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BRIEN HOLDEN VISION INSTITUTE
Professor Kovin NaidooGlobal Programs Director – Brien Holden Vision Institute
ASHOKA FELLOW
SCHWAB FELLOW
Source: http://www.vision2020.org/main.cfm?type=WHATISBLINDNESS
Global Eye Health ChallengeGlobal Visual Impairment (VA < 6/18)
640 million people are blind or vision impaired
simply because they don’t have
a pair of glasses
162 million disease-related
153 million
Uncorrected RE517 million Presbyopes
Total: 832 million
Consequence of Poverty
Licensing
Basic & Applied
Research
Collaborative
Research &
Product Develop
ment
Public Health
Commercialisation
Ophthalmic Research
Institute Vision and Eye Health
VisionMyopia
and Presbyopia
NGOUncorrecte
d refractive
error
Licenced 2 technologie
s fromVision CRC
to ATI
ATI Developing breakthrou
gh solutions
and surgical products
ATAComXISO
Certified Culture
The Brien Holden Vision Institute:Multifaceted strategy
Not for profit Commercialization - For profit
Brien Holden Vision Institute
• Preventing blindness and vision impairment by
supporting the building of sustainable eye care systems
worldwide
• Optometry development through optometry school
support, global access to optometry curricula &
practitioner training
• Developing breakthrough vision correction and eye health
solutions
• Developing research opportunities
Research
62%
Public Health 16%
Ed-uca-tion 10%
Brien Holden VisionCompanies 12%
Investing in Sustainability
TECHNOLOGY AND SUSTAINABILITY
Commercial Products
• Silicone hydrogel lenses
(account for 50% of $6.7b soft contact lens market sold annually – over $220m in royalties in the last 10 years)
• Soft toric lenses
• Myopia control spectacles
• Multifocal contact lenses
• Practitioner Education Programs: Essilor
Human Development:Public Health
Public Health Division• Founded as International Centre for Eyecare Education (ICEE)
in 1998
• 2012 – renamed Brien Holden Vision Institute Foundationaka Brien Holden Vision Institute – Public Health Division
• Addressing blindness and impaired vision due to uncorrected refractive error, through:
- Human Resource Development
- Service Delivery and Infrastructure
- Research
- Social Enterprise
South Africa
Vietnam
Pakistan
Cambodia
Darwin
PNG
Mongolia
Tanzania
Nigeria
Sri LankaUganda
Colombia
Public Health Division Locations
Ghana
Solomon Islands
Malawi
Mozambique
Eritrea
KenyaCameroon
Ethiopia
GambiaMali
Argentina
Paraguay
Haiti
Samoa
BangladeshIndia
Sydney
Education – 39,258 eye care personnel trainedOptometry Development – Training in 57 schools and 1,652 educators
Infrastructure – 400+ sites for eye careService Delivery – 287,222 spectacles dispensed
Blindness Prevention and Eye Health Programs
Responding to the service delivery
challenge
FLEXIBILITY AND LOCAL RELEVANCE
Service Delivery: different approaches needed
Reaching the 7 billion
Private Sector
Service Delivery: different approaches needed
Reaching the 7 billion
Public Sector
Service Delivery in KZN
3
3
2 4
2
2
1
2
3
3
8 33 optometrists11 Districts123 clinics1000 000 patients
Service Delivery: different approaches needed
Reaching the 7 billion
Social Enterprise
Social Entrepreneurship: Spectacle Technicians Training
• Developed a 6-week
course, part of a 6
month in-house
training
• Ideal to economically
empower individuals
• Creates affordability
in local communities
Education
67 CURRENT VISION LINK SCHOOLSSAUDI ARABIA 1
CHINA 11TAIWAN 3 HONG KONG 2
KOREA 5
SOUTH ASIA 21THAILAND 3PHILIPPINES 3MALAYSIA 4SINGAPORE 3INDONESIA 8
INDIA 13
