{"id":4170,"date":"2024-11-26T00:00:00","date_gmt":"2024-11-26T00:00:00","guid":{"rendered":"https:\/\/7a7df05b52dab8495fdeb023c7d876bd1135a5b7.helpmesee.org\/mazava-project-shines-light-on-blindness-in-madagascar\/"},"modified":"2026-05-04T19:01:04","modified_gmt":"2026-05-04T19:01:04","slug":"mazava-project-shines-light-on-blindness-in-madagascar","status":"publish","type":"post","link":"https:\/\/helpmesee.org\/es\/mazava-project-shines-light-on-blindness-in-madagascar\/","title":{"rendered":"El proyecto Mazava arroja luz sobre la ceguera en Madagascar"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"4170\" class=\"elementor elementor-4170\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2fb7e856 e-flex e-con-boxed e-con e-parent\" data-id=\"2fb7e856\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b60b3b6 elementor-widget elementor-widget-text-editor\" data-id=\"b60b3b6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"et_pb_column et_pb_column_4_4 et_pb_column_0 et_pb_css_mix_blend_mode_passthrough et-last-child\"><div class=\"et_pb_module et_pb_text et_pb_text_0 et_pb_text_align_left et_pb_bg_layout_light\"><div class=\"et_pb_text_inner\"><p><!-- divi:paragraph {\"fontSize\":\"medium\"} --><\/p><h1 class=\"text-[26px] font-medium leading-8\">Mazava Project shines light on blindness in Madagascar<\/h1><div class=\"flex flex-col items-center justify-center col-span-12\"><div class=\"my-4 flex w-full flex-col border-b border-t border-solid border-gray-400 px-4 py-4\"><h3 class=\"text-xl font-semibold text-primary\">Key Takeaways<\/h3><ul class=\"list-disc px-8\"><li class=\"py-2 false\">HelpMeSee&#8217;s Mazava Project trains GPs in Madagascar to perform cataract surgeries, addressing severe visual impairment due to cataracts.<\/li><li class=\"py-2 false\">The project uses a comprehensive training system, including simulation-based practice and live surgery, to certify proficiency in MSICS.<\/li><\/ul><\/div><\/div><div class=\"flex flex-col items-center justify-center col-span-12\"><p class=\"w-full text-gray-700 italic text-base\">The HelpMeSee Mazava Project trains general practitioners in Madagascar to perform cataract surgeries, addressing the country\u2019s high rate of avoidable blindness. Trainees gain proficiency through simulation-based learning and live surgeries, improving access to eye care in remote areas.<\/p><\/div><div class=\"flex flex-col items-center justify-center col-span-12\"><div id=\"block-content\" class=\"w-full _blockContent_s7hzj_1\"><div class=\"\"><div class=\"figure\"><div class=\"text-center\"><div class=\"relative flex flex-none items-center justify-center text-center\"><img fetchpriority=\"high\" decoding=\"async\" class=\"object-contain false alignright\" title=\"With its ability to provide the feel of a human eye in training, the HelpMeSee simulation-based training program helps trainees enhance their surgical skills and add confidence. (Image credit: HelpMeSee)\" src=\"https:\/\/cdn.sanity.io\/images\/0vv8moc6\/ophtalmology\/2807551e9203c1c68216786845bb83a72a227530-4116x2744.jpg?w=4116&amp;max-h=2744&amp;fit=crop&amp;auto=format\" alt=\"With its ability to provide the feel of a human eye in training, the HelpMeSee simulation-based training program helps trainees enhance their surgical skills and add confidence. (Image credit: HelpMeSee)\" width=\"465\" height=\"310\" \/><\/div><div id=\"image-caption\" class=\"mx-auto italic text-gray-500\"><div id=\"block-content\" class=\"w-full _blockContent_s7hzj_1\"><p class=\"\">\u00a0<\/p><\/div><\/div><\/div><\/div><\/div><p class=\"\">Avoidable vision loss is a growing problem in low-income countries, and HelpMeSee is advancing its mission to restore vision for people worldwide living with severe visual impairment and blindness due to cataracts.<\/p><p class=\"\">Statistics from the World Health Organization and the Global Burden of Disease study indicate that more than 100 million individuals in developing countries have blindness or visual impairment due to cataracts. In most cases, the problem stems from a lack of access to care.