Disease Intervention,

to reach the goal of Vision

2020
in Indonesia

Farida Sirlan MD, PhD

Ministry of Health,
Indonesia

Political Will
Eye health has not yet high
priority
Launch Vision 2020 in February
2000 by Vice President
Vision
2020
workshop
at
provinces

Government Policy
1. Healthy Indonesia 2010 through
Increasing community participation
Advocacy to community leaders
Training for GPs, nurses, cadres,
teachers
Improving facilities for PEC, SEC, TEC
2. National strategic plan for PBL
program
3. Competent based policy for eye

National Health
System
Primary eye care in primary health
center
Secondary eye care in district
hospital
Tertiary eye care in province
hospital/
teaching hospital

Morbidity
National Eye Survey 1996
Refraction error
22,1%
Pterygium
13,9 %
Cataract
:
Conjunctivitis :
Corneal scar :
Glaucoma

:
:
7,3 %
2,0 %
1,4 %
:
0,4

Blindness and visual

impairment
Blindness : 1.50 %
Severe visual impairment :
1.10 %
Visual impairment : 1.80 %

Causes of blind
Cataract
: 52 %
Optic nerve
: 13,4 %
Refraction error
: 9,5 %
Retina
: 8,5 %
Cornea
: 6,4 %
Others
: 10,2 %

Professional
commitment
Increase human resources
Increase Cataract Surgical
Rate
Increase the community
work

Role of NGOs
Financial for promotion, training,
screening, campaign, and
consumables
Advocacy to government, politician,
businessman

Cataract
The

strategy and the target

Eye care facilities

Cataract
The

strategy and the

target

Eye

care facilities

Cataract
The

strategy and the target

Eye

care facilities

Children blindness
Rapid

survey to measures the problem

Advocacy to the decision maker
Promotion to community
Early detection of childhood blind
Training for pediatric ophthalmology
team

Refraction Error
Training

elementary school teachers

Screening by trained teachers
Re-screening by hospital team
Providing glasses, low cost or free
for the poor

Low vision
Just

started in several centers

Training ophthalmologists
Work together with the school for
blind

Xerophthalmia
Rapid

Survey due to monetary crisis 1998

Promotion through health centers
Training for early detection
Regular vitamin A injection and capsules
in HC for all children under five
Role of NGO, Helen Keller International

Glaucoma
Training

PEC in Health Centers

Starting promotion and seminars
Developing the glaucoma foundation
Encouraging the glaucoma family to
check up
Multi-centers study
Providing specific treatment at TEC

Diabetic Retinopathy
Promotion

through health centers

Develop the referral system PEC, SEC,
TEC
Developing the diabetes foundation
Inter-discipline network
Multi-centers study
Providing specific treatment at TEC

Summary
reach the goal of the vision
2020, the disease intervention has
been conducted, mainly for:

To

Cataract blind,
Children blind,
Refractive error

HEALTHY
INDONESIA
2010