Assessment of the extent and causes of poor outcomes of the

Transcription

1 Assessment of the extent and causes of the poor outcomes of the cataract surgery and proposed corrective measures for improvement in the Koulikoro region, Republic of Mali. Detailed research proposal proposal Sponsored by the SightFirst program on the research grant of LCIF. Sightfirst objective Innovative public health approaches to reduce blindness from cataract that align with the SightFirst strategies of infrastructure development, human resources training or service delivery; Long tittle of the Proposal Assessment of the extent and causes of poor outcomes of the cataract surgery and proposed corrective measures for improvement in the Koulikoro region, Republic of Mali. Short tittle of the Proposal New approach to improve cataract surgery outcomes Date of the version March 2014 Duration of the Study Estimated total budget for the study Project site: 24 months US $ Koulikoro Region, Republic of Mali, West Africa 1

2 Summary I. Organizational Information :... 3 II. Project description Introduction: Literature Review Protocol SightFirst grant: Aim of the study : General objectives of the study: Venue of the study : Research hypothesis : specific Objectives Phases of the study: Relationship with the priorities of SightFirst :... 7 III. : Description of research proposal: Type of study: : Sampling : Exclusion Criteria Research Strategies: : Research procedures: Data Collection: Analysis of data IV: Administration and quality assurance : Ethical Considerations : benefit: risks: confidentiality: Publication of results: Budget: Annexes:

3 I. Organizational Information: Organization Name Country of residence of the organization Institut d Ophthalmologie Tropicale de l Afrique (IOTA ) Centre Hospitalier Universitaire (CHU) : CHU- IOTA Mali Address of the Organization CHU- IOTA, BP 248 Tel: Fax: E -mail: iota@afribonemali.net Contact person Dr Doulaye Sacko, head of the Department of Public Health and Research Year of creation 1953 Tel: / E_mail: bayesacko2000@yahoo.fr What words best describe your organization Keywords eye care, training, research Cataract surgery, monitoring tools, quality outcome, corrective measures, improvement II. Project description 2.1. Introduction: Blindness is a major public health problem and an obstacle to development in developing countries. Its prevalence is estimated at 1 % in sub-saharan Africa against approximately 0.02% for developed countries. Blindness affects all layers of society. In Africa it has a high prevalence in the productive segment of the community. Cataract remains the leading cause of blindness. Cataract, most often related to age occurs at a younger age (45-50years) in developing countries, while it is observed in developed countries most of the cases after the age of 60. The treatment of cataract is surgery until today. Surgical techniques are well known and available in most places. 3

4 Our study will be conducted in Mali, West Africa, a member of the Economic Community of West African States (ECOWAS). The West African Health Organization (WAHO), the specialized agency for health in ECOWAS and its partners have been working since 2006 to reduce the prevalence of blindness due to cataract. Progress has been made in increasing the regional Cataract Surgical Rate (CSR), from less than 500 in 2006 to over 800 in 2012, i.e. +60%. However, cataract-related blindness remains the first cause of blindness. In Mali a Rapid Assessment of Avoidable Blindness (RAAB) confirmed that over 60% of avoidable blindness are related to lens conditions, blinding cataract and poor outcome of cataract surgery being the leading cause. A tool for monitoring the outcomes of cataract surgery has been developed by ICEH (International Centre for Eye Health) in collaboration with the World Health Organization (WHO) and has been made widely available to eye care programs.however, this tool is seldom or ever used by cataract surgeons(6, 7). The study will seek to determine the reasons for poor outcomes and the related practices in order to determine corresponding corrective actions, and then to test them Literature Review The results of RAAB surveys in Mali, Senegal, Burkina Faso, The Gambia showed that preventable causes account for over 98% of all cases of blindness. This is beyond WHO estimates (80%) and could be explained by a higher contribution of unoperated cataract (58.4 % vs. 50% estimated by the WHO), but also by the importance of other avoidable causes such as uncorrected aphakia (3.2%) ; complications of cataract surgery (4.5%) trachomatous corneal opacities (5%), non-trachomatous corneal opacities (9%) and phthisis bulbi 2.7% (1, 2). The Cataract Surgery Coverage rate (CSC) in patients with less than 3/60 was 60%, which is relatively high compared to many other areas surveyed in Africa. However, the outcomes of surgery are not good as poor or intermediate results are about 66.3 % in the operated eyes Only a third (30 %) of operated eyes for cataract had a good outcome (VA 6/18). This success rate is very low, considering the WHO standards (VA 6/18 in 80% of operated patients) (4). There are significant barriers to evaluating the outcomes of the cataract surgery, including the low proportion of patients returning after surgery, especially in many parts of the developing world. In addition the patients returning for follow-up are not necessarily representative of all those who underwent surgery (4). Adoption of the Small Incision Sutureless Cataract Surgery has led to faster recovery of postoperative vision. As many surgical facilities, particularly in rural areas, keep patient for 1-3 days after surgery, the evaluation of post-operative outcomes can be performed at the time of hospital discharge as recently evidenced by the PRECOG study. This offers the following advantages: - Easier collection of data in all patients 4

