ABSTRACT
This paper describes general ophthalmic as well as specialized strabismic care programs for developing countries as developed by the authors, and the training principles involved. Over the past three decades Drs. Paul, Black, and Foster have evolved program formats, guidelines, and requirements to provide sorely needed ophthalmic care in developing countries. Initially largely organized toward service, these programs eventually shifted toward teaching in the field of pediatric ophthalmology and strabismus. They consist of consultations, lectures, and demonstration surgeries and require three major principles in place: appropriate technology, empowerment, and sustainability. The best way to facilitate programs that generate better health care in developing countries largely depends on which phase of recovery the country currently experiences, how the training principles apply, and how best to assist the countries.
