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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Nkhoma Eye Hospital
- 1. Nkhoma Eye Hospital, Malawi October 2010 Nkhoma Eye Hospital Malawi CBM-supported eye care programme in Southern Africa
- 2. Nkhoma Eye Hospital, Malawi October 2010 Nkhoma Eye Hospital Malawi CBM-supported eye care programme in Southern Africa
- 3. Nkhoma Eye Hospital, Malawi October 2010 Nkhoma Eye Hospital • Africa • Malawi • Nkhoma Christian Mission Hospital • Nkhoma Eye Hospital
- 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. 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. 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. 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. Nkhoma Eye Hospital, Malawi October 2010 Nkhoma Eye Hospital Sustainability • Malawian Clinical Officer Cataract surgeon • Training Malawi Ophthalmologists
- 9. Nkhoma Eye Hospital, Malawi October 2010 Nkhoma Eye Hospital • To date, over 30,000 cataract operations performed at Nkhoma.
- 10. Nkhoma Eye Hospital, Malawi October 2010 cbm Support • CBM supported Nkhoma for past • 34 years
- 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. Nkhoma Eye Hospital, Malawi October 2010 Why does Cataract Surgery in Nkhoma Cost £20? • Transport & Case-finding
- 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. 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. 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. Nkhoma Eye Hospital, Malawi October 2010 £20 • Patients receive: • Accommodation • 3 meals a day • Surgery • Medicines • Glasses if needed • Transport
- 17. Nkhoma Eye Hospital, Malawi October 2010 A Patient’s Journey • In the mobile clinic
- 18. Nkhoma Eye Hospital, Malawi October 2010 A Patient’s Journey • In the hospital
- 19. Nkhoma Eye Hospital, Malawi October 2010 A Patient’s Journey • Back at home with the family
- 20. Nkhoma Eye Hospital, Malawi October 2010 A New Life
- 21. Nkhoma Eye Hospital, Malawi October 2010 A Patient’s Journey • In the mobile clinic
- 22. Nkhoma Eye Hospital, Malawi October 2010 A Patient’s Journey • In the hospital
- 23. Nkhoma Eye Hospital, Malawi October 2010 A Patient’s Journey • Back at home
- 24. Nkhoma Eye Hospital, Malawi October 2010 A New Life
- 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. Nkhoma Eye Hospital, Malawi October 2010 But why? • Humanitarianism • Honouring a person’s dignity, who does not have a choice
- 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. Thank you..
Editor's Notes
- 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.