<sup class=\"text-inherit\">1<\/sup><\/p><p class=\"\">Jean-Marie Andr\u00e9, MD, medical officer for Africa at HelpMeSee is leading training initiatives in Madagascar.<\/p><p class=\"\">Andr\u00e9 has more than 40 years of experience in anterior segment surgery and joined HelpMeSee as a medical officer in 2013. Previously, he worked with the West African Health Organization to train local medical professionals in manual small-incision cataract surgery (MSICS).<\/p><p class=\"\">When the project started in Madagascar, Andr\u00e9 noted there were only 25 surgeons in the country, which has a population of more than 28 million people. More importantly, only 5 surgeons were located in remote areas away from large towns. He also noted that Madagascar has one of the lowest cataract surgery rates in the world, with 350 surgeries per 1 million people.<\/p><p class=\"\">The issue was documented in findings from a Rapid Assessment of Avoidable Blindness study conducted by Madagascar\u2019s Ministry of Public Health, which found that 200,000 residents have blindness due to untreated bilateral cataract.<\/p><p class=\"\">According to Andr\u00e9, HelpMeSee, Madagascar\u2019s Ministry of Public Health, and the Polyclinic d\u2019Ilafy Hospital in Antananarivo, Madagascar, have jointly launched the Mazava Project.<\/p><div class=\"\"><div class=\"figure\"><div class=\"text-center\"><div class=\"relative flex flex-none items-center justify-center text-center\"><img decoding=\"async\" class=\"object-contain false alignright\" title=\"Patient Marie Henriette, center, is pictured with her family in Madagascar before her cataract surgery operation at the Vision Institute in Ambatomaro, Madagascar. (Image credit: HelpMeSee)\" src=\"https:\/\/cdn.sanity.io\/images\/0vv8moc6\/ophtalmology\/838bf307a53e912f7b91e6577a4a262d6868c7ee-4500x3000.jpg?w=4500&amp;max-h=3000&amp;fit=crop&amp;auto=format\" alt=\"Patient Marie Henriette, center, is pictured with her family in Madagascar before her cataract surgery operation at the Vision Institute in Ambatomaro, Madagascar. (Image credit: HelpMeSee)\" width=\"465\" height=\"310\" \/><\/div><div id=\"image-caption\" class=\"mx-auto italic text-gray-500\"><div id=\"block-content\" class=\"w-full _blockContent_s7hzj_1\"><p class=\"\">\u00a0<\/p><\/div><\/div><\/div><div class=\"top-[-100%] block w-[1px] overflow-hidden opacity-0 transition-opacity duration-500 ease-in-out\">\u00a0<\/div><\/div><\/div><p class=\"\">With a name that means\u00a0<em>bright<\/em>\u00a0in Malagasy, the Mazava Project is focused on reducing the prevalence and impact of cataract blindness. Madagascar\u2019s Ministry of Public Health selects general practitioners (GPs) to be trained as cataract surgeons. HelpMeSee then trains them using a training system that includes an e-book, practice on a simulator guided by an experienced instructor, and certification in MSICS.<\/p><p class=\"\">A live surgery transition, which leads them to proficiency, is conducted at the University of Antananarivo Public Hospital in Madagascar under the supervision of Professor L\u00e9a Raobela. Once certified for live surgery by the university, they are sent back to Madagascar\u2019s Ministry of Public Health, which assigns them as cataract surgeons in their original remote locations.<\/p><p class=\"\">To be eligible to be a trainee in the Mazava Project, candidates must meet the following criteria:<\/p><ul class=\"my-2\"><li class=\"ml-8 list-disc\">GP<\/li><li class=\"ml-8 list-disc\">Civil servant in Madagascar\u2019s Ministry of Public Health<\/li><li class=\"ml-8 list-disc\">Younger than 40 years<\/li><li class=\"ml-8 list-disc\">Already established in a peripheral location (away from the capital)<\/li><li class=\"ml-8 list-disc\">Able to pass the dexterity and psychomotor skills test on the HelpMeSee simulator<\/li><li class=\"ml-8 list-disc\">Able to pass the ophthalmological knowledge test at the University of Antananarivo under the supervision of professor and ophthalmologist L\u00e9a Raobela<\/li><\/ul><p class=\"\">\u201cWe train these physicians to be proficient in the practice of ophthalmic surgery,\u201d Andr\u00e9 said, adding that they are awarded a diploma at the end of the course to certify their new skills in the MSICS procedure.