promoting donation across cultures · clinic in honduras . ... 20 corneas for the mission trip ....
TRANSCRIPT
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Promoting Donation Across Cultures A Perspective from Global
Eye Banking
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About Eversight
• Large eye banking organization
• US service areas include Michigan, Illinois, Ohio, New Jersey and Connecticut
• Provided ~8,000 corneas for transplantation last year
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Eversight International
• Places corneas for transplant outside US (~30% of total surgical corneas)
• Provides eye bank development assistance in countries around the world
• Eversight Korea recently launched
• Eversight Abu Dhabi to launch in next 6-12 months
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Eversight International Service Areas
• Korea
• UAE
• China
• Egypt
• Morocco
• Tunisia
• Jordan/West Bank
• Pakistan
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US vs. Global Eye Banking
• In US, wait lists eliminated. Most eye banks have more corneas than needed for local demand.
• Internationally, most countries lack effective eye banking. Shortages, long wait lists and long wait times are the norm.
An overcrowded ophthalmology clinic in Honduras
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Eversight International’s Goal:
Eliminate cornea blindness worldwide by making the Gift
of Sight available in ALL communities we serve
around the world.
Dr. Garrett with clinical staff in Honduras. Eversight affiliates –
Illinois, Michigan, New Jersey and Ohio – contributed to provide the 20 corneas for the mission trip
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Eye Bank Development
• In the long run, each society needs viable local eye banking capabilities to meet its needs for cornea transplantation
• Donor development is the key to eye bank development – if you don’t have donors, you don’t have an eye bank
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Consented Donation
The greatest need is to develop consented donation programs in countries where this is lacking.
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The Problem
“Our culture doesn’t support donation.”
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What It Really Means:
The message of donation has not yet been effectively conveyed in ways that resonate within
the cultural context of this community.
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The Values of Donation Are Universal
• Altruism / Charity / Humanitarianism
• Reciprocity / Fairness / Trust
• The Common Good
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The Challenge
To effectively convey the universal message of donation in ways that are tailored to each
particular cultural context.
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Example: Confucianism
• A philosophical and ethical belief system common throughout East Asia
• Underlies many facets of East Asian culture
• Co-exists with religions such as Christianity and Buddhism
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Filial Piety
• Very important concept in Confucianism
• Respect for one’s elders and ancestors
• The body is a gift from one’s parents – it is not to be damaged
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Hong Kong Eye Bank
• Coordinators treat elders with utmost respect
• Extended family is treated as a whole in decision-making
• Long-term perspective
• Relationship building
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Example: Islam
• Two differing views within Islamic law
• The human body is sanctified and inviolate
• But prohibitions may be set aside to save another’s life or health
• Diverse legal opinions Diverse personal opinions
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Marrakech Eye Bank, Morocco
• Coordinators seek out the influential family members, not necessarily the NOK
• Specific brochure addressing Islamic teaching on donation
• Enlist the aid of religious leaders • Religion is often just an excuse,
especially when time for decision-making is short
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The Interconnected World
• Communities in the US are strongly connected to communities in other parts of the world
• What we learn in one community may be very relevant in another, even across borders
• The connections are powerful, and they work in both directions (US and international)
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Final Thoughts
• The values of donation are universal
• The message must be tailored to the cultural context
• Cultural connections work powerfully, even across countries
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Thank You!
Collin Ross Executive Director
+1(734)887-2312