APPENDIX 3 Objectives and actions Objective 1 Measurable indicators Means of verification Important assumptions Evidence generated and used to advocate increased political and financial commitment of Member States for eye health Number of Member States that have undertaken and published prevalence surveys during the past five years by 2019 Number of Member States that have completed and published an eye care service assessment over the last five in 2019 Observation of World Sight Day reported by Member States Epidemiological and economic assessment on the prevalence and causes of visual impairment reported to the Secretariat by Member States Eye care service assessment and cost–effectiveness research results used to formulate national and subnational policies and plans for eye health Reports of national, regional and global advocacy and awareness- raising events Advocacy successful in increasing investment in eye health despite the current global financial environment and competing agendas Actions for Objective 1 Proposed inputs from Member States Inputs from the Secretariat Proposed inputs from international partners 1.1 Undertake population- surveys on prevalence of visual impairment and its causes Undertake surveys in collaboration with partners, allocating resources as required Publish and disseminate survey results, and send them to the Secretariat Provide Member States with for surveys and technical advice Provide estimates of prevalence at regional and global levels Advocate the need for surveys Identify and supply additional resources to complement governments’ investments in surveys
Actions for Objective 1 Proposed inputs from Member States Inputs from the Secretariat Proposed inputs from international partners 1.2 Assess the capacity of Member States to provide comprehensive eye care services and identify gaps Assess eye care service delivery, allocating resources as required. Assessments should cover availability, accessibility, affordability, sustainability, quality and equity of services provided, including cost–effectiveness analysis of eye health programmes Collect and compile data at national level, identifying gaps in service provision Publish and disseminate survey results, and report them to the Secretariat Provide Member States with for eye care service assessments and technical advice Publish and disseminate reports that summarize data provided by Member States and international partners Advocate the need for eye care service assessments Support Member States in collection and dissemination of data Identify and supply additional resources to complement governments’ investments in eye care service assessments 1.3 Document, and use for advocacy, examples of best practice in enhancing universal access to eye care Identify and document successful interventions and lessons learnt Publish results and report them to the Secretariat Develop and provide them to Member States along with technical advice Collate and disseminate reports from Member States Advocate the need to document best practice Support Member States in documenting best practice and disseminating results Identify additional resources to complement governments’ investments
Objective 2 Measurable indicators Means of verification Important assumptions National eye health policies, plans and programmes for enhancing universal eye health developed and/ or strengthened and implemented in line with WHO’s framework for action for strengthening health systems in order to improve health outcomes Number of Member States reporting the implementation of policies, plans and programmes for eye health Number of Member States with an eye health/prevention of blindness committee, and/or a national prevention of blindness coordinator, or equivalent mechanism in place Number of Member States that include eye care sections in their national lists of essential medicines, diagnostics and health technologies Number of Member States that report the integration of eye health into national health plans and budgets Number of Member States that report a national plan that includes human resources for eye care Number of Member States reporting evidence of research on the cost– effectiveness of eye health programmes Reports that summarize data provided by Member States Policies, plans and programmes have sufficient reach for all populations Services accessed by those in need
Actions for Objective 2 Proposed inputs from Member States Inputs from the Secretariat Proposed inputs from international partners 2.1 Provide leadership and governance for developing/updating, implementing and monitoring national/ subnational policies and plans for eye health Develop/update national/subnational policies, plans and programmes for eye health and prevention of visual impairment, including indicators and targets, engaging key stakeholders Secure inclusion of primary eye care into primary health care Establish new and/or maintain the existing coordinating mechanisms (e.g. national coordinator, eye health/ prevention of blindness committee, other national/subnational mechanisms) to oversee implementation and monitoring/ evaluating the policies, plans and programmes Provide guidance to Member States on how to develop and implement national and subnational policies, plans and programmes in line with the global action plan Provide Member States with and technical advice on primary eye care, and evidence on good leadership and governance practices in developing, implementing, monitoring and evaluating comprehensive and integrated eye care services Establish/maintain global and regional with responsibility for eye health/prevention of visual impairment Establish country positions for eye health/prevention of visual impairment where strategically relevant and resources allow Advocate national/subnational leadership for developing policies, plans and programmes Support national leadership in identifying the financial and technical resources required for implementing the policies/plans and inclusion of primary eye care in primary health care Secure funding for key positions in the Secretariat at headquarters, regional and country levels
Actions for Objective 3 Proposed inputs from Member States Inputs from the Secretariat Proposed inputs from international partners 3.1 Engage non-health sectors in developing and implementing eye health/prevention of visual impairment policies and plans Health ministries identify and engage sectors, such as those under ministries of education, finance, welfare and development Report experiences to the Secretariat Advise Member States on specific roles of non-health sectors and provide support in identifying and engaging non- health sectors Collate and publish Member States’ experiences Advocate across sectors the added value of multisectoral work Provide financial and technical capacity to multisectoral activities (e.g. and sanitation) Provide support to Member States in collecting and disseminating experiences 3.2 Enhance effective international and national partnerships and alliances Promote active engagement in, and appropriate, establish partnerships and alliances that harmonize and are aligned with national priorities, policies, plans and programmes Identify and promote suitable mechanisms for intercountry collaboration Where appropriate, participate in and lead partnerships and alliances, including engaging other United Nations entities, that support, harmonize and are aligned with Member States’ priorities, policies, plans and programmes Facilitate and support establishment of intercountry collaboration Promote participation and actively support partnerships, alliances and intercountry collaboration that harmonize and are aligned with Member States’ priorities, policies, and programmes 3.3 Integrate eye health into reduction strategies, initiatives and wider socioeconomic policies Identify and incorporate eye health in relevant poverty-reduction strategies, initiatives and socioeconomic policies Ensure that people with avoidable and unavoidable visual impairment have access to educational opportunities, and that disability inclusion practices are developed, implemented and evaluated Write and disseminate key messages for policy-makers Advise Member States on ways to include eye health/prevention of visual impairment in poverty- reduction strategies, initiatives and socioeconomic policies Advocate the integration of eye health into poverty-reduction strategies, initiatives and socioeconomic policies