Project Title

Workshop on Development Economic Analysis due to Visual Impairment and (Avoidable) Blindness 

Project Year

2020   

Project Number

HWG 07 2020A 

Project Session

Session 2   

Project Type

Standard 

Project Status

Project in Implementation   
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Project No.

HWG 07 2020A 

Project Title

Workshop on Development Economic Analysis due to Visual Impairment and (Avoidable) Blindness 

Project Status

Project in Implementation 

Publication (if any)

 

Fund Account

APEC Support Fund 

Sub-fund

ASF: Innovative Development, Economic Reform and Growth (IERG) 

Project Year

2020 

Project Session

Session 2 

APEC Funding

6,000 

Co-funding Amount

Total Project Value

6,000 

Sponsoring Forum

Health Working Group (HWG) 

Topics

Health 

Committee

SOM Steering Committee on Economic and Technical Cooperation (SCE) 

Other Fora Involved

 

Other Non-APEC Stakeholders Involved

 

Proposing Economy(ies)

Indonesia 

Co-Sponsoring Economies

Australia; Hong Kong, China; Japan; Korea; Malaysia; Peru; Singapore; Thailand 

Expected Start Date

01/04/2021 

Expected Completion Date

30/04/2022 

Project Proponent Name 1

Aldiana Halim 

Job Title 1

Medical Doctor, Ophthalmologist, Head of Research Department 

Organization 1

Cicendo Eye Hospital, Ministry of Health 

Postal Address 1

Not Applicable 

Telephone 1

(62-22) 4321281 

Fax 1

Not Applicable 

Email 1

aldianahalim@yahoo.com; bagusramdan@gmail.com 

Project Proponent Name 2

Not Applicable 

Job Title 2

Not Applicable 

Organization 2

Not Applicable 

Postal Address 2

Not Applicable 

Telephone 2

Not Applicable 

Fax 2

Not Applicable 

Email 2

Not Applicable 

Declaration

Aldiana Halim 

Project Summary

Visual impairment and (avoidable) blindness imply to the socioeconomic when considering an individual’s unemployment, care-taking requirements, increased dependence on others, lower quality of life, economic productivity loss, and increase poverty. However, some economies have lack of knowledge and skill to calculate its economic impact. This knowledge and skill will strengthen the awareness and advocacy of the urgency in implementing a visual impairment and (avoidable) blindness control program. The project will be delivered in a workshop that aims to create a framework to analyze the economic consequences of visual impairment and  (avoidable) blindness, to develop cost-effective eye care program and to create finance system (Universal Health Coverage) for eye care. The workshop will be held in Bandung, Indonesia, in April 2021. Some speakers from Vision Loss Experts Group (VLEG) will deliver their expertise in the workshop.

Relevance

Relevance – Region: Visual impairment and blindness is devastating the economies converting people and communities into poverty. Poor people with blindness have inadequate access to good nutrition, health services, education, housing, water, and sanitation. Visual impairment and blindness affect the people in low- and middle-income economies ten to twenty years earlier than those who in developed economies. A recent study by Pricewaterhouse Coopers, commissioned by The Fred Hollows Foundation, estimates that the cumulative impact of lost economic activity in low- and middle-income due to vision impairment and blindness is $52 billion annually (in 2010 US dollars).

Globally, at least 2.2 billion people have a visual impairment and blindness, of whom at least 1 billion are avoidable. Visual impairment and blindness is associated with a considerable disease burden. The total cost of visual impairment and blindness globally was estimated at $3 trillion in 2010, of which $2.3 trillion was direct health costs. This burden is projected to increase by approximately 20% by 2020. Therefore, some efforts to reduce prevalence of visual impairment is critical in the region.