<\/p><p class=\"\">Although the focus is on cataract surgery, Andr\u00e9 said the trainees are also trained to handle complications and trauma.<\/p><p class=\"\">\u201cIn many areas of the world, if a little boy is hit in the eye with a stone, the eye is lost,\u201d Andr\u00e9 said.<\/p><p class=\"\">Trainees such as Rico Ludovic Mpanasoa can respond quickly to save a patient\u2019s eye, relying on skills they learned in the HelpMeSee Simulation-Based Eye Surgery Training Program. They are also trained to detect other conditions, such as retinal disease and glaucoma.<\/p><div class=\"\"><div class=\"figure\"><div class=\"text-center\"><div class=\"relative flex flex-none items-center justify-center text-center\"><p><img decoding=\"async\" class=\"object-contain false alignright\" title=\"Dr Rico Ludovic Mpanasoa is pictured with patient Marie Henriette following her successful cataract surgery operation at the Vision Institute in Ambatomaro in Madagascar. Dr. Rico trained with HelpMeSee at the Polyclinic d\u2019llafy hospital in Antananarivo, Madagascar. (Image credit: HelpMeSee)\" src=\"https:\/\/cdn.sanity.io\/images\/0vv8moc6\/ophtalmology\/8ddb963bee219d0e1af278798c8270f6679deb67-4500x3000.jpg?w=4500&amp;max-h=3000&amp;fit=crop&amp;auto=format\" alt=\"Dr Rico Ludovic Mpanasoa is pictured with patient Marie Henriette following her successful cataract surgery operation at the Vision Institute in Ambatomaro in Madagascar. Dr. Rico trained with HelpMeSee at the Polyclinic d\u2019llafy hospital in Antananarivo, Madagascar. (Image credit: HelpMeSee)\" width=\"465\" height=\"310\" \/><\/p><\/div><div id=\"image-caption\" class=\"mx-auto italic text-gray-500\"><div id=\"block-content\" class=\"w-full _blockContent_s7hzj_1\"><p class=\"\">\u00a0<\/p><\/div><\/div><\/div><div class=\"top-[-100%] block w-[1px] overflow-hidden opacity-0 transition-opacity duration-500 ease-in-out\">\u00a0<\/div><\/div><\/div><p class=\"\">\u201cThey spent 2 years training at the university in the basics of ophthalmology,\u201d he said. \u201cThey have a strong foundation in ophthalmology.\u201d<\/p><p class=\"\">So far, 20 Mazava Project surgeons have successfully completed their training in Madagascar and 30 additional trainees are still undergoing the process, with Rindra Rafanomezantsoa, MD, serving as a HelpMeSee instructor. Rafanomezantsoa is an experienced cataract surgeon practicing at Joseph Ravoahangy Andrianavalona Hospital at the University of Antananarivo.<\/p><p class=\"\">\u201cAs a trainer, the strategy used in most of our projects is to support the general practitioner in their installation so that they are efficient in the fight against cataract blindness,\u201d Rafanomezantsoa said. \u201cThis includes helping them at the start, being with them as they begin working in their respective centers to build confidence before they are on their own.\u201d<\/p><div class=\"\"><div class=\"figure\"><div class=\"top-[-100%] block w-[1px] overflow-hidden opacity-0 transition-opacity duration-500 ease-in-out\"><img loading=\"lazy\" decoding=\"async\" class=\"absolute inset-0 m-auto box-border max-h-[0%] max-w-[0%] border-[3px] border-solid border-white shadow-[0px_0px_8px_rgba(0,0,0,0.3)] transition duration-500 ease-in-out alignright\" src=\"https:\/\/cdn.sanity.io\/images\/0vv8moc6\/ophtalmology\/f9e9c75a0608090a2e44d81528bef887bf0ba3ae-4500x3000.jpg?fit=crop&amp;auto=format\" width=\"465\" height=\"310\" \/><\/div><\/div><\/div><p class=\"\">Rafanomezantsoa noted that trainers are always available for the newly trained surgeons, offering guidance and discussing specific cases as needed.