So as all y'all know my little talk is now over. Ten minutes is not really enough time to say anything but I tore through my little talk (probably speaking far too fast and making very little sense). I was the first to speak in the group so a couple of hours later we had a panel "discussion". I received a couple of questions which were not terribly difficult nor surprising. Following the discussion I received a number of comments from others attending.
I heard things about my anatomy. (Good things? - Think about it.)
I heard a lot of people who agreed with what I had to say.
I heard that a lot of people felt that the director of the organization that is putting the conference on slapped me around a little bit. (I didn't think he did - but I'm not easily intimidated nor do I much care what people think about me. If he did slap me around a little bit it was in the desire to be politcally correct).
I was offered a job?
Anyway what could create such a stir? Apparently me. If you care this is what caused the stir:
"It is interesting that despite decades of encouragement from the WHO and various optometric professionals for Voluntter based vision NGOs (VBVNGOs) to change their priorities [See (20-23)], their strategies have remained virtually unchanged for blindness and low vision treatment and prevention.
With the adoption of VISION 2020 as the guiding document for blindness prevention now is the time for a dramatic shift in the work of VBVNGOs. If the strategies outlined in VISION 2020 are considered the gold standard strategies in the prevention and treatment of low vision and blindness it becomes apparent from the survey that VBVNGOs in their current form are not acceptable as they are unaware of the initiative and use strategies contrary to VISION 2020.
The following recommendations will allow VBVNGOs to add greater value to the global visual impairment prevention community.
Discontinue VBVNGOs in their current formThe work that current VBVNGOs do is not in line with VISION 2020 priorities and does not treat ocular disease in a sustainable manner. It is, therefore, imperative that these VBVNGOs discontinue their work until they have been integrated into the broader blindness prevention community and meet the minimum indicators discussed previously
Determine Burden of Visual ImpairmentIt is important that epidemiological data are collected prior to the implementation of projects and programs. If this has not been completed by the national VISION 2020 program it must be conducted by the VBVNGO prior to the coordinated implementation of projects and programs.
Train Mid-Level Eye Health Care PractitionersIt is apparent from the surveys that human resource development occurs sporadically but is not a priority for most of the VBVNGOs. They work alongside local practitioners at times - when they are able and it is convenient - but they do not make the training or the creation of a cadre of local eye health care workers an objective.
Education Members of the VBVNGOs are encouraged to band together to form a cadre of educators and to provide resources for the creation of education facilities. This is an entirely different strategy for these organizations and requires them to accept a new responsibility.
Formation of Partnerships
Volunteer based NGOs are encouraged to make contact with the national VISION 2020 program in the countries they work in, as well as making contact with the organizations that are part of the IAPB active in the countries of interest. With these partnerships a coordinated effort can take place, thereby putting both financial and human resources to best use.
Use of Recycled Spectacles and Expired MedicationsAll organizations working in the prevention of visual impairment are encouraged to immediately discontinue the use of recycled spectacles and expired medications. It is important to simultaneously develop a local, cost effective, and sustainable ophthalmic laboratory, spectacle and ocular medication distribution network and a cadre of mid-level practitioners [See (8, 9, 13, 16, 20, 23, 24, 26-32). In addition, VBVNGOs are encouraged to understand and follow the WHO guidelines on the use of donated pharmaceuticals [See (33)].
Evaluation of Outcomes
Most VBVNGOs currently judge their success with a subjective analysis. If the majority of the recipients of their care smile, or if the team is invited back for a future visit the vision camp is deemed successful (34-36). No objective evaluation is conducted. For a VBVNGO to consider itself part of the solution to global visual impairment it must continually seek to improve the work that it does. Improvement can only come from monitoring and evaluating the work being conducted.
Focus on Public HealthThese organizations should focus on public health rather than their own professional development or personal fulfillment. While there is nothing wrong with gaining a sense of fulfillment from working in a developing country, when vision camps are advertised as a means to develop professional skills and see a developing country, motives for involvement can hinder the development of a local eye health care system. The reason to become involved in blindness and low vision prevention is not to develop one’s professional skills or to see poverty rather it is to help people obtain their right to the highest attainable standard of health.
If you read all of that congratulations. You just read what they all heard from 2 of my 17 slides. It was fun. I'm sure I'll get a few more people talking to me tomorrow. One more day for the conference and then we're off to safari.