Some of APEC developing economies have not estimate economic impact related to non-communicable diseases because they don’t have or lack of knowledge and skill of it. In order to increase their capacity, we propose a workshop on development of economic analysis related to visual impairment and avoidable blindness. We belief, it would support the APEC economies to create a framework of economic consequences and situational analysis related to visual impairment and avoidable blindness so they more aware to prevent economic loss (direct and indirect cost) and develop a strategy of cost effective program in controlling the diseases in the region

Relevance – Eligibility and Fund Priorities: This project supports capacity building needs for APEC developing economies. There are two priorities of IERG Sub-fund that met by this project: 1) Overcoming the middle-income trap; and, 2) Implementing the Healthy Asia Pacific 2020 Initiative.

Relevance – Capacity Building: This workshop enables member economies - particularly developing economies - to obtain, share, strengthen, maintain and develop knowledge, abilities, skills and technical know-how in analyzing of economic impact  related to visual impairment and avoidable blindness to increase awareness and to improve their policies and regulations to prevent economic loss (direct and indirect cost) related to visual impairment and avoidable blindness and develop a strategy of cost effective program in controlling the diseases in the region.

Objectives

Our objective is to build the capacity of project participants through workshop and build a framework to analyze the economic impact due to visual impairment and (avoidable) blindness. The framework will be formed in the workshop and will be developed based on input from APEC members so that the framework could really be used by all APEC Economies. A framework to analyze the economic impact due to visual impairment and (avoidable) blindness could help APEC economies to establish an appropriate program to prevent visual impairment and (avoidable) blindness.

Alignment

Alignment - APEC: This project engages with two key areas of the Healthy Asia Pacific (HAP) 2020 Initiative: 1) Strengthening the prevention and control of non-communicable diseases, including disabilities and injuries; and, 2) Strengthening heath systems to support Universal Health Coverage. 

This project supports Government commitment to health, as one of the 5 key factors in the HAP 2020 Roadmap, specifically action 3: Encourage action to address the current and future fiscal implication of ill health, especially from non-communicable diseases, and promote the development of diverse sustainable financing option to meet the health care needs of all citizens. 

Alignment – Forum:  This project align with HWG Strategic Plan 2016-2020, that HWG aims to reduce the impact of health-related threats to the economy, trade and security of member economies, and to strengthen health systems to increase their efficiency, responsiveness and resilience to achieve and maintain Universal Health Coverage. This project addresses one of HWG’s Objectives: Strengthening health systems to improve accessibility, sustainability and quality of care.

TILF/ASF Justification

Not Applicable.

Beneficiaries and Outputs

Outputs:

1)  Workshop: Three day workshop will be held on September 2021. Target participants: key persons from all developing economies APEC members. The speakers are the experts who participate in the pre-workshop sessions.

We will hold 2 pre-workshops. This is a discussion session between experts group.

The purpopse of Pre-workshop 1: Draft frameworks of economic and situational analysis related to eye care; Pre-workshop 2: Final frameworks of economic and situational analysis related to eye care. The workshop will introduce the participants on how to analyse and implement the economics analysis and develop situational analysis related to visual impairment and avoidable blindness based on the framework created in the pre-workshop sessions. Workshop will be held online

2) Project Website: A website will be created so that participants can access all the information regarding health economic and visual impairment in APEC Economies. The website will be built and maintained by PO, hosted in Indonesia

3) Summary Report: A summary report up to 10 pages with about 3000 words including medical and public health interventions, innovations, public policies, best practices, policy briefing and suggestions for advancing visual impairment and blindness prevention in the region will be developed. It can be referred by each economy in Asian Pacific Region to develop their own strategy on visual impairment and blindness prevention in their economy. Meanwhile, the summary report will be submitted to the Secretariat when the project completes. Also, this report will be submitted and available for the Health Working Group audience.

