'Environmental sustainability' in a rural eye hospital in Cambodia - strengthening practices.

David Lewis's picture

Warm greetings to all. Please note that this article is posted together with my colleague Dr Manfred Moerchen, who is also part of the network.

CBM is an international NGO working to improve the quality of life and inclusion of people with disabilities in the world's poorest communities. This work includes a significant role in inclusive eye health.

CBM produced the following linked booklet to promote discussion and innovation for strengthening environmental sustainability in eye health. The key case study and checklists are from Caritas Takeo Eye Hospital, Cambodia. (Dr Andy Pyott, also a member of the network, was part of establishing this hospital in the 1990s.)



The information was first compiled for CBM’s engagement in the General Assembly of the 'International Agency for the Prevention of Blindness', October 2016, however we believe it would be useful for advancing ‘sustainable development’ in any context. We want  the booklet to foster creative thinking and ongoing gathering of evidence for improved environmental sustainability in health worldwide.

The authors greatly appreciate feedback and opportunities for discussion, and to hear of similar examples from any part of the world. Anyone is welcome to use the material on a not-for-profit basis, with reference made to CBM.    Contacts:

David Lewis, CBM Focal Point for Environmental Sustainability


Dr Manfred Moerchen, CBM Co-worker Ophthalmologist & Regional Advisor for Inclusive Eye Health




Thanks for sharing this,

Louis Pilard's picture

Thanks for sharing this, David. I've been really fascinated learning that clinical care in low-income/low-resource countries are often much more efficient than in the high-income countries.

I'm curious to know whether you think there are any key learnings from this case study that would be easily applicable in high-income countries with the help of cross-country knowledge exchange? 


Question:lessons from Cambodia relevant to high income settings

David Lewis's picture

Dear  Louis, sincere apologies for slow reply to your great question. I have very little experience of health care in high income settings, however I think a lot of the learnings would be applicable, e.g. energy and water savings, how equipment and consumables are used, creating a green and pleasant environment for staff and patients, and also getting buy-in from board, management, personnel and also community all seem relevant. 

In terms of what is acceptable practice relating to re-sterilisation, re-use of instruments etc, I definitely need to hand to others like Manfred Moerchen, Andy Cassels-Brown,  Dan Morris, Cassie Thiel, John Buchan, Andy Pyott - and many others of you. Warm regards, David


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