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diabetic retinopathy in Burundi

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  • 1. Vision 2020 INITIATIVE FOR THE ELIMINATION OF AVOIDABLE BLINDNESS IN BURUNDI Action Plan 2010–2014 Looking for Funds to set up and run valid, cost-effective programme for screening and treating Diabetic Retinopathy in Burundi
  • 2. I. BACKGROUND
    • An estimated of 8,485,000 inhabitants in Burundi by the year 2010 and the rate of annual growth is 3%.
    • The average per capita income (in Burundi) is180 US$.                     
  • 3. Diabetes Mellitus - Epidemiology
    • Incidence increasing world wide
    • Incidence increasing more in developing countries
    • 1995 global prevalence - 135 million adults
    • 2025 projected global prevalence – 300 million adults
  • 4. II. ESTIMATED BURDEN OF DISEASE IN BURUNDI
    • The Ministry of Health is aware of the increasing rate of diabetes in Burundi and d iabetes is now recognised as a health problem since it has now become the third highest cause of hospitalisation in the capital city Bujumbura.
  • 5. II. ESTIMATED BURDEN OF DISEASE
    • Rural diabetic population in Burundi
      • 1% severe NPDR / PDR
      • 6.5% had macula edema
      • Only 20% had an eye exam
    • Burundi University Hospital
      • 20% severe NPDR/PDR
      • Less than 10% had an eye exam
    • Ministry of Health
      • 1500 active young people get blind and in poverty due to DR every year
      • We can stop this!!!! Will you be willing helping us ?
  • 6. II. ESTIMATED BURDEN OF DISEASE IN BURUNDI
    • developing strategies for diabetes prevention, glycemic control, and early/regular eye examination, would reduce the impact of diabetes on vision
    • early diagnosis and treatment can potentially eliminate blindness due to diabetic retinopathy
  • 7. II. ESTIMATED BURDEN OF DISEASE
    • The most effective method for the treatment of diabetic retinopathy, and prevention of the new blood vessel formation that ultimately leads to blindness, is photocoagulation by laser
    • Vision may also be restored with the time
    • consuming and expensive vitrectomy
  • 8. III. INFRASTRUCTRURES – EQUIPMENTS - HUMAN RESSOURCES - ACTIVITIES
    • Problem: no laser no angiography on the whole territory of Burundi, the tertiary university hospital did not have the funds to purchase this equipment
      • We can stop this!!!! Will you be willing helping us ?
  • 9. III. INFRASTRUCTRURES – EQUIPMENTS - HUMAN RESSOURCES - ACTIVITIES
    • The non availability of treatment for
    • diabetes and its complications in Burundi would conceivably make diabetic retinopathy a major cause of blindness in the future.
      • We can stop this!!!! Will you be willing helping us ?
  • 10. III. INFRASTRUCTRURES – EQUIPMENTS - HUMAN RESSOURCES - ACTIVITIES
    • In Burundi based 5 well trained ophthalmologists have skills in diagnosis and management of Diabetic Retinopathy( indications, complications and technique of performing lasers performing and interpretation of Fundus Fluorescein Angiography (FFA), and Optical Coherence Tomography (OCT)
  • 11. IV. ACTIVITIES
    • Screening programmes for detecting diabetic retinopathy at a stage at which treatment can prevent visual loss and health education programmes are the mainstay of prevention of blindness due to diabetic retinopathy.
    • trained eye-care professionals
    • adequate medical services and equipment
  • 12. IV. ACTIVITIES-BUDGET
    • Year 1 : - Equipments and consumables:
    • buy a Topcon NW100 non-mydriatic camera
    • buy a fluorescein angiography
    • buy a laser
    • Year 1 : - Budget missing:
    • 12 000 usd
    • 35 000 usd
  • 13.
    • Year 1 : - Training:
    • train a nurses in in the use of the camera
    • train the general medical doctors to analyse these images, provide a photographic diagnosis and refer to ophthalmologist if treatment is needed
    IV. ACTIVITIES-BUDGET
    • Year 1: - Budget recovered from local donor:
    • - usd
    • 1 000 usd
  • 14. IV. ACTIVITIES
    • Year 1 : - IEC:
    • promote awareness by radio talk show
    • train a councillor
    • make sure all medical staff in Burundi aware of the existence of this programme
    • Year 1: - Budget recovered from local donor:
    • 2000 usd
    • 500 usd
    • 500 usd
  • 15. IV. ACTIVITIES
    • Year 2 :
    • do a fundus photography to all patients coming to the diabetic clinic
    • take care of all patients needing treatment
  • 16. IV. ACTIVITIES
    •   Year 3 :
    • IEC:
    • promote awareness by radio talk show
    • do a fundus photography to all patients coming to the diabetic clinic
    • take care of all patients needing treatment
  • 17. IV. CHALLENGES
    •   The main challenge is to start activities with a financed programme
  • 18. Will you be willing helping us ? Contact information Burundi National focal point for prevention of blindness Email: vision2020burundi@gmail.com Postal address: BP 1426 Bujumbura, Burundi