Pakistan Institute of Community Ophthalmology

Pakistan-Australia Prevention of Avoidable Blindness (PAPAB) Project Strengthening Eye Health System (District Peshawar)

Period of Agreement:

1st June 2016 to 31st December 2016

This Annual Partnership Agreement (APA) was jointly developed and has been agreed to by representatives of the following bodies:

The Fred Hollows Foundation (FHF), People's Primary Health Care Initiative (PPHI), Pakistan Institute of Community Ophthalmology (PICO) & Eye, Endo & Diabetes Department, Hayatabad Medical Complex, Peshawar.

Project Objectives:  

 1. Strengthening Eye Health System: Service Delivery: Women, children and the poor in District Peshawar are utilizing accessible and high quality pediatric and diabetic related eye health services.

 2. Community mobilization by awareness-raising about Diabetes, Diabetic Retinopathy and childhood Blindness. 

 3. Strengthening capacities for service delivery at the primary, secondary & or tertiary levels.

 4. Screening Diabetes, Diabetes related and childhood Blindness at the primary level health facilities.

 5. Strengthening referral pathways from primary to secondary / tertiary level.


1.Twelve Medical Officers, Twelve Lady Health Supervisors and a total of 106 LHWs were trained in primary eye care in district Peshawar.

2.As a result:

  a) 3512 patients were referred to BHUs for diabetes for the community.

  b) 1126 patients were screened positive for DM/DR at BHUs.

  c) 412 patients were screened positive for DR at BHU.

  d) 1126 patients were referred to Endo Department HMC for diabetes treatment. 

  e) 413 patients were referred to Eye Department HMC for treatment.

  f) 1056 patients were referred by LHWs to BHU, for children blindness (CBL).

  g) 878 (83%) child were found positive for CBL.

  h) 172 patients were referred to Eye Department HMC for treatment & 706 patients were managed at BHU.

  i) 103 (60%) referred patients reported at Eye Department.