Area Pump Minders are volunteers who are trained to repair boreholes in their communities. In 2022, we collaborated with the local government to fund William’s training in borehole maintenance. Today, we’re proud to employ many of the Area Pump Minders we’ve previously trained to assess the dysfunctional water points, source materials and carry out the repairs. After several weeks of work on the Chisamba borehole, William had the hand pump working and water flowing freely again.

The effects of a broken hand pump can be devastating to the local community. In Chisamba, teenaged girls had to walk long distances to fetch water for their families, missing school and facing risks of gender-based violence along the way. Without clean water, the community was vulnerable to infectious diseases like cholera and trachoma – an eye infection that can cause blindness if left untreated.

For one local grandmother, seeing the water flow has brought a renewed sense of hope for her grandchildren, who had been walking up to three kilometres each day to fetch water.

The work we do goes far beyond just creating access to safe, clean water. The borehole becomes a focal point for community interaction and allows people raise extra income by growing vegetables and selling the produce – strengthening both livelihoods and resilience within the community.

Story written with files from Program Manager Tony Kazembe.

Learn more about the ripple effects of clean water by watching our video about boreholes in Zambia’s Sinazongwe District.

The post Volunteer brings borehole back to life appeared first on Operation Eyesight.

In countries where eye health care is difficult to access, a simple eye condition like myopia (nearsightedness) can cause a student to fall behind and even drop out of school, which in turn could affect the child’s income for the rest of his or her life.

Ensuring that Quality Education is available to all children is one of the 17 Sustainable Development Goals set by the United Nations’ 2030 Agenda. We’re working towards this goal by ensuring that more children get the eye health care they need to thrive at school and take charge of their education.

The link between vision loss and school enrollment and performance

According to a survey by the World Bank, children with visual impairments in sub-Saharan Africa are five percentage points less likely to ever be enrolled in school or to complete primary school. They are six percentage points less likely to be literate.¹

The links between academic performance and visual impairment can be harder to draw given the complexity of the issue, but one survey from francophone countries in Africa found that primary school students – who self-reported difficulties with their vision – performed worse on standardized tests in math and reading in all but one of the 10 participating countries.² Similarly, a Stanford study of 20,000 fourth and fifth graders in rural China found that eyeglasses boosted the standardized test scores by 18 per cent over six months.³

Even studies from higher income countries, where children have better access to eye health care, show that students with poor vision tend to read more slowly than their peers and are more likely to report that they don’t like reading.⁴ Visual fatigue is a likely culprit for both, and the resulting headaches and tiredness that these kids experience are also thought to play a role in behavioral issues at school.

The magnitude of the problem

Roughly 22.16 million children ages 14 and under have Moderate to Severe Vision Impairment (MSVI) and 44.6 million have mild vision impairment, according to a panel of global health professionals called the Vision Loss Expert Group.⁵

Only 20-50 per cent of the children who need prescription eyeglasses worldwide actually own a pair.⁶ Often, this is due to a lack of access to eye health care. In rural, remote or underserved communities, especially in low- and middle-income countries, many kids don’t get regular eye exams or have access to prescription eyeglasses and other treatment. This could be due to financial constraints, lack of education about the importance of eye health, or simply because there aren’t any optometry clinics nearby.

Across lower-income communities, schools may also lack electricity or lighting, making it even more difficult for a student with vision impairment to read information written on a blackboard. Lack of adequate lighting at home can also cause difficulties in completing homework. For a secondary student who is already falling behind in class, not being able to finish homework in a timely manner could end their school career, and cause them to drop out early.

The struggle students face

Isaac Baffoe, who manages our school eye health programs in Ghana, says one student’s story really stuck with him. The girl reported that her eyesight started to fade when she was about 12 years old, and by age 15 she had severe vision impairment. For years, she relied on a classmate to read the blackboard out loud to her during class. Isaac often wonders what would have happened to her if her friend hadn’t been so helpful, or even more importantly, if our school eye health program hadn’t reached her school and she hadn’t gotten prescription eyeglasses.

Our field staff hear a lot about the difficulties that students face before they get eyeglasses. One student in Ethiopia reported that she and her friend were frequently scolded when the friend read the blackboard notes aloud to her. Others reported that their grades dropped sharply, or that they lost interest in their studies. Many children say that they asked their parents to take them to the eye doctor, but due to tight finances or difficulty in reaching a clinic, they weren’t able to get the eye care they needed.

The good news is that, with your ongoing support, we are changing all of this – one school and one child at a time.

Delivering eye care in the classroom

Part of our goal at Operation Eyesight is to reach every single member of a community with eye health care, ensuring that nobody gets left behind. Increasingly, we’re screening school-aged children for eye issues right in the classroom.

