1. IAPB GA 9 Hyderabad September 2012 1 CBM’s Global Involvement In Eye Care C Cook Hyderabad September 2012

2. IAPB GA 9 Hyderabad September 2012 2 CBM’s Global Involvement In Eye Care Who are we? Where have we come from? Where are we now? How does our Medical Eye Work fit in with our general programme development approach? Where are we going?

3. IAPB GA 9 Hyderabad September 2012 3 Who Are We? International Christian development organisation. Prime purpose is to improve the quality of life of the world’s poorest persons with disabilities. We seek to prevent and treat health conditions which lead to impairment and disability. We promote and provide opportunities for social inclusion, economic empowerment, and livelihood security.

4. IAPB GA 9 Hyderabad September 2012 4 Where Have We Come From? 1908: Christoffel Blinden Mission was founded by Pastor Ernst Christoffel 1989: CBM is recognized by the WHO as a professional organisation 2002: Advisory status for the Economic and Social Council of the UN 2003: First international lobbying initiative starts with a permanent office in Brussels

5. IAPB GA 9 Hyderabad September 2012 5 Where Have We Come From? (cont‘d) 2005: CBM commitment to disability and inclusive development 2009: Stronger emphasis on inclusion 2010: Launch of WHO-ILO- UNESCO CBR guidelines with significant input from CBM 2010: 10 millionth cataract operation

6. IAPB GA 9 Hyderabad September 2012 6 Where are we now? CBM Member Associations (11) CBM Regional Offices (9)

7. IAPB GA 9 Hyderabad September 2012 7 Member Associations International Boards International Management Regional Offices Australia Canada APhilippines GermanySThailand Ireland S CBMIIndia ItalyEBoard Senior EMRO KenyaMLeadershipSouth Africa New Zealand B CBMeVTeamEast (Kenya) South AfricaLBoard Central (Kenya) SwitzerlandY West (Togo) UK Ecuador USA Where Are We Now? International Structure CBM International Structure  CBM consists of ten Member Associations.  They work together in one joint overseas programme implemented by CBMeV.  They also work together to promote resource mobilisation for the CBM Family through CBMI.  The CBM Assembly of Members is made up of representatives of the ten Member Associations, who appoint the CBMeV and CBMI Boards.  The CBMeV and CBMI Boards advise and supervise the Senior Leadership Team. The Senior Leadership Team manages CBMeV and CBMI.  The Extended Leadership Team consists of the SLT, National Directors of the Member Associations and Regional Directors of the Regional Offices. 950,000 donors 730 staff 31 million clients

8. IAPB GA 9 Hyderabad September 2012 8 Where Are We Now? (cont‘d) RegionNumber Of Eye Medical Programmes (2011) Africa South38 Africa East73 Africa Central24 Africa West44 Asia South/East16 Asia Central32 Asia South/South97 Asia South/North25 Eastern Mediterranean Region82 Latin America Region134 Total565

9. IAPB GA 9 Hyderabad September 2012 9 Where Are We Now? Number of staff trained in CBM supported programmes in 2011

10. IAPB GA 9 Hyderabad September 2012 10 Where Are We Now? Number of surgical interventions in CBM supported programmes in 2011

11. IAPB GA 9 Hyderabad September 2012 11 Eye Medical Work in the context of Inclusive Development COMMUNITY BASED REHABILITATION (CBR) HEALTH PROMOTION PREVENTION MEDICAL CARE REHABILITA- TION EDUCATION EARLY CHILDHOOD DEVELOPMENT NON-FORMAL FORMAL INCLUDING PRIMARY SECONDARY AND HIGHER LIVELIHOOD SKILLS DEVELOPMENT INCOME GENERATION/ SELF- EMPLOYMENT FINANCIAL SERVICES EMPLOYMENT SOCIAL RELATIONSHIP MARRIAGE & FAMILY PERSONAL ASSISTANCE CULTURE RELIGION & ARTS SPORTS RECREATION & LEISURE EMPOWERMENT SOCIAL MOBILISATION POLITICAL PARTICIPATION COMMUNICA- TION SELF-HELP GROUPS ASSISTIVE DEVICES LIFE-LONG LEARNING SOCIAL PROTECTION ACCESS TO JUSTICE DISABLED PEOPLE'S ORGANISATIONS

12. IAPB GA 9 Hyderabad September 2012 12 Eye Medical Work in the context of Inclusive Development - CBR The CBR matrix is the framework for a twin track approach: Track 1: Direct work for and with persons with disabilities and those at risk Track 2: Inclusion of persons with disabilities in all development activities and initiatives The CBR matrix is the framework for planning and networking, following a holistic approach

13. IAPB GA 9 Hyderabad September 2012 13 Medical – Vision, hearing physical, mental Rehabilitation – low vision, audiology + speech therapy, physiotherapy + orthopaedic workshops, community based rehabilitation Education Livelihood and economic empowerment Eye Medical Work and Other Disability and Inclusive Development Activities

14. IAPB GA 9 Hyderabad September 2012 14 Where Are We Going? – Some Current Paradigm Shifts Within CBM Comprehensive programmes (comprehensive programmatic planning) CBR as the hub Vision 2020 one of seven programmes Holistic approach and networking are key Focus is on entire person and living environment, not only on impairment NOT: every programme has to do everything; BUT: every programme is part of network and knows who does what

15. IAPB GA 9 Hyderabad September 2012 15 Where Are We Going? – Some Current Paradigm Shifts Within CBM (cont’d) “Vision 2020 compliance” – Partnerships with mission hospitals  partnerships with MOH Hospital based programmes  district programmes “Disease control” – ECCE with IOL  SICS with IOL  phaco with IOL Cataract  glaucoma + diabetic retinopathy

16. IAPB GA 9 Hyderabad September 2012 16 Where Are We Going? – Some Current Paradigm Shifts Within CBM (cont’d) More strategic support to partners, focus on: High quality and accessible service delivery Good practice models Training of professionals Capacity development of partners Research and evidence for practice Moving towards inclusive eye health services