Schedule (tentative)

Day 1

Purpose: Build basic concept of Visual Impairment prevention program and health economic related in Visual Impairment

Duration

Topic

Speakers

45’ Presentation +

15’ Discussion

Update global strategy in Visual Impairment prevention program

Peter Holland (IAPB)

45’ Presentation +

15’ Discussion

Impact of Visual Impairment in human life

Babar Qureshi (CBM)

45’ Presentation +

15’ Discussion

Public Health approach in disease control

Prof. Dr. dr. Adik Wibowo, MPH (University of Indonesia)

45’ Presentation +

15’ Discussion

Introduction of health economic evaluation

Dr. drg. Mardiati Nadjib, MS

(University of Indonesia)

45’ Presentation +

15’ Discussion

Economic impact related to Visual Impairment

Fred Hollows Foundation

Day 2

Purpose: Deliver technical aspect of economic impact analysis related to Visual Impairment 

Duration

Topic

Speakers

45’ Presentation +

15’ Discussion

Update Visual Impairment  situation in Indonesia

Prof. Dr. dr. Nila Djuwita Faried Anfasa Moeloek, Sp.M(K)

45’ Presentation +

15’ Discussion

Measuring burden of disease: the concept of Qaly and Daly health economics

University of Indonesia

45’ Presentation +

15’ Discussion

Monetary value of ealth

Ministry of Health Republic Indonesia

45’ Presentation +

15’ Discussion

Measuring burden of Visual Impairment  and blindness

IAPB/Fred Hollows Foundation

45’ Presentation +

15’ Discussion

Economic impact due to Visual Impairment 

IAPB/Fred Hollows Foundation/ CBM

Note: Tasks for participants

1.     analyse Qaly lost due to Visual Impairment in their area/economy

2.     convert the Qaly lost into monetary state

Day 3

Simulation: participant will present their task from day 2

Discussion and conclusion by health economics expert

Outcomes: 

a) Participants will apply for the knowledge learned from the workshop to their daily jobs, especially on making economic analysis due to visual impairment and (avoidable) blindness.

b) Participants will create action plan to address economic burden due to visual impairment and (avoidable) blindness.

c)  A summary report with progress will be served by participants as the basis for policy makers to refine their domestic policies on visual impairment due to visual impairment and (avoidable) blindness prevention, and also for the HWG to develop its annual plan and strategic plan to promote the progress in NCD prevention and control.

d)  A regional Health Economic in Visual Impairment and Avoidable Blindness Prevention and Control Network could be established and long-term collaborations could be carried out among economies through the website, continuing communications, discussion, workshop, and cooperation. Any economy who is willing to participate in this network will be welcome. Both officials of the government and experts from economies will be the main participants in this network

Beneficiaries: Target participants are 11 APEC member economies from Chile; China; Indonesia; Malaysia; Mexico; Papua New Guinea; Philippines; Peru; Russia; Thailand and Viet Nam.

They can be from Ministry of Health (government) and representatives from the private sector or civil society (such as CBM, IAPB, Fred Hollow Foundation), academics (public health department), or other stakeholders with 2 (two) years experience in eye care program in their economy and preferably have experience in development national or sub-national of eye care plan They will benefit from this project by sharing information and insights during and after the workshop. They can develop economic impact analysis due to visual impairment and blindness in their area. Long-term communication, exchange and collaboration in the local, regional, and international level after the workshop could be promoted by creating a health economic in visual impairment and avoidable blindness prevention and control network. Especially, this network can build a routine mechanism for the mutual communication and visits, meetings, exchange of the information via internet and other media. Based on the previous experience, there is a very high possibility of establishing such a network within APEC economies, especially markedly on increasing burden of economic impact related to visual impairment and avoidable blindness in Asian Pacific Region; and visual impairment and avoidable blindness prevention and control is the priority in most of the APEC economies.

Dissemination

a)  Electronic version of the summary report and key recommendations will be shared with the participants and related stakeholders.

b)  Electronic presentations, videos and related workshop materials will be posted on APEC meeting documents database with permission from speakers.

c)  A project website (hosted in Indonesia) will be built and maintained by PO, even after the completion of the workshop. The information on the workshop and the later progress after the workshop will be published and accessed by each economy. The website will comply with the APEC Website Guidelines and APEC nomenclature and branding will be followed.

d)  If possible, summary report to the workshop will be published as an APEC publication, that follows the APEC publication guidelines.

Workshop will be held online.

