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Role of MLOP. FOCUS OF VISION 2020. Increase in workload Increase in adequately trained human resources. Eliminate and control blinding diseases. Challenges in India. L. Enormous eye morbidity Growing Aging population Inadequate infrastructure Low income Lack of awareness
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FOCUS OF VISION 2020 Increase in workload Increase in adequately trained human resources Eliminate and control blinding diseases
Challenges in India L • Enormous eye morbidity • Growing Aging population • Inadequate infrastructure • Low income • Lack of awareness • of available facilities and treatment options Inadequate ophthalmologists
Total Population of India - 1,027,015,247 Total Population of Tamil Nadu - 62,110,839 • 12 million blind people in India
Skilled and technically qualified personnel Focus of eye care providers Community oriented service Pure clinical practice Technological Advancements
MLOP • Non doctor professionals working only in eye care • Facility based • Out reach based-camp
Ophthalmologist • More surgery • Improve quality • training Role of OAS Support services to ophthalmologist • Collect data • Transmit and execute orders • Supervise and administer treatment ordered
Duties delegated to OPS • Patient evaluation • Monitoring • Diagnostic tests • Surgical assistance • Counselling • Proper direction/referral
Tamil Nadu Aravind-Pondicherry (proposed) Aravind-Coimbatore Aravind-Theni Aravind-Madurai Aravind-Tirunelveli
Out-patient Visits 1978-2001(Madurai, Tirunelveli, Theni, Coimbatore)
Surgeries 1978-2001(Madurai, Tirunelveli, Theni, Coimbatore)
Community Outreach Activities • Free Eye Camps where surgery, food and accommodation are provided free of cost. • Village Volunteers Programme • School Eye Health Screening • Community Based Rehabilitation Programme • Increasing community involvement • Community eye health education
Base Hospital Approach The patients screened at the camps are transported to the base hospital for surgery - for maximum utilisation of resources and - to maintain high quality.
Selection Criteria for Ophthalmic Assistants Education - 12th (H.S.C) standard Age 17-18 years Experience - Fresh candidates with no work experience Background - Rural, low income
Assessment (Theory and Skills) Specialty training 8 months Structure of the Two Years Training Programme Orientation & Basic training 4 months Out patient Department Optics and Refraction Operating Room Ward Supervised Practical training in specialty( 6 months) Evaluated Independent practice 6 months Final Assessment