<\/p><p class=\"\">\u201cWe are ready to welcome them for refresher sessions at the HelpMeSee simulation center or at the training center where I work for live surgeries if they feel the need,\u201d he said.<\/p><p class=\"\">Andr\u00e9 added that trainers also conduct regular evaluations to ensure the surgeons maintain and hone their surgical skills.<\/p><p class=\"pb-4 pt-2 text-sm\"><strong>References<\/strong><\/p><p class=\"pb-4 pt-2 text-sm\">1. Pesudovs K, Lansingh VC, Kempen JH, et al. Global estimates on the number of people blind or visually impaired by cataract: a meta-analysis from 2000 to 2020.<em>Eye<\/em>. 9 March 2024. doi: 10.1038\/s41433-024-02961-1.<\/p><\/div><\/div><\/div><\/div><div><p>\u00a0<\/p><p><b>Media Contact:<br class=\"dnr\" \/><\/b><span class=\"xn-person\">Amanda Kronberg<\/span><br class=\"dnr\" \/><a href=\"mailto:pr@helpmesee.org\" target=\"_blank\" rel=\"nofollow noopener\">pr@helpmesee.org<\/a>\u00a0<\/p><p><b>Acerca de HelpMeSee<\/b><br class=\"dnr\" \/>In a world where 100 million people are blind or visually impaired due to cataract, HelpMeSee, a not-for-profit under IRS 501(c)(3), has a global mission to eradicate cataract blindness by increasing the training of Manual Small Incision Cataract Surgery (MSICS). This safe and relatively quick procedure delivers successful outcomes at a low cost. The HelpMeSee MSICS training system features high-fidelity, virtual reality simulation with haptic feedback, sophisticated courseware, learning management systems and electronic learning aids. HelpMeSee was founded by Al and Jim Ueltschi, who imagined building the MSICS training system by incorporating many of the methods and techniques used successfully in commercial pilot training. As co-founder of Orbis International and founder of FlightSafety International, Al Ueltschi was an icon in the aviation industry and was devoted to treating preventable blindness in the developing world. HelpMeSee trains cataract specialists to ensure that all communities have access to highly trained MSICS specialists. With more than 40 simulators and 15 training centers worldwide, HelpMeSee partners with governments, universities and innovators to fight the global cataract blindness crisis.<\/p><p>For more information visit:\u00a0<a href=\"https:\/\/c212.net\/c\/link\/?t=0&amp;l=en&amp;o=4484935-1&amp;h=4096756674&amp;u=https%3A%2F%2Fhelpmesee.org%2F&amp;a=https%3A%2F%2Fhelpmesee.org%2F\" target=\"_blank\" rel=\"nofollow noopener\">https:\/\/helpmesee.org\/<\/a><\/p><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>HelpMeSee\u2019s Mazava Project trains general practitioners in Madagascar to perform cataract surgeries, addressing the country\u2019s high rate of avoidable blindness. Trainees gain proficiency through simulation-based learning and live surgeries, improving access to eye care in remote areas.<\/p>","protected":false},"author":1,"featured_media":4114,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[12],"tags":[],"class_list":["post-4170","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Mazava Project Shines Light on Blindness in Madagascar - HelpMeSee<\/title>\n<meta name=\"description\" content=\"The HelpMeSee Mazava Project trains general practitioners in Madagascar to perform cataract surgeries, addressing the country\u2019s high rate of avoidable blindness. Trainees gain proficiency through simulation-based learning and live surgeries, improving access to eye care in remote areas.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/helpmesee.org%20\/mazava-project-shines-light-on-blindness-in-madagascar\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Mazava Project Shines Light on Blindness in Madagascar - HelpMeSee\" \/>\n<meta property=\"og:description\" content=\"The HelpMeSee Mazava Project trains general practitioners in Madagascar to perform cataract surgeries, addressing the country\u2019s high rate of avoidable blindness. 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