Kwale
District Eye Centre - Kenya
Half-year Report - July to December 2005
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Mission Statement |
| KDEC aim is to eradicate avoidable
blindness. |
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- Operations at all time high
- Awareness creation remains the most important tool,
especially in disability
- 4 WD vehicle pledged by Christoffel Blindenmission
International
- Women group trainings a success
This year, work in the community was very successful, with 1,708 cataracts
performed in 2005. The impact of eye surgery on the individual is immense
but, in the bigger picture, we feel that the most important thing is
to continue to create awareness of eye disease and disability. Community
awareness and involvement at every stage of service delivery was increased.
Over 20,000 people attended these meetings this year. |

Above: This women’s group brought
us 17 cataract patients the week after they had a training on eye disease
and disability
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2
- The Challenges |
Disability – the children
Children who are ‘not normal’ are still often hidden away
from society, especially if there is an element of mental disability.
Their own parents often prevent them from leading a normal life. The
community needs to question this approach.
The best way to enable this to change is to create awareness about people
with disability. Specifically, that they exist, they are people like
the rest of us, with feelings and rights, and then show the community
what these people are capable of doing, despite their disability. 37
meetings of this kind were held reaching 2,320 people directly.
Often the best place to start, especially with the recently-introduced
free primary education, is the schools. We began with the teachers themselves,
many of whom did not realise that a visually disabled or even blind
child can learn well alongside a sighted child. 477 teachers in 50 primary
schools were visited.
The teachers and the school inspectors need to understand
what low vision is and how to best help a child with low vision. 36 teachers
were trained on how to support children with low vision; 10 were taught
Braille skills, so they can help totally blind children.
68 children with low vision reached us for help for the first time in
2005 and twice as many partially sighted children as last year were integrated
into mainstream primary education. 40 parents were helped
to accept the individual conditions of their children and to understand
their abilities, limitations and needs.
Adults with Disability
Adults are helped as well as shown in the photograph to the right.
Other adults given assistance have started small shops
or farming goats, chickens and even cows. |

Above: Visual stimulation.
It is vital that every child makes the most of their vision as soon
as they can because the nerve pathways to interpret what the eye sees
continue to develop up to the age of 7.
 Above: This albino girl can learn
in a normal primary school but she needs spectacles and large print books. 
Above: Thuweba, our Project Manager,
admires a sweater knitted by our blind client after we funded some spare
parts for her machine. |
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3 - Rehabilitation |
| Despite the 316 irreversibly blind people on the rehab programme, we
know that many people who are blind are still being hidden away.
Even when identified as being irreversibly blind, the family are often
over protective and will not allow these people to do things for themselves.
Again, awareness creation is the key to changing the community’s
attitude and enabling these people to lead a more independent life.
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4 -
Outreach Safaris |
In remote areas in Kenya with no eye care
services four outreach safaris were done with Medical and Education Aid
to Kenya (MEAK) – a
UK based charity. |
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5 - Fundraising |
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Eye Go Fishing
This annual event was held on the North Coast in
November, raised Ksh230,000/- (approx US$3,066) Right: Karl Jennings won the 2005 David Parry Memorial trophy |
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6 - Publicity |
World Sight Day
Right: Dr Helen thanks Pili who represented
the group who referred the most number of patients. Our Guest of Honour,
Amb. C. Mwakwere (Minister for Foreign Affairs) presented the trophy.
Mr Mwakwere’s father was one of our original committee members! Charity Shop & Awareness Centre
At the Diani Beach shopping centre
continues to do well; we need items to sell. Sign Posts
More
of these were put up on the main road to give people time to decide to
stop for an eye check or write down the website address.
Open Day for Low Vision
This was held on 13th July at KDEC to create awareness.
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Above: Dr Helen with Pili and the guest of honour.

Above: The area District Commissioner, Fred
Mutsami, chats with patients after presenting a cheque from Kenya Charity
Sweepstake.
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7 -
Donors 2005 |
- Africaonline
- Arya Samaj Foundation
- Trustees of Aylesfield
- Austrian Red Cross
- Mr. KK Babla
- Baraka FM
- Barclays Bank
- Ms. M.Biagini
- Canadian Fund
- Mrs Chincherini
- Christmas Trust
- Christoffel Blindenmission International
- Changamwe Muslim Asociation
- Dark & Light
- Mrs Dickson
- East African Womens League
- Elizabeth Frankland Moore and Star Foundation
- Fleet Rotary Club
- Kenya Charity Sweepstake
- Kenya Ferry Services
- Lions Club Msa Central
- MEAK
- Mombasa Womens Association
- Ramsena
- Safaricom
- Scuba Schools International
- Sight Savers International
- Sight & Life
- Top Shop
- Mrs. I. Tyson
.. and many others, all of whom we thank |
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8 - Sources of Income 2005 |
Christoffel Blindenmission International |
20% |
Sight Savers International |
29% |
Patient income |
10% |
Donations Worldwide |
40% |
Others (including local fundraising) |
1% |
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9 - Visitors
to the Project |
- P Okumu – NGO Corporate Communication
and Networking
- P Kisombe – Action Aid
- F Kiluva – CBM Nairobi
- Kilimanjaro Community Centre for Ophthalmology, Tanzania
staff
- District Commissioner, Kwale District
- Mr. P. Cummings
- J. Crow – Trustee, EFEA(UK)
- A Mwakideu – Baraka FM
- R Steven & A Patel – Alcon S Africa
- E Mumbo, Dr Z Bagha – Ministry of Health, Kwale
District
- Rotary Club of Diani members
- J Watkins-Pitchford
- East African Women’s League – South Coast
branch members
- Medical Practitioners & Dentists Board
- HE A. Wood – British High Commissioner to Kenya
Photograph on the right:
His Excellency Adam Wood
, the British High Commissioner, passes his eye examination. |

Above: Dr. Vogel at a field screening

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10 - Statistics
2005 |
| Activity |
2005 Target |
Achieved |
Eyecare |
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Patients seen at KDEC |
10,200
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8,947
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Patients seen in the field |
10,200
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7,398
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Operations |
1,840
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2,111
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Of which how many were IOLs |
1,500
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1,708
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Of which how many were blind in both
eyes |
500
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306
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Community-based Programme
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Awareness Creation Meetings |
240 reaching 12,000 clients |
214 reaching 20,204 |
Village Health Committees |
Newly trained |
1 |
1 |
Re-training |
14 |
14 |
Reactivated |
42 reaching 630 people |
All 42 done
A second
round done to 35 groups |
Outreach clinics |
120 reaching 10,200 people |
122 reaching 7,398 people |
Cataracts referred through CBP |
1,200 |
1,058 |
Children with Low Vision and Work with Education
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New Cases identified |
60 |
68 |
Integrated mainstream education |
35 |
31 |
Primary schools visited |
50 reaching 500 teachers |
56 reaching 477 people |
Community meetings held |
40 reaching 2,000 people |
37 reaching 2,320 people |
Follow-up |
80 |
74 |
Rehabilitation of irreversibly-blind Adults
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New clients identified |
60 |
50 |
Those assessed for first time |
60 |
75 |
Those with whom training began |
60 |
39 |
Community meetings held |
50 reaching 2,500 people |
50 reaching 3,247 people |
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