This report brings together information about the scope of the awareness creation, screening and eye care support by way of promoting vision and eye health in Ghana in 2017 by Kog Kriationz Network, a non-governmental organization with permission from Ghana Health Service and Ghana Education Service. The project was dubbed Avoidable Blindness Elimination Project (abep’17).
Working with Experts in eye care delivery from Ghana Health Service and Friends Eye Centre, we embarked on avoidable blindness elimination awareness (abep) in order to prevent the calamity of blindness from befalling on people and also addressed some prevalence of vision disorders among children and adults to help reduce its impact in Atebubu-Amantin District, Jaman South District, Pru East District, Sefwi Wiawso Traditional Area and Tamale Metropolis.
Due to the fact that majority of the people cannot afford the cost of solving eye related cases, due to extreme poverty, we partnered with Eye Foundation of America, Oheneba Kasempa Enterprise and Friends Eye Centre to either give them eye glasses or eye drops or let him under go eye surgery depending the status of one’s eye, these includes cataract, squint, Pterygium among others.
This year, a total number of 3,924 people were screened. we gave free 526 eye glasses, 2,569 eye drops and performed 197 eye surgeries with 80% of surgeries being Cataract.
Sefwi Wiawso Traditional Area (Western Region) recorded 1996 people screened in 5 Basic Schools and 10 Communities. Males 1032 and Females 964
Basic Schools: Nakams Schools, Sefwi Amafie JHS and Aduma JHS, Ayeboso JHS and Anyinabrim JHS
Communities: Royal Palace, Adwuman Community, Ayeboso Anyinabrim, Sefwi Wiaso Palace, Ackaakrom Community, Akontombra Community, Sefwi Bodi District, Juaboso Community, Essam Community and Adabokrom Community
The diseases diagnosed were as follows
- Conjunctivitis - 8
- Glaucoma - 118
- Bil. Cataract - 9
- Allergic conjunctivitis - 768
- Presbyopia - 455
- Bil. Imm. Cataract - 20
- Normal eyes - 8
- Dry eyes - 88
- Photophobia - 4
- Cornea scar - 10
- Retina Scar - 1
- Pseudophakia - 9
- Refractive error - 18
- Absolute glaucoma - 2
- Cataract - 284
- Infective Conjunctivitis - 1
- Pteryguim - 64
- Hypertensive Rectinopathy - 1
- Myopia - 10
- Imm. Cataract - 19
- VST - 10
- Corneal Ulcer - 1
- Traumatic Cataract - 2
- Iris Colomboma - 2
- Nystagmus - 4
In the Northern Region (Tamale), 214 people were screened; Males 125 and Females 89
- Normal Eyes - 16
- Presbyopia - 6
- Allergic Conjunctivitis - 20
- Conjunctivitis - 19
- Ocular Allergy - 12
- Refractive Error - 12
- Retinitis Pigmentosa - 1
- Vernal Conjunctivitis - 1
- Cataract - 40
- Dry Eyes - 5
- Bil. Cataract - 2
- Glaucoma - 21
- Ocular Hypertension - 13
- Exotropia - 3
- Critical Blindness - 1
- Cornea Scar - 4
- Pseudophakia - 5
- Imm. Cataract - 6
- Pterygium - 8
- Congenital Glaucoma - 1
- Absolute Glaucoma - 1
- Blind Eye - 2
- Pthysis - 2
- Alternation Squint - 1
- Infective Conjunctivitis - 1
- Squint Eye - 1
- Asthenopia - 1
- Mucular Scar - 1
- Glaucoma Susp. - 8
In the Brong Ahafo region, we visited three districts; Pru-East, Jaman South and Atebubu-Amantin
PRU EAST DISTRICT; A total of 895 people were screened in 6 Basic Schools and 5 Communities of which 440 were males and 455 were females
Schools: Yeji Royal JHS, Al Iman Islamic JHS, Labun Quarters D/A JHS, Sawaba D/A JHS, Labo D/A JHS and D/A No.2 JHS
Communities: Nchamba, Parambo, Fante Akura, Kajaia and Cherepo
- Normal Eyes - 559
- Allergic Conjunctivitis - 94
- Suspicious Disc - 4
- Glaucoma - 8
- Refractive Error - 24
- Presbyopia - 24
- Bil Immature Cataract - 23
- Bil Cataract - 26
- Squints - 3
- Bil matured Cataract - 25
- Dry Eyes - 9
- Ocular Pain - 21
- Conjunctivitis - 20
- Blind Eye - 3
- Cataract - 7
- Vernal Conjunctivitis - 15
- Pterygium - 10
- Corneal Scar - 10
- Maculopathy - 2
- End Stage Glaucoma - 8
Jaman South (Drobo) District, 4 Basic Schools and 2 Communities benefited from the project.
