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Consultancy for Mid-term Project Review
2 weeks ago
**TERM OF REFRENCE (TOR) - MID TERM PROJECT REVIEW (MTR)**
Project title: WORKING TOWARDS A LEARNING EYE HOSPITAL IN PHU YEN (LEH)
Country: Viet Nam
Date: 17th April 2025 (revised)
**Introduction**
The Fred Hollows Foundation (The Foundation) is a non-profit public health organisation based in Australia, which was founded in 1992 by eminent eye surgeon Professor Fred Hollows. The Foundation focuses on strengthening eye health systems; treatment and prevention of avoidable blindness and visual impairment caused by Cataracts, Trachoma, Diabetic Retinopathy, and Refractive Error (R.E). The Foundation operates in more than 20 countries across Australia, The Pacific, South, and Southeast Asia, and Africa. The Foundation was named The Australian Charity of the Year 2013 in the inaugural Australian Charity Awards.
The Foundation began working in Vietnam in 1992. Today it is one of the leading Eye care International non-governmental organisations (INGO) in Vietnam. The Foundation works in partnership with the Government; Ministry of Health, Ministry of Education & Training, Vietnam National Eye Hospital (VNEH); medical universities; Departments of Health, Departments of Education and Training; and more than 20 provincial eye care service providers and other INGOs who are working in Vietnam both in eye health and other fields such as IAPB; WHO in Vietnam. Since 2016, The Fred Hollows Foundation Vietnam (FHFVN) and its partners have developed and implemented the school eye health program through the Vietnam Child Eye Care and Better Eyes for Better Education projects which aim to improve eye health among Vietnamese school children by advocating for the national eye care guidelines and policies in place to prevent visual impairments caused by refractive errors for primary and secondary school students in Viet Nam. These both projects finished and achieved the set objectives by the end of 2020 and 2021. To scale up the impact of these projects, a new project named School Eye health Expansion Project was approved and started implementation from the beginning of 2021.
**Project background**
The Foundation started working in Phu Yen in 1999 with a small fund and IOLs for cataract surgical camps. After a few years, Phu Yen proved they were capable of implementing larger projects and expressed their desire to make a dramatic change to the prevention of blindness in the province. In 2003, FHF funded Phu Yen to pilot a Comprehensive Eye Care project. Since then, its eye care has been remarkably developed. Specifically, its former eye station was transformed successfully into an eye centre, then an eye hospital in 2012. Importantly, apart from prioritising control of cataracts, the leading cause of avoidable blindness, the hospital has provided various eye care services to help the local people access the services locally in the province instead of travelling to metropolitan settings in Ho Chi Minh or Ha Noi. Thus, out-of-pocket expenses are minimised. In addition, compared with other provinces with similar economic and population conditions, Phu Yen Eye Hospital is among the few who can operate independently and no longer need much financial support from the government as they have started to pursue financial autonomy since 2019.
From 2013 onwards, Phu Yen has achieved annual incomes at 1 million USD thanks to their emphasis on quality service improvement and management innovations, such as all cataract patients receive the surgeries and go home in the day that save time and expenses for patients’ families, or each eye doctor is a multi-tasker, for instance an ophthalmologist can provide examination, perform cataract surgeries and treat diabetic retinopathy, or they assign specific staff to look after operation of equipment to extend equipment lifespan as long as possible to increase the efficiency. They have become a destination for Vietnam’s eye care partners and programmers and FHF international teams to visit and exchange experiences, such as Laos and Indonesia for global country offices’ staff and partners, and in-country eye doctors from Quang Nam, Ha Giang, Dak Nong, Ca Mau, Vinh Long and so on. However, what the hospital has tried to perform has not met their expectations and wants to more standardise the service quality. That is why they submitted FHF a proposal to seek additional support to help improve their model of care, especially improve equity and inclusion and perspective of vulnerable groups in accessing eye care services. FHF Vietnam considered this an excellent opportunity to promote learning across FHF’s country offices and project partners to leverage sustainability in eye care projects. This learning hospital model can motivate other FHF country offices to document and develop a similar model for cross-learning, replicating and boosting eye care programs in their countries. The doctors and hospitals from surrounding countries are welcomed to visit Phu Yen Eye Hospital for experience exchange li
