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Introduction
The Tulsi Chanrai Foundation, a charitable, philanthropic and non-profit voluntary organization is engaged in community development activities focusing on the areas of primary health care, eye care services and drinking water supply.

Cross River State Eye Project is sponsored by General Agro Oil Industries Limited and Dry Fish Producers from Iceland and Faroe Islands.
Cross River State
  • Cross River State is one of the thirty-six States in Nigeria. It is in the South-South Geopolitical Zone.
  • The State shares common boundaries with Cameroon Republic in the East, Benue State in the North, Enugu and Abia States in the West and the Atlantic Ocean and Akwa Ibom State in the South.
  • The Government is capitalizing on the ecotourism potential of the plateau as source of income for the State.
  • The State has a population of 2.66 million (50.3 % males and 49.97% females) with a landmass of 98,000 square kilometers.
  • There are three major languages in the State: Efik, Bekwarra and Ejagham.
  • The state lies within the tropical zone hand and has two seasons, the wet season between the months of May and October and dry season between the months of November to April.
  • Calabar the state capital records the maximum amount of rainfall every year.
  • The vegetation varies from tropical rain forest in the south and savannah in the north.
  • Literacy rate is 62% with a male female distribution of 70 and 54.
  • The infant mortality rate is 50 birth/1000 populations and life expectancy at birth is 64 years.
  • Travel, particularly in its southern belt crisscrossed by numerous mangrove swamp creeks, can be difficult and in the other belts because of poorly maintained feeder roads. One of its local government areas, Bakasi has been an area of conflict and contention between Nigeria and Camaroon and thus has suffered gross neglect.
  • Health services are poorly developed compared to other parts of the country. There is no funding for blindness prevention apart from payment of staff salaries.
Performance Analysis: 2006-07
 
 
 
 
 
 
 
 
         
     
 
 

Facts on Curable Blindness in the State

Blindness prevalence rate is
01 %
26,598
Cataract accounting for
50 %
13,288
Glaucoma
15 %
3,990
Corneal opacities
11 %
2,925
Refractive Errors
10 %
2,660
Others
03 %
798
 
  An estimated 26,598 people are blind in the state, 65% (17,288) of whom have cataract and glaucoma, the incidence of new cataract blind is 2657 annually (20 percent of the prevalence).

The Cataract surgical rate is 393 per million population which is for below the Vision 2020 recommended rate of 1000 for the region.

Poverty is both a cause and consequence of blindness. Only 41% of the population is economically active, the larger population is economically inactive. The cost of cataract surgery in the Government hospitals is N16000 ($110) and as high ($200 to $ 250) in private hospitals. As a result the few available services are financially inaccessible to the larger population.

 
 
 
         
     
 
 

Community Eye Care Programme

TCF in collaboration with the Cross River State Government started its first camp in 2003. The camp was a huge success with more than 1,019 patients being operated over a six months period.

On March 22, 2004 TCF started the present surgical program in the General hospital. Till date, 6722 surgical operations has been conducted which includes 5020 cataract surgeries.

 
 
 
         
     
 
 

Process

  • Eye screenings are done twice a week on Mondays and Thursdays to select patients for the cataract operations.
  • On Tuesdays, Wednesdays and Fridays the selected patients in batches of 20-25 are operated and Intra Ocular lens implanted.
  • The patients are then provided free hospital stay for 2/3 days and then discharged.
  • Post operative care is provided on the day of surgery, day of discharge and one month after surgery when they come for review. All these services are provided free of cost.
 
 
 
         
     
 
 

Out- reach screening programs

The Outreach screening program covers 54 Communities in 11 Local Government Areas of Cross River State. 6138 people have attended the screening in the outreach programmes and 2156 cataract patients were identified and 1218 reported to hospital for operations.

Mobilization and awareness is done by Community Directed Distributors of Onchocerciasis Control Programme and Extension workers with the help of Village Clan heads, Church Leaders and Local Council Members.

The screening camps are organized at the health centers.The Screening Team of CRS Eye Centre identify the operable cataract patients. Other patients are given referral notes to visit Eye Care Centre, Calabar or nearby Eye Clinics.

 
 
 
         
     
 
 

Status in 2006 - 2007

2718 surgeries have been performed in 2006-07 (YTD January 2007) which includes 1903 cataract surgeries.
10 outreach camps were conducted, 561 patients were screened, 115 patients were referred and 93 patients were operated.
Work is in progress for the construction of a new 25-bed exclusive Eye hospital. This is expected to be completed by end of 2007.
As part TCF’s commitment to improve of the Two Surgeons from Cross River State are undergoing two years training in India.
 
 
 
         
 
     
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