Stichting MORI

Medical Ophthalmic Research Investigation

Korenstraat 6

9712 LX GRONINGEN - HOLLAND

 


 

St. MORI

VID CENTAR

HUMANITARIAN EYE CLINIC

ANNUAL and CONCLUSIVE REPORT

DECEMBER 2001

ZENICA, ZE-DO CANTON, BOSNIA and HERCEGOVINA


* Scope and Resources.

* Difficulties and Success.

*Foundation of the H.E.C.

*Objectives and Activities of H.E.C.

*HE.C. Collaboration.

*Additional Activities.

*Pathological Classifications and Statistics.

* CONCLUSIONS.

 


 

 

* Scope and Resources

This report deals with the Humanitarian Eye Clinic (H.E.C.) activities held in Bosnia and Hercegovina (BiH) to help both Bosnian and Kosovo refugees fled to BiH during the crises in Kosovo. The H.E.C. was my sole/pure initiative with financial support from CBMInternational, Germany and technical support from Ootech-lamires, Netherlands. During the acute stage of the crises a lot of activities have been performed to coupe with the situation and to give help in different disciplines among them was medical help. In General Medicine it is easier to manage rather than in Specialised Medicine such as Ophthalmology and Eye Care since, in this speciality, many equipments are used to do reasonable diagnosis and suggest possible medical treatment/management.

 

 

* Difficulties and Success

In situation with dynamic changes and uncontrolled conditions, such as war conditions, it is difficult to give help and offer assistance to the needy. A lot of time, efforts and expenses have been invested to overcome many complicated regulations and unorganised routes to make this real.

In BiH official registration is required to give any type of humanitarian help. Collaboration between Prim. Dr. J. Imamovic (general director of the Cantonal Public Health Institute) and local humanitarian organizations such as RUHAMA and CARITUS in addition to personal communications at the Ministry of Health in Sarajevo have facilitated the entrance of equipments and medications.

It was not easy. It was tiring and exhausting procedure. Many good willing people have contributed in assistance. It was not easy to reach the needy. To give the necessary help at Refugees Camps a special permission was required from the Ministry of Refugees and Social Welfare.

A meeting with Mrs. Vesna Popovic, the Refugee Social/Medical Officer, was necessary to get a permission to visit some of the Refugees Camps officially in the area. Earlier a risk has been taken to give the help on personal communication and verbal approval. If there is a will, there is a way; as it has been said.

 

 

* Foundation of the H.E.C.

In parallel and together with daily activities attempts have been made to find and/or create a place to give the help on stationary regular basis. Due to the changes in the Health System and the Insurance Policy in BiH it was very difficult to allocate the H.E.C. in any of the local medical centres or hospitals. This is due to many reasons. I find them difficult to explain. After many attempts and contacts with Mr. Peter Cetanovic (Deputy of the Mayor, ZE-DO Canton) and Mr. No Garic (Mayor of Vitez) and Prim. Dr. Franjo Tibolt (director of Health Centre, Vitez) a permission has been given by the Cantonal Health Ministry in the Central-Bosnian Canton to official start of the H.E.C. to give a help within the health centre in Vitez.

 

 

 

* Objectives and Activities of H.E.G.

The Humanitarian Eye Clinic (H.E.C.) is created and founded within the health centre (Dom Zdravlje) Vitez, as said earlier. Among objective activities of H.E.C. is to serve the community by contributing in Eye Care Service and improving Eye Health Welfare System in particular helping Blinds and Visually Impaired People, fighting against Blindness caused by Cataract, Glaucoma and other infectious diseases. Special attention will be paid to Diabetes, Diabetic Retinopathy, NeuroOphthalmology and Paediatric Ophthalmology.

