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Computing for Local Prevalence and Economic Burden of Blindness

Coverage:Compute for potential cataract cases and other eye diseasesCompute for potential burden of blindness and potential returns

Visual Impairment - Philippines

POPULATION: 99,240,310 (2012)NATIONAL PREVALENCE *NUMBERTotal number of visually impaired 4.62%4,584,902Blind, both eyes0.58%575,594One eye blind, other low vision (MVI/SVI)0.36%357,265One eye blind, other normal 0.71%704,606Bilateral low vision 1.64%1,627,541Monocular low vision1.33%1,319,896

* Prevalence rates from 3rd National Blindness Survey, 2002, UP-IO

1,500,000+ eyes

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Basic information needed:Latest population figures for regions (+ province & municipalities, if available)Latest prevalence rates for visual impairment (based on 2002 National Survey of Blindness, UP-IO)

Population - Regions (May 2010, NSCB)REGIONPOPN.REGIONPOPN.NCR11,855,975REGION VII6,800,180CAR1,616,867REGION VIII4,101,322REGION I4,748,372REGION IX3,407,353REGION II3,229,163REGION X4,297,323REGION III10,137,737REGION XI4,468,563REGION IV-A12,609,803REGION XII4,109,571REGION IV-B2,744,671REGION XIII CARAGA4,249,224REGION V5,420,411ARMM3,256,140REGION VI7,102,438PHILIPPINES92,335,113

PLEASE COPY/TAKE NOTE OF POPULATION FIGURES FOR YOUR RESPECTIVE REGIONS. 5

Source:National Survey of Blindness, 2002, UP-IO

EXCERPT SAMPLE OF PREVALENCE TABLE FROM NATIONAL SURVEY OF BLINDNESS 2002 FOR REGION 3.6

Visually Impaired Reg. 3 & N. Ecija

REGION 3 PrevalenceREGION 3 NUMBERN. ECIJA NUMBERPopulation (May 2010)10,137,7371,289,804Total number visually impaired 4.32%437,95055,720Blind, both eyes (Bila Blind)0.79%80,08810,189One eye blind, other low vision (BVI-blind+SVI-blind)0.47%47,6476,062One eye blind, other normal (Mono blind) 1.21%122,66715,607Bilateral low vision (Bila BVI+BVI-SVI+Bila SVI)0.74%75,0199,545Monocular low vision (Mono BVI+Mono SVI)1.11%112,52914,316

* Prevalence rates from 3rd National Blindness Survey, 2002

INSTRUCTIONS: COPY LEFT COLUMN AND TOP ROW ENTRIES.7

Visually Impaired Nueva EcijaDirect & indirect cost estimate (by DOH/NCSP) incurred for the care of blind person is P120,000 annually, as long as the person is blind. (cost of care, income loss, other costs)Incorporating a similar cost associated with a caregiver for a blind person, computed cost is doubled to P240,000 annually. (income loss)

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Burden of Blindness - Reg. 3 & N. Ecija REGION 3PROVINCE (N. ECIJA)Blind, both eyes80,08810,189One eye blind, other low vision47,6476,062Resource Loss in Productivity (in PHP): Number Blind X Indirect Cost (PHP 120,000/annually)For: Blind, both eyes9,610,560,0001,222,680,000For: One eye blind, other low vision5,717,640,000727,440,000Combined resource loss:15,328,200,0001,950,120,000

Note: Resource loss will be doubled if cost for caregiver is included

INSTRUCTIONS: COPY LEFT COLUMN AND TOP ROW ENTRIES.9

Burden of BlindnessECONOMIC IMPACT OF BLINDNESS Region 3 & N. EcijaHowever, if 62% of it (reversible) can be operated on and vision restored (just one eye), this can be averted.REGION 3PROV.: N. ECIJABlind, both eyes (bilateral)80,08810,189One eye blind, other low vision47,6476,062Total: Blind bila+1 eye blind/other LV127,73516,251Reversible blindness (62%)79,19610,076Resource loss averted/Savings (P)P 9,503,520,000P 1,209,120,000Indigent (Quintiles 1 & 2, ~49%)38,8064,937Resource loss averted/Savings (P)P 4,656,720,000P 592,440,000

Reversible blindness focuses on cataract, but there are other causes of blindness & visual impairment which when addressed also contributes further to resource loss averted. The indigent sector is the primary target in the implementation of the prevention of blindness program.The indigent population targets are goals to be worked towards over a period of a number of years, for which specific workable targets per year need to be worked out. INSTRUCTIONS: LEFT COLUMN AND TOP ROW ENTRIES.

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Potential Returns (cataract surgeries PhilHealth)REGION 3PROV: NEBlind, both eyes (bilateral)80,08810,189 Reversible blindness blind both eyes (62%)49,6556,317 Indigent - belonging to Q1 & Q2 (~49%)24,3313,095 Potential # cataract surgeries (# eyes; 2 per pax)68,6626,190One eye blind, other low vision47,6476,062 Reversible blindness-1eye blind, other LV(62%)29,5413,758 Indigent - belonging to Q1 & Q2 (~49%)14,4751,841 Potential # surgeries (# eyes)14,4751,841Total Potential number of surgeries (# eyes)83,1378,031Potential hospital share PhilHealth (P9,600/case)798,115,20077,097,600

* Note: Assuming 100% enrolment, 100% utilization, provision of equipment & supplies.

Assuming 100% enrolment, 100% utilization, and provision for supplies & equipment.The activation of PhilHealth as primary source of financing for eye care is one of the primary targets to be worked towards increase enrolment, expand awareness about PhilHealth benefits, Improve utilization, incorporate processes in hospitals and other health facilities to contribute to uptake of PhilHealth.INSTRUCTIONS: LEFT COLUMN AND TOP ROW ENTRIES.

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Restoring sight by addressing avoidable blindness . . .Averts or reduces resource loss Restores persons (formerly blind & caregiver) to accessing livelihood opportunities, family support activities, social activities, etc.Improves quality of life of persons who were formerly blind, and contributes to restoring purpose and meaning to their lives

Thank You

Go For Health for Healthy Vision

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