5 - Minimal bias in data collection - Reduction in monitoring costs for patients and hospitals (4) SightFirst grant proposal: Innovative public health approaches to reduce blindness due to cataract that are align with SightFirst strategies: infrastructure development, training of human resources or the service delivery. Cataract is the leading cause of blindness in developing countries. Many efforts have been made to reduce the prevalence of blindness due to cataract, especially in order to make the surgery available to a greater number of people in need. Progress has been made in the number of people with access to cataract surgery. For example through the efforts of the West African Health Organization and its partners, the number of people with access to cataract surgery per year per million inhabitants has increased. The average rate of cataract surgery has increased from less than 500 in 2006 to over 800 in 2012 in ECOWAS countries. Countries like The Gambia increased its CSR from 1562 to 2210, Senegal from 697 to 924 and Mali from 662 to 812 during the same period. However, studies have shown that the impact of the increasing number of people with access to the cataract surgery has not led to the desired impact on prevalence of blindness due to cataract. Many patients who underwent cataract surgery remain actually blind or visually impaired. The poor outcome of cataract surgery is currently a cause of blindness in every country in the region (1,2,4). Many reasons could explain this but the under skilled personnel practicing cataract surgery and lack of quality control occupy the first place. The purpose of our study is to foster the reduction in the rate of blindness in communities strongly affected by blindness due to cataract Aim of the study: Improve the quality of cataract surgery in West Africa General objectives of the study: - To determine the reasons for poor outcomes in patients undergoing cataract surgery by using the ICEH outcomes monitoring tool. - To validate the efficiency of the corrective actions to improve the quality of cataract surgery Specific objectives: - To conduct a situation analysis of cataract surgery centers in Koulikoro region - To implement the existing ICEH outcomes monitoring tool for cataract surgery in all centers - To collect and analyze data on frequency and causes of poor outcomes - To implement necessary corrective measures to improve the quality of cataract surgery. - To collect and analyze data on frequency and causes of poor outcomes after the implementation of corrective measures - To compare the results with the results observed before the implementation of corrective measures. 5

6 - To make recommendations based on information collected and lessons learnt to improve cataract surgery outcomes Venue of the study: The study will take place in Mali a member of the Economic Community of the West African State (ECOWAS). Mali has eight administrative regions plus the District of Bamako. The study will take place in the Koulikoro region, a region of about two million populations witch benefited from a Rapid Assessment of Avoidable Blindness survey (RAAB) in Koulikoro is located at about 60 km from Bamako, the capital city. The region homes five secondary centers of eye health managed by five ophthalmologists. Two of them have been sponsored for their training by SightFirst. Activities are supported by many partners, especially Sightsavers International (SSI), which has been supporting a project to eliminate avoidable blindness in the Koulikoro region since The five secondary centers for eye health are doing cataract surgery onsite and outreach. Each center perform an average of two hundred cases of cataract surgery per year (5) The study will use the ICEH cataract surgical outcomes monitoring tool to determine the blindness associated with poor surgical outcomes, specifying their nature and test the effectiveness of the tool. The study will include an analysis of cases likely to find solutions for a real improvement in the quality of cataract surgery Research hypothesis: - The use of a tool for monitoring cataract surgery outcomes reduces the proportion of poor outcomes of cataract surgery - Knowledge of barriers to the use of the outcome monitoring tool of cataract surgery will increase its use. - The tool can be adapted to working conditions in West Africa Phases of the study: The study will be conducted in six (06) phases. Phases Phase 1. Activities Preparation: To do a situation analysis of secondary eye health centers, to put in place the tools for monitoring cataract surgery outcomes and to train surgeons to use it. Phase 2 Phase 3 To collect information and then to analyze the results To implement corrective measures Phase 4 To collect post-intervention information 6

