COUNTRY IN FOCUS
Population: 30 million. 3 million migrant worker population (2015).
Live births per year: Approximately 500,000 births per year (2015).
Percentage of population under 15 years old: 30% (2015).
Ethnicity: Multi-ethnic nation: Malay, Chinese, Indian, Dayak, Iban, Kadazan, Dusun, Bajau, other minority indigenous people groups.
Language: 137 living languages. Official language: Malay.
English, Chinese and Tamil widely spoken.
Life expectancy at birth: 73.8 years (2015).
Type: Universal public healthcare system with a coexisting private healthcare system.
Cost to patient to see a primary care doctor/general practitioner:
Public health facility: USD1; Private health facility: USD10 onwards.
Cost to patient of squint surgery under general anesthesia:
Public health facility: USD100; Private health facility: USD1200.
25 paediatric ophthalmologists.
1. Coordinated nationwide retinopathy of prematurity screening and treatment programme.
2. Tertiary referral centers for retinoblastoma, paediatric cataract and paediatric glaucoma.
Affordable and reliable optometry/optician service.
3. Coordinated training programme for paediatric ophthalmologists.
4. An active paediatric ophthalmology and strabismus special interest group which meets regularly for CME.
1. Unequal access and poor rural access. Most paediatric ophthalmologists are located at major urban centers. Most states have a paediatric ophthalmology unit/doctor but only in the state capital.
2. Few trained allied health professionals in paediatric ophthalmology. There are less than five trained orthoptists in the whole country.
3. Low paediatric ophthalmologist to population ratio (less than one per million population). Many common conditions such as strabismus are neglected and poorly managed.
4. No coordinated eye screening programme until seven years old when children are in formal primary school. By this time intervention for certain conditions such as amblyopia may be too late.
Population: 1.3 billion (2010).
Percentage of population under 14 years old: 16.6% (2010).
Ethnicity: Han nationality (91.5%) and other 55 minority nationalities.
Official Language: Chinese.
Life expectancy at birth: 73 years (2010).
Type: Universal public healthcare system.
Cost to patient to see a primary care doctor/ general practitioner: USD30.
Cost to patient of squint surgery under general anesthesia: USD1000.
1. No coordinated nationwide retinopathy of prematurity screening and treatment programme.
2. No trained orthoptist in the whole country.
3. No coordinated eye screening programme until three years old.
4. The precaution and treatment of myopia has become a prominent issue for public health.
June 6, 2016 was the 21st National Eye Caring Day in China with the theme of 'Protect Eyes since Childhood'.
GLOBAL CASE REPORT QUIZ
Dr. Monica Samant, from the Laxmi Eye Institute in Mumbai, India, has kindly sent on the first case presentation. The case is about a three-year-old female, who presented with decreased vision in her left eye. She had a history of OD s/p repair for penetrating trauma performed one month ago elsewhere.
Please take a look and select one of the options present at the end of the quiz. We will compile the responses we receive and include them along with an expert opinion for this case in the next newsletter.
Click here to view Global Case Report Quiz