President’s Insights July 2020

Review of Recommended Book: Hoping to Help: The Promises and Pitfalls of Global Health Volunteering by Judith N. Lasker

I had the pleasure this week to read a book recommended to me called Hoping to Help: The Promises and Pitfalls of Global Health Volunteering by Sociology Professor Judith N. Lasker. Thankfully, the ideas and concepts presented in this book were not completely unknown to me. VOSH/International, after all, has been striving toward a more long-lasting and sustainable model of developing vision and eye care for a decade or two at the very least.

The book investigates the value of short-term clinics, which of course VOSH has been doing for five decades, along with the possible disadvantages and even harms of such an approach.

In the end, the book settles on a series of nine principles to help guide development workers and volunteers, which I will adapt for VOSH as follows:

  • Foster mutuality between VOSH Chapters (or VOSH/International) and host countries at every stage. This means listen. Take the time to ask the question, “How can we help?” Then listen; do not assume anything.
  • Maintain continuity of programming. Establish a long-term relationship that lasts, not for a week or two, but throughout the year until your VOSH Chapter returns, if possible.
  • Conduct needs assessment with host-community involvement. Again, do your research, ask questions then listen.
  • Evaluate process and outcomes and incorporate the results into improvements. Sadly we have done a poor job of this in the past. I would be best to assign someone to evaluating the results as the clinic progresses, and continue to communicate in the months after the clinic. What were the successes? What could we do better next time?
  • Focus on prevention. Sunglasses. Diabetic education. Hand and face hygiene. Better infrastructure including sanitation and waste removal.
  • Integrate diverse types of health services. This goes both ways. Medical clinics could incorporate eye and vision care. Eye clinics could incorporate better health maintenance.
  • Build local capacity. Work with local schools of optometry and their teams. Support their programs. Invite local optometrists and optometry students to your clinic. Share your expertise and be open to learn.
  • Strengthen volunteer preparation. Learn the language. Learn about the culture and the local context. Open up your world.
  • Have volunteers stay longer. If possible, yes. If that is not possible, then simply continue the conversation year around. Continue nurturing this important relationship

I must say this was a good read.  I highly recommend Hoping to Help: The Promises and Pitfalls of Global Health Volunteering by Sociology Professor Judith N. Lasker.

Daniel Twelker, OD, PhD, FAAO, FVI
President, VOSH/International

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Updated COVID-19 and VOSH Humanitarian Clinics Advice

VOSH/International recently consulted its US and International Chapters about the feasibility and timing to restart our humanitarian clinics. While the vaccination process continues with different levels of success depending on availability and acceptance, it is evident that vaccine inequity and the availability and reliability of data in several countries are issues we need to consider.

Even if already vaccinated and boosted, our chapters are still concerned about the wellbeing of our volunteers and patients.  Some chapters, are organizing clinics locally where they are better able to comply with the existing safety requirements and respective state/country regulations.

The COVID-19 pandemic and its variants are being experienced quite differently depending on state, region, country, vaccine availability, vaccine acceptance, and the spread of SARS-COV-2 variants. Most VOSH chapters are not holding clinics or traveling internationally in 2021 or 2022.

If a VOSH Chapter choses to hold a clinic or travel internationally, we highly recommend that the chapter performs due diligence to comply fully with the requirements established by the visited country, ensures all VOSH volunteers are aware of and follow strict safety guidelines and all existing protocols and regulations of the country, and keeps the principle of “do no harm” embedded in all its decision making. As always, the wellbeing and safety for VOSH volunteers and our patients is of utmost importance and central to any decision-making process. We have published our updated clinic guidelines with best practices to be observed in this new context. VOSH chapters in specific countries are using protocols that need to be considered as well. You can download VOSH/International clinic guidelines here.

*VOSH/International is formed by autonomous US and international chapters that are fully and only responsible for their activities, fundraising and decision-making.  VOSH/International can only provide recommendations based on our best knowledge and information at the time.

Also please keep checking the following sites with official and most recent updates:

World Health Organization:


US Government Travel Advise:

Thank you for your hard work and dedication to improving vision and eye health throughout the world.

Michael Ciszek, OD, dipl ABO, FVI

President, VOSH/International

December 2021