National Programme for Prevention and Control of Blindness, Islamabad, Pakistan.
East Mediterr Health J. 2010;16 Suppl:S61-8.
Blindness and visual impairment are major causes of noncomrnunicable diseases in Pakistan. Two national population-based blindness surveys conducted in 1988 and 2002-04 demonstrated a reduction in prevalence of blindness from 1.78% to 0.9% with a significant drop in cataract blindness as a result of accelerated nationwide interventions and eye care integration in primary health care. In addition, between 2006 and 2008, 88 facilities were upgraded as a result of the national eye health programme. These measures resulted in a 279% increase in eye outpatient attendances and a 375% increase in eye surgeries performed. Investment in human resources development and policy change contributed significantly to the sustainability of the programme. Key challenges facing the programme include aligning national eye health strategies with health system strengthening informed through health systems research. This paper attempts to document this extraordinary success.
失明和视力障碍是巴基斯坦非传染性疾病的主要原因。1988 年和 2002-2004 年进行的两次全国人口盲率调查显示，由于在全国范围内加速干预和将眼保健纳入初级卫生保健，盲率从 1.78%降至 0.9%，白内障致盲率显著下降。此外，在 2006 年至 2008 年期间，全国眼健康方案使 88 个设施得到升级。这些措施使眼科门诊就诊人数增加了 279%，眼科手术增加了 375%。人力资源开发和政策变革方面的投资为方案的可持续性做出了重大贡献。该方案面临的主要挑战包括使国家眼健康战略与通过卫生系统研究提供的卫生系统加强保持一致。本文试图记录这一非凡的成功。
