Eye care in Ghana

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The eye care system in Ghana can be said to be one in its infant or growing stages. Today there are less than 300 eye care professionals taking care of the eye needs of over 23 million Ghanaians.

Contents

The general setup of an optometry clinic Guantanamo captive's optometry clinic.jpg
The general setup of an optometry clinic

History

Since Ghana's independence on March 6, 1957, there has been much work done to promote and improve the eye care needs of Ghanaians. The main groups who are championing this goal now are the Ghana Society of Ophthalmologists, ophthalmic nurses group of ghana and the Ghana Optometric Association.

Regulatory bodies

Ophthalmological Society of Ghana (OSG)

The Ophthalmological Society of Ghana [1] is a professional body of ophthalmologists in Ghana which governs the practice of ophthalmology in Ghana. At its inauguration in 1992, there were only 15 members including several expatriates. As of 2011, their numerical strength has increased to 50 with not less than 5 expatriates. Their objectives include promoting good eye health in Ghana and maintaining professionalism in their profession as ophthalmologists. Their activities include organizing continuous medical education for their members and collaborating with each other and members of other ophthalmological societies around the world to improve patient care. They are associated with the Illinois College of Optometry, the American Academy of Ophthalmology, and the WGA.

Ghana Optometric Association

The Ghana Optometric Association (GOA) is the country's governing body for the optometry profession. [2] Since 2009 all optometrists wanting to be members have been required to write a professional exam. Upon successfully passing the exam, the certification required to practice optometry is awarded. The group has about 200 members. In 2010 the Ghana Optometric Association along with the Kwame Nkrumah University of Science and Technology's Faculty of Distance Learning [3] rolled out a two-year program to offer all members of GOA who did not have the Doctor of Optometry degree to enroll for it.

Nurses and midwives council

The Nurses and midwives council is the statutory body that regulate the activities of ophthalmic nursing practice in Ghana. The ophthalmic nurses group of Ghana is a professional body that serves as the mouth piece of the ophthalmic nurses in Ghana. The group has a membership drive of about 500 nurses spread out across the country. they serve as first point of call in eye care. They also collaborate with other health care professionals in the county to provide eye care service for the teaming populates.

Services

The Ministry of Health through its hospitals and health facilities is the main provider of eye care services in the country. Over the years it has taken various initiatives to train more eye care professionals through the various universities, teaching hospitals, nursing schools, training schools, etc. The aim of the Ministry of Health is to ensure that there is at least one functioning eye unit in every district of the country. Despite the current work, much work is still needed to improve access to eyecare in Ghana due to the low number of eye care professionals per 1000 people. Another group that is helping the Ministry of Health is the Christian Health Association of Ghana. Thirty-five percent of Ghana's health service provision is done by the Christian Health Association of Ghana. Most of the facilities that CHAG runs have eye clinics and these aid in service delivery in those towns and villages that are situated in.

The services that eye care professionals offer are varied and include:

The chart below shows the number of eye care professionals in the various regions and also the progress made to restore sight to people with Cataracts in 2005. [4]

2005 Eye report of Ghana

Eye care personnel

RegionPopulationOphthalmologistOptometristOphthalmic nurse
Eastern2,079,48342522
Greater Accra3,451,887202355
Western2,186,539221
Central1,559,2482217
Volta1,763,3002318
Ashanti4,115,8816730
Brong Ahafo2,003,8922221
Northern2,033,4641112
Upper East961,2472121
Upper West616,4411012
National20,771,3824263216

Cataract Surgeries

RegionTotal Cataract OperationWith IOLWithout IOLCSR
Eastern8868860443
Greater Accra2,7162,7160799
Western172172086
Central1,3591,3590849
Volta1,0161,0160564
Ashanti1,0221,0220255
Brong Ahafo9019010450
Northern55954811247
Upper East19101844661989
Upper West37735621608
National10,91810,82098524

Western Ghana

Despite a population exceeding 2.1 million, [5] the eighteen districts in Ghana's Western Region are among the least resourced in terms of eyecare services. [4] Professional eye care services are available in four districts, Wassa West, Bibiani/Anhwiaso/Bekwai, Ahanta West and Shama Ahanta East Metropolitan.

