Kwale District Eye Centre - Kenya

Half-year Report - January to June 2006


1 - Highlights

 

Safaricom Diani Rules fund raising event makes a record Ksh1.3 million (US$19,000)

The photograph on the right shows Diani Rules participants pulling together to help children like Karisa (see item below).

  Pulling together to help children like Karisa

 

A 4-wheel-drive vehicle was part-donated by CBM (Christoffel Blinden Mission International).

The photograph on the right shows the vehicle being used to transport patients home after surgery.

 

  4 Wheel Drive vehicle being used to take patients homw after surgery

Karisa

Born blind from glaucoma in poor, rural Africa, Karisa faces a dim future.

With urgent surgery he may regain a tiny bit of vision but the outlook is very bad. Before the advent of KDEC he would have been hidden away from society and would probably not have made it to school age, let alone to school.

Now, he stands more of a chance. He will enter our low vision program.

The photograph on the right shows Karisa with his mother at the Eye Centre.

  Karisa with his mother at the Eye Centre

2 - Community Based Programme

We continue to sensitise the community on how to look after their eyes and encourage them to send people with eye problems to us.

The photograph top right shows a confused, afraid and blind Mtune arriving at KDEC.

Being blind means that you are dependent on somebody to help you with many things which we sighted people take for granted.

The photograph below shows Mtune seeing for the first time in years. She is with her daughter Ndinda after the operation. “God is great” she kept repeating when we took the eye pad off.

Seeing for the first time in years, Mtune with daughter Ndinda after the operation.

The photograph on the right shows Zidi who just needed a new pair of spectacles.

 

Confused, afraid and blind, Mtune arrives at KDEC

Zidi just need a new pair of spectacles

More and more we rely on the community's own resource persons (CORPs) to change peoples' attitudes. We talked in previous reports about the success of women's groups and village health committees. We see this as the way forward as these groups continue to refer cataract patients, low vision children and irreversibly blind people to KDEC. The increase in the number of children with low vision who reach us is because of this.


3 - Low Vision

Children with poor vision need special help.

The photograph top right shows low vision school children enjoy the story board at the Eye Centre.

The photograph below right shows Morris, who is excited because he can see clearly at last. His teacher was concerned because he was doing badly at school. A pair of spectacles changed all that.

Gradually the community are accepting that children with poor eyesight can learn in a normal school amongst their friends and neighbours.

In the photograph below, our vision therapist measures how much Morris can see with spectacles, by asking him to 'show us by drawing what you can see'.

Our low vision therapist measures how much Morris can see with spectacles

 

Low vision school children enjoy the story board at the Eye Centre

Morris is excited because he can see clearly at last.

 


4 - Rehabilitation

In some people we cannot restore their sight so we try to improve their quality of life through rehabilitation training.

Rehab Creates a Leader

Jonas, aged 54, was confident that, like many of his neighbours , his sight would be restored when he came to Kwale District Eye Centre.

Sadly, we explained that he would not see again, but that we may be able to help in other ways. Jonas was not impressed. ‘Pah! How can a blind man do those things they are suggesting?' he muttered to his wife.

Still sceptical, he did some rehab training enabling him to walk with a white cane, visit the toilet unaided and, in fact, go where he wanted. Suddenly after many years, he was to be seen out and about again, feeding his poultry and cattle, chatting to his neighbours. He could do most activities independently. He became well known and admired and was soon elected as Village Chairman.

He now represents his village in community development issues. He is much liked and respected by all those he works with.

Jonas confided in our rehab officer “I would be indoors, isolated and dependent were it not for you and for Kwale District Eye Centre”.

The photograph on the right shows Jonas, no longer muttering, and fellow blind people training for a normal life at KDEC .

  Jonas no longer muttering with fellow blind people training at KDEC

5 - Eye Camps

We work wherever we are needed.

Jubilee Insurance Company sponsored a camp at Aga Khan Hospital, Mombasa, in February.

Other eye camps were sponsored by MEAK (Medical & Education Aid to Kenya).

The photograph on the right show Aga Khan Mombasa Hospital staff visiting patients referred to the Eye Centre for surgery.

