Yesterday was my first full day in Tanzania. At 9:30 a.m., I set off with a team from Kilimajaro Centre for Community Ophthalmology to conduct what is known as a DRS, or Direct Referral Site, like a screening centre for eye patients. After an hour bouncing around in a jeep over rough, dusty roads, we reached Rongo District in the lush hills. By the time the team from KCCO arrived at the local hospital to conduct the screening, there were scores of patients, young and old, lined up waiting to have their eye problems addressed. Over the course of the day, 120 patients were seen and a further 50 at the sub-DRS about 18 km away. Each patient had his or her visual acuity checked using an eye chart hung in the hospital courtyard, then the patient was seen by the Assistant Medical Officer and nurse. It was very moving to see the care and kindness shown to each patient – the reassuring hand on their shoulders, the soft words and the dedication to help them get better. Those patients who needed cataract surgery were referred to a counselor, who helped explain the process and allay their fears. At the end of the day, 10 patients with mature cataracts were brought back to KCCO for cataract surgery. They will have their operations today and will be driven back to their homes once all the follow-up is complete. Here's a film (made later and added in) showing KCCO and the work at the Direct Referral Site: Today, I'm travelling with Margaret, KCCO's Gender and Blindness Coordinator to visit more projects in the field. Got to dash! Heather

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