7 Phase 5 To compare pre- and post-intervention results and draw the lesson learnt. Phase 6 To write the final report and publish the findings Relationship with the priorities of SightFirst: Since the speech of Helen Keller in 1925, the first objective of Lions Clubs International has always been the sight first. The proposed study is operational in nature and aims to improve the quality of cataract surgery to reduce the rate of blindness due to cataract as a cause of avoidable blindness. Efforts to reduce the rate of blindness due to cataract have ever had the expected results. SighFirst supports many projects of cataract surgery worldwide that are mainly focused to increase the number of surgeries by training more cataract surgeons, increasing the number of cataract surgery centers, and making the surgery geographically accessible to those who need the service (4). Due to the poor outcome of cataract surgery many people who have benefited from this surgery remain blind or visually impaired. These poor outcomes are also the cause of the refusal of many patients even when they are totally blind, which limits the results of efforts made by the Lions Clubs International. Particular emphasis should be therefore placed on the quality of cataract surgery so that any person undergoing this surgery never remains or becomes blind. This is the objective of any cataract surgery project and especially of those supported by SightFirst in particular. Lions Clubs in Mali are very interested in the study. Strongly involved in the SightFirst program since its launch, the Lions clubs in Mali benefited from 1994 to 2014 eight projects from LCIF- SightFirst for human resource development and management of cataract. Lions in Mali just set up through the office of Governor of the District 403 A1 a program to save sight. They are ready to support the implementation of corrective measures and recommendations resulting from the study to a larger scale. 7

8 III. Description of research proposal: Methodology: 3.1. Type of study: This is a prospective and descriptive study. The study will collect and analyze information from the outcomes of cataract surgery, will identify weaknesses, analyze their causes and will propose corrective actions to implement corrective measures and will collect and analyze information again. The study is operational and aims to improve the quality of cataract surgery to reduce blindness due to cataract Sampling Koulikoro region has five centers of cataract surgery: Koulikoro, Kati, Ouélessébougou, Fana and Nara. Centers are performing surgery onsite as well as in outreach. All patients operated in the region by the teams of the five centers will be included in the study Exclusion Criteria - Patients not operated in the region but coming to the centers for follow-up only - Patients operated by a non- resident surgeon - Patients who have other ocular pathology in addition to cataract, which may have an impact on visual acuity (e.g. corneal opacity, glaucoma, intravitreal opacity, macular degeneration ) 3.4. Research Strategies: The study will be conducted by the Institut d Ophthalmologie Tropicale de l Afrique (IOTA) in Bamako in collaboration with the secondary centers of eye health in Koulikoro, Kati, Ouélessébougou, Fana and Nara. A team of four ophthalmologists, one epidemiologist and one biostatistician will be set up to conduct the study. Only the biostatistician will be recruited. The three ophthalmologists and the epidemiologist are working at IOTA, while the fourth ophthalmologist is working in Kati secondary eye health center. The team will be supported by the staff of IOTA and the secondary centers of eye health in Koulikoro, Kati, Ouélessébougou, Fana and Nara. The team may seek the support of any other resource person whose participation could help to improve the quality of the study. Data will be collected and analyzed per center and then be aggregated at the regional level. The analysis will be done at the regional level. Specifics findings per center will be consider and can be subject to corrective action and or specific recommendations : Research procedures: Phase 1 Preparation: Contacts will be made with the health authorities and the technical and financial partners in the Koulikoro region to seek permission to work in the secondary eye health centers and with the staff working there and to have the agreement of technical and financial partners to support the implementation of corrective actions and recommendations. 8

