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 11 Foundation-sponsored eye nurse graduates and two Foundation-sponsored trainee eye doctors. There is also one active eye doctor, Dr Duke Mataka, who graduated the from the Pacific Eye Institute with a Master of Medicine in Ophthalmology in 2018.
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, 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
- In 2018, Dr Duke Mataka returned to Tonga after graduating from the Pacific Eye Institute with a Master of Medicine in Ophthalmology
- In 2017, eye nurses with Postgraduate Diploma in Eye Care were recognised as Eye Care Practitioners in Tonga
In Tonga, there are currently:
- 1 active Foundation-supported eye doctor (1 Foundation-sponsored graduate)
- 2 Foundation-sponsored trainee eye doctors
- 11 active Foundation-supported eye nurses (all Foundation-sponsored graduates)
- 14 Foundation-sponsored eye nurse graduates