Emmanuel Elochukwu Okenwa-Vincent
I am an Optometrist with post graduate training on both public health and health planning and management. My PhD is in public health Optometry. I am currently a lecturer in Optometry at MMUST, Kenya
Location Kenya
Activity
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Emmanuel Elochukwu Okenwa-Vincent made a comment
Great course and fantastic learning experience for me, thanks all!
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Emmanuel Elochukwu Okenwa-Vincent made a comment
Wow! what an interesting and refreshing week. I always enjoy randomized experiments with animal samples in testing effects of local non-orthodox, alternative/complementary plants etc on animals' cornea. Kindly, i would like to learn more about power analysis and how to apply it in determining sample sizes. A statistician did my PhD calculations for me, in my...
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It does help, Lisa... Actually, a lot. Thanks for the clarification.
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Hahaha... Usha, i agree with you, very good lesson to note!
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Hi Lisa, i am equally concerned and equally having same confusion as expressed by Omar. However, haven gone over again the notes in step 6.9, may you pls confirm if it would be right for me to infer that, when two estimates have overlapping conf. interval but non-overlapping compar. intervals, the difference between the two estimates is statistically...
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Hi Lisa, Thanks for the encouragement and the clarification. It all make a lot of sense now. Thanks again. Cheers
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Emmanuel Elochukwu Okenwa-Vincent made a comment
I found the week quite challenging, not necessary due to the fact that i earned my least score so far, but generally for the fact that i still find interpreting the confidence interval plots' analysis a bit confusing. I plan to review some of the sessions though, just to get in-depth understanding of the plots and numerical inferential outputs. Meanwhile, am...
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Emmanuel Elochukwu Okenwa-Vincent made a comment
Progressing well. This week's lesson really justifies the fact that 'all you see, is not really all there is'. Meanwhile, there's got to be a good way of exporting many these data outputs/plots to word documents - particularly those of week four?
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Emmanuel Elochukwu Okenwa-Vincent made a comment
As much as i found i could dance around with the 3D plot, i must confess am still confused about making any reasonable sense out of the plot
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Emmanuel Elochukwu Okenwa-Vincent made a comment
Wow! Though very behind, but i have plans to catch up on week 6 this coming week. However, week four have been a great learning experience, i have gain more insight with scatter plot and can now play around with scatter plots on iNZight. Thanks Chris.
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Oh, thanks Chris. Will patiently wait then. Thanks for the clarification.
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Emmanuel Elochukwu Okenwa-Vincent made a comment
I gained more insight with reading and interpreting the scatter plots... Used to be confusing, a lot made sense after this set of modules. It's a bit still tricky though, but i believe with more practice, things are going to get a lot clearer. Quite an enriching experience - this week 3. However, am still struggling with interpretation of this output from the...
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Emmanuel Elochukwu Okenwa-Vincent made a comment
Having fun so far... especially with the refreshers that come with the take-home questions after each video and the quizzes. However, i still have my concerns with multiple variable analysis as with linear and multi-linear regressions, small sample analysis e.g experimental studies with 3 to 5 groups, few samples (less than 10 in each group) and multiple...
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Emmanuel Elochukwu Okenwa-Vincent made a comment
I found this week's introduction lesson extremely useful and interesting, most of all very unassumingly simplified. Actually, anyone who has used other data analytic software will easily get on-board as this is a much more easier tool to play around with. I have tried playing around a bit on iNZight and noticed that some data sheets that produced sensible...
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The course has been very resourceful in all aspect of effective planning and management of any eye care project/program. It has helped me in reflecting on the planning cycle and most of all learning that every huge impact begins with small consistent steps and keeping things simple and aligned with stated goal. Finally, team work and continuous team...
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Emmanuel Elochukwu Okenwa-Vincent made a comment
Thanks Prof, indeed keeping it simple and taking it bit by bit remains the key to a successful planning.
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Emmanuel Elochukwu Okenwa-Vincent made a comment
There is need to make budget for the resources required for evaluation process right from the onset of the project. Evaluation of a project at whatever timing is both useful for measuring project impact as well as understand the journey that took place in the course of the project
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Emmanuel Elochukwu Okenwa-Vincent made a comment
Key stakeholders would be Local district program managers, National program coordinators - depending on the type of program, Donors and partners to the program. Program implementer and staff, etc.
These information from monitoring is useful to sustain funding and hence program, motivate and build confidence in program implementers, for re-strategizing... -
Emmanuel Elochukwu Okenwa-Vincent made a comment
Objective 2:
To establish a bulk purchasing contract with the best priced, high quality optical provider for a minimum of 3,000 reading glasses each year for the next three years.Prioritized Activities:
- Increase demand for presbyopic correction - more outreach and referral stations; train community volunteers to sensitize and mobilized age population... -
I find all, particularly table 2 very detail and highly relevant for me
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Lowered cost of surgery, but improved on cost recovery through increased cataract uptake or demand. This can be achieved through
- Increase in outreach activities or referral stations
- Improved quality of services; both clinical and non-clinical service delivery
- Increase clinical and non-clinical manpower to meet increased demand
- Finally, develop... -
I find Objective 3 of Aim 2 SMART: IT is specific on Reading glasses and also on bulk purchase; It is measurable on 3000, so you have a tool to ascertain or measure if you met your target; depending on budget 3000 reading glasses can be achievable - this also depends on the need for the glasses and the turnout for presbyopic refraction at the setting; this...
