Godwin Ovenseri-Ogbomo
I am an optometrist and a lecturer. I have interest in prevention of blindness and low vision.
Location University of Benin, Benin city, Nigeria.
Activity
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Godwin Ovenseri-Ogbomo made a comment
Aim 1: objective 1 is not SMART; obj 4 is SMART.
Aim 1: Obj 1, is not directly related to the aim and the achievement of that objective may not necessarily impact on the CSR - the aim of the plan.
Obj 4 is SMART in that it clearly specified what will be done and also contains a target with which to measure it achievement with the the specified time... -
Godwin Ovenseri-Ogbomo made a comment
The team approach ensures that no one who is relevant to the success of the plan is left out. It also ensures that everyone commits to the goals of the project.
Invitee could include local head of eye care professionals (ophthalmologists, optometrists ONs) or their designates. Local community leaders, representative of disability group, MOH reps, Min of... -
Godwin Ovenseri-Ogbomo made a comment
Aim is the destination, objective is the route and vehicle to get there.
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National VISION 2020 plan commits National governments to the issues of eye in relation to policies directions. It draws on existing national health policies and how these addresses the goals of VISION 2020.
At the district levels, the concrete local activities to be carried out in order to achieve the overall goals of the national plan are addressed.
The... -
I believe with proper planning, this is possible. The NIDs are well publicized and well received. The idea is to have a team of eye care workers tag along to provide eye exams during these dedicated days.
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The draw back in private practice in the rural area where the needs are greatest is that they are not usually so profitable hence private practices are set up in the cities. Other incentives other than allowing health workers in public service in the rural areas to be allowed to own / engage in private practices should be considered.
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You re most welcome Sanz
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Equitable distribution of the available optometric workforce in Nigeria is one way to ensure improved refractive error services. Furthermore, setting target such as the number of retractions per optometrist per day could also enhance the delivery of RE services. Incorporating eye health into already existing school health programs will increase RE coverage of...
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Godwin Ovenseri-Ogbomo made a comment
I would like to pose a question here. Given the cost effectiveness of refractive error service, can refractive error service be made profitable as to generate income for other eye care services?
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Godwin Ovenseri-Ogbomo made a comment
The barriers at the "consumer" level are fairly well know as Dr Anne has pointed out. I guess there are also barriers at the "service provider" level. The low retention of optometrists in public service greatly hinders refractive error service delivery. Thus the majority of optometrists end up in private practices and these are in business to make profit. Also...
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I think many founders have come to the conclusion that providing free spectacle lenses are not sustainable on the long run. A model that might work to improve access to refractive error services and make it accessible to have a tiered system of payment for services and spectacle frames. Individuals who can afford and are willing to pay huge cost for "designer"...
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Godwin Ovenseri-Ogbomo made a comment
As with correction of refractive error in children, uptake of presbyopia correction can be enhanced when there is a felt need hence the relatively high uptake amongst the literate. They need the correction to enhance their day to day office work. For the non-literate, the perception that wearing "glasses" is for reading automatically creates the impression...
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I took part in the training of some community health extension workers who were already providing school health so the could add eye health and vision testing to their portfolio sometime ago in Ghana. The trainees were quite enthusiastic about the program as they were given the vision testing kit comprising the illiterate E chart, a measuring tape, an occluded...
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One way to identify children with significant hyperopia using the Refractive Error in School Children (RESC) protocol is to test the vision in children with say a plus 2.00 diopter so lens. If the vision does not significantly decrease by say 2 - 3 lines, then the child should be refracted for hyperopia.
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Many factors influence the choice of where health workers practice in terms of geographical location. (http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2013/06/17/000445729_20130617151929/Rendered/PDF/785060WP0HRHDC00Box377346B00PUBLIC0.pdf). In retaining eye health workers in rural communities where the needs are greatest, employers...
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Great presentation Prof Mpyet. What role might non-surgical members of the eye care team play in improving the CSR? I'm of the opinion that a collaborative approach may improve what we currently have in Nigeria. For example, the ophthalmic nurses and optometrist. While these cadre of eye care may not directly improve CSR, they can play a role in increasing...