9 A situation analysis in secondary eye health centers will be conducted and the cataract surgery outcomes monitoring tools will be put in place. On-site staff and the members of the study team will be trained to use the cataract surgery outcomes monitoring tool. As noted above SSI is the main partner of the Koulikoro region for the elimination of avoidable blindness by the year In addition to national authorities, regular contacts will be kept with SSI, which could be called upon to provide support in case of need. Phase 2: Collection of data through the use of the monitoring tool of cataract surgery outcome over a period of six (06) months. All cataract surgeons in the region will be expected to fill correctly and consistently the form, as per initial training. Supervision will be very close (every second week) and will allow collecting information on difficulties in using the tool or on reasons for not using it. The information obtained will be centralized by the study coordinator. System to enter data will be implemented at this level. At six months, the data entered will be analyzed. The results of the data analysis will be shared with all stakeholders and corrective measures will be implemented. Phase 3: Implementation of corrective action (03 months) The monitoring tool will be revised and adapted according to the results of phase 2 in order to improve quality. Sessions to strengthen technical skill of the surgical teams will be organized as appropriate. The equipment will be upgraded according to needs identified for improving the quality of the cataract surgery in consultation with all stakeholders. All necessary corrective actions will be implemented and will be subject to regular, rigorous and frequent supervision. Phase 4: Collection of information for a second six (06) months period. The data collection system will be reactivated with the inclusion of all corrections. Supervision, data collection and entry will be similar to Phase 2. Phase 5: Analysis of the data recorded and comparison with those of Phase 2. Data analysis plan will seek to measure the changes in the surgical outcomes and to identify key factors for the improvement of the quality. All stakeholders will be involved in his phase. (6 months) Phase 6: Final report writing and publication of results. If this study retain the attention of the SghtFirst program, the results and the lessons learnt will be reported in a detailed report submitted to Lions Clubs International for a wide distribution, especially where they are relevant. The results and lessons learnt will be forwarded to the Ministry of Health to promote the implementation of corrective measures in all cataract surgery centers. Dissemination activities will be undertaken directly by IOTA at national, regional and international forums. 9

10 All presentations in whole or in part and any citation of the study will clearly mention the support of LCIF SightFirst program for its achievement Data Collection: The tool for monitoring cataract surgery outcomes will be the key support for data collection. It will be filled by the surgeon after each intervention and by support staff at follow up visits. Data will be entered by a specifically trained technician. The coordinator of the study will ensure the centralization of information collected on a weekly basis Analysis of data The data collected will be analyzed on Excel and Epi Info 6.0. A biostatistician will be recruited and will take care of monitoring and checking the quality of data entry as well as statistical analysis. IV: Administration and quality assurance: 4.1. Ethical Considerations: The study will be submitted to the Ethics Committee of the Faculty of Medicine of Bamako. An official authorization will be obtained from the Ministry of Health for all administrative aspects. An informed consent will be obtained from each patient before the surgery Benefit: All centers participating in the study will be upgraded to a standard level according to national standards on technical equipment and human resources plan for a secondary eye health center. Capacity building for human resources involved in the study will take place. This upgrade will take place during the preparatory phase of study. It will be done by the health authorities in the region of Koulikoro and technical and financial partners. It will therefore not have any impact on the budget of the study Risks: The study itself does not have a risk. The risks for patients participating in the study that are resulting from the center are those that will arrive to every patient operated in this center and are not due to their inclusion in the study. These risks will be subject to the usual and normal management of center. Whenever possible, the study will give support to go reach its proper objectives Confidentiality: The identity of the patients operated as well as the identity of surgeon will be known only to members of the research team. The study documents will only be available to the principal investigator, the study coordinator for a period of three years after which the documents will be completely destroyed. Only an ordinary patient records remains the property of the secondary center of ophthalmology Publication of results: The results and the lessons learnt will be detailed in a report submitted to Lions Clubs International to allow a wide dissemination if deemed appropriate. They will be forwarded to the Ministry of Health as mentioned above. Dissemination activities will be undertaken 10

11 directly by IOTA at national, regional and international forums. An article will be submitted to a peer reviewed scientific journal Budget: Phases Activities Amount (US $) Phase 1. Preparation: situation analysis of secondary eye health centers, implementation of the existing tools for monitoring cataract surgery outcomes including the training of surgeons to use it Phase 2 Collection of information over a 6 months period and data analysis Phase 3 Implementation of corrective measures Phase 4 Collection of information after the implementation of corrective measures over a second 6 months period Phase 5 To analyze the results recorded and compare with those before the implementation of corrective measures. Involvement of all stakeholders Phase 6 Final report writing and publication of findings 7000 TOTAL Note on the budget: The study will be conducted in public health centers by the personnel working there. The vast majority of the staff belongs to the Civil Service. Only a few agents are supported by technical and financial partners such as SSI. The staff involved in the study will therefore receive only allowances for overtime. The study will recruit a biostatistician who will work full time on the study. Technicians to enter data will be recruited periodically according to the phases of the study. All the stakeholders involved in blindness control in Mali in general, and in Koulikoro region in particular, are very interested in the study. Sightsavers is the main NGO partner of the Koulikoro region for the elimination of avoidable causes of blindness for the implementation of the " Vision 2020 The Right to Sight" initiative. 11

