Financing Eye Care in Ghana, Can Hive Make Lives Better for the Deprived?

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Greetings to all an sundry,

Happy Weekend Greetings to all and Happy new month, it is my hope and wish that the month of April brings us loads of love, loads of Blessings, and all the many good things we wish to have in our lives and for us to know no pain or sorrow this month. It is my birth month after all and i know it is going to be great today.

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I hope you are doing well my dear reader and that time has been good to you, anyway the weekend is here and so you should do well to enjoy every last bit of it, don't forget to have fun in moderation though as too much of everything is "bad", i hope too much of money ain't bad though. haha.

Anyway, so i am mostly talking about eyecare and ocular health, this is my niche, this is one of the most important things that define me on the blockchain, because i am an Optometrist here in Ghana and my goal is to save sight wherever i go and wherever i find myself. However, for today we ain't going to pick a condition or pathology to discuss but rather we are going to look a little bit into the financing of your health when it comes to the eye, i hope you enjoy the read.


The Eyecare Industry


The eye care industry is still quite new within Ghana and in the African continent but within the time it got introduced till now i must say there has been lots of growth, lots of reforms and lots of sights saved and so i am proud to call myself and Optometrist and i am happy to be part of this success story.

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In Ghana eyecare started in the late 90s and it became a big deal in the universities after the 20000s, although there are still some political and diplomatic issues departments have to face in integrating the program into the ministry of health, the private sector has done a great job in lifting the face of eyecare and i say kudos to all the eyecare team, from Ophthalmologist, Optometrist, to Ophthalmic nurses and Opticians.

Now in Ghana you should be able to find an eye clinic around you so long as you are not in an extreme remote area, the urban and periurban areas have eye facilities all around and almost every single month there is an organization or an eyecare group that does some free surgeries for people who could not afford to pay for surgeries like cataract, pterygium etc. In the government sector eye care is not expensive at all and with the aid of the national health insurance scheme you could literally walk in and get yourself checked out and not pay more than 10 or 20 cedis which is like 1 or 2 dollars.

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Conditions like Glaucoma, an international headache, have some of their medications covered by the insurance completely whiles common conditions like dry eyes have their treatment or recommended drugs covered by the insurance. The cost starts to come in when people do not have the health insurance to reduce their cost though and so you may have to pay for getting yourself and hospital card, then you would have to pay for consultation, then any other services or test that may be done for you, etc.

It worsens when you have a refractive case and may need glasses. Well ideally, refractive error cases ain't covered in anyway by the insurance, unless you have a private insurance then that would be great for you because most of them have annual allocated revenue for their clients eyecare of which they have a package for their glasses that may be needed. Well it turns out that refractive errors are some of the most common diagnosis out there and i can speak from my experience in the hospital that if i should see about 20 patients in a day half of more than half of them would require some form of glasses.

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Either to help them battle the sun, make night driving more comfortable and easier for them, or enable them to see well. So in the eyecare industry, lenses tend to be the main financial headache for patients especially those that may not be from an economically advantageous background and relies heavily on the National health Insurance to cover their hospital bills.

The other one would be cataract surgeries which ain't entirely free even though the insurance takes some part of the load, a patient may have to pay an equivalent of about 50 dollars to get this done for them and this is not a small amount that can easily be raised by the farmer in the village and so it makes cataract one of the leading causes of blindness because whiles it is easily treated, the people cannot afford it.

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In the past years i had a team of friends from school you used the power of the blockchain to transform lives by helping to alleviate some of these financial burdens with respect to their sight. We provided free screening for them, provided some with free glasses and some with medication and things were on track to greatness before the covid hit. Anyway, that's just by the way, what i want to say is that, i believe that Hive through the DHF can impact more lives socially in terms of health too and this would not only be putting a smile on one's face but a light in one's eye. Maybe in the future @guiltyparties and @theycallmedan can help with such social impacts in Ghana. I would explain in my next post how sight implications can burden society and then we would get a proper understanding.


