20122015 Objective To improve the vision of adolescent students teachers and adults in Jakarta and its surrounding area by establishing schoolbased and communitybased systems for identifying uncorrected refractive errors URE and providing free or lowcost corrective eyeglasses and referr ID: 915832
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Slide1
HKI’S REFRACTIVE ERROR PROGRAM
2012-2015
Slide2Objective: To improve the vision of adolescent students, teachers, and adults in Jakarta and its surrounding area by establishing school-based and community-based systems for identifying uncorrected refractive errors (URE), and providing free or low-cost corrective eyeglasses and referrals for further examination and treatment when required.
Slide3Slide4DESAIN PROGRAM
Mapping
&
Socialization
Training of School Health Unit Teachers
Visual Acuity Screening
Refraction Examination
Referral
Distribution of Eyeglasses
Compliance monitoring
Follow up
Education
Development of Communication Materials
Slide5Program Activities
Total April 2013 - September 2015 RE Program
Student
Male
Female
Total
No. of schools screened
-
-
144
Screened
41,328
48,796
90,124
Failed Screening
8,951
18,322
27,273
Refracted
7,78515,934
23,719
a Received eyeglasses
6,059
12,099
18,158
b Normal Vision
748
1,429
2,177
c Referred
187
228
415
d Current eyeglass still appropriate
709
2,063
2,772
e Refused eyeglasses
82
115
197
Absent on the day of screening
1,166
2,388
3,554
Teachers trained
-
-
-
Slide6Initially HKI’s program was only screening at schools;
To
expand access to primary eye
care,
HKI built the capacity of five
primary health centres to create a sustainable mechanism for screening and providing the first level of support for patients with eye conditions;The
services included provision of training of school health unit teachers, identification and management of common eye health disorders and referral of the more complicated eye health conditions to hospitals.
Slide7Male
Female
Total
Jatinegara
343
663
1006
Johar Baru
152
327
479Cengkareng
2858
4654
7512
Jagakarsa414
679
1093
Tanjung Priok1841
26234464
Total5608 (38.5%)
8946 (61.5%)
14554
Slide8Refractive Error Program (School based):Nearly 30% of children aged 11-15 have refractive error;
Of the children with refractive error, only 10% of them have adequate glasses;
More than 40% of the children that need glasses had never used them before;
School health unit (UKS) teachers can be trained to identify refractive error among children;
On a percentage basis, girls had twice the prevalence of refractive error as compared to boys;
Refractive error increases by age, increasing from nearly 20% among 11-year-old children to nearly 30% among 16-year-old children; and
More than 95% of the refractive error among children is myopia.
Slide9Refractive error program (PHC-based):The most commonly seen eye condition in the PHC is RE followed by cataract;
Refraction services are not a part of the regular service at the PHC as PHCs do not typically have a
refractionist
on staff.
Training of the UKS teachers by trained nurses at the PHC may be an effective approach for a sustainable school screening program.