Tonga
Tonga is a remote collection of islands in the tropics. With a strained public health sector, many people suffer from diabetes eye disease that threatens to rob their sight.
What are the eye health problems?
Tonga's steep increase in obesity, diabetes and cardiovascular disease are the most important health problems for Tonga. An estimated 15 per cent of Tongans aged 25–64 are affected by diabetes; most haven’t been diagnosed and don't realise it can lead to blindness.
With a small population and a shortage of doctors, Tonga has historically relied on eye nurses and health workers to provide most eye care services. This meant that people with threatening conditions had to wait for visiting outreach teams to receive treatment.
Our work in Tonga
We began sending outreach teams to Tonga in 2002 to provide eye care services with the long-term goal of training a local Tongan eye care workforce. Today there are ten Foundation-trained eye nurses and one doctor. Dr Duke Mataka graduated in 2018 and returned to Tonga as a fully qualified eye doctor.
Eye care professionals are employed by the Ministry of Health, but our graduates often return home to find they don't have the equipment and facilities they need. In 2017 we equipped the clinic in Tonga’s capital city of Nuku’alofa with essential eye care equipment. This meant that upon Dr Duke's graduation at the end of 2018, he returned home to lead the local eye care team, who can now operate at full capacity.
We're also raising awareness within the health sector of diabetes and its effects on the eye. This involves training health nurses to recognise and refer diabetic patients to an eye clinic. This is crucial so that people diagnosed with diabetes in remote villages, know that they need to get their eyes checked.
Progress in sight
- Dr Duke Mataka returned home to Tonga after he completed his training in 2018 as a fully qualified ophthalmologist.
- Ten Foundation-trained eye nurses are currently working in Tonga. One of them trained at our Pacific Eye Institute in retinal laser treatment; a procedure to prevent further loss of sight from diabetes eye disease.
2022 Key Highlights
- 4.477 eye care consultations provided.
- 1,950 diabetic retinopathy screenings conducted.
- 305 sight-saving surgeries performed.
- 87 diabetic retinopathy treatment sessions provided.
- 1,130 spectacles were dispensed.
- 10 outreaches made eye care services accessible to remote communities across Tonga.
- 7 of these outreaches were conducted using the new Tonga Eye Screening Van that was commissioned in June 2022.
- Health promotion resources were developed, and World Sight Day events were conducted to raise community awareness of eye care.
*services were disrupted in 2022 due to COVID-19 outbreak restrictions.