12 Sightsavers International has already agreed to support centers to upgrade their equipment and to support the capacity building of human resources as required for the proper conduct of the study as well as to support the implementation of corrective measures and recommendations The National Eye Health Program in Mali is ready to ownership the results and the lessons learnt for their implementation in the rest of the country. 12

13 Annexes: Annex 1: Researchers s full CV Docteur Doulaye SACKO Chef du Département de Santé Publique et de la Recherche Institut d Ophtalmologie Tropicale de l Afrique(IOTA) BP 248 Tél : (223) ; (223) ; (223) Bayesacko2000@yahoo.fr CURRICULUM VITAE I. RENSEIGNEMENTS GENERAUX : Nom et prénom Date et lieu de naissance Nationalité Situation matrimoniale SACKO Doulaye 1953 a Koronido / Ségou/ MALI Malienne Marié, père de 4 enfants Langue maternelle: Bambara, parlé très bien; écrit passable Langue de travail : français ; parlé et écrit très bien Autre langue: Anglais : Lu bien ; parlé assez bien ; écrit assez bien II. TITRES ET DIPLOMES :! Chef du Département de la Santé Publique et de la Recherche l Institut d Ophtalmologie tropicale de l Afrique IOTA, Bamako, Mali! Coordonnateur de l initiative VISION2020 «Le Droit à La Vue» en Afrique de l Ouest de novembre 2004 à septembre 2012.! Doctorat d Etat en Médecine : Ecole Nationale de Médecine et de Pharmacie (ENMP) de Bamako ; 1981! Certificat d Etudes Spéciales en ophtalmologie (CES) ENMP, IOTA Bamako ; 1986! Assistant Chef de Clinique à la Faculté de Médecine et d Odontostomatologie a Bamako de 1998 à

14 ! Maître assistant à la Faculté de Médecine et d Odontostomatologie a Bamako depuis 2008! Chef de la filière ophtalmologique au Centre National de Spécialisation des Techniciens Supérieurs de la Santé du Mali de 1998 à III. STAGES et FORMATIONS Premier cours francophone d ophtalmologie de santé publique de l OMS ( mars avril 1995) Bamako Mali Cours supérieur d Epidémiologie pour Cadres Supérieurs de la Santé de l OMS (juillet- octobre 1992) Bamako, Mali Cours d Epidémiologie et de Statistique Appliquées à la Médecine et a la Biologie ( CESAM) de l Université Pierre Marie-Curie ; Paris France ( cours par correspondance) Stage de fin de formation CES d ophtalmologie a l Hôpital Nord a Marseille France Formation en Pédagogique, dans le cadre de l enseignement à la Faculté de Médecine, IV. EXPERIENCES PROFESSIONNELLES : Coordonnateur de l initiative «VISION 2020 Le Droit à La Vue» en Afrique de l Ouest, Organisation Ouest Africaine de la Santé (OOAS) décembre 2004 à septembre Consultant indépendant : Participation à l évaluation finale du projet Post Health for Peace Initiative in Gambia, Senegal and Guinea Bissau Sightsavers International Coordonnateur du programme national de lutte contre la cécité au Mali, janvier 1993-novembre 2004 Chef de la filière ophtalmologique au Centre National de Spécialisation des Techniciens Supérieurs de la Santé de 1998 à 2004 du Mali Enseignant à la Faculté de Médecine et d Odontostomatologie du Mali depuis 1998 à ce jour Médecin chef du service d ophtalmologie de l hôpital régional de Kayes, responsable du programme régional de prévention et de lutte contre la cécité Consultant temporaire chargé des évaluations ophtalmologiques détaillées dans le cadre de la surveillance épidémiologique de la lutte contre l onchocercose du Programme de lutte contre l onchocercose en Afrique de l ouest (OCP/OMS) de 1989 a 2000 dans 8 pays de l aire du programme ( Benin, Burkina Faso, Cote d Ivoire, Ghana, Guinée Conakry, Mali, Sierra Léone et Togo). 14