A website will be built and maintained by PO, even after the completion of the workshop. The information on the workshop and the later progress after the workshop such as health economic and visual impairment will be published and accessed by each economy. PO does not have any intention to sell outputs arising from this project.

Gender

Gender equity and women’s benefit is critical to the achievement of visual impairment and (avoidable) blindness  prevention and control in Asian Pacific Region.

The invited speakers/experts and participants will attended by up to 50% of women. Gender equity is critical as women’s economics empowerment will be improved in preventing economic loss related to visual impairment and avoidable blindness in Asian Pacific Region since most of women are suffering of non-communicable diseases. With this event, women could increase their knowledge and capacity on health economics, gain equal opportunities to access the markets, eye care services, so women are physically capable of a range of economic pursuits and are prepared both educationally and technically for success in the workforce, in business, and in entrepreneurship and increase the awareness of eye health and policy changes and refinement to reduce the gender inequalities in the future which is according to one of the five pillars on women’s economic empowerment (pillar no. 3).

Benefits for women may include:

1) Their knowledge and capacity on visual impairment due to visual impairment and (avoidable) blindness prevention and control will be improved; and

2) Recommendations through exchanges of the workshop will facilitate the policy changes and refinement to reduce the gender inequalities in the future. Anyway, this project will promote women’s economic empowerment.

Work Plan

Time

Tasks

Deliverables

February 2021

Contracting Process (self-funded)

Contracts

April 2021, 1st Week

Conduct virtual pre-workshop #1 with local experts (Indonesia) to create the draft of framework and analyse the specific needs for the workshop.

Draft frameworks of economic and situational analysis related to eye care

April 2021, 2nd Week

Conduct virtual pre-workshop #2 with collaborating local (Indonesia) and global experts to firm up the draft of framework and analyse the specific needs for the workshop.

Final frameworks of economic and situational analysis related to eye care

April  2021, 4th Week

Identifying the relevant speakers and participants.

List of Speakers and Participants

May  2021, 1st Week

Building website to disseminate information about the workshop

Website

May  2021, 1st Week

Develop workshop agenda, materials

Workshop Agenda, Materials

June 2021, 1st Week

Launching the website

Promotion

July 2021, 1st Week

Circulate Agenda, Inviting Speaker & Participant

Rundown, List of Final Speakers and Participants

September  2021, 2nd Week

Conduct three days virtual workshop of economic analysis of visual impairment and avoidable blindness.

Presentations, videos of the workshop, and other documents

September 2021, 3rd Week

Event Evaluation

Event Evaluation Survey

October  1st, 2021

Submit APEC Project Monitoring Report to APEC Secretariat

APEC Project Monitoring Report

January 1st, 2022

Post-event Report

March 2022

Draft the Summary Report and submit to the Secretariat by 1 March 2022.

Once reviewed and finalized, the document will be circulated to HWG for endorsement

Summary Report

Draft the APEC Project Completion Report and submit to the Secretariat

June 2022

Submit APEC Project Completion Report and supporting documents to APEC Secretariat

APEC Project Completion Report

June 2023

Participation in the Long-Term Evaluation of APEC Projects conducted by the Secretariat, as required by all APEC funded projects

Risks

1) Participants are not very familiar with economic impact due to visual impairment and (avoidable) blindness. Health economics is a very professional and fast-growing topic including the public health policies, experience and knowledge in risk factors and control, clinical diagnosis and treatment and so on. Therefore, some people may not have a lot of experience or knowledge in all the aspects of health economis. Possible risk management strategies: Inform each economy about the purpose of workshop and send the invitations to the experts on visual impairment and blindness prevention and health economics as early as possible, conduct the pre-workshop meeting and consult with expert, related fora to collect the need and interest for the workshop and the potential network, and develop the agenda and workshop materials. Circulating the preliminary agenda and workshop materials for more comments before the workshop if the time is enough.

2) Difficulty in achieving policy change over the long-term. Possible risk management strategies: appropriate selection of participants; broad discussion on the long-term collaboration in policy change during the workshop; establishment of the network to support the future work in policy change in member economies through the continued communications and meetings.

