Situational Analysis

Assessing Needs and Resources for

VISION2020 Service Delivery and
Identifying GAPS
WACS Community Eye Health Module
12th March 2009
Fatima Kyari

Situational Analysis
Where are we? (Here)
Where do we want to be? (Aim & Objectives)
What are our needs? (Assessing Needs)
What have we got to take us There?
(Assessing Resources: Time and Money; Human
resources and Infrastructure)
What is the deficit of the resources we need to take us
There? (Gap analysis)
How do we get there?
(Priority-setting and Strategies)

Situational Analysis: Part 1 & 2 of

the planning cycle

Situational Analysis
Place Location
Climate
Population - Total; 20% Urban
Prevalence of Blindness VA<3/60 - 1%
Date

Situational Analysis
Place Location
Climate
Population - Total; % Urban
Prevalence of Blindness VA<3/60 - 1%
Date

Infrastructure & equipment:

Services
number available
10
Service provision
20
and training of
30
eye-care personnel
eye unit, theatre time, access to consumables, etc

Situational Analysis
Place Location
Climate
Population - Total; % Urban
Prevalence of Blindness VA<3/60 - 1%
Date
Human Resources
deficit
Ophthalmologists
Ophthalmic nurses
Optometrists
Other eye workers

Infrastructure & equipment:

Services
number available
10
Service provision
0
2
and training of
0
3
eye-care personnel
eye unit, theatre time, access to consumables, etc
number existing
number needed
1/500,000
1/200,00
1/250,000
1/2,500

Situational Analysis
Place Location
Climate
Population - Total; % Urban
Prevalence of Blindness VA<3/60 - 1%
Date
Human Resources
deficit
Ophthalmologists
Ophthalmic nurses
Optometrists
Other eye workers
Economy GDP per capita
Rich 2%

OK 38%

Poor 60%

Infrastructure & equipment:

Services
number available
10
Service provision
0
2
and training of
0
3
eye-care personnel
eye unit, theatre time, access to consumables, etc
number existing
number needed
1/500,000
1/200,00
1/250,000
1/2,500

Situational Analysis
Infrastructure & equipment:
Place Location
Services
number available
Climate
10
Service provision
Population - Total; % Urban
20
and training of
0
Prevalence of Blindness VA<3/60 - 1%
3
eye-care personnel
Date
eye unit, theatre time, access to consumables, etc
Human Resources number existing
number needed
Ophthalmologists
1/500,000
Ophthalmic nurses
1/200,00
Optometrists
1/250,000
Other eye workers
1/2,500
Economy GDP per capita
Rich 2%
Causes
1. Cataract 50% CSR 360: 18% of target 2000
2. Trachoma 16%
OK 38%
3. Refractive errors 12%
4. Glaucoma 8%
5. Childhood Bl 6%
Corneal: measles, VAD, TEM
6. Onchocerciasis 1%
13% popn. CDTI; UTG 25 - 30%
7. Others 7%
Poor 60%

10,000

Others O Chd Glauc

RE

700

1200

Blind/ million

600 800

Trachoma

1600

Cataract

5000

deficit

Situational Analysis
Infrastructure & equipment:
Place Location
Services
number available
0
Climate
1
Service provision
Population - Total; % Urban
20
and training of
0
Prevalence of Blindness VA<3/60 - 1%
3
eye-care personnel
Date
eye unit, theatre time, access to consumables, etc
Human Resources number existing
number needed
Ophthalmologists
1/500,000
Ophthalmic nurses
1/200,00
Optometrists
1/250,000
Other eye workers
1/2,500
Economy GDP per capita
Rich 2%
Causes
1. Cataract 43% CSR 360: 18% of target 2000
2. Trachoma 4%
OK 38%
3. Refractive errors 2%
4. Glaucoma 16%
5. Childhood Bl 3%
Corneal: measles, VAD, TEM
6. Onchocerciasis 1%
13% popn. CDTI; UTG 25 - 30%
7. Others 12%
Poor 60%
Others O Chd Glauc

700
10,000

600

RE

800 1200

Trachoma

Cataract

1600

5000

Blind/ million

44%

46%
0
(Age in years)

10%
15

50+

deficit

Summary
In situational and gap analysis, identify the components
People: Who have we got and how much of Human
Resources Development do we need?
Things: What have we got and how much of
Infrastructural Development do we need?
Community: What is their composition and what does it
ought to be? Which diseases need to be controlled?
How much community participation?