Nevertheless, with her family’s support, the young volunteer persists. She loves making an impact in her community, and she is proud to contribute to the family finances through the monthly stipend she earns. She is determined to build a better life for herself, her family and their young son.

Working with our partner organization, Symbiosis International, Faizunnahar goes door to door in nearby communities doing preliminary eye screenings and referring those with vision problems to the nearby Madarganj Vision Centre.

As a child, Faizunnahar remembers her father struggling with an eye problem. To get it treated, he had to travel from their village of Ruknai to the capital city Dhaka, nearly 200 kilometres away. His difficulties in getting treatment for his vision problems stayed with her and would later inspire her to seek out work in the healthcare sector.

When she first heard about the opportunity to become a community health volunteer, Faizunnahar worked quickly to reach out to a contact and put together a resume. After writing an exam, she was excited to learn she got the job. Since then, she has worked in maternal, newborn and child health, as well as primary eye care, for which we provided the training. She is proud of her achievements and says her greatest joy comes from knowing that her work is helping transform lives.

This International Women’s Day, we celebrate the thousands of women like Faizunnahar who are breaking barriers to help us deliver essential eye health care at the community level. As community health workers/volunteers, they have an opportunity to become leaders in their communities and act as catalysts for positive health outcomes. This employment improves their ability to become active participants in their family’s socioeconomic stability.

You can help support our mission to achieve gender equality in eye health care by sharing this post with friends and family, by learning more about the issues or by making a donation.

The post Meet Faizunnahar, a community health volunteer in Bangladesh appeared first on Operation Eyesight.

The oldest of five children, Thandiwe in Zambia has always looked after her younger siblings. When the village borehole broke down, she had to fetch water from the river, and her family couldn’t wash as often. Thandiwe noticed some of her siblings had itchy, red eyes. Soon, she developed the same eye condition. Her left eye swelled and her eyelid turned inward, causing unbearable pain as her eyelashes scratched her cornea. With no money or access to a doctor, her eye became worse and worse until she lost vision in it entirely.

Priya in Nepal can’t remember when she first started having trouble seeing, but her vision kept deteriorating until one day she fell and injured herself while climbing the steep trail leading from the village to her house. Figuring that blindness was an inevitable part of old age, she stayed at home, unable to visit friends and grandchildren. Eventually she couldn’t even reach the outhouse without assistance. She felt like a burden to her family.

Mary, in Kenya, loved school from her very first day in the classroom and dreamed of becoming a teacher someday. After she turned 13, she started having trouble reading the chalk board. She had to copy notes from her friends and couldn’t do her homework in the dim light at her house. Her grades began to slip. She asked her parents to take her to an eye doctor, but money was too tight because they were saving to send her brother to college. By age 15, Mary quit school and decided to get married, her hopes of teaching now crushed.

None of these characters are real, but they represent the millions of women and girls around the world who are living with avoidable vision loss and blindness. We hear stories like these every day.

The prevalence of vision loss is higher among women and girls than it is for men and boys; 55 per cent of people experiencing vision loss are female. And while there are some biological factors at play, the reasons for these discrepancies are largely social.

Why women and girls experience more vision impairment

Women live on average longer than men, and many conditions that rob people of their sight are associated with old age. This includes cataract, presbyopia, glaucoma and age-related macular degeneration. According to estimates, two-thirds of cataract blindness globally occurs in women.

Traditional gender roles are another factor, especially in some regions.

Women and girls are two to four times more likely than men and boys to get trachoma – the leading infectious cause of blindness worldwide. Trachoma is caused by bacteria that spreads through contact on hands and clothing. Small children are especially susceptible, and in turn, they often pass it on to their caretakers. Women and girls may also get infected from household cleaning and doing laundry.

Obstacles to eye health care access

The barriers to health care for women and girls vary widely from region to region, but there are trends that we can observe across the countries where we work. These include:

• Cost and lack of financial decision-making capacity: Men often control the family finances. Women are less likely to work outside the home, meaning that the men and boys in their family who earn an income are often prioritized for spending on treatment.
• Limited healthcare infrastructure: In some regions, particularly in rural areas, inadequate healthcare infrastructure makes it difficult for women and girls to access eye care. The cost or lack of public transportation to the nearest facilities can exacerbate this problem for many women and girls, as can the social taboos and safety risks presented by travelling alone.
• Family responsibilities: Running a household and taking care of family members, duties that often fall on women, can make it challenging for women to take the time they need to get eye care.
• Lack of information: Unequal access to education for women and girls contributes to lower literacy rates and educational levels, which make it more difficult for women to learn about a specific eye condition or find out where they can get it treated.
• Cultural stigmas: Cultural norms and stigmas surrounding health issues, particularly eye health, can dissuade women from getting help. These cultural barriers may result in delayed or avoided medical attention.
• Lack of female healthcare professionals: A shortage of female healthcare professionals in the eye care sector can create discomfort for women and girls, potentially discouraging them from seeking assistance.