Basic Schools: Japekrom Meth. JHS, Nyamefie D/A JHS, Adamsu R/C JHS and Drobo Demonstration JHS
Communities: Gonasua and Faaman, 455 people were screened. 244 were Males and 211 Females.
- Normal Eyes - 247
- Refractive Error - 16
- Cataract - 2
- Glaucoma - 21
- Matured Cataract - 8
- Dry Eyes - 25
- Bil. Immature Cataract - 12
- Corneal Scar - 3
- Allergic Conjunctivitis - 40
- Imflamed Pterygium - 5
- Tramatic Uveitis - 7
- Presbyopia - 5
- Conjunctivitis - 11
- Suspicious Disc - 16
- Foreign Body R/E - 4
- Foreign Body L/E - 1
- Severe Allergic Conjunctivitis - 4
- Disc Extemx - 1
- Pale Disc - 1
- Retinal Scar - 5
- Refractive Allergy - 1
- Vernal Conjunctivitis - 18
- Chalazion - 1
- Slight L/E Error - 1
ATEBUBU-AMANTIN DISTRICT
364 people were screened in 5 Basic Schools and 7 communities. 189 Males and 175 Females.
Basic Schools: Atebubu S.D.A JHS, Atebubu Anglican JHS, Atebubu R/C JHS, Amantin Anglican JHS and Atebubu Owusu Asare JHS
Communities: New Kokompe, Sawankyi Afrefreso, Akokaa, Jato-Zongo, Amantin Fante Newtown and Grumaline-Amatin
- Normal Eyes - 44
- Allergic Conjunctivitis - 75
- Cataract - 6
- Immature Cataract - 10
- Refractive Error - 47
- Bil. Cataract - 59
- Matured Cataract - 10
- Glaucoma - 20
- Bil. Inflamated - 3
- Presbyopia - 22
- Painful Blind Eyes - 9
- Ocular Pain - 9
- Vernal Conjunctivitis - 5
- Inflamed Pterygium - 11
- Dry Eyes - 2
- Conjunctivitis - 30
- Corneal Ulcer - 1
- Hypertensive Retinopathy - 1
IMPACT
The project has made a significant impact on beneficiaries, families and the society at large this is because, people who hither to could not see, can now walk freely to go about their business and thereby offloading financial and social burden from their families, children who could have become liability to the society are now in school learning.
CHALLENGES
Poor road network hold a major challenge to the work as our vehicle is not strong enough to be used on some of the feeder roads.
The cost of transporting people from the hinterland to the facility for the surgery as well as housing them till padded is be removed are all difficult issue.
Getting astigmatic glasses for cases is problem as some are expensive.
We are also faced with logistical as well as financial challenges as the team finds it difficult to cover more areas with logistic available even though it is our wish to reach a great number of people in a similar situation.
CONCLUSION
Prevalence rate of blindness currently by Ghana-Health-Service is at 0.74%, representing 207,200 (Cataract is leading with 54.8%, Glaucoma19.4% and Diabetic-Retinopathy 12.3%).
Severe visual impairment is at 1.07%, representing 299,600 (44.4% uncorrected refractive error is major cause and only 5% uses glasses).
Much work remains to build awareness of the significance of vision disorders, effective vision screening practices to ensure the early detection, diagnosis and treatment is key and to make sure every district or metropolis has a comprehensive system to promote vision and eye health in Ghana.
Our profound gratitude to our partners; Eye Foundation of America, Friends Eye Centre and Oheneba Kasempa Enterprise. And thanks to Ghana Health Service, Ghana Education Service, Sefwi Wiaso Traditional Area, Various District Assemblies and Members of Parliament in visited areas for their support.