Challenges of Cataract Blindness           Orient Journal of Medicine         Vol 25 [1-2] Jan-Jun, 2013
ORIGINAL ARTICLE

Challenges to the Elimination of Cataract Blindness in Nigeria as Targeted by ‘VISION 2020’
Michael C OKOSA1
Lawrence O ONYEKWE1
Cosmas C ANAJEKWU2
Chinwendu UZUKE3



1 Department of Ophthalmology
Nnamdi Azikiwe, University Teaching Hospital Nnewi NIGERIA
2 Department of Ophthalmology
St Charles Borromeo Hospital Onitsha, NIGERIA
3 Department of Statistics
Nnamdi Azikiwe University Awka, NIGERIA


Author for Correspondence

Michael Chuka OKOSA
Department of Ophthalmology
Nnamdi Azikiwe University Teaching
PMB 5025, Nnewi
Anambra State, NIGERIA


Phone: +234-803-714-4605
Email: chukamokosa@yahoo.com


Received: October 16th, 2012
Accepted: April 16
th, 2013
ABSTRACT
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Background: VISION 2020 - The Right to Sight, is an initiative of World Health Organization in partnership with International Association for Prevention of Blindness (IAPB), articulated in 1999, and passed as a resolution in 2003 to eliminate the nine causes of avoidable blindness throughout the world by year 2020.
Objectives: To determine to what degree relevant manpower, infrastructure and modern technology is available for accomplishment of VISION 2020 goals as regards cataract blindness in Nigeria; the status of prevention of blindness activities in Nigeria as regards this, and challenges, if any, to the realization of the aim of this program.
Methodology: Questionnaire survey of ophthalmologists in Nigeria.
Results: There are enough ophthalmologists to achieve goals, but non-ophthalmic manpower for primary health centers is lacking. Equipments for modern cataract surgery is lacking as only 45.2% of practitioners have them for practice in their institutions. Institutional cataract surgery output is low; averaging 50-92 a year, per ophthalmologist. Community ophthalmology outreach is mainly NGO-driven, with minimal governmental and community sponsorships. The major challenges to achieving VISION 2020 include deficient government policy and funding (65.8%) and insufficient awareness of eye care measures by Nigerians (49.3%).
Conclusion: Tremendous challenges to the realization of VISION 2020 as regards cataract blindness exist in Nigeria. A strong political will and action by government are needed to overcome these challenges.

Keywords: Infrastructure, manpower, output, outreach