In 2005 there were five eye care specialists in the region, comprising two ophthalmologists, two optometrists, one optician and an ophthalmic nurse. [4] Specialists operate from the Imperial Eye Care Centre and the SAEMA district hospital in Takoradi, and from the Government Hospitals in Tarkwa and Dixcove. Supporting services are provided by the region's 106 general practitioners. [6] International assistance is offered through Operation Eyesight Universal, which funds three district hospital satellite eye clinics in the Western Region. [7]

Training Schools

Ophthalmologists

Teaching hospitals in Ghana train medical doctors for a period of three to five years in Ophthalmology. A total of at least ten years is needed to train an individual from the Undergraduate level to the level of an Ophthalmologist in Ghana.

Optometrists

The first optometrist school in Ghana started at the department of Physics, Kwame Nkrumah University of Science and Technology [8] in 1992. The first class had just five students and were under the tutelage of Ghana's first Optometrist, Dr. K Monny. It was opened to only to those who had had their first degrees in either Biochemistry, Physics or Biology. Graduates from the school were awarded the Postgraduate Diploma in Optometry (Pg. Dip. Optometry). In 2000, a four-year Bachelor of Science Degree program was started to phase out the Pg. Dip. Optometry program and also accelerate the training of more eye care professionals in Ghana. In 2004, just as the first batch of Optometrist with the BSc. Degree had graduated, they were enrolled for the two-year Doctor of Optometry (O.D) program. They passed out in 2007. In 2002, the University of Cape Coast [9] also rolled out its Doctor of Optometry program. Five students enrolled for the program and graduated with the 2008 batch of O.Ds from KNUST. Today, there are about two hundred Optometrists in Ghana working hand-in-hand with other eye care professionals to save sight.

Ophthalmic nurses

Trained nurses who wish to become ophthalmic nurses undergo a one-year post nursing school training in eye care at the Korle-Bu Teaching Hospital. Their training involves training in detection of eye condition and referring to the right eye care professional for treatment. They also are trained in managing common disease conditions of the eye as well as training to assist the Ophthalmologist in surgery.

Opticians

The Oyoko town in the New Juaben district of the Ashanti Region hosts Ghana's only school for the training of opticians. Secondary school graduates who qualify undergo a three-year training in lens glazing and fitting, optics and a lot more to qualify as an optician. They work closely with Optometrists in refractive therapy and refraction.

Major Eye conditions

There are a lot of ocular conditions in Ghana and as of now virtually all conditions can be treated in the country including those that require laser surgery. Occasionally, though, some conditions require the individual being taken outside the country for treatment. Below are the more common conditions in Ghana.

Glaucoma

Ghana is ranked second in worldwide statistics for the prevalence of glaucoma. [10] It is estimated that 600,000 Ghanaians are said to be suffering from glaucoma out of the number, 30,000 are likely to become blind if the disease is left untreated. [11] The statistics continues to show that 8.5 percent of people above 40 years have the disease and 7.7 percent of people above 30 years also are with the disease. [12] The Ghana Health Service (GHS) is the government agency responsible for health care administration and delivery in the country. GHS has over the years initiated various programs aimed at improving the eye care system in the country. In 2008, the day was celebrated under the theme “Eyes on the Future - Fight Vision Impairment in Later Life Now [12] In Ghana, it is only the Ophthalmologist and optometrist who are licensed to manage glaucoma.

See also

Related Research Articles

Ophthalmology Field of medicine treating eye disorders

Ophthalmology is a branch of medicine that deals with the diagnosis and treatment of eye disorders. An ophthalmologist is a physician who specializes in eye care. The credentials include a degree in medicine, followed by additional four to five years of residency training in ophthalmology. Residency training programs for ophthalmology may require a one-year internship with training in internal medicine, pediatrics, or general surgery. Additional specialty training may be sought in a particular aspect of eye pathology. Ophthalmologists are allowed to prescribe medications to treat eye diseases, implement laser therapy, and perform surgery when needed. Ophthalmologists typically provide specialty eye care - medical and surgical, and they may participate in academic research on eye disorders.

Optometry Field of medicine treating eye disorders

Optometry is a specialized health care profession that involves examining the eyes and related structures for defects or abnormalities. Optometrists are health care professionals who typically provide comprehensive primary eye care.

