Preservation and Restoration of Vision:

Vision for the Future, Part 2: Economic Benefits of Ophthalmologic Care: Relationships among Collaborators

The role of attitude and empowerment are key factors in enabling change. The status of organizational structure, management and pre-existing bureaucratic imperatives promotes or inhibits movement towards cost-effective, high-volume, quality eye care.

The key issue is: what kind of foundation and motivation is built into the present approach which may act as incentive or disincentive towards excellence and how can the motivating forces be transformed within the presently operative bureaucratic constraints?

In the development approach that we are attempting to foster, those ultimately responsible for carrying out change and development are involved from the start in reflecting on their present circumstance and constraints and in being guided to formulate for themselves a recommended course of action that takes into account their unique local circumstances.

Local ophthalmologists and other key decision makers of the community are encouraged to take the lead in defining their present situation and constraints and develop a course of action to transform and improve service delivery. They must define and set their course of action if ownership is to be accomplished.

References: World Health Organization Publications and Information Statements

January 2, 2001

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