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A situational analysis of diabetic retinopathy services in the West Bank Presented by Nick Sargent, FRCSEd (Ophth), MSc CEH. St. John Eye Hospital, Jerusalem
The St. John Facilities East  Jerusalem  Hospital  Gaza Hospital  Anabta Clinic Hebron Hospital Mobile outreach clinic
[object Object],[object Object],[object Object],[object Object]
In 2008, St John conducted the first rigorous population based blindness survey in the OPT  (Rapid Assessment of Avoidable Blindness, Chiang F, et al) ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
‘ Determinants of diabetic eye complications among St. John Eye Hospital Community Clinics attendants’  (Nasrallah Khalilia, 2009) ,[object Object],[object Object]
Situational analysis of diabetic retinopathy services in the West Bank ,[object Object],[object Object],[object Object],[object Object],[object Object]
Doctors survey,  51 of 69 ophthalmologists  (response rate of 74%) ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
 
There appears to be a north south divide in terms of services
Commonest reason for delay in receiving laser: ,[object Object],[object Object],[object Object],[object Object]
Lasers ,[object Object],[object Object]
The 2 nd  component was a patient survey of a total of 40 patients (20 patients having laser and 20 VR surgical patients)  ,[object Object],[object Object]
“ What is your opinion about the care you received at St. John Eye Hospital?‟   ,[object Object],[object Object],[object Object],[object Object]
Patients were asked if they had problems causing delay in treatment? ,[object Object],[object Object],[object Object]
It was common for patients to receive both positive and negative views from relatives, friends, fellow-patients and doctors. ,[object Object],[object Object]
3 rd  component was a LASER Audit of 1 months work from 2008 (67 eyes of 40 patients) ,[object Object],[object Object],[object Object]
We compared our results with the Uk’s National Diabetic Retinopathy Laser Audit  (1999) ,[object Object],[object Object],[object Object]
Vitrectomy Audit, for a 12 month period, 34 eyes of 19 patients (2006) ,[object Object],[object Object]
We compared this audit to a in India (Erakyun and Egrilmez) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Last component was a series of interviews with Key Professionals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
In conclusion: ,[object Object],[object Object],[object Object],[object Object],[object Object]
CONCLUSIONS ,[object Object]
Thank you for your attention!

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Situational analysis of diabetic services in West Bank, Retina Today conference, Tel Aviv, April 2011

  • 1. A situational analysis of diabetic retinopathy services in the West Bank Presented by Nick Sargent, FRCSEd (Ophth), MSc CEH. St. John Eye Hospital, Jerusalem
  • 2. The St. John Facilities East Jerusalem Hospital Gaza Hospital Anabta Clinic Hebron Hospital Mobile outreach clinic
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  • 12. There appears to be a north south divide in terms of services
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  • 26. Thank you for your attention!