  The Aga Khan Mombasa Hospital staff visit patients referred to the Eye Centre for surgery

6 - Infrastructure

  • Dr Borgreffe and family visited, bringing with them a retinal laser funded by Dr Borgreffe and the German Prevention of Blindness Committee.
    The equipment was provided by Hans Beyeler of Analytica Ltd, Zurich and arranged by Dr. Vogel.
  • Two Haag Streit slit lamps were donated by Verkaat Foundation
  • Landcruiser partly donated by CBM to replace the aged Land Rover
  • Additional digital camera by an anonymous donor
 

Laser treatment in the outpatient hospital

Above: Laser treatment in the Outpatient department


7 - Staff

The post of Patient counsellor was created. Patients are now getting detailed explanations of their problems and those who need surgery make informed decisions as they are made to understand what their problem is.

Below: Eye Surgeon Roger Humphry MD FRCS FRCOphth visits

Eye surgeon Roger Humphrey visits

 

Below: Patient Counsellor Alice, marries Mathias

Patient Counsellor Alice marries Mathias


8- Fundraising

Safaricom Diani Rules 2006

For more info, visit www.dianirules.com

Future Events

Eye Go Fishing Competition 25th and 26th November on the North Coast .

World Sight Day 12th October at KDEC. This year we will go to schools and create awareness about blindness, teaching children and blindfolding them.

 

Throw a ball blind - Diani Rules

Above: Throw a ball blind – Diani Rules


9 - Visitors to the Project January to June 2006

  • Mr R Van Vliet

Mr Verkaat presenting opthalmic equipment

Above: Mr. Verkaat presenting ophthalmic equipment

  • Mr & Mrs Luginbuehl
  • Vonlanthen family
  • Mr & Mrs Springer
  • Inner Wheel Club of Mombasa
  • Ms A.Njuguna and B. Amimo– CIDA
  • Biagini FamilyMr & Mrs Hitziger
  • Dr Sherman, Ms Otieno– Aga Khan Hospital, Mombasa
  • S. Kassam- Jubilee Insurance
  • Mr. R. Humphry MD FRCS – Honorary Ophthalmic Consultant to EFEA( UK )
  • Dr L Manyara - KMTC
  • Mr S. Mwachirumu - Ministry Public Works
  • Team from Consolidated Bank
  • Team from Kilimanjaro Christian Medical Centre
  • Belusconie, Leporu. Child to Child for Africa Organisation
  • J Harrington & L Hart
  • R. Beleyer
  • Father Osiche
  • Rob Van Der Leuw
  • Sr M.Ngirigaca-Daughters of Sacred Heart
  • S.Himla & N. Kifani
  • R.MuanziDr Z.Bagha– District Medical Officer for Health
  • Sir Jeffery James- former British High Commissioner to Kenya
  • Mr C. HillMr. J. Crow – Trustee, EFEA (UK)
  • Teams from the Canadian High Commission and French & American Embassies for Diani Rules Sports Event
  • Mr & Mrs Strothjohann
  • G.Smith & H. Chapman

10 - To contact us

Both land lines have been down most of the time so we attached ourselves by radio link into Diani on 040 330 0118.

Mobile : +254 (0)722 785996

Email: eyeskwale@africaonline.co.ke

Website: www.eyesforeastafrica.org

Postal address: Kwale District Eye Centre, P.O. Box 90142 , 80100 – Mombasa


11 - Statistics January to June 2006

Activity

2006 Target

Achieved
(as at
30 June 2006)

Eye Care

 

 

Patients seen at KDEC

10,200

4,244

Operations

1,840

984

Of which how many were IOLs

1,500

766

Of which how many were blind in both eyes

500

281

Community Work

 

 

Awareness Creation Meetings

240 reaching 20,000 clients

137 reaching 12,740 people

Village Health Committee follow-up

42 reaching 630

30 reaching 412

Women Group follow-up

20 reaching 300 people

24 reaching 366 people

Community Workshops

6 reaching 150 people

6 reaching 99 people

Outreach clinics

130 reaching 11,050 people

62 reaching 7,124 people

Cataracts referred through CBP

1,200

359

Low Vision / Education

 

 

New Cases

60

40

Integrated into mainstream

40

17

Primary schools visited

50 reaching 400 teachers

13 reaching 161people

Community meetings held

40 reaching 2,000 people

9 reaching 506 people

Follow-up

80

48

Training of Parents of VI children

20

15

Training of primary school teachers

15

12

Follow-up of Ministry of Education officials

10

7

Rehabilitation

 

 

New Cases

60

27

No. Assessed (Started)

60

48

No. followed-up

100

69

Community meetings held

50 reaching 2,500 people

21 reaching 1,600 people

Home based training

60

27

Rehab training for IBPs and carers

50

42


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