Bangladesh

80% of blindness in Bangladesh is due to cataract. Photo: Hugh Rutherford

80% of blindness in Bangladesh is due to cataract. Photo: Hugh Rutherford

Well over half a million people in Bangladesh are blind from cataract, and they needn’t be. The Foundation is helping to tackle this enormous backlog by training eye health workers and supporting improvements to the public health system.

Overview

Bangladesh is one of the lowest lying countries in the world with a network of rivers that criss-cross the country and form part of a huge delta.

Patients waiting to have their eye patches removed post surgery, Bangladesh. Photo: Hugh RutherfordThe delta floods regularly – 23 million people were left homeless after massive flooding in 1998 – and around one third of Bangladesh’s population of 146 million are malnourished and living below the poverty line.

Cataract accounts for up to 80% of blindness in Bangladesh and, because of extreme poverty and lack of awareness that cataract blindness is preventable and treatable, many people unnecessarily become and remain blind.

One big problem is that most eye care services in Bangladesh are based in major cities and more than three quarters of the country's population lives in rural areas without access to services.

The Foundation is working with the Government of Bangladesh on the National Eye Care Plan to eliminate avoidable blindness in the country by the year 2020.

Achievements 2010

Through our program work, The Foundation:

  • screened 52,745 people
  • performed 3,087 cataract operations, and 12,492 other eyesight interventions
  • trained 483 community health workers, 19 nurses and clinic support staff, and 2 ophthalmologists
  • provided $159,755 in equipment and infrastructure
  • ran school screening programs and held outreach surgical clinics across four districts
  • supported the National Institute of Ophthalmology & Hospital (NIO&H) to increase coordination amongst National Eye Care stakeholders at national, district and sub-district level through promoting data collection
  • supported District VISION 2020 Coordination Committees, promoting community engagement and leadership of district program activities
.

About the program

The Foundation’s program in Bangladesh is growing fast. We are currently working in seven districts in partnership with government owned and run district hospitals, thus supporting Bangladesh’s National Eye Care Program. We are also assisting national non-government organisations (NGOs) working on eye care in other districts.

The Foundation helps train and equip local eye health professionals and community workers.We focus on:

  • providing training for ophthalmologists, eye care nurses and other healthcare personnel
  • providing equipment for outpatient clinics and operating theatres
  • developing referral and supply systems at district and sub-district level to strengthen eye health services all over the districts where we work

In 2008, as well as providing training, we funded refurbishing and equipping the eye care units at Brahmanbaria and Satkhira District Hospitals. In 2010, we provided funding to hospitals in the Jamalpur and Narail districts. Our support was extended to three new districts in 2011 and will extend to three more in 2012.

With our local partners, we organise Outreach Mobile Eye Clinics (OMECs), where teams from the eye units of district hospitals conduct intensive high volume cataract surgery clinics as part of the Bangladesh District Eye Care Program.

The Foundation’s partner – National Eye Care – funds the purchase of medicines, intraocular lenses (IOLs), operating-theatre dress for the OMEC surgical teams, as well as consumables such as eye patches and eye drops. Increasing community awareness about eye health, event arrangements, patient transport, accommodation and food are also arranged and sponsored by The Foundation.

Facts and figures

Eye health
Number of blind people 750,000
Main causes of blindness cataract (80%), refractive error, macular degeneration, uncorrected aphakia
Number of people with cataract blindness 650,000 backlog of cases and an annual incidence of 130,000 cases
Number of cataract operations performed annually 120,000
Number of ophthalmologists 626
Reasons for low cataract surgical rates and backlog lack of trained eye health personnel, lack of access to eye care services people living in remote areas and low public awareness
Childhood blindness rate approximately 40,000 children are blind (12,000 cases due to cataract)
General health
Population 164.4 million        
Urban population 28.1%
Life expectancy 66.9 years
Infant mortality rate (per 1,000 births)     43
Population which is undernourished 26%
Population living on $1.25 per day 49.6%
Adult literacy rate 55%
Number of doctors (per 10,000 people) 3

Sources: Human Development Report 2006, UNDP, World Health Organization and UNDP Human Development Report 2010

What we can do

Help keep Fred’s dream alive.

3 out of 4 people who are blind in the developing world don't need to be. Routine treatment costing as little as $25 can restore sight and hope.


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