SOUTH AFRICA 4University of MelbourneUniversity of New South Wales OTEN NSW College of TAFEQueensland University of TechnologyWA College of TAFE Auckland University
PGIMER, Chandigarh Aravind Eye Hospital, Madurai BVP School of Optometry, Pune Municipal Eye Hospital, MumbaiElite School of Optometry, Chennai Lotus College of Optometry, Mumbai SNDT Women’s University, Mumbai LV Prasad Eye Institute, Hyderabad Hari Jyot College of Optometry, Gujarat Nagar school of Optometry, Ahmedabad Gujarat & Mainpal College of Allied Health Services Nasik College of Optometry and Ophthalmic Sciences All India Institute of Medical Sciences, Delhi Bausch & Lomb School of Optometry, Hyderabad Vidyasagar College of Optometry Calcutta
Beijing Tongren Hospital Jingling Institute of Technology North Sichuan Medical College Wenzhou Medical College West China Sichuan University Shenyang Medical College Tianjin Medical University Tianjin Professional College Shanghai Second Medical University Varilux College of Optometry Training, TianjinZhengzhou Railway Vocation & Technical College
Hong Kong Polytechnic UniversityInstitute of Vocational Education (IVE)Chung Shan Medical UniversityJen-The Junior College of Medicine, Nursing & Management; Shu Zen College of Medicine & Management Kaoshuing
Beakseok College Deabul University Deajeon Health College Geunyang University Kyungwoon UniversityShinheong College Wongwang College
King Saud University
Cape and Province University of Technology University of the Free State University of JohannesburgUniversity of KwaZulu Natale
ARO Gapopin ARO LeprindoARO MedanARO Padang ARO Palembang ARO SemarangARO Surabaya
Stikes DHB – BandungInternational Islamic University of Malaysia, Kuantan International University College of Technology TwintechUKM, Kuala LumpurUniversiti Teknologi MARACebu Doctors’ College Centro Escolar UniversitySouth Western University, CebuSingapore Polytechnic Manchester University Optometry Program Ngee Ann PolytechnicRangsit University – Optometry Ramkaheng University - Doctor of Optometry Rama University - Ophthalmology
AUSTRALIA 5NEW ZEALAND 1
Optometry Resources: Class Notes
Student Notes
LecturePresentations
Users’ from more 70 countries
Building the Intellectual Resources for Research
• Over 1200 peer-reviewed papers
• Supported over 160 PhD and MSc students
Human Resource Development
OPTOMETRY SCHOOLS
• High quality optometry schools decrease dependance on NGOs in the long term
Eritrea Mozambique Mali
Vietnam Malawi
Global Optometry Support Initiative
• Africa• Cameroon (2011)• Kenya (2011)• Uganda (2013)• Tanzania• Ethiopia
• Latin America• Guyana• Haiti (2013?)• El Salvador• Nicaragua• Mexico
• Asia• Vietnam (2013?)• China• India• Cambodia
• Middle East• Pakistan• Bangladesh• Sri Lanka
MEASURING IMPACT
• Baseline evaluation• Monitoring and Evaluation department• Monthly reporting of outputs• Research to determine social and
economic impact • Impact on poverty: WOP
ACCOUNTABILITY
Advocacy2
• Awareness of global burden of blindness
Pascolini and Mariotti. Global estimates of visual impairment: 2010; BJO 2012, 96: 614 -618
42% of visual impairm
ent is due
to Uncorrected Refra
ctive Error
$269 billion
LOST PRODUCTIVITY
Smith et al. Potential lost productivity resulting from the global burden of uncorrected refractie error. Bulletin of hte World Health Organisation. 2009; 87: 431-437
Advocacy: Clear Messages
Leadership and Staff Development
• Out of Africa: exception• Local leaders• Partner or Perish
Raise the Bar
• Demand global standards of staff and partners
• Zero tolerance for corruption
