Kwale District Eye Centre - Kenya

Half-year Report - January to June 2009


1 - Highlights

Glaucoma numbers still high

New cataract surgeon

Last year we reported that the number of people detected and treated with glaucoma had tripled.

This trend continues.

Glaucoma screening in the field

Above: Glaucoma screening in the field

Lillian Nyaboga spent six months with us while training.

She passed her final exams and began full time work with us in May.

Lillian at work

Above: Lillian at work

Albino awareness

Accreditation from NHIF

More than 300 people with albinism gathered in Kwale town to advocate for their rights.

Right: Perhaps Beja has more chance of a normal life

Perhaps Beja has more chance of a normal life

KDEC has been recognised as a provider of quality eye services and granted accreditation by the National Hospital Insurance Fund (NHIF).

This means that patients can reclaim some of their costs.


2 - Disease Prevention

Glaucoma is the second commonest cause of blindness in Kwale.

With our rebound tonometer we can check eye pressure painlessly and quickly in the field. Because of this we are identifying more glaucoma sufferers earlier in their disease.
Last year we reported that we tripled the number of people who had surgery for glaucoma to prevent them from losing vision. Our surgery numbers this year show that this trend continues.

This shows how important it is to have portable, accurate and easy to use machines backed up by good community based work and quality surgery.


3 - Networking

Too weak for surgery

Mnyazi was born blind due to cataract. He cannot have sight restoring surgery as he would almost certainly not survive the anaesthesia.

This is where our networking with government and NGOs comes in.

We referred him to the government District Nutritionist, who admitted both mother and son and supplied fortified nutrition to build up his strength.

Mnyazi is gaining strength

Above:: As we write this Mnyazi remains blind, but he is gaining strength.

Rai makes progress

We hope soon to be reporting a success story for Mnyazi similar to that of Rai who has many new friends at his school.

Rai, who was born blind with cataract, featured in our last report as he set off to nursery school.

The photo on the right shows Rai with some of his new friends.

 

Rai with some of his friends

Advocacy and Human Rights

People with albinism can experience terrible lives in East Africa.

They are outcasts and may even be murdered and their body parts used in traditional rituals.

KDEC, Verkaart Foundation and The Albinism Society of Kenya got together to have an awareness day.

This was to encourage the community to accept them as normal members of society.

The all albino dance troupe from Tanzania

Above: The all albino dance troupe from neighbouring Tanzania encourage people with albinism to be happy to be alive.

Mishe leaves darkness

Everything was fine with Mishe until two years ago when her eyesight started failing.

She assumed that the problem would cure itself. She certainly could not afford time away as, like many grandmothers in Africa, she was full time nanny for her six grandchildren.

When darkness finally engulfed her and she could no longer cope with the children, Mishe made up her mind to seek help.

She was led to a screening in the community by KDEC and bussed to the Centre for surgery. She was so delighted to be able to see again after the surgery that she could not stop talking about it!

She could not wait to get back to her grandchildren who had probably been getting away with all sorts of things since she had been gone!

Mishe can see again

Above: Mishe can see again

Working with Families

For rehabilitation to work, family members have to be intimately involved. Edith does not see well with her left eye.

In the photograph on the right we see Edith’s mother applying an eye patch to her child and stimulating her lazy eye by showing her colourful objects. She needs to spend at least an hour each day doing this.

Edith's mother applying an eye patch

Above: Edith's mother applying an eye patch


4 - Eye Camps

Easter Camp at Taveta

In Kenya most people travel to see their relatives at Easter. Not so our hard working team who were traveling to Taveta, some 150kms away to restore sight.

So, while most people were enjoying a break with their relatives, our team saw over 1,000 people and operated on 100.

People waiting to be seen at the camp

Above: People waiting to be seen at Taveta.

Msila sees light

Msila was screened at another of our field camps. He was 70 years old and walked for 3 hours to reach us. He was blind due to cataract but he also had glaucoma. The combination of high pressures and dense cataracts raised serious doubts about the success of surgery.

Knowing the chances of seeing again were small, Msila bravely had combined surgery (for cataract and glaucoma) on his left eye. Now he could see his grandchildren, walk around his farm and count his chickens. One of the team later reported ‘When we left him he prayed for us and asked God to give us good health and healing in our hands to help more people like him’.

 

Msila's smile (centre) speaks for itself

Above: Msila's smile (centre) speaks for itself


5 - Infrastructure

Green Centre

KDEC has been awarded “Carbon Zero” status after a carbon balance audit by co2balance Kenya.

The photo on the right shows Rehema demonstrating to kitchen staff how to use the new carbon friendly cooker donated by Co2 balance Kenya.

Using the carbon friendly cooker

Other improvements

A patient shower has been installed.

The roof has been repainted.

As well as making the roof last longer, the repainting guarantees visibility from space as seen on Google Earth!

The roof has been repainted


6 - Staff & Training

Many people visit Kenya to relax, soak up the sun on serene white beaches or go on safari to see the Kenyan countryside and wildlife.

For one team of German Rotary Volunteer Doctors, however, their holiday was business as usual.

Training for staff was done during this visit. Included was a post-graduate student from the University of Nairobi on practical attachment KDEC who was very privileged to receive training from the visiting doctors specialized in different fields in ophthalmology.