Addressing these diverse challenges is crucial for breaking down the barriers that prevent women and girls from accessing essential eye health care services.

Working toward gender equality

Our approach, called the “Hospital-Based Community Eye Health Program Model,” is designed to address inequalities to accessing eye health care, starting at the village level.

Most of the community health workers trained by Operation Eyesight’s partner hospitals are women, which gives them the opportunity to become trusted leaders in their communities and helps them contribute to family finances. They also bring eye health screenings to people’s doorsteps, meaning that women and girls don’t need to travel to get primary eye care and referrals.

Additionally, we work with our partner hospitals to establish vision centres closer to the communities where we work, making it easier for everyone to access diagnosis and treatment. Our partner hospitals also provide safe transportation for patients – usually by bus – to the hospital so that they can get their surgeries without worrying about how they’ll get there.

Finally, by providing surgeries, eyeglasses and other treatments free of charge – or at a highly subsidized rate – we can decrease some of the financial barriers women and girls face. We strive to provide quality eye care services to everyone – regardless of gender, age, ability to pay or other personal circumstances.

Clean water for gender equality

In a village in Zambia’s Mkushi District, a group of men and women stand over a water borehole, tools scattered at their feet. Two of the women turn a pipe with wrenches, their faces furrowed in concentration.

These men and women are Area Pump Minders in training – volunteers who fix and maintain water pumps in their communities. The pump minders are just one of our strategies for keeping communities supplied with a reliable source of clean water. As well as rehabilitating boreholes, we also work with communities to drill new ones, and provide training in WASH – which stands for Water, Sanitation and Hygiene.

While traditionally the pump minder volunteers were all men, we’re seeing more women join the teams. Between 2022 and 2023, we trained half a dozen women in borehole maintenance and repair in Zambia, placing the skills to keep the water flowing in the hands of those who need it most.

Clean water means that families can wash hands, faces and clothing regularly, which prevents the spread of trachoma – lessening the chance of vision loss and blindness, particularly among women. And there are countless other ripple effects for women and girls when they have access to clean water. It helps with the maintenance of menstrual hygiene, impacting health, dignity and overall quality of life. And, as women and girls are usually tasked with hauling water for their families, having a nearby borehole can help keep girls in school and give women more time to pursue economic activities to support their families.

Dismantling gender-related eye health myths in the foothills of the Himalayas

In the villages of the Udhampur block in northern India, vision problems are often seen as a sign of bad luck. A girl wearing glasses might be told she’ll never have a good marriage, and a baby’s bad eyesight might be blamed on past life sins. A girl with a squint could be seen as a curse for the whole family.

Those are some of the beliefs a recent pilot project took aim at.

Created in partnership with NorQuest College and the Rotary Eye & ENT Hospital, the project provided services through a “Mobile Vision Centre” – a four-wheel-drive van staffed with an eye health team comprised mostly of women. The van roamed the area’s rugged roads, bringing primary eye care and education to people’s doorsteps.

More than 27,000 people received training pertaining to eye health myths during the project duration. A before-and-after survey that checked people’s attitudes and beliefs regarding eye health for girls and women showed dramatic differences after the intervention. With that success in mind, our teams are looking to implement strategies from the project throughout our programs.

Read our new Global Strategy to find out how we plan to continue providing essential eye health care to women and girls and other underserved groups. Donate today to help us bring quality eye health care to more women and girls.

The post Gender inequalities in vision loss appeared first on Operation Eyesight.

She’s also proof of the unique role women can have in impacting the health of communities across Africa.

“I was working as a community health nurse before I was invited to be trained as a primary eye care worker,” Mabel says, referring to her work with the care team at the government-run Kormantse Clinic. “There’s a high prevalence of eye conditions among the fisher folk in my community. The nature of their work makes them more likely to suffer from eye diseases. That’s why I joined the fight against avoidable blindness in the municipality.”

Today, thanks to the training she received through Operation Eyesight, Mabel provides education and eye health screening to others across the Municipality of Mfantseman. “I still carry out my duties as a community health nurse, but eye care is now well integrated in the things I do,” she says.

