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Introduction DONNEES
PAYS |
In sub-Saharan Africa the ratio regarding ophthalmic personnel are as follow :
This insufficiency of human resources raises the problem of training, which is one of IOTAs main priorities. Training in specialised ophthalmic medicine, under the certificate, Etudes Spéciales dOpthalmologie (CES)
Training in cataract surgery
Training of specialist nurses in ophthalmology (infirmiers specialistes en opthalmologie ISO)
Training of opticians and training in operating exploration
These are inspired by the training principals as recommended by WHO. The objectives generally vary according to the type of training. However, in all cases the objectives intend to serve the community, to respond to ocular health needs in the curative and preventative senses. For the CES one of the aims is the training in public health ophthalmology. The training is centred on the apprenticeships for positions in the professional sphere. The specific objectives are grouped together in the "passeport de competences", given to students (ISO and cataract operators) at the beginning of their training. This passport allows an on-going evaluation during the course of their training.
The annual cost of the pedagogic expenses is 700,000 FCFA (1000 US $), apart from the training of opticians, the cost for which is 300,000 FCFA. (500 US $) All students also receive a monthly allowance of 140,000 FCFA. (230 US $) The increase of these expenses and of the monthly allowance is under the control of the bursaries. The most essential bursary is funded by the Sight First Program, part of the Lions Club International. Other bursaries are under the control of the European Community, the French Government or, more rarely, by NGOs or the WHO. The candidates must fulfil the following conditions :
As part of the application each candidate must send the following :
The applications must arrive at IOTA before the 1st September of each year. Any incomplete applications will be not be accepted. Only in exceptional and proven cases will any leniency in these conditions be allowed.
The selection board reserves the right of final decision in the selection of candidates; the decision of which takes place in early September each year and priority being given to those candidates from countries within the OCCGE. The selection board is made up of representatives of those institutions providing the bursaries, the person in charge of the Education Department and the IOTA director.
The CES diplomas are issued by the Faculty of Medicine, of Pharmacy, and of Odonto-stomatology of Mali. The OCCGE issues a diploma of superior technician in ophthalmology to ISOs. IOTA issues a " passeport de competences " to those studying the treatment of cataracts.
In 7 years (1991-1998) IOTA has trained 148 people in ocular health. This divides into :
The results of training from 1991 to 1997 are shown in figure 1.
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