15 Responsable de l enquête nationale sur la prévalence et les facteurs de risque et la cartographie du trachome et de l avitaminose A au Mali ( ). Vice Président du Collège d experts sur : Expertise Collégiale : Lutte contre le trachome en Afrique Sub saharienne. Collection IRD, Chef de l équipe d évaluation du Programme régional de santé oculaire (programme financé par l Union Européenne et un consortium de quatre ONGD européennes) Mali, août V. PARTICIPATION A DES SEMINAIRES ATELIERS ET AUTRES REUNIONS SCIENTIFIQUES: Neuvième Assemblée Générale de l IAPB, Hyderabad, Inde, septembre 2012 XXXII Conseil International de l Ophtalmologie, Berlin, Allemagne, juin 2010 Huitième Assemblée Générale de l IAPB, à Buenos Ares en Argentine, août 2008 Septième congrès de la Société Ouest Africaine d Ophtalmologie, novembre 2007, Ouagadougou Burkina Faso Cinquième congrès de la Société Ouest Africaine d ophtalmologie (SOAO) décembre 2003 Bamako Mali Réunion annuelle 2003 du Forum de plaidoyer pour VISION 2020 en Afrique de l Ouest et deuxième réunion du groupe d action ; Accra, Ghana novembre Assemblée régionale de l IAPB, région Afrique, et atelier d élaboration du plan régional VISION 2020 Durban, Afrique du Sud, févier Participation a toutes les réunions de l Alliance /OMS pour l elimimation mondiale du trachome d ici a l an 2020 ; depuis la deuxième réunion en 1997 jusqu à la septième en 2003 Participation a toutes les réunions de la revue annuelle des programmes de lutte contre le trachome bénéficiant d un appui du Centre Carter Global 2000 à Atlanta aux USA de 2000 à 2003 Première réunion du forum de plaidoyer pour VISION 2020 en Afrique de l Ouest, Abidjan, Cote d Ivoire ; juin Atelier d élaboration des indicateurs de suivi et d évaluation des programmes de lutte contre le trachome bénéficiant de l appui de l Initiative Internationale pour la lutte contre le trachome (ITI) avec l assistance technique de la LSHTM Londres août Séminaire régional de formation sur le programme Sight First du Lions Clubs International septembre 2002 a Bamako, Mali Congres de la Société française d ophtalmologie ( SFO) et Assemblée Générale Annuelle de la Ligue Internationale Contre le Trachome, 2000, 2001, 2002 et Sixième Assemblée Générale IAPB a Begin Chine ; septembre Congrès de la PAACO( Panafrican and Arabe Conncil of Ophthalmolgy) à Aman en Jordanie en Quatrième Assemblée Générale de l IAPB a Nairobi, Kenya ; septembre Atelier d évaluation des programmes nationaux de lutte contre la cécité organisée par l OMS et la coopération française a Bamako, mars VI. APPARTENANCE A DES ASSOCIATIONS ET SOCIETES SAVANTES : Membre du groupe d action pour le forum VISION 2020 en Afrique de l Ouest

16 Membre de la Société Ouest Africaine d Ophtalmologie (SOAO) Membre de la Société Française d Ophtalmologie (SFO) Membre du Lions Clubs International ( Compagnon de Melvine JONES) Membres du Bureau de l Association des ressortissants du cercle de Barouéli Président de l Association pour le Développement de Kalaban Coro Extension Sud Est ( mon quartier de résidence a Bamako) 2000 à 2005 VII. DISTICTION HORORIFIQUES : Médaille d Or du Trachome 2013 Décernée par : International Organization Against Trachoma - Ligue Francaise Contre le Trachome :PARIS Dimanche 12 Mai 2013 VIII. TRAVAUX ET PUBLICATIONS : SACKO D. Etude de la toxicité oculaire des antipaludéens de synthèse utilisés dans le traitement prophylactique du paludisme Thèse de Doctorat en Médecine Bamako 1981 SACKO D, NIMAGA K, SOULA G, VINTAIN P, SERRE L, PICHARD E, DOUMBO O, RANQUE P, BA A. Effets de l ivermectine sur l onchocercose oculaire. Pathologie exotique. SACKO D. Développement d une stratégie de communication pour la lutte contre le trachome au Mali. Rev Int Trach Path ocul subtrop, sante publique 2003 SACKO D. Besoins en soins oculaires en Afrique de l Ouest. 7è Congrès de la société Ouest Africaine d Ophtalmologie(SOAO) ; communication orale SACKO D. La lutte contre l onchocercose en Afrique de l Ouest : les acquis, les défis et les perspectives ; 7è Congrès de la Société Ouest Africaine d Ophalmologie ; communication orale SACKO D La coordination de la lutte contre la cécité en Afrique e l Ouest, un exemple de partenariat, communication orale, neuvième Assemblée Générale de l IAPB, Hyderabad, Inde Septembre 2012 QUEGUINER P, SACKO D, LAGADEC K, KAFFIN Y, FEUILLERAT J. Enquête sur la toxicité oculaire des antipaludéens au cours de la prophylaxie du paludisme. Résultats préliminaires. Bull. de la société panafricaine d ophtalmologie 1984 VINTAIN P, GENOUX P, WEIMAN D, COZETTE P. RIVAUD C, COULIBALY S, SACKO D, RICHARD E. Traitement de l onchocercose humaine avec atteinte oculaire par l ivermectine. Série technique OCCGE. 16

