Dr Will Dean, Consultant Ophthalmologist at the CBM-supported Nkhoma Eye Hospital in Malawi, talks about his work of restoring sight through cataract operations.
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Nkhoma Eye Hospital
1. Nkhoma Eye Hospital, Malawi October 2010
Nkhoma Eye Hospital
Malawi
CBM-supported
eye care
programme in
Southern Africa
2. Nkhoma Eye Hospital, Malawi October 2010
Nkhoma Eye Hospital
Malawi
CBM-supported eye care programme
in Southern Africa
3. Nkhoma Eye Hospital, Malawi October 2010
Nkhoma Eye Hospital
⢠Africa
⢠Malawi
⢠Nkhoma Christian Mission Hospital
⢠Nkhoma Eye Hospital
4. Nkhoma Eye Hospital, Malawi October 2010
10 Million Celebration
⢠cbm work throughout the world
⢠Largest INGO tackling disability
⢠10 million cataract operations in past 100 years
5. Nkhoma Eye Hospital, Malawi October 2010
The Scale of Blindness
⢠45 million blind people globally
⢠7 million blind in Africa
⢠Malawi has 14 million population
⢠1% are blind
⢠70,000 are blind from cataract
⢠350,000 need cataract operation for blindness
or severe visual impairment
6. Nkhoma Eye Hospital, Malawi October 2010
Nkhomaâs Area of Work
⢠Central Malawi
⢠4 million population
⢠4 eye surgeons
⢠100,000 people who need cataract surgery
⢠Childhood blindness, glaucoma, trachoma
⢠Training
7. Nkhoma Eye Hospital, Malawi October 2010
Nkhoma Eye Hospital
⢠Since 1999, Dr Nick Metcalfe from Sunderland developed the
most productive district eye unit with a single eye surgeon, in
African history.
⢠Dr Nick & the Nkhoma team pioneered high volume high
quality cataract surgery in a rural African setting
9. Nkhoma Eye Hospital, Malawi October 2010
Nkhoma Eye Hospital
⢠To date, over 30,000 cataract operations
performed at Nkhoma.
10. Nkhoma Eye Hospital, Malawi October 2010
cbm Support
⢠CBM supported Nkhoma for past
⢠34 years
11. Nkhoma Eye Hospital, Malawi October 2010
Cataract Surgery
⢠In UK NHS, one cataract operation costs
ÂŁ1,000
⢠Privately £bit more
⢠In Nkhoma, one cataract operations costs £20
⢠The average annual income in Malawi is £250
⢠Surgery costs the patient £0
12. Nkhoma Eye Hospital, Malawi October 2010
Why does Cataract Surgery in
Nkhoma Cost ÂŁ20?
⢠Transport & Case-finding
13. Nkhoma Eye Hospital, Malawi October 2010
Rural Africa
⢠We work in Central Malawi, a very rural area of
Africa
⢠85% of population are subsistence farmers
living in villages with no electricity, some
water, and annual maize crops to feed the
family.
⢠Some of the poorest of the poorest people of
the World
⢠74% live below the international poverty line of
$1.25 a day
14. Nkhoma Eye Hospital, Malawi October 2010
What do we do?
⢠Mobile clinics in villages
⢠Screen and see people in churches, clinics,
football fields, under a tree
15. Nkhoma Eye Hospital, Malawi October 2010
What do we do?
⢠Cataract Case Finders
⢠Drive on motorbikes in their catchment area
villages all week screening for potential
patients
16. Nkhoma Eye Hospital, Malawi October 2010
ÂŁ20
⢠Patients receive:
⢠Accommodation
⢠3 meals a day
⢠Surgery
⢠Medicines
⢠Glasses if needed
⢠Transport
17. Nkhoma Eye Hospital, Malawi October 2010
A Patientâs Journey
⢠In the mobile clinic
18. Nkhoma Eye Hospital, Malawi October 2010
A Patientâs Journey
⢠In the hospital
19. Nkhoma Eye Hospital, Malawi October 2010
A Patientâs Journey
⢠Back at home with
the family
25. Nkhoma Eye Hospital, Malawi October 2010
Why do we do this?
⢠Because of CBMâs support
⢠Because people in rural Malawi do not have the
means to travel and pay for surgery
⢠Because blindness is avoidable
⢠Because of the burden of the disability on the
person, their family and community
⢠Because everyone has a Right to Sight
26. Nkhoma Eye Hospital, Malawi October 2010
But why?
⢠Humanitarianism
⢠Honouring a personâs dignity, who does not have a
choice
27. Nkhoma Eye Hospital, Malawi October 2010
cbm
⢠Largest international organisation
tackling disability
⢠Experience of over 100 years
⢠10 million cataract
operations performed
⢠Koano kwa tsopano, moano ma tsopano
⢠New sight, New Life
I am honoured to be here this evening, and thank Dr Bill McAllister for inviting me to come and talk. I thank you all for coming, and for helping us celebrate together this incredible milestone, this evening.
My name is Will Dean, and I am an eye surgeon living in rural Malawi for the past 3 years
On the flight over to Heathrow from Lilongwe, I spent hours trying to imagine how to describe where I live and work, but Iâm not sure if I can really indulge this.
I have the urge right now to hurry up this presentation, as itâs about this time every evening that the electricity goes out for 3 hours. My mum and dad are here this evening and I am very honoured. My dad sent a text message last Friday warning that the London tube would be on strike when I landed on Monday. Back in Malawi, just a minute before I received my dadâs text, the chief security guard at my house warned me that I shouldnât stand by the outside tap, as a snake had taken up residence there. The travel to Stratford through London is a constant game of dodging busy commuters, tourists, buses, taxis, and eye contact with anyone. In the village I live in, there is no supermarket or petrol station; and the hour-long trip into town for shopping is a constant game of dodging goats, chickens, cyclists, pedestrians and smoky trucks.
In Africa there is a proverb about âHow do you eat an Elephantâ. A little peace at a time, with help from lots of friends.
The population of Greater London, or New York City is blind, in Africa.
Only 5% of our patients walk into the hospital
The other 19 out of 20 we have to go out to the villages and find.