Nkhoma Eye Hospital, Malawi October 2010
Nkhoma Eye Hospital
Malawi
CBM-supported
eye care
programme in
Southern Africa
Nkhoma Eye Hospital, Malawi October 2010
Nkhoma Eye Hospital
Malawi
CBM-supported eye care programme
in Southern Africa
Nkhoma Eye Hospital, Malawi October 2010
Nkhoma Eye Hospital
• Africa
• Malawi
• Nkhoma Christian Mission Hospital
• Nkhom...
Nkhoma Eye Hospital, Malawi October 2010
10 Million Celebration
• cbm work throughout the world
• Largest INGO tackling di...
Nkhoma Eye Hospital, Malawi October 2010
The Scale of Blindness
• 45 million blind people globally
• 7 million blind in Af...
Nkhoma Eye Hospital, Malawi October 2010
Nkhoma’s Area of Work
• Central Malawi
• 4 million population
• 4 eye surgeons
• ...
Nkhoma Eye Hospital, Malawi October 2010
Nkhoma Eye Hospital
• Since 1999, Dr Nick Metcalfe from Sunderland developed the
...
Nkhoma Eye Hospital, Malawi October 2010
Nkhoma Eye Hospital
Sustainability
• Malawian Clinical Officer Cataract surgeon
•...
Nkhoma Eye Hospital, Malawi October 2010
Nkhoma Eye Hospital
• To date, over 30,000 cataract operations
performed at Nkhom...
Nkhoma Eye Hospital, Malawi October 2010
cbm Support
• CBM supported Nkhoma for past
• 34 years
Nkhoma Eye Hospital, Malawi October 2010
Cataract Surgery
• In UK NHS, one cataract operation costs
£1,000
• Privately £bi...
Nkhoma Eye Hospital, Malawi October 2010
Why does Cataract Surgery in
Nkhoma Cost £20?
• Transport & Case-finding
Nkhoma Eye Hospital, Malawi October 2010
Rural Africa
• We work in Central Malawi, a very rural area of
Africa
• 85% of po...
Nkhoma Eye Hospital, Malawi October 2010
What do we do?
• Mobile clinics in villages
• Screen and see people in churches, ...
Nkhoma Eye Hospital, Malawi October 2010
What do we do?
• Cataract Case Finders
• Drive on motorbikes in their catchment a...
Nkhoma Eye Hospital, Malawi October 2010
£20
• Patients receive:
• Accommodation
• 3 meals a day
• Surgery
• Medicines
• G...
Nkhoma Eye Hospital, Malawi October 2010
A Patient’s Journey
• In the mobile clinic
Nkhoma Eye Hospital, Malawi October 2010
A Patient’s Journey
• In the hospital
Nkhoma Eye Hospital, Malawi October 2010
A Patient’s Journey
• Back at home with
the family
Nkhoma Eye Hospital, Malawi October 2010
A New Life
Nkhoma Eye Hospital, Malawi October 2010
A Patient’s Journey
• In the mobile clinic
Nkhoma Eye Hospital, Malawi October 2010
A Patient’s Journey
• In the hospital
Nkhoma Eye Hospital, Malawi October 2010
A Patient’s Journey
• Back at home
Nkhoma Eye Hospital, Malawi October 2010
A New Life
Nkhoma Eye Hospital, Malawi October 2010
Why do we do this?
• Because of CBM’s support
• Because people in rural Malawi do...
Nkhoma Eye Hospital, Malawi October 2010
But why?
• Humanitarianism
• Honouring a person’s dignity, who does not have a
ch...
Nkhoma Eye Hospital, Malawi October 2010
cbm
• Largest international organisation
tackling disability
• Experience of over...
Thank you..
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Nkhoma Eye Hospital

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

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  • 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.
  • Nkhoma Eye Hospital

    1. 1. Nkhoma Eye Hospital, Malawi October 2010 Nkhoma Eye Hospital Malawi CBM-supported eye care programme in Southern Africa
    2. 2. Nkhoma Eye Hospital, Malawi October 2010 Nkhoma Eye Hospital Malawi CBM-supported eye care programme in Southern Africa
    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. Thank you..

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