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Restoring sight for tsunami affected people in Sri Lanka
6 October 2006
Story and photos by Australian Red Cross’ Byron Pakula
Seventeen year old school girl Shasikala Dilrukshi sits engrossed in a book on the verandah of her home. A simple scenario played out everyday all over the world. But one that for Shasikala was unthinkable only two months ago.

‘My eyes got all teary and my head hurt when I strained to read’, she recalls. ‘When I was at school I couldn’t even see the blackboard properly. I had to ask my friend for the notes because I couldn’t focus on what was written. My sister and I shared one pair of spectacles as my family could not afford to buy me my own pair.’

In a house close to Shasikala’s lives 37 year old dressmaker Jasintha Fernando, who first started having difficulties with her vision while working abroad. On returning home she received spectacles from the Colombo Eye Hospital, which helped her sight and enabled her to continue to work. However, the December 2004 tsunami reversed all that when her spectacles, along with her livelihood, were swept away.

But now, thanks to the support of Australian Red Cross and the International Organization for Migration (IOM), Shashikala is the proud owner of a brand new pair of spectacles. The headaches have gone and she is now able to keep up with her classmates. Jasintha is also back to work and bringing in an income after she received a pair of spectacles to replace the ones that she lost in the tsunami.

Thousands of people like Sashikala and Jasintha have so far benefited from the joint Australian Red Cross/IOM project that aims to tackle visual impairment by bringing optometric and ophthalmologic care services to six tsunami-affected districts in the South and East of Sri Lanka.

By the end of August 2006, 50,000 people had been screened, and 40,000 pairs of spectacles distributed. Over 3,500 people have also been referred for cataract operations.

‘During the course of the project, we hope to provide about 100,000 people with ophthalmic screening, spectacles for 75,000 people, and possibly refer more than 7,000 others for cataract surgery’, says Dr. Qasim Sufi, IOM’s Health Coordinator in Sri Lanka.

The project involves eye clinics being set up for one or two weeks in schools, temples, and other easily accessible community locations. Banners and notices advertising the free service are posted a month or so prior to the arrival of the clinics, while auto-rickshaws with microphones drive around the streets promoting the project.

The clinics are run by professionally trained optometrists who can identify sight problems, provide treatment for eye infections, distribute spectacles, or provide referrals to district hospitals for further assistance such as cataract operations.

Through the success of the first camps in Kalutara and Matara Districts, the Ministry of Health is also using the clinics as an entry point to provide a range of services, such as health education campaigns for HIV/Aids, nutrition programs, and even dental services.

The project is not only addressing the needs of tsunami affected families. It is also contributing to the long-term sustainability of Sri Lanka’s healthcare system, building local capacity to ensure the eye care needs of the population will continue to be met in the future.

Australian Red Cross and IOM are conducting training programmes for over 230 specialist eye care nurses and occupational therapists, and a further 200 primary eye care workers and medical officers in the six districts. In addition, Eye Care Units in the district hospitals will receive basic medical equipment and supplies for diagnosis and care of eye problems, whilst communities will receive increased education on the major causes and prevention of visual impairment.

Elderly tsunami victims wait their turn for eye testing, electing to sit down under a banner in the shade rather than stand in the queue. (p14751)
Elderly tsunami victims wait their turn for eye testing, electing to sit down under a banner in the shade rather than stand in the queue. (p14751)

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A young child is having her eyes tested. The children and elderly are separated into different queues so the facilities can be specially targeted towards their needs. (p14752)
A young child is having her eyes tested. The children and elderly are separated into different queues so the facilities can be specially targeted towards their needs. (p14752)

Many people queue to get their eyes tested: on this day, over 1500 people were tested! In the large school hall, many tables are set up for individuals to have their eyes tested by qualified optometrists. (p14753)
Many people queue to get their eyes tested: on this day, over 1500 people were tested! In the large school hall, many tables are set up for individuals to have their eyes tested by qualified optometrists. (p14753)