In 2023 alone, our school eye health programs helped us screen more than 240,000 students in Bangladesh, Ethiopia, Ghana, India, Kenya, Nepal and Zambia.

In Kenya, we’ve partnered with the United States Agency for International Development’s (USAID’s) Child Blindness Program and Peek Vision to deliver an innovative program where teachers are trained to do the initial eye health screenings using a simple smartphone app. This allows us to screen more students overall, while still providing referrals to those children identified with eye problems to get a complete eye exam with a healthcare professional.

In Ghana, we train community health nurses to help deliver our school eye health programs, also in partnership with USAID and with funding from the Church of Jesus Christ of Latter-day Saints and Latter-day Saints Charities. In addition to conducting school eye health screenings, the nurses provide the students with eye health education sessions, where they learn how to prevent eye injuries and infections and learn about various conditions, like refractive errors (the need for eyeglasses). By making sure children have basic eye health information and know where to go for subsidized eye care, whole families are made aware of the services that are available to them.

Isaac, who has been on hand during several of these school screening events, says the children are always very eager to get involved. “The children show lots of interest. They want to participate,” he explains. “During all the screenings we’ve attended to audit, the children are very cooperative, they really want to know what is going on.”

He adds that it’s not just the students who are happy with getting a pair of eyeglasses.

“It’s not only a relief to the children, but also to the teachers,” he says, “because it also made their work difficult to spend extra time with these children who were struggling with their studies prior to receiving eyeglasses.”

More girls in school thanks to clean water closer to home

In November 2020, the borehole in the Zambian village of Kangwa broke down. The COVID-19 pandemic was in full swing, and the need for clean water was more urgent than ever. For Natasha, a teenager who was in high school at the time, the breakdown had devastating consequences. As the family member tasked with fetching water, Natasha now had to walk several kilometres each day to complete the chore, meaning she could no longer attend school. She wasn’t alone – other teenage girls in her community were in the same situation.

When our team in Zambia found out about the broken borehole, they sprang into action and quickly got it fixed. They were well equipped to do so, because we have been working with communities to repair and drill boreholes for many years to curb the spread of trachoma.

Trachoma is a bacterial eye infection that’s common in areas with water shortages and crowded living conditions. The bacteria spreads easily through contact with eye discharge from infected people on hands and clothing, and also through direct transmission by flies. If left untreated, it can cause severe pain, vision loss and even blindness. In fact, it is the leading infectious cause of blindness worldwide.

When we work with communities in areas of Zambia, Ethiopia and Kenya where trachoma is endemic, we ensure that water and sanitation issues are part of our intervention. In communities like Kangwa, this means training local volunteer teams to help maintain and repair broken boreholes, and training community WASH (Water, Sanitation and Hygiene) teams to educate their neighbours about preventing trachoma transmission in the home.

In order to ensure that girls have equal access to quality education, clean water and sanitation facilities must be part of the solution. (Watch this video to learn more about the ripple effects of clean water.)

Myopia on the rise

Myopia (nearsightedness) rates are on the rise all over the world. In 2020, the global prevalence was 30 per cent. It’s estimated to rise to 50 per cent by 2050.⁷

In China, where the rise in myopia in children is being described as an epidemic, the government has rolled out a nation-wide strategy to curb the growth, which includes school-based eye screenings, public health education campaigns, a reduction in homework and an increase in time spent outdoors.⁸

As suggested by China’s strategies, many of the factors contributing to the rise of myopia are likely due to modern lifestyles: more time spent indoors, doing near-work like homework, and more time spent parked in front of digital devices.

But there may be more at play in the phenomenon, including environmental risks like increasing urbanization and changing diets. As low- to middle-income countries become more urbanized and educational pressures mount, children everywhere are at increased risk of developing the refractive error. In parts of Africa and Asia where families already face difficulties accessing eye health care, the gap between eye health services and those in need of treatment will continue to grow.

Our commitment to eliminating avoidable vision loss in children

As part of our 2024-2028 Global Strategy, we are committed to providing eye health care and clean water to more children so that they can take full advantage of any educational opportunities they are presented with. This means integrating WASH projects with school eye health projects and rolling out more school eye health programs across our countries of work.

We have already seen much success with our school eye health programs in countries like Kenya and Ghana, where we’re working with the local ministries of health and education. Now, it’s time to scale our efforts to more schools, more districts and more countries. With your ongoing support, we can expand our reach and improve the quality of life for more kids around the world.

Donate today and help us restore sight and prevent blindness for more children. The Gift of Sight is the gift of education and the gift of opportunity. Thank you for your support!

