FGAI4H-F-020-A01 Zanzibar, 3-5 September 2019 The Diabetic Retinopathy

FGAI4H-F-020-A01 Zanzibar, 3-5 September 2019 The Diabetic Retinopathy Network DR-NET Dr Covadonga Bascaran FG-AI4H Meeting Zanzibar , 4 Sept

VISION 2020 LINKS Programme – Health Partnerships Africa – UK Health Partnerships Needs assessment and identification of priorities Multidisciplin ary team approach for training Institutional agreement MOU Three year action plan Exchange training visits

Establishment of Networks

Key activities in numbers 18 countries 24 DR LINKS 92 training visits 4 internatio nal workshops DR-NET original 5-year target: to treat 3,750 extra patients (one more per centre per week) Actual achievement: 8,063 extra patients treated 80,630 years of sight saved 93 ophthalmologists laser trained in 10 countries 81 screenergraders from 10 countries trained

Guidelines COMMONWEALTH EYE HEALTH CONSORTIUM

DR-NET and AI Key Advantages Services - Patients Task shifting: screener – graders trained at international standards Point of care decision making: more efficient and may increase uptake of treatment services Decrease the workload of ophthalmologists in DR Issues Different cameras used across the network and within programmes Many of the partnerships are already being approached by different AI manufacturers Majority black ethnicity population – unknown how existing algorithms will work DR-NET seeks to be part of benchmarking so that African DR screening programmes can be confident that new technology will be apt to use in their context

DR-NET five year progress (cumulative ALL sites) Total screened: 107,389 Total treated: 22,769 88 % 47 % DR-NET has access to programme data from real service delivery DR Programmes in Africa Some of this data is “raw data” unlabelled , but resources to label it can be sought

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