Can VISION 2020 be implemented in rural government settings? Findings from two programmes in Tanzania

Abstract

To generate information on essential components and the cost recovery potential of VISION 2020 programmes in rural Africa. We took a structured approach to planning, training, implementation and supervision of programmes in Singida and Mara regions, Tanzania involving both government and non-government partners. Extensive mentoring was provided to monitor activities and costs. Annual numbers of patients receiving eye care increased sevenfold, cataract surgeries by a factor of 2.6 and spectacles dispensed by a factor of 16. Running costs were shared; the government provided 40-60%, non-government organisations (NGOs) 25-45%, and patient fees 15%. Comprehensive eye care can be delivered with cooperation among partners. However, continued coordination and cooperation from government and NGOs are critical to reach VISION 2020 goals.