3) Delays. Possible risk management strategies: early stakeholders/contractors engagement, early adoption of agenda; strict deadlines for project internal management.

4) Low quality of key output. Possible risk management strategies: A professional team will be built, including the good writers for the summary report. They will join the whole process of the workshop, including the pre-workshop survey, development of the protocol, holding the workshop and participating in the discussions. They will also participate in the further communications with the economies for the comments on the summary report.

5) A number of Non Member Participants (NMP) may be involved. Possible risk management strategies: Only the participants from APEC member economies will be accepted. If there are some additional NMP would like to participate, they have to be approved through the NMP process before the event.

Due to COVID-19, this event will be held online in September 2021.

Monitoring and Evaluation

1) Reviewing and regular communication with all participants to perform the recommendation of the workshop.

2) Protocol of the workshop, workshop materials, workshop summary report, presentations, and other related documents will be provided according to the timeline of the workshop.

3) A regional network for visual impairment and (avoidable) blindness prevention and control could be established and then long-term collaborations could be carried out among economies via frequent emails, virtual meetings or periodic face-to-face meetings and mutual visits.

4)  A public website for the workshop will be established so that all participants, including women, can access all the information on the workshop.

5) Indicators of the evaluation: number of participating economies (11 economies); number of participants (22 people); Participation rate of female participants (50%).

The measurable outcomes can be: short-term indicator can be the awareness of knowledge on visual impairment due to visual impairment and (avoidable) blindness prevention will be increased, medium-term indicator can be the coverage and participation rates of visual impairment due to visual impairment and (avoidable) blindness prevention programs will be increased, and the long-term indicator can be the economic burden due to visual impairment due to visual impairment and (avoidable) blindness will be decreased. 

Outputs/ Outcomes

Evaluation Focus

Indicators

Target Goals

Evaluation Method

Reporting

Outputs

Workshop

Contract executed

March 2021

Certification by PO

Contract

No. of experts engaged

10

Event Attendance List

Completion Report

No. of attending economies

22

Event Attendance List

Completion Report

% of participating men/women

50/50

Event Attendance List

Completion Report

Content developed and deployed

May  2021

Certification by PO

Contract

Project Report

No. of pages

10

Certification by PO

Email to the Secretariat

Submission to the Secretariat

1 May 2022

Submission to the Secretariat

Email to the Secretariat

Outcomes

Best practices in analyzing economic impact related to visual impairment and avoidable blindness

Implementation of best practices by economies

2021 to 2022

Tracking economies six months after event

Report to Working Group

Participants knowledge and skill in estimating economic impact related to visual impairment and avoidable blindness

 % of participants report substantial knowledge increase

75%

Ex-ante and ex-post evaluations

Completion Report

developing APEC economies report substantial knowledge increase

25%

Ex-ante and ex-post evaluations

Completion Report

women report substantial knowledge increase

33%

Ex-ante and ex-post evaluations

Completion Report

Linkages

The International Agency for the Prevention of Blindness (IAPB) lead international efforts in blindness prevention activities. Its first major achievement was to promote the establishment of a WHO programme for prevention of blindness, with which it has remained strongly linked, and which is now embodied in the global initiative, VISION 2020: The Right to Sight. This project will complement and contribute to the global action and the goal of  VISION 2020 in reducing global visual impairment and develop economies. and may be duplicated by other economy region.

This project aims to build a framework to analyze the economic impact due to visual impairment and (avoidable) blindness, that also complements WHA resolutions about Prevention of Avoidable Blindness and Visual impairment.

Workshop materials will be submitted to APEC economies through the HWG; A workshop completion report and summary report will be shared with participants, key stakeholders, public health authorities in the region, and other health related APEC fora; Presentations and related documents will be posted on the APEC meeting documents database with permission from speakers; A regional network on visual impairment and blindness prevention could be established and longer-term collaborations could be built.