17 SOULA G, KEITA M F, SACKO D, SANGARE M, DOUMBO O, BISSAN Y, DEMBELE D, KODIO B, PICHARD E, RANQUE P. Premier essai de traitement de collectivités rurales atteintes d onchocercose de savane par l ivermectine. Pathologie exotique. SCHEMANN J F, SACKO D, BANOU A, BAMANI S, COULIBALY S, EL MOUCHTAHIDE M A, Cartographie du trachome au Mali en Bull. de l OMS 1998, 76, SCHEMANN J F, MALVY D, MOMO G, SACKO D. Trichiasis and latitude. In southern humid region, trachoma has more blinding complications than in northen dry sahelan areas. Trans. R Soc Trop Med Hyg 2002 SCHEMANN J F, SACKO D, Malvy D, BANOU A, TRAORE L, MOMO G. Risk factors for trachoma. Int. j. ophthalmology 2002; 31: SCHEMANN J F, BANOU A,SACKO D. Une méthode d appréciation rapide du trachome l ART Comparaison avec une enquête épidémiologique exhaustive dans une zone d endémie du Mali. Communication libre, Réunion de l Alliance GET2020/OMS-Genève SCHEMANN J F, SACKO D. Les stratégies de lutte contre le trachome. Cahier santé 1998; 8 : SCHEMANN J F, SACKO D, COULIBALY S. Chirurgie du trichiasis trachomateux dans la région de Koulikoro ; réalisations et besoins. Rev Int Trach Path ocul subtrop, santé publique 1997 ; 74 : SCHEMANN J F, AUZEMERY A, SACKO D. Peut-on traiter tous les enfants atteints de trachome au Mali? Rev Int Trach Path ocul subtrop, santé publique 1998 ; 75 : SCHEMANN J F, MALVY D, SACKO D, TRAORE L. Trachoma and vitamin A deficiency. Lancet 2001; 357(9269)1676. ANNE M.M., ORFILA J. SACKO D. SCHEMANN J.F Expertise Collégiale : Lutte contre le trachome en Afrique Sub saharienne. Collection IRD, IX. COLLABORATION AUX TRAVAUX DE THESES ET DE MÉMOIRES. SOGODOGO A Etude de la morbidité oculaire en milieu scolaire au Mali Thèse de Médecine Bamako YATTASSAYE M Evaluation de la prévalence et de l étiologie des handicaps visuels dans la 1ere région du Mali. Thèse de Médecine Bamako,

18 BORE O Evaluation de la prévalence et de l étiologie des handicaps visuels dans la 5e région du Mali. Thèse de Médecine Bamako, SANGARE M Tolérance de l ivermectine ( MK 933) dans le traitement de masse de l onchocercose. Thèse médicine Bamako, 1987 NIMAGA K. Effets de l ivermectine sur l onchocercose oculaire. A propos de 1463 cas en milieu rural. Thèse de médecine, Bamako, 1987 DEMBELE N Premier essai de traitement des collectivités rurales par l ivermectine au Mali Thèse de médecine, Bamako, KOITA K. Contribution a l étude de la prévalence de l anémie et de l avitaminose A chez les enfants de 0 a 59 mois dans le cercle de Nara. Thèse de médecine Bamako, 2000 (Directeur de thèse). TALA S Etude du système de distribution à base communautaire de l Azithromycine dans le contrôle du trachome actif au Mali Thèse de médecine Bamako 2004 (Directeur de thèse) X. UTILISATION DE L OUTIL INFORMATIQUE Logiciels couramment utilidsés : - Microsoft Word, Excel, Power Point, - IPI INFO - Internet, skype - Health Mapper - Microsoft Project. 18

