Tej Kohli Foundation

Rebuilding People And Communities

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A Cost-Effectiveness Analysis of Correctable Refractive Error in Schoolchildren in Indonesia

Through the larger Seeing is Believing (SiB) initiative by Standard Chartered Bank, which implements numerous programs worldwide seeking to identify, prevent, and treat visual impairment, Helen Keller International (HKI) launched a multi-phase initiative from 2016 to 2020 in conjunction with the Indonesian Ministry of Health (MoH) to build infrastructure for identifying and treating childhood visual impairment in Indonesia. Part of this initiative included a specific program, Opticians-in-Schools (OiS), that partnered with the district health and education offices, primary health workers, schoolteachers, community leaders, and refraction opticians to identify and provide glasses to schoolchildren with refractive error, at no cost. While previous school-based screening models have been implemented around the world with varied success, this study specifically evaluates the cost-effectiveness of designing and implementing a model that brings trained ophthalmic personnel and glasses to schools. Given the profound impact that visual impairment can have on quality of life, there is an urgent need for designing, deploying, and assessing cost-effective models for treating refractive error in children.

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A Cost-Effectiveness Analysis of Correctable Refractive Error in Schoolchildren in Indonesia
Original Source: iapb.org

Pakistan DR SiB Evaluation Report

This was a combination of a five-year project and a one year project. The timeline is summarised below.

Seeing is Believing (SiB) Phase 5 Standard Chartered contributed US$1,000,000 to a budget of US$1,250,000, for a project from 1st April 2014 to 31st March 2019. In July 2019, a No-Cost Extension was provided to 31st March 2020 to address a budget underspend of $77,778. This underspend was reallocated towards other activities. In May 2020, a Letter of Variation (LOV) approved a No Cost Extension to support the COVID-19 response. Expenditure was allowed up to and including July 2020. This authorised procurement of Personal Protective Equipment (PPE) for frontline health workers and consumables.

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Pakistan DR SiB Evaluation Report
(PDF- 2MB)
Original Source: iapb.org