1. Ophthalmology in North Wollo, Ethiopia

2. Ethiopia

3.  Vision 2020 : the right to sight adopted in Ethiopia in 2002  Three essential elements : strategies for disease control human resource development infra structure and appropriate technology development

4. Stakeholders in ophthalmology-Ethiopia  Ministry of Health  Ophthalmological society of Ethiopia  University teaching hospital  Himalayan cataract project  Christian Blind mission  Orbis international  Carter center, etc

5. Subspecialty services in Ethiopia only in Addis Ababa and teaching hospitals  Cornea Eye bank of Ethiopia  Retina FFA, OCT SB-----PPV, EL  Glaucoma VF----goldman, Humphrey, FDT, pachymetry  Pediatrics ophthalmology  Oculoplastics

6. Prevalence of national blindness 1.6% Ethiop.J.Health Dev. 2007;21(3)

8. Woldiya hospital Secondary Eye Unit, Northern Ethiopia providing Eye care since Dec. 2009 for Service area of 1.5 million people

9. Services at Woldiya hospital, SEU 1. Training  Training of nurses on Integrated Eye Care workers/ trichiasis surgery/ in collaboration with Carter center. 65 nurses trained  Health extension workers on trachoma/ Referrals  Networking CBR, Water and education sectors with health services in North Wollo.

10. 2. Collaborating with research team  Costs of blindness and cost effectiveness of cataract surgery in Northern, Ethiopia HCP, Rand corporation  Baseline survey on Costs of Blindness March/April 2012 About 1900 house holds interviewed, of whom 1400 bilateral blind  Woldiya Eye campaign, May/2012 conducted by HCP 1131 cataract surgeries done/6day/ Drs. Geoffrey, Matt, Ruit, Tilahun and Alemu Learning experience for Woldiya,SEU Instruments and supplies donated  Survey for refusals and Cataract Outreach June 2012 173 people got sight restoring surgeries  Impact of cataract surgery to be assessed next year

11. Eye campaign at Woldiya, May/2012  Drs. Geoffrey, Matt, Ruit, Tilahun, Alemu at Woldiya

12. 3. Hospital base service  Patient evaluation and treatment Refraction, biometry (keratometry and A- scan) Glaucoma evaluation but no VF Posterior segment evaluation  Regular OR schedules on Tuesday, Thursday and Friday  Minor procedures on Monday and Wednesday.

13. Woldiya Hospital, SEU, Service Dec. 2009- Sept. 2012 ActivityMaleFemaleTotal SICS+PC IOL169814433141 Trabeculectomy11258170 Combined glaucoma +cataract surgery 302353 Pterygium excision+autograft 243579 TT surgery123302425 OPD evaluation(New)6849483411683

14.  Eye problems pose huge economic and social impact for affected individuals and to the society and the nation at large.  The policy makers will benefit from the data that the baseline survey and impact assessment of cataract surgery will generate and hence make data based decision on the allocation of resources.  Thus, implement appropriate, affordable and accessible interventions.

15. Rock Hewn church in Lalibela (12 th century)

16. Thank you