Vision impairment disproportionately affects women and girls across the globe, yet they are less likely to be prioritized for eye care. Lack of income and transportation are common barriers, as are traditional female responsibilities like child care and collecting water. That’s why it’s so important to have women like Mabel trained to screen for eye conditions. She can reach women and girls at home, provide referrals, and offer the information and reassurances that some may need to seek treatment.

As a single working mom, Mabel needs to balance her work with caring for her young daughter. She says she enjoys the flexibility that comes with working with Operation Eyesight.

“Operation Eyesight supports me with transportation and meals when I go to the field,” she says. “I save part of my wages to pay for my child’s school fees.”

Mabel says she’s passionate about helping others, especially those experiencing poverty.

She recalls a patient whose story has stuck with her. Yaw, a 69-year-old man who lives in Kormantse, had been experiencing blurred vision for three years. Mabel says she visited his home as part of a routine door-to-door screening and quickly discovered that he had cataracts. She referred him to the base hospital for surgery, which he promptly visited the next day. He underwent sight-restoring surgery and today he can see clearly.

Other times, Mabel may face more reluctant patients, so part of her job is to encourage those who have had little interaction with the healthcare system to get treatment, and to assure them that it’s both safe and worthwhile. She adds that spending time with people in her community is what makes her work so rewarding.

“The job gives me the opportunity to interact with many people,” Mabel says. “My family sees this job as an opportunity to change the perception about eye health through education.”

International Women’s Day 2023

March 8, 2023 is International Women’s Day – it’s an opportunity to spread the message of gender equality and highlight the importance of creating a society free of gender bias. It’s also a chance to celebrate the unique role women like Mabel play in communities globally.

Most of the community health workers trained by Operation Eyesight partner hospitals are women. When women are employed as community health workers, they have an opportunity to become trusted leaders in their communities and act as catalysts for positive health outcomes. This employment improves their ability to become active participants in their family’s socioeconomic stability.

Not only is empowering women and reducing gender inequalities the right thing to do, it’s also the smart thing to do. Evidence shows that empowering women is one of the strongest catalysts for driving sustainable development across all sectors. It enhances economic growth, improves education and increases positive health outcomes. You can learn more about our gender strategies by signing up for our eNewsletter.

The post Community health nurses help break down gender barriers in accessing eye care appeared first on Operation Eyesight.

Udhampur Block is a rural area perched high in the foothills of the Himalayas in India’s Jammu and Kashmir region. Due to the rugged terrain and roads that are often affected by flooding, it can be difficult for the people who live there to access services like eye health care. For women and girls, the barriers are even greater, as the men and boys in their families are often prioritized for health treatment.

What’s more, our research in the area revealed health myths affecting women, including those that suggest that a woman wearing eyeglasses is in poor health overall, that poor eye health is a result of sinful behaviour in a past life and that only elderly people should wear eyeglasses.

The idea behind this project is to outfit a four-wheel-drive vehicle as a fully functioning optometry clinic. An all-female heath care team will run the mobile clinic and deliver services to everyone in the project area.

We are training eight local women as Community Health Workers to do door-to-door eye screenings and to provide referrals to the Rotary Eye and ENT Hospital. They will also deliver educational sessions to women’s groups, with the goal of debunking the female eye health myths that exist in the communities.

People in the area will also be asked for their input on what kind of eye health education they would like to receive using a type of participatory research called PhotoVoice. This research will place cameras into the hands of locals, who will be asked to take pictures of things that highlight the themes of the research: activities, beliefs and circumstances of eye health.

Ninety per cent of blindness worldwide is preventable or treatable, but people in underserved areas like Udhampur Block often fall through the cracks. This project will help people get access to the eye health care they need while also addressing some of the gender inequalities related to poor vision.

This innovative project aims to:
✔ Address the barriers faced by women and girls by targeting feminine eye health myths that perpetuate inequality;
✔ Incorporate input from local women on the content of our eye health education sessions and the delivery of eye health services on an ongoing basis;
✔ Activate a Mobile Vision Centre to provide eye health services to people’s doorsteps, so that all residents, including women and girls, can avoid travel-related barriers;
✔ Make role models of local women and girls by publicly engaging them in good eye health practices; and
✔ Generate buy-in from men and boys about the importance of women’s and girls’ eye health.

We are grateful to partner with NorQuest College on this initiative, which was awarded the Fund for Innovation and Transformation by the Inter-Council Network and Global Affairs Canada. To learn more, sign up for our newsletter to receive project updates: operationeyesight.com/signup

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