Achieving Self-sustainability of Service Delivery in an Eye Care Program in Madagascar Using Time-driven Activity-based Costing
Eye care programs in developing countries need a high level of financial self-sustainability to maintain and grow their services as external funding is often inadequate and can be unreliable. In 2013, Seva Canada helped the Sava eye unit in Madagascar to develop and implement a cost-recovery program to better manage the cost of, and to improve revenue associated with, their three principle activities: consultation visits, cataract operations, and sale of glasses. The study illustrates how the Sava eye unit improved its cost-recovery over a 5 year period, from 68 to 102%, while maintaining their commitment to provide high-quality services and equitable care to their population.
Pediatric Case Finding in Madagascar A Controlled Prospective Population based Assessment of Key Informant Productivity and CostThe World Health Organization estimates that about one-half of the estimated 1.4 million cases of blindness in children below the age of 15 could be avoided. Finding and treating children early in life is a top priority for child eye health programs and most have developed strategies to identify and refer children in need of care. The Key Informant (KI) case finding method, which trains community members to screen children for eye problems and refer them to eye services, is a common strategy to identify and refer children with blindness and visual impairment. However, studies to date have not determined the benefit and cost of adding KIs to routine outreach activities. In summary, this study demonstrates that in addition to being an effective method for identifying blind children, the KI method can be successfully used as part of a community ophthalmology program to increase the uptake of screening services at a modest increase in costs.
Interventions to improve gender equity in eye care in low-middle income countries: A systematic reviewWomen bear an inequitable burden of blinding conditions compared to men primarily because they have more limited access to eye care services. This systematic review sought evidence regarding interventions to increase gender equity in eye care.
Gender and Blindness: Addressing Inequity
Seva Canada, 2018
Interventions to improve utilization of cataract surgical services by girls: Case studies from Asia and AfricaOphthalmic Epidemiology, 2017
Visual acuity screening in schools: A systematic review of alternate screening methods
Cogent Medicine, 2017