**Question:** All of the following are given global prominence in the VISION 2020 goals, except

A. Preventing Blindness
B. Restoring Vision
C. Ensuring Access to Vision Services
D. Strengthening Health Systems

**Core Concept:** The VISION 2020 goals are a global initiative aimed at eliminating avoidable blindness and visual impairment by the year 2020. These goals are focused on preventing, restoring, ensuring access to vision services, and strengthening health systems.

**Why the Correct Answer is Right:** Option D, "Strengthening Health Systems," is not specifically mentioned as a core goal in the VISION 2020 initiative. While strengthening health systems is crucial for delivering effective eye care services, it is not one of the primary objectives of the VISION 2020 goals.

**Why Each Wrong Option is Incorrect:**

A. Preventing Blindness: This is a primary focus of VISION 2020, aiming to reduce the prevalence of avoidable blindness.
B. Restoring Vision: This aligns with the VISION 2020 goal to provide essential eye care services and treatments to achieve visual rehabilitation.
C. Ensuring Access to Vision Services: This is a central aspect of VISION 2020, emphasizing the need for universal access to eye care services for prevention, treatment, and rehabilitation of vision problems.

**Clinical Pearl:** VISION 2020 is a comprehensive approach to combat blindness and visual impairment globally. While all options (A, B, and C) are essential elements of the initiative, option D is not directly related to the specific goals of the initiative. Instead, strengthening health systems contributes to the overall success of delivering eye care services and achieving the primary goals.

**Correct Answer:** D. Strengthening Health Systems