19 Nom : BAKAYOKO Prénom : Seydou Date de Naissance : 08 Mars 1967 Etat civil : Marié Père de trois enfants CURRICULUM VITAE Adresse Professionnelle : Institut d Ophtalmologie Tropicale de l Afrique (IOTA), BP 248 Bamako, Mali Tél : / Adresse personnelle: 320 Logement Rue 597 Porte 4 Yirimadjo, Bamako Tél : toskanya@yahoo.fr 1. Diplômes et Certificats - Certificat d'études spécialisées en Ophtalmologie, Institut d'ophtalmologie Tropicale de l'afrique octobre Doctorat en Médecine, Ecole Nationale de Médecine et de Pharmacie du Mali décembre Attestation de formation au Diagnostic, traitement, et suivi des Glaucome. Hôpital des Quinzes-Vingts Paris (France) Attestation de formation des formateurs à la phacoalternative sans suture. Institut d'ophtalmologie Tropicale de l'afrique Expériences professionnelle Mars 2013 à ce jour : Directeur Général Adjoint de L Institut d Ophtalmologie Tropicale de l Afrique (IOTA) Mars 2009 à ce jour : Maître-Assistant d Ophtalmologie à la faculté de Médecine, de pharmacie et d Odonto-Stomatologie, Université de Bamako, Mali Février 2006 à Février 2013 : Responsables des hospitalisations à l IOTA, Bamako, Mali Juillet 2004 à présent : Coordinateur Appui technique du Projet "Décentralisation cataracte de la fondation Sight First du Lions club International Mai 2004 juillet 2005 : Coordinateur Terrain Mopti : Projet lutte contre la cécité à Mopti (Médecins Sans Frontières Luxembourg au Mali) Mai 2004 à Décembre 2004 : Médecin Chef du Centre Secondaire d Ophtalmologique de la région de Mopti l'hôpital Régional Somine Dolo de Mopti Octobre 2001 à Mai 2004 : Responsable de volets chirurgie avancée de la cataracte, chirurgie mobile du trichiasis, Appui épidémiologie comme ophtalmologiste de références dans la validation des enquêtes épidémiologiques sur le trachome à Médecins Sans Frontières Luxembourg Mopti, Mali : Interne des Hôpitaux de Bamako, l Institut d Ophtalmologie Tropicale de l Afrique, Bamako, Mali 19

20 IDENTITE CURRICULUM VITAE Nom : MAIGA Prénoms : Sadio Date et lieu de naissance : 7 Aout 1965 à Bamako (MALI) Situation matrimoniale : Marié père de 4 enfants Nationalité : Malienne Profession : Médecin épidémiologiste Adresse Mali: Missira rue 20 porte 1181 Bamako MALI Téléphone : sadioaamaiga@yahoo.fr EXPERIENCES PROFESSIONNELLES De Juillet 2013 à nos jours : Poste occupé : Responsable du SIH (Système d Information Hospitalier) du CHU-IOTA (Centre Hospitalo-universitaire Institut d Ophtalmologie Tropicale de l Afrique) Description des tâches et responsabilités :! Gérer les ressources humaines, matérielles au niveau du SIH;! Planifier, coordonner, exécuter, et suivre les activités au niveau du SIH ;! Veiller à la collecte des données ;! Assurer l analyse des données ;! Veiller à l élaboration des rapports et assurer leur transmission au niveau supérieur ;! Assurer l archivage des données et rapports;! Assurer la capitalisation des actions et activités. De Mars 2012 à Juillet 2013 : Poste occupé : Médecin Epidémiologiste au Département de la Recherche du CHU IOTA (Centre Hospitalouniversitaire Institut d Ophtalmologie Tropicale de l Afrique). De septembre 2010 à Aout 2011 : Poste occupé : Responsable du programme santé du GRDR (Groupe de Recherche et de Réalisation pour le Développement Rural) une ONG française. Description des tâches et responsabilités : Participer aux réunions hebdomadaires de direction ;! Coordonner les activités et tenir les réunions de staff santé;! Gérer les ressources humaines, matérielles, financières du programme santé;! Planifier, coordonner, exécuter, et suivre les activités (programme, projet ) du programme santé;! Veiller à la collecte et à l analyse des données ;! Veiller à l élaboration des documents, des projets, des rapports, assurer leur transmission au niveau supérieur et assurer l archivage des données et rapports;! Assurer la capitalisation des actions du programme santé 20