 

 

H.E.C. is aiming to achieve these great objectives by offering Ophthalmological service and Eye Care Assistance on Humanitarian basis, selfstandingly and in collaboration with similar institutions. H.E.C. gives service and help to population only and only on the basis of clinical/social needs of the patient without considering any other factors but needs. H.E.C. is equipped with the necessary equipments for diagnosis on portable and stationary basis. Ophthalmic equipments consist of: SlitLamp (Biomicroscope), Direct/Indirect Ophthalmoscopes, Retinoscope, Autorefractometer and a Trial Lens Set.  

 

 

 
 
     

 

H.E.C. has been active in Bosna and Hercegovina during the war crises in Kosovo. It has offered services to refugee camps of both local Bosnian and Kosovo refugees. It has been located in Vitez, a heavily war destroyed town, at the local health centre (Dom Zdravlje). The H.E.C. has given clinical help and service to the needy in the community. Service includes Eye Examinations, Diagnosis and Medical treatment. Medications have been given freely without any charge. Service of the H.E.C. has been appreciated and recognised by community and local health authorities.  

 

 

* H.E.C. Collaboration

The H.E.C. is, now, collaborating and working under the umbrella of the VID CENTRE which is officially registered in Bosnia and Hercegovina. To support activities of the H.E.C. VID CENTRE collaborates with MORI foundation which is working on international basis to help in Medical/Eye Care/Optical fields.

 

 

 

 

 

* Additional Activities

 

In addition to clinical/medical help to the community, H.E.C. has performed many other activities. Among them are ; many visits to Refugees Camps in the area, collaboration with the school for blinds in Sarajevo, arrangement for Dutch/German experts to visit BiH to meet Bosnian Officials as well as for Bosnian to visit MORI in the Netherlands for consultation and training purposes.

 

 

 

 

* Pathological Classifications and Statistics

Clinical activities contains of pathological classifications and statistical analysis of patients being seen at H.E.C.. The statistic is based on the cases that have been seen regularly at the H.E.C. Scatter cases seen at Refugees Camps are not included in the statistics. Pathologies are classified as follows

A. APPARENT EYE DISEASES INCLUDE

Diseases of the Conjunctiva, Cornea, Eye lids, Lacrimal apparatus and Extra Ocular Muscles imbalance (Sequent), Refractive errors and Presbyopia. This category represents about 66% of the cases.

B. INTRA-OCULAR ABNORMALITIES INCLUDE

Cataract of different types, Glaucoma, Optic Nerve diseases, Retinal diseases. This category represents about 17% of the cases.

C. EYE DISORDERS RELATED TO SYSTEMIC DISEASES INCLUDE

Different types and grades of Retinopathies due to Diabetes and Systemic Blood Hypertension. This category represents about 13% of the cases.

D. MISCELLANEOUS EYE DISEASES INCLUDES

Toxoplasmosis (one case), Thyroid Ophthalmopathy, Migraine and Eye injuries. This category represents about 4% of the cases.

 

 

 

 

 

* * CONCLUSIONS

1. The Humanitarian Eye Clinic (H.E.C.) is officially recognized and welcomed by all authorities in concern. On this basis I got a stay permission till the end of the year 2001 to continue activities of the H.E.C. in the area.

2. Activities of the H.E.C. is highly appreciated by the community therefore it has been busy giving serves to the needy on an absolute neutral basis.

3. H.E.C. has got, in the year 2000, shipment of medications of more 12.000 DM for daily use.

4. The lack of Eye-doctors as well as high population make the need real for an on-site help. Screening Project of Diabetes/Hypertension Retinopathies is clinically needed. Name of the project will be ; " DIABETES 2000 PROJECT ". Another Screening Project for vision and visual development/ impairment in paediatric age and childhood in preschool and primary school children is very important to save vision and prevent future untreated conditions in adulthood such as amblyopia. Name of this project will be ; "SAVE VISION PROJECT".

5. Blind-prevention programme such as Cataract Surgery, Glaucoma Management as well as a Laser Surgery are sole objectives. To help blinds and visually impaired patients a visual rehabilitation unit will be needed. This programme will start in the Second Stage on basis of the findings of the Screening Projects.

 

 

 
 

 

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