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Project background

A rapid assessment of avoidable blindness conducted in Peru in 2011 found a prevalence of blindness of 2% amongst people aged over 50, and 83% of all causes of blindness could be treated or prevented. The main cause of blindness was due to cataracts (58%), equivalent to 348,000 people.

CBM has been working on the prevention of blindness in Peru since 1990 and working with eye care providers over many years. In 2012, CBM brought these partners under one national blindness prevention cluster.

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“Seeing is Believing (SiB)” Phase V Project is designed to promote establishing three-level of pediatric eye care network in Jincheng, Datong, Jinzhong, Taiyuan Prefecture of Shanxi Province. It planned to screen for child eye problems, set up the referral system, enhanced the postoperative follow-up and eventually improve children’s educational opportunity, especially children with visual disability or multiple disabilities. The project is a 5-year project which was launched in June 2013 and is now approaching to the final stage for the evaluation. With the invitation of Orbis, the evaluation was to conduct to assess the clinically targeted outputs and outcomes of the network of child eye health which was established and functioning with the support of project.

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Between March 2014 and September 2018, Operation Eyesight Universal (OEU) implemented the Seeing is Believing Phase V Project (SiB V), which was also referred to as the Rift Valley Region Prevention of Blindness Project, with financial support from the Seeing is Believing programme of Standard Chartered Bank. SiB V was a 4-year project with an allowance of a six months Non-Cost Extension Period from April to September 2018. The program was intended to generate a model of best practices guided by the 3 Vision 2020 pillars with which to advocate to the Ministry of Health, local county government and other key stakeholders. The implementing partners were Ministry of Health, OEU and County Departments of Health of Trans Nzoia, West Pokot, Narok, Elgeyo Marakwet, Uasin Gishu and Nandi. The objectives of the project were to avail quality and sustainable eye care services in the project area; strengthen capacity of primary, secondary and tertiary level facilities to provide quality eye care services; and integrate primary eye care into Public Health Care (PHC) system by establishing a strong Primary Eye Care network in the Rift Valley Region. Project activities included strengthening eye health teams by training additional ophthalmic workers, improvement of infrastructure to ensure that eye units are well equipped to meet eye health needs and implementation of strategies for control of avoidable blindness. It was envisaged that the project will build capacity of the eye units to provide quality and sustainable services which will continue after withdrawal of the donor support. The overall objective of this evaluation was to assess the extent to which the project goal, outcomes, objectives and outputs had been met.

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