Comprehensive eye care is about working with people throughout eye health systems – government officials, medical professionals in regional hospitals, staff in rural health centres and members of local communities – to provide eye care for people who need it, wherever they are.

Making eye care available to people in urgent need remained challenging in 2021. Donor budget cuts and ongoing pandemic restrictions made reaching people hard. But through the determination of our partners and by adapting to a fast-changing situation, we managed to achieve some remarkable results.

We have a longstanding commitment to eliminating trachoma as a public health problem in Ethiopia. If left untreated, repeated trachoma infections can develop into trachomatous trichiasis (TT), where the eyelid turns inwards, scraping painfully against the cornea. Ultimately, it can lead to irreversible blindness. Early in the year, cuts to the UK foreign aid budget left several million people in urgent need of antibiotics to prevent trachoma.

But, through additional funding provided by Sightsavers, Orbis Ethiopia successfully distributed 8,127,635 doses, nearly 50% more than their target. And they ensured every dose was administered in a Covid secure way. Trachoma remains the second major cause of blindness and the third major cause of low vision in Ethiopia. But trachoma impact surveys show the difference Orbis, in partnership with the Ethiopian government and other groups, is making. 

Nearly half the 155 woredas (districts) in which Orbis UK funds programmes now show reduced infection levels. No further mass drug administration (MDA) is required in 33, and in five, no surgeries are required either. Trachoma is a highly infectious condition that can devastate people, families and communities. In 2021, Orbis partners took significant steps toward eliminating trachoma as a public health problem.

With nearly 40% of adults screened requiring treatment, demand for eye care has been far higher than anticipated across the project – reflecting a legacy of inadequate, underfunded healthcare among both the Rohingya and host populations. Between March and August 2020 access to the camps was severely restricted due to coronavirus, creating a backlog and driving demand even higher.

Since March, we've been working closely with the local government to prevent and control infection in eye health facilities during the pandemic. 

We also ran a highly successful Christmas appeal to support our partner, the Cox's Bazar Baitush Hospital (CBBSH), providing training, PPE and extra cleaning materials, and helping create socially distanced healthcare settings in the hospital.

Our work in South East Bangladesh has been the product of effective collaboration with other NGOs and the government. But it’s still only been possible to meet a quarter of the demand for eye care in Cox's Bazar. Due to our programme’s successes and ongoing need in the region, the project has been extended until 2023. We look forward to continuing this vital work.

In 2018, we ensured eye care was a key pillar of the healthcare response to the refugee crisis in South-East Bangladesh. 

Since the political situation in Myanmar forced the Rohingya community to flee, more than 1 million Myanmar nationals have settled in the camps in Cox’s Bazar.

Most live day-to-day in basic shelters with only essential facilities, and many urgently need eye care for conditions including cataract, glaucoma and refractive error. 

In 2020, Orbis Bangladesh led the coordination of aid agencies in making eye care accessible to communities in the refugee camps and across Cox’s Bazar district. 

This year, we focused on training more frontline health workers to raise awareness of eye health and refer people to the local Cox’s Bazar Baitush Sharaf Hospital (CBBSH) and its two Vision Centres. 

Adapting to ongoing pandemic restrictions, Orbis partners went house-to-house to conduct screenings and administer treatments. We’re pleased to report that our approach is working well and early results have been extremely positive. So much so that the United Nations Refugee Agency (UNHCR) has invited Orbis Bangladesh to provide technical support in developing the eye health facilities in a new hospital.

The number of people who are blind or visually impaired in Vietnam has decreased significantly since we first began working with local eye health teams in 1996. 

But there are still 520,000 people who are blind. In most countries, the pandemic most severely affected our work in early 2021. 

But in Vietnam, restrictions only affected our community outreach activities from mid-May onwards. Our partners still managed to screen more than two-thirds of the target number of people for diabetic retinopathy.

And we’re pleased to be able to fund the project’s continuation in 2022 so it can fully reach its aims.