National Programme for Control of Blindness govt' of india

1
National Programme for Control of Blindness
govt. of india

• Dr. A. S. Rathore
• Asstt. Director General
• September 21, 2008

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Prevalence of Blindness

• Based on National Surveys
• 1974 (ICMR) 1.38
• 1986-89 (NPCB) 1.49
• 2001-04 (NPCB) 1.10
• 2007 NPCP) 1.05

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Causes of Blindness
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CAUSES OF BLINDNESS
Survey 2001-02
Survey 1986-89
Cataract
Glaucoma DR

Ref. Errors
Surg. Comp.
Corneal Opacity
Others
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Objectives We achieved

• Reduced the backlog of blindness through
  identification and treatment of blind
• Developed eye care facilities in every district
• Developed human resources for providing eye care
  services
• Improved quality of service delivery
• Secured participation of voluntary
  organization/private practitioners in eye care

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CSR in millions
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Percentage of Cataract Performance with IOL
Implantation1993-2008

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Cataract Operations in India
NGOs and private practitioners play a key role in
our blindness control programme
39 34 11 5 6 4
NGOs
Pvt. Practitioners
Mobile Units
Dt. Hospitals
MC
Others
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Distribution of Free Spects to School Children
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Collection of Donated Eyes
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Training of Ophthalmic Surgeons
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Non-Recurring Grant-in-aid to Non Government
Organisations
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Achievements under the Programme

• 307 Dedicated eye operation theatres and eye
  wards in District Hospitals constructed
• Supply of Ophthalmic equipments of common eye
  disorders.
• More than 2500 Eye Surgeons trained in various
  Eye Care Specialties.
• 80 NGOs assisted for setting up/expanding eye
  care facilities.
• 70 coverage of eye care services.

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CSR vs. Prevalence per million in South East Asia
Region 2004 Data
CSR
Cataract Prevalence per million
16000
14000
12000
10000
8000
6000
4000
2000
0
India
Nepal
B'desh
Bhutan
Thailand
Maldives
Sri Lanka
Myanmar
Indonesia
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Focus areas for 11TH five year plan

• Cataract
• Childhood Blindness
• Refractive Error Low Vision
• Corneal Blindness
• Glaucoma
• Diabetic Retinopathy
• Trachoma(Focal)

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CHILDHOOD BLINDNESS

• Target all communities with Vitamin A deficiency
  and provide Vitamin A for children below 6 yrs
  of age.
• School Eye Screening community screening for
  Refractive Errors- Provide spectacles for all
  children with Refractive Errors.

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PEDIATRIC OPHTHALMOLOGY UNITS/ RETINA UNITS/
GLAUCOMA UNITS IN EYE DEPARTMENTS OF MEDICAL
COLLEGES/RIOS.

• Strengthening of Pediatric Ophthalmology Units
• Retina Units
• Glaucoma Units.
• In all RIO, Selected Medical Colleges, State
  Level Eye Hospitals, NGO Hospitals etc.

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• LOW VISION SERVICES
• To be strengthened in all Regional Institutes
  of Ophthalmology identified Medical College
  Hospitals/State Level Hospitals Non Government
  Organization Hospitals by 2012
• VISION CENTRES
• Establishing 3000 Vision Centres constituting of
  basic screening equipments catering every 50,000
  population.

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OUTPUT TARGETS BY 2012

• Comprehensive Eye Care for diseases like Diabetic
  Retinopathy, Glaucoma, Corneal Blindness,
  Uncorrected Refractive Error, Childhood
  Blindness, Trachoma etc.
• Increase Cataract Surgery Rate to 500 per lakh
  per year
• Improve Visual Outcome of Cataract Surgery (gt 90
  with VA gt 6/18)
• Increase proportion of Intra Ocular Lens surgery
  gt90
• Coverage of population gt 90.

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Backlog of Cataract
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NEW INITIATIVES

• Construction of dedicated Eye Wards and Eye
  Operation theaters in NE States, Bihar,
  Jharkhand, JK, Himachal Pradesh, Uttrakhand and
  few other States as per demand.
• Contd.

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• Contd
• 2 Appointment of Ophthalmic Surgeons and
  Ophthalmic Assistants in new district Hospitals.
• 3 Appointment of Ophthalmic Assistants in PHCs/
  Vision Centers where there are none.

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Contd 4 Appointment of Eye Donation
Counselors on contract basis in Eye Banks under
Government /NGOSector. 5. Grant-in-Aid for
Non Government Organizations for management
of other Eye diseases other
than Cataract like Diabetic Retinopathy,
Glaucoma Management Laser Techniques, Corneal
Transplantation, Vitreoretinal Surgery,
Treatment of Childhood blindness etc. (Rs. 750
for Cataract Surgery with Intra Ocular Lens
Implantation and Rs.1000 for other intervention)
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• 6. Involvement of Private Practitioners in
  sub-district, block and village levels
• 7. Development of Ophthalmic mobile units with
  Tele Ophthalmology network in NE/Hilly
  states/Difficult terrains/underserved states and
  few fixed models in other states for diagnosis
  and medical management of eye diseases.
• 8. Maintenance of ophtalmic equipments supplied
  to RIOs, Medical Colleges, district hospitals,
  PHCs/Vision centres etc.
•  

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Major Challenges in NPCB

• In-depth study of epidemiology of Blindness
• Comprehensive Eye Care Programme
• Reaching the underserved population
• Development of Sustainable Infrastructure
• Technological Advancement in Eye Care
• Human Resource Development to meet future
  challenges
• Quality of Services Outcome

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Xth PlanBudget Allocation and Expenditure(Rs.
In Crores)
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Budget Allocation for XI Plan (Proposed)(Rs. in
Crores)
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(No Transcript)
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(No Transcript)
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Major Head wise details of Cost estimates Rs in
Crores
NR Non-recurring R Recurring
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Cost of scheme as per existing and proposed norms
of central assistance Rs in crores
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Comparative norms for grants Existing viz.
Proposed for XI plan
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Comparative norms for grants Existing viz.
Proposed for XI plancontd.
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Mobile Teleopthalmology Camp
WORK FLOW
Patients at Camp Location
Registration History Recording
Vision Checking
Cataract Patients
Non-Cataract Patients
Counseling
Refraction IOP
Spectacles
Teleopthalmology Criteria
Slit Lamp- Photographs
Indirect Ophthalmoscope Photographs
Funds-Photographs
Dilation
Teleconsultation With Consultant
Counseling
Note Complete examination done to 150 patients
per day approximately
Spectacles
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TELE-OPHTHALMOLOGYMobile Van
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TELE-OPHTHALMOLOGYHow it works
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Comparative norms for grants Existing viz.
Proposed for XI plan contd.
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Comparative norms for grants Existing viz.
Proposed for XI plancontd.
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Comparative norms for grants Existing viz.
Proposed for XI plan contd.
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Targets and achievements for the 10th plan viz.
targets for 11th plan
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Targets and achievements for the 10th plan viz.
targets for 11th plan
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Targets and achievements for the 10th plan viz.
targets for 11th plan
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INFRASTRUCTURE BY 2020 UNDER NPCB
Centre Of Excellence 1 for 5 crores
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Training Centre 1 for 50 Lakhs
TC
200
Service Centre 1 for 5 Lakhs
SC
2000
Vision Centre 1 for 50,000
20000
VC
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21 yrs back in his grandma's place..
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Most Powerful Chair
Attitude leads person to any destiny.....keep on
moving.... OBAMA
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Thank You