community eye health awareness programs global blindness prevention

community eye health awareness blindness prevention

ls /home/daytona/workspace/ 2>/dev/null && echo "---" && ls /home/daytona/skills…

ls /home/daytona/workspace/

mkdir -p /home/daytona/workspace/eye-health-synopsis && echo "created"

~/eye-health-synopsis/build.js

const pptxgen = require("pptxgenjs");

const pres = new pptxgen();
pres.layout = "LAYOUT_16x9";
pres.title = "Community Eye Health & Awareness";
pres.author = "Orris Medical";

// ─── COLOUR PALETTE ───────────────────────────────────────────────────────────
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const GOLD     = "FFD700";  // gold highlight
const WHITE    = "FFFFFF";
const DIM      = "B0B8C1";  // muted text
const TEAL     = "00897B";  // section bar
const DARK2    = "111820";  // card background

// ─── HELPER: gradient band at the top ─────────────────────────────────────────
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}

// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 1 — COVER
// ══════════════════════════════════════════════════════════════════════════════
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  s.addText("SYNOPSIS  •  2026", {
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  // Main title
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  // Subtitle
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    { val: "90%", label: "In Low/Mid\nIncome Countries" },
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  // Bottom citation
  s.addText("Source: WHO World Report on Vision, 2019 | IAPB Vision Atlas 2024", {
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// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 2 — INTRODUCTION / BACKGROUND
// ══════════════════════════════════════════════════════════════════════════════
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  s.addText("INTRODUCTION", {
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  const paras = [
    "Vision is one of humanity's most essential senses, yet eye diseases remain a leading cause of disability worldwide. Community eye health focuses on delivering preventive, promotive, and rehabilitative eye care services directly to populations — reducing barriers of geography, cost, and awareness.",
    "The WHO World Report on Vision (2019) estimates that at least 2.2 billion people live with a vision impairment globally. Of these, approximately 1 billion cases are preventable or have not yet been adequately addressed. The burden falls disproportionately on low- and middle-income countries (LMICs), where 90% of affected individuals reside.",
    "Despite these staggering figures, eye health continues to receive insufficient attention in national health agendas. Raising community awareness — through education, screening programs, and policy advocacy — is fundamental to reversing this trend.",
  ];

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// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 3 — OBJECTIVES
// ══════════════════════════════════════════════════════════════════════════════
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  s.addText("OBJECTIVES", {
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  const objectives = [
    { num: "01", text: "Increase public awareness of common blinding eye diseases (cataract, glaucoma, diabetic retinopathy, trachoma, refractive errors) and their prevention." },
    { num: "02", text: "Promote early eye examination and screening practices at the community level, especially in rural and underserved populations." },
    { num: "03", text: "Strengthen community-based outreach through trained vision technicians, ASHA workers, and voluntary health workers." },
    { num: "04", text: "Advocate for the integration of eye health into primary healthcare systems and national health programmes." },
    { num: "05", text: "Reduce social stigma and barriers (cost, transport, literacy) that prevent communities from accessing timely eye care." },
  ];

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// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 4 — BURDEN OF EYE DISEASE
// ══════════════════════════════════════════════════════════════════════════════
{
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  s.addText("BURDEN OF EYE DISEASE", {
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  s.addText("Epidemiology & Global Statistics", {
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  // Disease cards — 2 rows × 3 cols
  const diseases = [
    { name: "Cataract", stat: "94M", detail: "Leading cause of blindness globally; accounts for ~33% of all blindness" },
    { name: "Refractive Errors", stat: "145M", detail: "Uncorrected refractive error is the #1 cause of moderate-to-severe vision impairment" },
    { name: "Glaucoma", stat: "80M", detail: "Often asymptomatic until late stage; second leading cause of blindness worldwide" },
    { name: "Diabetic Retinopathy", stat: "22M", detail: "Rising sharply with the global diabetes epidemic; major cause in working-age adults" },
    { name: "Trachoma", stat: "1.9M", detail: "Leading infectious cause of blindness; eliminated with SAFE strategy" },
    { name: "Age-related Macular\nDegeneration", stat: "8M", detail: "Primary cause of legal blindness in developed nations; increasing with ageing populations" },
  ];

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  const rows = [1.1, 3.3];