Sustainability

Continuous support: All the participants could build up links with each other through the workshop, so they could easily communicate in their future work where they feel the need for seeking advice from the member economies on how to improve their own policy making or implement visual impairment and (avoidable) blindness prevention control program. Most important, the possibility and interest in establishing a regional network on visual impairment and (avoidable) blindness prevention and control will be discussed on the workshop. If there is a huge interest and most economies could reach agreement, the network will be established, which will serve as a platform for information sharing and capacity building on visual impairment and (avoidable) blindness prevention and control. If possible, a tracking mechanism for participating economies to report on the outcome or changes in their home economies will be built to further measure the impact the workshop.

Possible next steps:

1)  Maintenance or dissemination of any outputs such as reports, protocols, databases or resources.
2)  Follow up workshops or symposiums.
3)  Transfer of knowledge from participants to other colleagues in their home economies.
4)  Creation of cooperative network.
5)  Adoption of best practices or recommendations.

Possible tracking mechanism:

1)  Frequent emails
2)  Periodic meetings
3)  Mutual visits
4)  Collaborative meetings
5)  Post-workshop surveys

Project Overseers

Aldiana Halim: Medical DoctorOphthalmologist, Head of Research Department of National Eye Center, Cicendo Eye Hospital, Ministry of Health of Republic of Indonesia

Bagus Ramdan: Administrative Coordinator, National Eye Center, Cicendo Eye Hospital, Ministry of Health of Republic of Indonesia

The project will be organised by The National Eye Center, Cicendo Eye Hospital, Bandung, Indonesia. A network will be built to conceptualise the project, involving local and international resources. All the resources collaborate to create a concept and prepare the needed materials for the workshop. The specific roles of the resources will be distributed based on the particular capacities. The concept of the workshop is divided into two element, visual impairment analysis and health economics analysis. The visual impairment analysis will be conceptualised by experts from Cicendo Eye Hospital, The Indonesian Ministry of Health, Indonesian Ophthalmology Association (IOA), International Center of Eye Health (ICEH),  International Agency for Prevention of Blindness (IAPB) and Vision Loss Expert Group (VLEG). The Health economic analysis will be conceptualised by experts from Global Health Initiative Indonesia, Public Health Department of Indonesia University, Public Health Department of Padjadjaran University, and London School of Hygiene and Tropical Medicine (LSHTM).

Cost Efficiency

Not Applicable.

Drawdown Timetable

Not Applicable.

Direct Labour

Not Applicable.

Waivers

Not Applicable.

Are there any supporting document attached?

No 
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Project No.

Project Title

Project Status

Publication (if any)

Fund Account

Sub-fund

Project Year

Project Session

APEC Funding

Co-funding Amount

Total Project Value

Sponsoring Forum

Topics

Committee

Other Fora Involved

Other Non-APEC Stakeholders Involved

Proposing Economy(ies)

Co-Sponsoring Economies

Expected Start Date

Expected Completion Date

Project Proponent Name 1

Job Title 1

Organization 1

Postal Address 1

Telephone 1

Fax 1

Email 1

Project Proponent Name 2

Job Title 2

Organization 2

Postal Address 2

Telephone 2

Fax 2

Email 2

Declaration

Project Summary

Relevance

Objectives

Alignment

TILF/ASF Justification

Beneficiaries and Outputs

Dissemination

Gender

Work Plan

Risks

Monitoring and Evaluation

Linkages

Sustainability

Project Overseers

Cost Efficiency

Drawdown Timetable

Direct Labour

Waivers

Are there any supporting document attached?

hdFldAdmin

Project Number

Previous Fora

Secretariat Comments

Reprogramming Notes

Consolidated QAF

Endorsement By Fora

PD Sign Off

Batch

Forum Priority

Committee Ranking Category

Committee Priority

PDM Priority

Priority Within Funding Category

Monitoring Report Received

Completion Report Received

PMU Field 1

PMU Field 2

PMU Field 3

On Behalf Of

Proposal Status

Originating Sub-Forum

Approval Status
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