Can VISION 2020 be implemented in rural government settings? Findings from two programmes in Tanzania

OBJECTIVE: To generate information on essential components and the cost recovery potential of VISION 2020 programmes in rural Africa. METHODS: We took a structured approach to planning, training, implementation and supervision of programmes in Singida and Mara regions, Tanzania involving both government and non-government partners. Extensive mentoring was provided to monitor activities and costs. RESULTS: Annual numbers of patients receiving eye care increased sevenfold, cataract surgeries by a factor of 2.6 and spectacles dispensed by a factor of 16. Running costs were shared; the government provided 40-60%, non-government organisations (NGOs) 25-45%, and patient fees 15%. CONCLUSION: Comprehensive eye care can be delivered with cooperation among partners. However, continued coordination and cooperation from government and NGOs are critical to reach VISION 2020 goals.