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    const y = rows[row];
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// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 5 — COMMUNITY AWARENESS STRATEGIES
// ══════════════════════════════════════════════════════════════════════════════
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  s.addText("AWARENESS STRATEGIES", {
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  const strategies = [
    {
      icon: "🏥", title: "Primary Health Care Integration",
      points: [
        "Embed basic eye screening in routine PHC visits",
        "Train CHWs/ASHA workers in visual acuity testing",
        "Referral pathways to secondary/tertiary centres",
      ]
    },
    {
      icon: "📢", title: "Mass Media & IEC Campaigns",
      points: [
        "Radio, TV, and social media outreach in local languages",
        "World Sight Day (October) global mobilisation",
        "Poster campaigns in schools, panchayats & markets",
      ]
    },
    {
      icon: "🏕️", title: "Eye Health Camps",
      points: [
        "Scheduled outreach camps in underserved villages",
        "Free cataract surgeries & spectacle distribution",
        "Mobile refraction units for refractive error correction",
      ]
    },
    {
      icon: "🎓", title: "School Eye Health",
      points: [
        "Universal vision screening for school-age children",
        "Free spectacles for children with refractive errors",
        "Teacher training in vision health education",
      ]
    },
  ];

  strategies.forEach((strat, i) => {
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    const row = Math.floor(i / 2);
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    const y = 1.1 + row * 2.15;
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    strat.points.forEach((pt, j) => {
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}

// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 6 — KEY EYE DISEASES & PREVENTION
// ══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: BG };
  leftAccent(s);
  topBand(s, GOLD);

  s.addText("PREVENTABLE EYE CONDITIONS", {
    x: 0.35, y: 0.2, w: 9.3, h: 0.5,
    fontSize: 22, bold: true, color: WHITE, fontFace: "Calibri"
  });
  s.addText("Community-Level Prevention & Management", {
    x: 0.35, y: 0.65, w: 9.3, h: 0.3,
    fontSize: 13, italic: true, color: GOLD, fontFace: "Calibri"
  });
  s.addShape(pres.ShapeType.rect, {
    x: 0.35, y: 1.0, w: 9.3, h: 0.025, fill: { color: TEAL }, line: { type: "none" }
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  const conditions = [
    {
      cond: "Cataract",
      prev: "No modifiable prevention in most cases; early surgery restores vision",
      comm: "Camp-based surgeries; public awareness of surgical safety",
      ref: "WHO Vision Report, 2019; Goldman-Cecil Medicine"
    },
    {
      cond: "Trachoma",
      prev: "SAFE strategy: Surgery, Antibiotics (azithromycin), Facial cleanliness, Environmental sanitation",
      comm: "MDA campaigns; latrine construction; hygiene education in schools",
      ref: "Goldman-Cecil Medicine, Table 294-1; WHO SAFE strategy"
    },
    {
      cond: "Diabetic Retinopathy",
      prev: "Tight glycaemic & BP control; annual retinal screening for all diabetics",
      comm: "Tele-ophthalmology for screening; cadre workers trained for early detection",
      ref: "Sadikin IS et al., BMC Public Health 2024 [PMID 38225623]"
    },
    {
      cond: "Refractive Errors",
      prev: "Not preventable but fully correctable with glasses/contact lenses",
      comm: "School screening; low-cost ready-made spectacles; vision centres",
      ref: "IAPB Vision Atlas 2024; WHO SPECS programme"
    },
    {
      cond: "Glaucoma",
      prev: "IOP monitoring; anti-glaucoma drops; trabeculectomy where required",
      comm: "Awareness of silent nature; encourage population-level IOP screening",
      ref: "Bhartiya S et al., Indian J Ophthalmol 2025 [PMID 39982079]"
    },
  ];

  conditions.forEach((c, i) => {
    const y = 1.1 + i * 0.87;
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      x: 0.35, y, w: 9.3, h: 0.78,
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    s.addShape(pres.ShapeType.rect, {
      x: 2.15, y: y + 0.1, w: 0.02, h: 0.55,
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    s.addText(`Prevention: ${c.prev}`, {
      x: 2.25, y: y + 0.06, w: 4.2, h: 0.35,
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    });
    s.addText(`Community: ${c.comm}`, {
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    });
    s.addText(`Ref: ${c.ref}`, {
      x: 6.5, y: y + 0.15, w: 3.0, h: 0.5,
      fontSize: 7.5, color: "556677", fontFace: "Calibri", italic: true, valign: "middle"
    });
  });

  s.addText("06", { x: 9.4, y: 5.25, w: 0.5, h: 0.2, fontSize: 8, color: "444444", align: "right" });
}

// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 7 — METHODOLOGY
// ══════════════════════════════════════════════════════════════════════════════
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  s.addText("METHODOLOGY", {
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  // Flow steps
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    { step: "Phase 1", label: "Situation\nAnalysis", color: ACCENT },
    { step: "Phase 2", label: "Stakeholder\nMapping", color: TEAL },
    { step: "Phase 3", label: "Training &\nCapacity Building", color: "7B1FA2" },
    { step: "Phase 4", label: "Field\nInterventions", color: "E53935" },
    { step: "Phase 5", label: "Monitoring &\nEvaluation", color: GOLD },
  ];

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        x: x + 1.65, y: 1.79, w: 0.23, h: 0.06,
        fill: { color: "333333" }, line: { type: "none" }
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    }
  });

  // Details
  const details = [
    { title: "Situation Analysis", body: "Baseline survey of vision impairment prevalence, healthcare access mapping, identification of high-risk subgroups (elderly, diabetics, children under 5)." },
    { title: "Training & Capacity Building", body: "Training of Vision Technicians, ASHA workers, school teachers. Use of WHO Prevention of Blindness training modules and simulation-based skill workshops." },
    { title: "Field Interventions", body: "Outreach camps, school screenings, IEC distribution, referral completion tracking, cataract surgical camps, free spectacle provision." },
    { title: "Monitoring & Evaluation", body: "HMIS-linked data collection; key indicators: cataract surgical rate (CSR), visual acuity post-intervention, spectacle coverage ratio, drop-out rates." },
  ];

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      fill: { color: ACCENT }, line: { type: "none" }
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    s.addText(`${d.title}: `, {
      x: 0.55, y, w: 1.6, h: 0.18,
      fontSize: 9.5, bold: true, color: WHITE, fontFace: "Calibri"
    });
    s.addText(d.body, {
      x: 0.55, y: y + 0.2, w: 9.1, h: 0.42,
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    });
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  s.addText("07", { x: 9.4, y: 5.25, w: 0.5, h: 0.2, fontSize: 8, color: "444444", align: "right" });
}

// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 8 — EXPECTED OUTCOMES & INDICATORS
// ══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: BG };
  leftAccent(s);
  topBand(s, TEAL);

  s.addText("EXPECTED OUTCOMES", {
    x: 0.35, y: 0.2, w: 9.3, h: 0.5,
    fontSize: 22, bold: true, color: WHITE, fontFace: "Calibri"
  });
  s.addText("Measurable Targets & Key Performance Indicators", {
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    x: 0.35, y: 1.0, w: 9.3, h: 0.025, fill: { color: TEAL }, line: { type: "none" }
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  const outcomes = [
    { kpi: "↑ 40%", label: "Increase in community eye screening coverage", timeline: "Year 1" },
    { kpi: "↑ 60%", label: "Rise in cataract surgical rate (CSR) in target districts", timeline: "Year 2" },
    { kpi: "↓ 30%", label: "Reduction in unmet refractive error need (spectacle gap)", timeline: "Year 2" },
    { kpi: "100%", label: "Schools with annual visual acuity screening protocol", timeline: "Year 1" },
    { kpi: "Zero", label: "New blinding trachoma cases in endemic communities (SAFE strategy)", timeline: "Year 3" },
    { kpi: "≥80%", label: "Diabetic patients receiving annual fundus examination", timeline: "Year 3" },
  ];

  const cols = [0.35, 5.1];
  const rows = [1.1, 2.05, 3.0, 3.95];

  outcomes.forEach((o, i) => {
    const col = i % 2;
    const row = Math.floor(i / 2);
    const x = cols[col];
    const y = rows[row];
    s.addShape(pres.ShapeType.rect, {
      x, y, w: 4.55, h: 0.78,
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      x: x + 0.1, y: y + 0.08, w: 1.1, h: 0.62,
      fontSize: 20, bold: true, color: ACCENT, fontFace: "Calibri", align: "center", valign: "middle"
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      x: x + 1.25, y: y + 0.08, w: 2.8, h: 0.42,
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    s.addText(o.timeline, {
      x: x + 1.25, y: y + 0.5, w: 1.5, h: 0.22,
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    });
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  s.addText("08", { x: 9.4, y: 5.25, w: 0.5, h: 0.2, fontSize: 8, color: "444444", align: "right" });
}

// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 9 — REFERENCES
// ══════════════════════════════════════════════════════════════════════════════
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  s.background = { color: BG };
  leftAccent(s);
  topBand(s, ACCENT);

  s.addText("REFERENCES", {
    x: 0.35, y: 0.2, w: 9.3, h: 0.5,
    fontSize: 22, bold: true, color: WHITE, fontFace: "Calibri"
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  s.addText("Sources & Evidence Base", {
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    x: 0.35, y: 1.0, w: 9.3, h: 0.025, fill: { color: TEAL }, line: { type: "none" }
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    { num: "1.", text: "World Health Organization. World Report on Vision. Geneva: WHO; 2019." },
    { num: "2.", text: "International Agency for the Prevention of Blindness. IAPB Vision Atlas 2024. Available: https://www.iapb.org/learn/vision-atlas/" },
    { num: "3.", text: "Goldman L, Cooney KA. Goldman-Cecil Medicine, 27th Ed. Philadelphia: Elsevier; 2024. [Table 294-1 — Trachoma & SAFE strategy]" },
    { num: "4.", text: "GBD 2021 Blindness Collaborators. Causes of blindness and vision impairment globally: a systematic review. Lancet Glob Health. 2021." },
    { num: "5.", text: "Bhartiya S, Ichhpujani P, Wadhwani M. Current perspectives in tackling glaucoma blindness. Indian J Ophthalmol. 2025 Mar;73(3). PMID: 39982079" },
    { num: "6.", text: "Sadikin IS, Lestari YD, Victor AA. The role of cadre in the community on diabetic retinopathy management. BMC Public Health. 2024;24:184. PMID: 38225623" },
    { num: "7.", text: "Allison K, Virk A, Alamri A. Awareness and Access of Eye Healthcare in Underserved Populations. Vision (Basel). 2025. PMID: 40700083" },
    { num: "8.", text: "Kumar J, Kumar P, Deorari AK. Building a Future without Blindness due to ROP in India. Indian Pediatr. 2026 Jan. PMID: 40705223" },
    { num: "9.", text: "VISION 2020: The Right to Sight — Global Initiative for the Elimination of Avoidable Blindness. J Community Eye Health. 1999." },
  ];

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    const y = 1.12 + i * 0.46;
    s.addText(r.num, {
      x: 0.38, y, w: 0.35, h: 0.38,
      fontSize: 9, bold: true, color: ACCENT, fontFace: "Calibri"
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    s.addText(r.text, {
      x: 0.75, y, w: 9.0, h: 0.38,
      fontSize: 9, color: DIM, fontFace: "Calibri"
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  s.addText("09", { x: 9.4, y: 5.25, w: 0.5, h: 0.2, fontSize: 8, color: "444444", align: "right" });
}

// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 10 — CLOSING / CALL TO ACTION
// ══════════════════════════════════════════════════════════════════════════════
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  const s = pres.addSlide();
  s.background = { color: BG };

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    x: 0, y: 0, w: 10, h: 5.625,
    fill: { color: "020E1A" }, line: { type: "none" }
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  s.addShape(pres.ShapeType.rect, {
    x: 0, y: 0, w: 10, h: 0.12, fill: { color: ACCENT }, line: { type: "none" }
  });
  s.addShape(pres.ShapeType.rect, {
    x: 0, y: 5.5, w: 10, h: 0.12, fill: { color: GOLD }, line: { type: "none" }
  });

  // Big quote
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    fontSize: 22, bold: false, italic: true, color: WHITE, fontFace: "Calibri", align: "center", valign: "middle"
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  s.addText("— Adapted from WHO World Report on Vision, 2019", {
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    fontSize: 11, color: GOLD, fontFace: "Calibri", align: "center", italic: true
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    x: 2.0, y: 3.15, w: 6.0, h: 1.5,
    fill: { color: TEAL }, line: { type: "none" }, rounding: true
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  s.addText("TOGETHER WE CAN END AVOIDABLE BLINDNESS", {
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    fontSize: 13, bold: true, color: WHITE, fontFace: "Calibri", align: "center", charSpacing: 1
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  s.addText("Screening  •  Education  •  Treatment  •  Advocacy", {
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}

// ── WRITE FILE ────────────────────────────────────────────────────────────────
pres.writeFile({ fileName: "/home/daytona/workspace/eye-health-synopsis/Community_Eye_Health_Synopsis.pptx" })
  .then(() => console.log("✅  File written successfully."))
  .catch(e => { console.error(e); process.exit(1); });

cd /home/daytona/workspace/eye-health-synopsis && node build.js 2>&1

ls -lh /home/daytona/workspace/eye-health-synopsis/

pandoc --track-changes=all "/home/daytona/workspace/attachments/1bbf3bca-0fb3-41…