Conclusion


Before i end up writing too much and making the read boring, let me end here by encouraging each and every one of us to get our eyes checked as often as possible, do not assume whatever may be happening with you is normal or nothing to be perturbed about, here that from a professional first.

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image by @nattybongo

Google is not the way to go for your diagnosis, do not google your symptoms and say oh i am fine, you may be losing your vision without realizing and the most interesting thing about the eye is that a lot of conditions cause loss of sight without much of a symptom, atleast not one that may necessarily push you to go to the eye clinic. And so please, let's stay safe and do well to protect ourselves, remember that your eye is your light to this world. Peace!!!.

All images are owned by @nattybongo and taken from our recent outreach expedition at Apaah Youth Center, please find a summary of the post here


Further Reading

Boadi-Kusi, S. B., Ntodie, M., Mashige, K. P., Owusu-Ansah, A., & Antwi Osei, K. (2015). A cross-sectional survey of optometrists and optometric practices in Ghana. Clinical & experimental optometry, 98(5), 473–477. https://doi.org/10.1111/cxo.12291.

Ntodie, M., Danquah, L., Kandel, H., & Abokyi, S. (2014). Toward eliminating blindness due to uncorrected refractive errors: assessment of refractive services in the northern and central regions of Ghana. Clinical & experimental optometry, 97(6), 511–515. https://doi.org/10.1111/cxo.12195.

Gupta, P., Majithia, S., Fenwick, E. K., Gan, A. T. L., Tham, Y. C., Poh, S., Thakur, S., Sabanayagam, C., Wong, T. Y., Cheng, C. Y., & Lamoureux, E. L. (2020). Rates and Determinants of Eyecare Utilization and Eyeglass Affordability Among Individuals With Visual Impairment in a Multi-Ethnic Population-Based Study in Singapore. Translational vision science & technology, 9(5), 11. https://doi.org/10.1167/tvst.9.5.11.

Braithwaite, T., Winford, B., Bailey, H., Bridgemohan, P., Bartholomew, D., Singh, D., Sharma, S., Sharma, R., Silva, J. C., Gray, A., Ramsewak, S. S., & Bourne, R. R. A. (2018). Health system dynamics analysis of eyecare services in Trinidad and Tobago and progress towards Vision 2020 Goals. Health policy and planning, 33(1), 70–84. https://doi.org/10.1093/heapol/czx143



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14 comments
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Great to see that Hive can enter new ways of improving lives and one of them is through medical care. The way that Hive goes into real action in Ghana is an example on how this ecosystem helps people and the way it should be used.

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Indeed, I have seen the blockchain impacts lives over the years, I was personally involved in some of these outreach programs which was previously funded by fundition and lives that were changed I’m sure they would forever be grateful

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A very good read. Your style is informative, and entertaining. I am curious to learn more about Ghana and it’s government. Do you have a lot of tourism? What are the main industries there? Are there western NGO there? I wonder how I could collect glasses here and get them there economically? I am in the Pacific Ocean: Hawaii.

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Hello @shortsegments,

Glad you liked my writeup and i am glad it was informative and entertaining for you. Well, Ghana do have loads of tourist attraction sites that could keep one going for as long as they wish if their purpose for visiting is only tourism and culture. From the popular Kakum National Park in the Central region to the Mole National Park in the Northern region, there are beautiful scenes to enjoy.

Lots of water falls, castles commemorating the history of slave trade along the coastal areas, largest man made lake in west africa, the lake bosomtwe which is believed to have been created by a meteor etc. For industries i can speak of the Kente making firms which are mostly owned and led by the locals, there are the big firms like the oil refineries and the likes though but those seem to be a normal thing that cuts across all countries so..

Yes there are western NGOs around, i see some helping and impacting lives every now and then although they ain't around as they used to previously. Getting glasses from Hawaii to Ghana i believe could easily be done using the Ghana post or post services which may be available at your end and at a cheaper rate for transport.

I think years back when fundition was helping my project impact lives through the distribution of free glasses targeted at presbyopia and refractive errors, someone sent us a package like that to aid our work however i do not recall the means by which he did it.

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