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Cataract blindness is a public health problem of major proportions in developing countries. Intracapsular cataract extraction with aphakic spectacles has been the standard surgical technique for restoring sight. Because of image magnification in the operated eye, however, the result in unilaterally blind patients is less than satisfactory. Fortunately, with the availability of low-cost intraocular lenses ( IOL) and ophthalmologists trained in extracapsular surgery, it is now practical to intervene successfully in the unilateral case. The need for increased attention on the quality of the visual outcome is only one of three important strategic issues in cataract blindness control. The existing high prevalence of cataract blindness in developing countries and an increasing cataract incidence due to an aging population require substantial increases in surgical volume. The third issue relates to cost. If significant increases in surgical volume and quality of outcomes are to be realised without an increased need for external funding, service delivery must be made more efficient. The expansion of IOL surgery for unilateral blindness is a favourable trend in ensuring financial sustainability of delivery systems; patients can be operated on while still economically productive and able to pay rather than waiting for bilateral blindness and a less favourable economic and social impact. It the quality, volume, and cost issues are to be successfully addressed, operational and structural changes to eye care delivery systems are necessary. These changes can be effected through training, technology introduction, management of facilities, social marketing, organizational partnerships, and evaluation. With improved understanding of the critical factors in successful models their widespread replication will be facilitated.

The booklet explores aspects of intimacy, love and sex in women with spinal cord injuries. The emphasis in this booklet is on issues of sexual identity, self-awareness, fears and anxieties, contraception and the prevention of sexually transmitted diseases

Ideas and practical activities around HIV/AIDS communication, emphasizing the need to listen, encourage and share, and to build on what people already know. One in a series of six booklets developed in southern Africa for use by AIDS educators, describing participatory learning exercises that can be used with adults and young people. Other booklets in this series cover a range of issues, including drama, AIDS education and evaluation

Ideas and practical activities around HIV/AIDS education, in particular, teaching the facts, and managing group discussions. One in a series of six booklets developed in southern Africa for use by AIDS educators, describing participatory learning exercises that can be used with adults and young people. Other booklets in this series cover a range of issues, including drama, teaching aids and evaluation

Ideas, examples and practical activities and around project evaluation. Last in a series of six booklets developed in southern Africa for use by AIDS educators, describing participatory learning exercises that can be used with adults and young people. Other booklets in this series cover a range of issues, including how to use visual aids, education and drama