Regional Capacity Building Workshop Program Design for Pediatric Eye Care Interventions The A2Z Child Blindness Program International Eye Foundation Kilimanjaro Centre for Community Ophthalmology April 7-8, 2011 Moshi, Tanzania

2 Introductions Kilimanjaro Centre for Community Ophthalmology (KCCO) International Eye Foundation (IEF) A2Z Child Blindness Program Participants

3 Expectations: What do you expect to learn from this workshop before departing?

4 Workshop Objectives: 1.To develop or enhance practical skills in designing effective and efficient programs for pediatric eye care interventions 2.To establish relationships with other pediatric eye care organizations operating in the region 3.To learn from participants’ experience and develop suggestions to inform future programs

5 Topics Covered: Participant’s child blindness programs Problem solving approaches Effective pediatric program services and programs Program Design Methods - logic model, results- based framework & measuring costs and impact Attracting support and funding strategies Suggestions to inform future programs

6 Housekeeping: Logistics (lodging, food, airfare, boarding passes, etc.) Restrooms and breaks Please turn all cell phones off Special needs Evaluation Forms

Ice Breaker: Ice Breaker

8 Participating Organization Presentations 10 minute presentations –Statement of problem –Past approaches to addressing problem –Stakeholders & revenue –Proposed plan Summary

9 Problem Solving Approaches Review problem solving steps Small group work Small group presentations

10 Step #1: The Problem Clearly articulate the problem Key features to clearly articulate –Numbers (numbers blind, numbers with congenital cataract, numbers needing spectacles, etc.) –Identification of the primary group with the problem –The problem (blindness, vision loss, poor quality of life, poor outcomes from services received, etc.)

Articulation of the problem In my catchment area (according to WHO) it is estimated that 1 in 1,000 children are blind In my catchment area of Bahir Dar, Ethiopia (population 2.2 million) there are an estimated 1,300 children blind from preventable or treatable conditions. Which is better?

Articulation of the problem Few children come back for follow up after cataract surgery and, because of lack of funds and resources, few children get glasses after surgery. In 2010 among the 80 children who had surgery for congenital and developmental cataract, only 30 returned for assessment at 10 weeks. Among these 30 children 25 did not get spectacles as parents could not afford them. Which is better?

13 Step #2: Situation & Gaps Clearly state the current situation and, most important, the gaps between the problem and the current situation Key features to clear articulation: –Take a population based approach (not just a hospital based approach) –State (in numbers) current service delivery –Highlight any inequity (boys : girls, place of residence)

14 Step #3: Evidence What evidence is there available that has either highlighted the problem or addressed the problem? Using evidence: –It shows you are aware of what others are doing/have done –It helps you understand the problem better (and potentially, some solutions) –It forces you to try to understand your own environment; is it the same or different from the settings of previous studies –It can help you identify gaps in current evidence (which you might be able to address)

15 Step #4: Potential solutions What are the potential solutions to your problem? Key features to potential solutions –Remember that all problems are multi-dimensional in nature –There is no single “magic bullet” –Money alone will not solve the problem –Many solutions require little money…just a different way of working –Donors like to see that you have thought through the problem carefully –Interventions are always open to interpretation; donors/supporters may like some interventions but not others (need to be ready to defend the approaches) –For each of the potential solutions be ready to give advantages and disadvantages (always include cost)

16 Step #5: Activities What activities you have chosen and why? Articulating your choices –Again, use evidence to suggest why your choices are likely to be the best ones –Be ready to provide the cost (and explain approaches to improve sustainability)

17 Small Group Questions 1.What is your program? 2.What problems are addressed? 3.What evidence is used? 4.What are possible solutions to problems identified? 5.What program activities are chosen and why? 6.What does it cost and how will it be sustained?

18 Small Group Work Presentations

19 Small Group Discussion What is common between each? What is different between each? Do you believe this problem solving approach will be helpful to your own program? Questions and feedback

20 Review of Day 1 Review of Topics Covered Evaluation Forms Day 2 Schedule Housekeeping – Group Dinner, Photo, Pickup at the Hotel at 8:30 a.m.