. 12. Nkhoma Eye Hospital, Malawi October 2010 Why does Cataract Surgery in Nkhoma Cost £20? • Transport & Case-finding
    13. 13. Nkhoma Eye Hospital, Malawi October 2010 Rural Africa • We work in Central Malawi, a very rural area of Africa • 85% of population are subsistence farmers living in villages with no electricity, some water, and annual maize crops to feed the family. • Some of the poorest of the poorest people of the World • 74% live below the international poverty line of $1.25 a day
    14. 14. Nkhoma Eye Hospital, Malawi October 2010 What do we do? • Mobile clinics in villages • Screen and see people in churches, clinics, football fields, under a tree
    15. 15. Nkhoma Eye Hospital, Malawi October 2010 What do we do? • Cataract Case Finders • Drive on motorbikes in their catchment area villages all week screening for potential patients
    16. 16. Nkhoma Eye Hospital, Malawi October 2010 £20 • Patients receive: • Accommodation • 3 meals a day • Surgery • Medicines • Glasses if needed • Transport
    17. 17. Nkhoma Eye Hospital, Malawi October 2010 A Patient’s Journey • In the mobile clinic
    18. 18. Nkhoma Eye Hospital, Malawi October 2010 A Patient’s Journey • In the hospital
    19. 19. Nkhoma Eye Hospital, Malawi October 2010 A Patient’s Journey • Back at home with the family
    20. 20. Nkhoma Eye Hospital, Malawi October 2010 A New Life
    21. 21. Nkhoma Eye Hospital, Malawi October 2010 A Patient’s Journey • In the mobile clinic
    22. 22. Nkhoma Eye Hospital, Malawi October 2010 A Patient’s Journey • In the hospital
    23. 23. Nkhoma Eye Hospital, Malawi October 2010 A Patient’s Journey • Back at home
    24. 24. Nkhoma Eye Hospital, Malawi October 2010 A New Life
    25. 25. Nkhoma Eye Hospital, Malawi October 2010 Why do we do this? • Because of CBM’s support • Because people in rural Malawi do not have the means to travel and pay for surgery • Because blindness is avoidable • Because of the burden of the disability on the person, their family and community • Because everyone has a Right to Sight
    26. 26. Nkhoma Eye Hospital, Malawi October 2010 But why? • Humanitarianism • Honouring a person’s dignity, who does not have a choice
    27. 27. Nkhoma Eye Hospital, Malawi October 2010 cbm • Largest international organisation tackling disability • Experience of over 100 years • 10 million cataract operations performed • Koano kwa tsopano, moano ma tsopano • New sight, New Life
    28. 28. Nkhoma Eye Hospital, Malawi October 2010 Thank you.. • And 10 million times again, Thank You. QuickTime™ and a Cinepak decompressor are needed to see this picture.
    29. 29. Thank you..

    ×