To strengthen diabetes eye care in Cochabamba, Bolivia
Capacity building of FBO health facility with equipment and supplies for DR screening and care; incl. laser and telemedicine tools for outreach purpose.
Development of guidelines for diagnosis and treatment of DR in coordination with health authorities and other stakeholders.
Training of ophthalmologists at FBO clinic and Viedma Hospital (MoH) in diagnosis and treatment of DR (incl. outreach); training to be conducted by RG / Stanford University expert
Screening of patients and follow-up treatment (incl. laser and vitrectomy surgery for advanced DR) of diagnosed patients through RG visits and outreach (incl. telemedicine and deployment of portable equipment); post-operative patients to be managed by local ophthalmologists, and local ophthalmologists gradually to be trained to perform DR surgery and laser treatment independently without RG/Stanford University experts on site
Development of an electronic DR registry and M&E system; established and functioning at FBO health facility and Viedma Hospital with clinical WDF indicators to monitor impact of treatment
30 public and private local ophthalmologists and HCPs (FBO and MoH / Viedma Hospital affiliation) trained in detection of DR and 15 trained in retinal laser and surgery.
5,400 diabetes patients screened for DR and registered (patients to be identified from FBO clinic, Viedma Hospital, referrals from other eye clinics and ophthalmologists, diabetologists and endocrinology clinics, outreach visits, and, mobilised via media campaigns); and with approx. 1,600 patients diagnosed with DR, 1,000 patients diagnosed with non-proliferative DR, 400 patients diagnosed with proliferative DR, 200 patients diagnosed with diabetic macular edema, and 540 patients treated with laser.