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Godwin Ovenseri-Ogbomo made a comment
My uncle, with his characteristic grin said to me he was not going to have the surgery. Deflated, I demanded to know what has changed. He narrated a story of his close buddy who walked by himself to the hospital to have an eye exam and eventually had surgery. This fellow after surgery had worse vision and eventually lost his vision. My uncle was apparently...
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Godwin Ovenseri-Ogbomo made a comment
I'd like to give this personal story to underscore the barrier due to beliefs. When I was in third year in my optometry training, I went to spend my vacation with my uncle in another city. Whilst there, I was visiting a private optometry clinic for observership. One day, my uncle mentioned came home in the evening without his car. Initially I was alarmed and...
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I completely agree with you Sanz. Government policies could impact negatively on the delivery of cataract services. The issue of posting of eyecare workers often follow civil service rules which may be inconsistent with the evidence on the ground in terms of needs etcetera. Sometimes, the designated trainee Eyecare worker may have been selected based on...
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Godwin Ovenseri-Ogbomo made a comment
In Nigeria and Ghana and perhaps some other African countries, besides other barriers that have been mentioned, "improper deployment" of available workforce can be a barrier. In many eye units, ophthalmologists are burdened with management of minor ocular infections and ailments like conjunctivitis. The import of this is that whereas these minor conditions...
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Godwin Ovenseri-Ogbomo made a comment
No doubt VISION 2020 has to some extent been successful as evidenced by the decline in global prevalence of blindness. However, some of the achievements could not have been possible without collaboration of various sectors. Other strategies that could help in scaling up the gains made could include a more cohesive team approach. Whereas the concept of team...
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Godwin Ovenseri-Ogbomo made a comment
The success of VISION 2020 has clearly demonstrated that with proper planning and program implementation the burden of avoidable blindness can be reduced globally.
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Godwin Ovenseri-Ogbomo made a comment
I'd like to share an approach that was employed in developing low vision services in Nigeria. Up until 2009, there were limited awareness and provision of low vision services. A bold initiative by the Federal Ministry of Health with support from Brein Holden Vision Institute has changed all that. The National Low Vision Program involved training of eye care...
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Godwin Ovenseri-Ogbomo made a comment
The success of The Gambia eye care program needs to be replicated in smaller community units and the principles applied to suit community peculiarities.
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I agree with you Naa that the apparent increase in the prevalence of glaucoma is early screening. Being largely asymptotic, glaucoma is initially first diagnosed when patients presents for other eye care needs including refractive errors services and difficulty in reading associated with presbyopia. With the increase in this "unintentional case finding", more...
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I do not concede that poverty is a challenge to managing glaucoma blindness. In my opinion and from experience, ignorance of the disease condition which is manifested by poor compliance to treatment and prescribed medication represents a significant challenge to managing glaucoma. In this regard, eye care providers should emphasize eye health education while...
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I think the definition of low vision must be considered from the point of view of clinical low vision and survey (epidemiological) definition. Clinically, an individual is considered to have low vision if after medical, surgical and refractive intervention, VA is worse than 6/18. The survey definition will may not take into account the intervention.
Stating... -
Godwin Ovenseri-Ogbomo made a comment
Interesting lecture.
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Godwin Ovenseri-Ogbomo replied to Md. Arif
Yes Arif. It is possible to prevent blindness if you consider prevention from its dimensions of primordial up to tertiary prevention.
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Godwin Ovenseri-Ogbomo made a comment
Hello everyone. I'm an optometrist with particular interest in public health and low vision and visual rehabilitation. I've worked for the Optical Foundation in Ghana providing school eye program. I am also an educator and low vision trainer. Hopefully this course will serve to refresh and reinforce previous knowledge.
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Godwin Ovenseri-Ogbomo made a comment
Great to join this community of eye care workers and hoping that in the 6 weeks of this course, each of us would leave with a plan to impart eye care program in our communities.