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Emmanuel Elochukwu Okenwa-Vincent made a comment
All the information listed can be sourced in my setting. Albeit, some from public and others from private and individual user settings.
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Team concept gives every stakeholder the feeling of owning the programme and thus better win their support and commitment to the success of the project. The govertment through the MoH, the community chiefs and teachers, and other private interest groups and every identified stakehold in all the phases of the programme should be involved at planning stage, and...
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SWOT analysis of my own local setting: Academic Vision Center, MMUST, Kenya;
Strengths:
Availability of a department of Optometry and well trained optometrist
Support in equipment, manpower and other logistic from an INGO
University management support in developing the vision centre as an income generating unit of the universityWeaknesses:
The slow... -
Emmanuel Elochukwu Okenwa-Vincent made a comment
Majorly, I believe when key stakeholders are not properly oriented nor carried along in the course of SA plan, a major barrier to successful assessment is already set from the outset. Consultations, clear definition of purpose and clear role definition, involve health personnel and community personnel makes all get the feeling of owning the programme and hence...
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its is useful to make a clear focus of both plans so as to identify the level to which the government though MoH needs to be committed to in driving VISION 2020 agenda and how these priorities at national level will be operationalized at district or other lower VISION 2020 levels.
When designing or planning for change at the lower levels, a clear link that...
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My comfort zone! ... Develop workable outreach stations or camps both in schools and rural communities that are linked to a static base clinic that is central to all and then plan an effective and sustainable referral system... This will effectively address URE in children, young adults and for presbyopia, if effectively managed, over the long term. And like...
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Emmanuel Elochukwu Okenwa-Vincent made a comment
I am equally looking forward to this live meeting. Will be nice to learn more about Peek vision.
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I believe the Aravind model can work in any resource constrained setting if careful planning is done from the outset. A plan that is built on quality - in the skills of the surgeons, efficiency of support staff and consistency in the standard of service delivery, is key. Two interesting things here, much more worthy of adoption are; one, equity in cost sharing...
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Am yet to see this mobile App, but my students who have been on attachment in Nakuru, Kenya, have talked much about it.. If it's what I hear about it, I guess that will revolutionize eye health. I only hope it extends to URE...
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As much as the CSR rate per year in Zrenya is very low, however, the scaling up to 2000/year prescribed by vision 2020, is at the time being unrealistic for Zrenya, giving the resources at hand. To meet this a lot of planning and advocacy should be done at government, in training manpower abroad, as well as on the long term, starting off training facilities...
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Even the case of Zrenya with one ophthalmologist is better than the pitiable situation pitiable situation in most district eye centres in Africa, where you find either only an ophthalmic clinical officer or a cataract surgeon at best, with an ophthalmic nurse and no optometrist. However, for a population of 1.2 million, the manpower availability in Zrenya is...
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The problem facing the local case study here, as with most local district services prividers in Africa, is inequality in manpower resource distribution in some cadres and in others as with optometry, completely absent. Hence, resulting in over dependance in private providers with its high cost implications, long distance of travel and resort to traditional...
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Hi all, does any one know the criteria or the conditions and/or provisions for an institution (university/research institute in optometry) to becoming an IAPB member. Am inquiring as the head of Optometry school at my university in Kenya and on behalf of the university.
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The universal eye health goals builds on the achievements of vision 2020, and a high leap in the right direction to eliminating of avoidable blindness by 2020. However, more problem in Africa is not only lack and inequitable distribution of eye health personnel, but, lack of or insufficient eye health personnel Particularly URE and low vision personnel in...
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Emmanuel Elochukwu Okenwa-Vincent made a comment
Obviously, Vision 2020, have made a lot of positive impact in the last decade and half, particularly in the aspect of scaling up cataract surgical rate. The increase use of small and micro incision cataract surgery as well as increased use & lower cost of phaco cataract surgery in Kenya have improved quality of surgery, better confidence for and increased...
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Sure George, it will be my utmost pleasure, finding a mate to learn with here. Hope you're having learning fun already?
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I am most impressed by the efforts of Dr Hannah Faal... It shows the importance of both effective planning and right number and use of well trained human resources in the effort to elimination of avoidable blindness. An important lesson to be learnt hear is that, that which happened 30 years ago from a humble beginning with limited tools can be done even...
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Emmanuel Elochukwu Okenwa-Vincent made a comment
Basic epidemiology simplified... Precise and straight on point!
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Emmanuel Elochukwu Okenwa-Vincent made a comment
Hi all, am Emmanuel. I am an Optometrist and a Nigerian living and teaching at Masinde Muliro University of Science and Technology, in Kenya. Some of my students have been here before and many more are here now. I joined in to get the feel of the course, online and also as a motivation for yet others not too sure about it or too busy for it- as the head of the...