1. https://documents1.worldbank.org/curated/en/964201621218582928/pdf/The-Price-of-Exclusion-Disability-and-Education-Looking-Ahead-Visual-Impairment-and-School-Eye-Health-Programs.pdf ↩︎
2. https://www.unicef.org/congo/media/561/file/PASEC%202014.pdf ↩︎
3. https://fse.fsi.stanford.edu/news/eyeglasses_boost_test_scores_in_rural_china_20140311 ↩︎
4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10641537/ ↩︎
5. https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(20)30488-5/fulltext ↩︎
6. https://www.iapb.org/wp-content/uploads/2022/02/2016-Situational-Analysis-Full-Report_LR-1.pdf
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7. https://www.thelancet.com/journals/lanwpc/article/PIIS2666-6065(23)00155-4/fulltext ↩︎
8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10912377/ ↩︎

The post Bringing futures into focus – the links between clear vision and quality education appeared first on Operation Eyesight.

Clean water.

When communities have access to abundant clean water, they can wash their hands and faces regularly, do laundry more often, and prevent the otherwise relentless transmission of the disease. That’s why we are working hard with communities and partner organizations to make sure that the people in our project areas have access to a local, sustainable clean water source.

The prevalence and effects of trachoma

There’s been a lot of good news in the eradication of trachoma in recent years. In 2023 alone, Benin, Iraq and Mali each received certification from the World Health Organization (WHO) for eliminating trachoma as a public health problem. Also, the number of people at risk of getting the infection fell from 125 million in 2022 to 115.7 million in 2023, a significant reduction.²

But the hard work must go on.

Ethiopia has some of the highest rates of trachoma worldwide, with the prevalence in the Amhara Region estimated to be nearly 63 per cent. In that country, trachoma is the second leading cause of blindness overall.³

Trachoma continues to infect people in 42 countries and has caused blindness or visual impairment in roughly 1.9 million people. It remains the leading infectious cause of blindness worldwide. And the effect on the workforce in these countries is huge. According to a recent paper by the WHO, the loss of productivity due to trachoma costs somewhere between US $3-8 billion each year.⁴

To people like Stephen, in Narok County, Kenya, having trachoma meant not being able to support his family. The father of four, who works as a motorcycle courier, struggled with the infection for years. He tried eye drops, eyeglasses and several surgeries before the trichiasis in his right eye, caused by repeat trachoma infections, was fully resolved.

Since undergoing a successful final surgery at one of our partner hospitals, the young man now acts as an eye health ambassador in his community, making sure people know what the infection is, the role of hygiene in stopping its spread, and how to get it treated.

How an infection leads to blindness

Years of repeat infection from trachoma causes scarring to the eyelid. This scarring can be so severe that the eyelid turns inward, causing the eyelashes to rub against the eyeball. This leads to severe pain, light intolerance and scarring of the cornea.

If left untreated, the damage to the cornea can cause vision impairment, usually between the ages of 30 to 40 years⁵, although it can happen in children as well. Trachoma causes 1.4 per cent of blindness globally.⁶

Women become blind from trachoma four times as often as men. This is likely due to frequent infections they get while caring for small children, who often pass trachoma on to others.

How we’re working to eliminating trachoma

At Operation Eyesight, we follow the WHO’s SAFE strategy for controlling and preventing trachoma. SAFE stands for:

S: Surgery to treat trichiasis (the painful late stage of the disease)
A: Antibiotics to eliminate infection
F: Face washing and hygiene education
E: Environmental improvement including wells and latrines

The foundation for the strategy is environmental improvement, namely – providing access to clean water. Over the decades, we’ve worked with communities to rehabilitate and drill hundreds of boreholes. In recent years, most of our work with water has been concentrated in Zambia and Kenya, but we are also getting involved in more water projects in Ethiopia as we expand our programs there.

Along with drilling and rehabilitation, we work with local governments to make sure people can fix the boreholes when they break down. In Zambia, that means financing the training of volunteers called Area Pump Minders (APMs) to do routine maintenance and repair of boreholes. The program helps ensure that there is a system for repair work, with locally-available toolkits and spare parts, and that monitoring of the water supply is happening at the village level. In addition to helping their communities, some of the APMs go on to find paid work repairing privately-owned boreholes. Over the last two years, we’ve seen several women join the traditionally all-male teams, and we hope to recruit more in future.

The community involvement doesn’t stop there. We also work with volunteers to form WASH committees who help educate other people, especially children, in Water, Sanitation and Hygiene. In Ethiopia, we are working with partners to train teachers in WASH so they can pass on their knowledge to thousands of students. Our work in Ethiopia has also involved fixing up latrines and providing menstrual supplies, both of which can help keep teenaged girls in school longer.