Orthoptics is a profession allied to the eye care profession. Orthoptists are the experts in diagnosing and treating defects in eye movements and problems with how the eyes work together, called binocular vision. These can be caused by issues with the muscles around the eyes or defects in the nerves enabling the brain to communicate with the eyes. Orthoptists are responsible for the diagnosis and non-surgical management of strabismus (squint), amblyopia and eye movement disorders. The word orthoptics comes from the Greek words ὀρθός orthos, "straight" and ὀπτικός optikοs, "relating to sight" and much of the practice of orthoptists concerns disorders of binocular vision and defects of eye movement. Orthoptists are trained professionals who specialize in orthoptic treatment, such as eye patches, eye exercises, prisms or glasses. They commonly work with paediatric patients and also adult patients with neurological conditions such as stroke, brain tumours or multiple sclerosis. With specific training, in some countries orthoptists may be involved in monitoring of some forms of eye disease, such as glaucoma, cataract screening and diabetic retinopathy

Ophthalmoscopy

Ophthalmoscopy, also called funduscopy, is a test that allows a health professional to see inside the fundus of the eye and other structures using an ophthalmoscope. It is done as part of an eye examination and may be done as part of a routine physical examination. It is crucial in determining the health of the retina, optic disc, and vitreous humor.

Vision therapy (VT), or behavioral optometry, is an umbrella term for alternative medicine treatments using eye exercises, based around the pseudoscientific claim that vision problems are the true underlying cause of learning disabilities, particularly in children. Vision therapy has not been shown to be effective using scientific studies, except for helping with convergence insufficiency. Most claims—for example that the therapy can address neurological, educational, and spatial difficulties—lack supporting evidence. Neither the American Academy of Pediatrics nor the American Academy of Ophthalmology support the use of vision therapy.

The Lions Eye Institute (LEI) is an Australian medical research institute affiliated with the University of Western Australia. It was established in 1983 with support of the Lions Clubs of Western Australia and headquartered in the Perth suburb of Nedlands, Western Australia. The LEI is a not-for-profit centre of excellence that combines an ophthalmic clinic with scientific discovery developing techniques for the prevention of blindness and the reduction of pain from blinding eye conditions.

Sankara Nethralaya Hospital in Chennai, Kolkata

Sankara Nethralaya is a not-for-profit missionary institution for ophthalmic care headquartered in Chennai, India. In the name "Sankara Nethralaya", "Sankara" is a reference to Adi Shankaracharya and "Nethralaya" means "The Temple of the Eye". Sankara Nethralaya receives patients from India and abroad. Sankara Nethralaya has over 1000 employees and serves around 1500 patients per day, performing over 100 surgeries per day. The annual revenue as per the taxes is close to US$100 million.

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Illinois College of Optometry

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Bali Mandara Eye Hospital Hospital in Bali, Indonesia

The Bali Mandara Eye Hospital is an ophthalmology clinic and day surgery centre in Indonesia, built in memory of the 2002 Bali bombings.

Optometry in Ghana

Optometry is a relatively new field in eye care in Ghana.

The Department of Optometry at Kwame Nkrumah University of Science and Technology, is based in Kumasi, Ghana. Its placement is under the College of Science of the university. It is the smallest department of the college with 10 teaching staff and around 210 students

Ghana Optometric Association

The Ghana Optometric Association (GOA) is the professional and regulatory body responsible for the development of the Optometry profession in Ghana.

Teleophthalmology

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Organisation for the Prevention of Blindness

The Organisation for the Prevention of Blindness is an international non-governmental organisation whose actions today focus exclusively on French-speaking countries in Africa. Their mission is to preserve and restore sight amongst some of the most under-privileged communities in the region. The OPC's principal actions concern blindness prevention, treatment and the elimination of blinding diseases, such as onchocerciasis, trachoma, glaucoma and cataracts as well as formal ophthalmological training.

Konrad Pesudovs

Konrad Pesudovs is an Australian optometrist and outcomes researcher in ophthalmology; recognised as the leading optometrist researcher worldwide in terms of H-Index and total citations. He is SHARP Professor of Optometry and Vision Science at the University of New South Wales (2020-). He was the Foundation Chair of Optometry and Vision Science at Flinders University from 2009 to 2017.

Royal College of Ophthalmologists

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Dean Evan Hart American optometrist

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References

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  5. http://.ghanaeyefoundation.org/privatecontent/.../Annual%20report%2005.pdf//%5B%5D
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  7. "Archived copy". Archived from the original on 2014-04-24. Retrieved 2014-04-24.{{cite web}}: CS1 maint: archived copy as title (link)
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  9. "University of Cape Coast>". Archived from the original on 2022-04-06. Retrieved 2022-04-09.
  10. "Ghana, second highest in glaucoma worldwide". Archived from the original on 2011-04-07. Retrieved 2011-04-29.
  11. "30,000 Ghanaians Likely To Go Blind | General News 2011-03-11". Archived from the original on 2011-03-16. Retrieved 2011-04-29.
  12. 1 2 "News | Glaucoma Research Foundation". Archived from the original on 2010-07-06. Retrieved 2011-04-29.