International Agency for the Prevention of Blindness (IAPB), London School of Hygiene and Tropical Disease, Keppel Street, London, UK.
Indian J Ophthalmol. 2012 Sep-Oct;60(5):380-6. doi: 10.4103/0301-4738.100531.
In the first 12 years of VISION 2020 sound programmatic approaches have been developed that are capable of delivering equitable eye health services to even the most remote and impoverished communities. A body of evidence around the economic arguments for investment in eye health has been developed that has fuelled successful advocacy work resulting in supportive high level policy statements. More than a 100 national plans to achieve the elimination of avoidable blindness have been developed and some notable contributions made from the corporate and government sectors to resource eye health programs. Good progress has been made to control infectious blinding diseases and at the very least there is anecdotal evidence to suggest that the global increase in the prevalence of blindness and visual impairment has been reversed in recent years, despite the ever increasing and more elderly global population. However if we are to achieve the goal of VISION 2020 we require a considerable scaling up of current efforts-this will depend on our future success in two key areas: i) Successful advocacy and engagement at individual country level to secure significantly enhanced national government commitment to financing their own VISION 2020 plans.ii) A new approach to VISION 2020 thinking that integrates eye health into health system development and develops new partnerships with wider health development initiatives.
在 VISION 2020 有远见的声音项目实施的前 12 年中,已经开发出了能够为即使是最偏远和最贫困的社区提供公平的眼健康服务的方案。已经围绕投资眼健康的经济论据形成了一系列证据,这推动了成功的宣传工作,促成了支持性的高级别政策声明。已经制定了 100 多个旨在实现消除可避免盲目的国家计划,并且企业和政府部门也为眼保健方案提供了一些显著的资源。在控制传染性致盲疾病方面已经取得了良好的进展,至少有传闻证据表明,尽管全球人口不断增加且老龄化程度越来越高,但近年来全球盲症和视力损伤的发病率已经有所逆转。然而,如果我们要实现 VISION 2020 的目标,我们需要大大加强目前的工作力度——这将取决于我们在以下两个关键领域的未来成功:(i) 在国家一级进行成功的宣传和参与,以确保各国政府大幅增加对本国 VISION 2020 计划的资金承诺。(ii) 对 VISION 2020 进行新的思考,将眼健康纳入卫生系统发展,并与更广泛的卫生发展倡议建立新的伙伴关系。