Antibiotics also go a long way to preventing and treating existing cases of trachoma. We work with local governments and partner organizations to provide these antibiotics to areas with high prevalence of trachoma. Earlier this year, we collaborated with partners in a Mass Drug Administration project in Kenya’s Narok County. Despite wet road conditions that made it challenging for crews to access all the communities, the project managed to administer the antibiotic azithromycin to more than 215,000 people!

Throughout the process, our trained community health volunteers work tirelessly to provide education on the importance of facial cleanliness and environmental improvements in stopping the spread of trachoma.

Finally, with help from our generous donors, our partner hospitals can offer surgeries free of charge to people with advanced stages of trichiasis to alleviate the pain and prevent further loss of sight.

The ripple effects of clean water

We’re involved in clean water projects as a means of preventing trachoma, but the effects of providing clean water to communities are countless. The installation and maintenance of boreholes prevents dozens of waterborne diseases that sicken and threaten the lives of many, and that keep whole communities trapped in the cycle of poverty. Sustainable boreholes help people grow gardens full of fresh vegetables, allow them to raise livestock and improve the quality of life for everyone around them.

The effects of access to clean water are especially beneficial to women and girls. Here’s why:

Education and economic opportunities: In many communities, women and girls are responsible for fetching water, a task that can be extremely time consuming and physically demanding. This can prevent girls from attending school and women from pursuing income-generating activities. When clean water is locally available, girls are more likely to complete their schooling, and women have more time for activities that empower them economically.

Reduced gender-based violence: Providing access to clean water within communities reduces the need for women and girls to travel long distances for water, decreasing their vulnerability to the violence and harassment that they risk when collecting water.

Hygiene and menstrual health: Clean water is essential for maintaining proper hygiene, including menstrual sanitation. When women have access to clean water and sanitation facilities, it positively affects their overall health and dignity.

Community development: Women are often key contributors to the well-being of their communities. When they have access to clean water, they can actively take part in and lead initiatives that enhance the overall living conditions in their communities.

In 2023, we partnered on two new boreholes at schools in Ethiopia’s Amhara Region. In Zambia, we repaired 25 boreholes in the Mkushi District, trained 20 new Area Pump Minders and set up more WASH committees.

You can help us continue our water projects in 2024 by making a donation today. Thank you for your support!

1. https://my.clevelandclinic.org/health/diseases/25148-trachoma
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2. https://www.trachomacoalition.org/news-blogs/who-reports-continued-progress-towards-trachoma-elimination ↩︎
3. https://www.who.int/news-room/fact-sheets/detail/trachoma#:~:text=It%20is%20a%20public%20health,at%20risk%20of%20trachoma%20blindness ↩︎
4. https://www.who.int/news-room/fact-sheets/detail/trachoma#:~:text=It%20is%20a%20public%20health,at%20risk%20of%20trachoma%20blindness ↩︎
5. https://www.who.int/health-topics/trachoma#tab=tab_2 ↩︎
6. https://www.who.int/news-room/fact-sheets/detail/trachoma ↩︎

The post Clean water, clear vision: The link between water and eye health appeared first on Operation Eyesight.

It’s one of five schools across Ethiopia’s state of Amhara where the attendance rate for girls decreases each year due to inaccessibility of clean water and bathroom facilities. 

“Students had to walk for more than 15 minutes to get water from surrounding households. Many would not return to classes after that,” says the school’s principal, Yingesu Meshobiaw. “In the past, when girls felt that their period was setting in, they used to jump over fences and go home for lack of facilities.”

In 2022, in partnership with Partners in Education Ethiopia and the Peter Gilgan Foundation, we launched a Water, Sanitation and Hygiene (WASH) program at Abichikili and four other primary and secondary schools in the state, bringing locally-accessible water to more than 9,000 students. 

The project has also helped improve school attendance, particularly among girls, who make up more than half of the student population. Before the project, upwards of 10 students were absent from class for a full week each month, often falling behind in class. 

“Water access is vital for everyone. Water sources on school grounds allow for community gardens, which promote a different kind of learning and responsibility of nutrition – for students and adults alike,” Yingesu adds.  

Local access to fresh water allows people to wash their hands, faces and clothing, prevention transmission of diseases, including blinding trachoma, which is a key cause of vision loss and blindness across sub-Saharan Africa.

Our teams took a variety of approaches to bring water to the schools, including drilling boreholes to access groundwater, digging trenches and installing water supply lines, and setting up storage tanks, faucets and appropriate drainage.  

Faculty and community members received training to maintain their water infrastructure and test water quality. Twenty-one female teachers also received menstrual hygiene training including how to create reusable sanitary pads using local materials. 

“Having a water supply line has changed our school for the better,” Yingesu says. “Girls started using the facility the day it opened, and attendance rates have increased tremendously.”

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