Prof Schuette, Oliver, Fanny and Prof Krizok at work

Above: Prof Schuette, Oliver, Fanny and Prof Krizok at work


7 - Visitors to the Eye Centre

  • J. Benzimra - UK
  • John & Vivi Marshall
  • Tillmann, Annelie Brandenburg & Brigitte
  • Prof. Krizok, Fanny, Dr. Schutte & Prof. Schutte - Germany
  • Mary Moon & Helen Knighton - UK
  • Anderson Murithi - Ukunda
  • Junglas Willi - Munchen, Germany
  • Helen, Flavian & Helmut Gunther - Germany
  • Mrs A. Dodds, Mrs. J. Dean - EFEA(UK) Trustees
  • Dr. R. Humphry - Honorary Ophthalmic Consultant, EFEA(UK)
  • Ursula Fendt - Rottenbucher, Germany
  • K. Cutler - St. Andrew’s Senior School, Turi
  • John & Shirley Baker - North Wales, UK
  • Dr. E. Schuster - UK
  • Braeburn International School Mombasa, year 5 pupils
  • S.P. Mwiathi - District Development Officer, Kwale District
  • F. Beasly - France
  • R. Alfani - CDA Matuga
  • T. van Aken & Nienke, Verkaart Development Group
  • Bob Miller - UK (return visit)
  • R. Frick - Germany
  • Diani/Ukunda Epilepsy clinic staff
  • Tronpish Eva - Ukunda
  • C.Helmeri - Diani
  • Ms. F. Versi
  • Jitu & Deepak, Hindu Ramsena, Mombasa
  • Dr. K. Freudenberg - Germany
  • E. Hagemann - Germany
  • S. Mdune - Mombasa
  • K.Akolo, VSO - Nairobi
  • James, Nancy & Mary, SSI, Nairobi
  • K. Mwasi & L.A. Maina - Airkenya, Mombasa
  • D. Dean & M. Baker - London
  • Mr. & Mrs. Hetterling - Germany
  • M. Ali - Madrasa Resource Centre, Mombasa
  • Mr. & Mrs. Alward & Erin - USA

Jim Crow EFE (UK) Trustee visits the centre at his own expense

Above: Jim Crow, EFEA (UK) Trustee visits KDEC. The ‘CEO’ as he is jokingly referred to spent seven weeks helping with management procedures and giving advice to KDEC.

Inner Wheel Club of Mombasa present a cheque to Dr Helen

Above: The Inner wheel Club of Mombasa present a cheque to Dr. Roberts.

Members of the Medical Practitioners & Dentists Board with Dr Roberts & Rehema

Above: Members of the Medical Practitioners & Dentists Board with Dr. Roberts & Rehema after their assessment. KDEC seeks recognition as an official training centre for eye care personnel.



8 - Fundraising & Publicity

Safaricom Diani Rules 2009

Despite the global economic crisis, the 2009 Safaricom sponsored Diani Rules raised a total of Ksh1.7million (Approx. US$24,300) for eye care.

Our thanks go to all the participants.

 

Doing our bit for sight restoration

Above: Doing our bit for sight restoration’ was the message from these participants.

Safaricom team takes to the waves

Above: The Safaricom team takes to the waves.

Visibility at the Likoni ferry channel

KDEC took advantage of the newly commissioned giant LED advertising screens at the busy Likoni ferry which links Mombasa to the South coast by displaying a 30 second advert showing where we are and what the Eye Centre provides.

Diani Beach Touch Rugby

20 international teams played touch rugby on the beautiful sands of Diani Beach in April to raise money for the eye centre. Many thanks to George Barbour of Ali Barbour & Forty Thieves restaurant, who organised the event which was aired on DSTV.


9 - Statistics January to June 2009

Activity

Target 2009

Done
(Jan-Jun 2009)

Eye Care

 

 

Patients seen at KDEC

9,100

4,746

Operations:

1,840

1,060

- of which how many were cataracts (IOLs)

1,300

807

- of which how many were blind in both eyes

 

145

Glaucoma Operations

100

60

Community Work

 

 

Awareness Creation Meetings

220 reaching 20,000 clients

117 reaching 13,154 people

Rural Health Workers follow-up

30

0

Women's Groups

18 reaching 270 people

10 reaching 151 people

Village Health Committees follow-up

38 reaching 570 people

15 reaching 224 people

Outreach clinics

130 reaching 9,100 people

86 reaching 5,414 people

School Awareness Meetings and screenings

24 reaching 4,800 children

6 reaching 1,493 children

Low Vision / Education

 

 

New Cases found

65

28

Integrated into mainstream education
i.e. pre-primary, primary & secondary

50

11

Primary schools visited

20 reaching 160 teachers

0

Community meetings held

40 reaching 2,000 people

14 reaching 1,044 people

Follow-up low-vision cases

160

85

Rehabilitation

 

 

New Cases found

55

32

Assessed (initial)

55

22

No. followed-up (trained visually impaired persons)

100

61

Given home based training

75

8

Community meetings held

50 reaching 2,500 people

13 reaching 1,156 people

Deaf Blind

   

New cases

10

5

Assessed

30

6

Provided with Rehab services

25

0

Training of Deaf/Blind families

25

0


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