Child receiving vision screening with OSaaT app
A global child eye-health movement

One School at a Time

A global child eye-health initiative using technology, partnerships and school-based screening to help every child see clearly.

200K+
Screened
16K+
Spectacles
4
Countries
Millions
To Reach
What is OSaaT

A pocket-sized vision clinic for every classroom

OSaaT Vision (OSaaT) is a global partnership for school eye health that strives to deliver accessible, comprehensive and affordable high-quality eye care and vision services — including vision screening, eye examinations, spectacles, low-vision services and referral services — to children in need. OSaaT raises awareness and influences policy and practice at global, national, regional and local levels with key organisations and stakeholders.

OSaaT combines healthcare delivery, education and awareness, research and technology, bringing affordable, high-quality eye care to children wherever they learn. It incorporates a mobile screening platform and works with teachers, trained technicians, optometrists and ophthalmologists to achieve its aims.

  • Screening records
  • Visual acuity data
  • Referrals
  • Prescription history
  • Program outcomes
  • Cloud reporting
Smiling child with new eyeglasses
98%
Screening accuracy
Why it matters

Childhood vision loss is the world's most solvable crisis

80% of classroom learning is visual, yet hundreds of millions of children cannot see the board. Early detection rewrites the curve.

0%

of classroom learning is visual

0M

million children with refractive errors

0M

million children live with vision loss

1.3B

billion children myopic by 2050

Sources: IAPB Vision Atlas; Holden et al., Ophthalmology 2016; UCLA Vision to Learn study. By 2050, nearly half the world will be myopic, and 92% of affected children will live in developing countries.

The barriers

Three main barriers to child vision care

If we want every child with uncorrected refractive error to see clearly, we have to overcome the lack of awareness, access and adoption — all at the same time.

Little Awareness

Little awareness of the importance of eye health in families, schools and communities.

Limited Access

Over 90% of children with uncorrected refractive error live in developing economies where affordable eye-care is limited.

Poor Adoption

Social stigma prevents many children from wearing the glasses they need to learn.

Our response

How OSaaT responds: four primary functions

OSaaT was created to accelerate and enhance access to eye care services for children globally through scalable, affordable, school-based solutions.

Service Delivery

Vision screening, eye examinations, spectacles, low-vision services and referrals that are accessible, comprehensive and affordable.

Advocacy

Raising awareness and influencing policy at global, national and local levels with key organisations and stakeholders.

Health Promotion

Educating children, parents and teachers about the importance of good vision and the rising risk of myopia.

Partnerships

Developing partnerships with local optometry and other organisations to deliver on our objective and agenda.

How the OSaaT app works

From classroom to clear vision in eight steps

An Android-first workflow built for technicians and non-specialists in remote and underserved areas.

Step 1

School selected

Government and NGO partners help identify and onboard participating schools.

Step 2

Tumbling-E test on Android

Each eye is tested separately as the child indicates the direction of the E across multiple calibrated rounds.

Step 3

Visual acuity result

An accurate visual acuity score is generated instantly on-device, with no bulky equipment required.

Step 4

Referral created

Children below the screening threshold are referred for eye examination and refraction.

Step 5

Refraction and examination

Best corrected visual acuity is determined. Children identified with ocular problems are referred to an ophthalmologist.

Step 6

Spectacles delivered

Spectacles are prescribed and delivered back to the child at school.

Step 7

Records sync to the cloud

Screening, referral and prescription data syncs securely for research and program reporting.

Step 8

Outcomes reported

Donors, governments and program teams receive transparent, evidence-based impact reports.

The OSaaT App

Download. Screen. Transform a future

Built for ophthalmic technicians on the ground: fast, offline-capable and synced to a secure cloud the moment connectivity returns.

  • Fast screenings
  • Accurate visual acuity
  • Offline capable
  • Secure records
  • Cloud reporting
  • Built for scale
OSaaT Android app
Progress so far

Active country programs

Real programs, real numbers, real children, across three continents and growing. Swipe through each country to see how OSaaT is taking shape on the ground.

Vision screening program in South Africa
Active program
Country 1 of 4

South Africa

Started September 2021 · Durban, KwaZulu-Natal
School-basedGovernment MOU5+ years

Lead implementer: African Eye Institute

Supporters: OneSight EssilorLuxottica Foundation · Berkeley Vision · Optometry Giving Sight · CooperVision · Peek

150,000+
Children screened
15,000+
Spectacles dispensed
8
Provinces in 2026 to 2027
Schools Tablet screening Spectacles delivery
Vision screening program in Pakistan
Active program
Country 2 of 4

Pakistan

Oct 2025 to Sep 2026
School-based screeningNGO-led12-month program

Implementing Partners: ZMT Primary Healthcare Network · CBM

Supporters: OneSight EssilorLuxottica Foundation · Berkeley Vision · Optometry Giving Sight

45,000
Combined target
22,300
Screened to date
1,335
Spectacles provided
Refraction Spectacle fitting Outreach
Active program
Country 3 of 4

India

Active across Goa, Maharashtra & Karnataka
3 state MOUs2.5M targetMulti-partner

Lead: OneSight India, with formal MOUs across three state governments. OSaaT, the OneSight EssilorLuxottica Foundation and Berkeley Vision also hold an MOU with the Optometry Confederation of India (OCI).

Supporters: India Vision Institute · Sankara Eye Foundation · iDrishti Hospital · Lotus College of Optometry

2.5M
Children targeted
3
States with MOUs
4+
Implementation partners
Government Public schools Outcomes
Vision screening program in Kenya
Active program
Country 4 of 4

Kenya

Planned launch by end of 2026
School-basedPlanned 2026Partnership

Partnership with Let Our Children See

Supporters: OneSight EssilorLuxottica Foundation · Berkeley Vision · Let Our Children See

20,000
Target children
2026
Planned launch
1
Implementation partner
Schools Screening Partnership
Impact at scale

A growing global footprint

0+
Children Screened
0+
Spectacles Dispensed
0
2026/27 Target
2.5M
India Reach Opportunity
0
Countries Active
Our coalition

Built on strong partnerships

A global coalition of founding institutions, funders and program implementers, united around one mission.

Global founding partners
OneSight EssilorLuxottica Foundation
Berkeley Vision
Funding & program partners
A global call to action

Child Eye Health Statement 2025

The outcome of the first Global Symposium on Child Eye Health (Feb 2025), declaring vision a fundamental right essential to health, education, inclusion and human development.

The Statement aligns with WHO's SPECS 2030 goals to reduce uncorrected refractive error in children globally and provides a foundation for policymakers, stakeholders and communities to advance the child eye-health agenda.

WHOUNICEFOneSight EssilorLuxotticaBerkeley VisionIndia Vision Institute
Health
A right essential to lifelong wellbeing.
Education
Vision unlocks 80% of classroom learning.
Inclusion
No child left behind because of unseen need.
Development
A foundation for human and economic growth.