PRESENTATION BY GP. CAPT. (RETD.) K.K. DEY ADMINISTRATOR ADEH, GURGAON

1. PRESENTATION BY GP. CAPT. (RETD.) K.K. DEY ADMINISTRATOR ADEH, GURGAON

2. PRESENTATIONON LEARNING EXAMPLES IN PRIMARY EYE CARE

3. WHY TO LEARN? EVERY MILE THAT RIVER FLOWS, EVERY DAY THAT COMES AND GOES, SAYS TO ME AND SAYS TO YOU, MUCH THERE IS TO LEARN AND DO, FOR THE WATER AND THE DAY, NEVER MORE WILL PASS THIS WAY.

4. ARUNODAYA CHARITABLE TRUST (ACT) A SUGGESTED MODEL FOR OPHTHALMIC PRACTIONERS Reaching the Un-reached….

5. Introduction Arunodaya Charitable Trust (ACT), was the dream of a young couple - both ophthalmologists - who wanted to donate their time and professional skill, to help reverse the tide of curable blindness in their city - New Delhi.

6. Its primary objective is to restore the sight of the poor. With restoration of their sight, the poor can return to their vocations and become productive and contribute to the society, once again. This way families are supported and communities begin to change for the better.

7. To accomplish these goals, the following are needed: 1) An established, charitable organization in and/or benefactor willing to invest its resources in the proposed project. 2) A willingness on your part, to devote the extraordinary amount of time and energy necessary, to establish and run the foundation. 3) The organizational and surgical skills that are needed, to care for the huge numbers of economically disadvantaged, that you want to serve.

8. In November 1990, a chance encounter with a visiting physician Dr. E.W. Jackson, from Utah (USA), who is the founder of the Deseret International Foundation, Inc. lead to the inception of Arunodaya Charitable Trust (ACT). ACT is a registered, non-profit, public, non denominational, medical, welfare trust that works in the field of curable blindness.

9. We started with a small budget (Rs. 1000/-) Dr. Arun Sethi’s mother had an OB-GYN clinic in an economically disadvantaged section of Old Delhi. This we transformed into an eye clinic with surgical capabilities. A lot of the equipment was old, but functional.

10. We then established a second facility in space donated by a small charitable hospital, in New Friends Colony, New Delhi, where we were also able to operate. A third out patient facility was established at the well known Mata Ka Mandir, New Friends Colony, New Delhi.

11. We are able to perform cataract surgery with phaco at very nominal cost. Knives, tubing(s) are sterilized disposables. Lenses are single piece PMMA, viscoelastic manufactured in India. Visco-elastic normally used is methylcellulose 3%.

12. Ultimately we were able to go big time. With the aid of the Deseret International Foundation, Inc. (USA), we constructed a state-of–the-art tertiary eye care facility in the fast growing new Gurgaon. In ACT’s eye care project, 60% of the cases are economically disadvantaged. Their care is partially subsidized, by the other 40 %, who pay the going rate for private care.

13. OBJECTIVES OF ACT • Provide comprehensive eye care services to the economically weaker sections of our community in the rural and out-reach areas. • We focus on doing simple things, that produce dramatic life style changes such as ...... removal of cataracts by phacoemulsification / SICS, and intra ocular lens implantation.

14. ACT has, to date, reached out to 7,24,386 needy patients. Its services are available from three different clinics in Delhi, throughout the year. It also conducts eye care camps in nearby slums and villages, where apart from examination and treatment, spectacles and medicines are also dispensed. Over 28,034sight restoring surgeries have been successfully undertaken at our base hospitals.

15. Mobile Ophthalmic Unit Industrial Screening Rural Eye Screening NGO’s Network Health Education Base Hospital Vision Screening Eye surgeries Specialty Clinics Refraction / glasses School Screening Teacher’s Training Student’s Screening Refraction / glasses Satellite Clinics Vision Screening Treatment Health Education Identification of Patients for Surgery ACT’s EYE CARE PROJECT

16. Community Eye Care Services • Mobile Eye Care Van ACT is equipped with a vision express (Tempo Traveler) which ferries the eye doctors, optometrists and allied health workers, with their equipment to the eye screening camps where eye care services are rendered free to the needy. Patients requiring surgical intervention are brought back to the base hospital, in Gurgaon / Delhi.

17. Community Eye Care Services School Screening Programme A novel program of vision screening for school children has been initiated for early detection of refractive errors and other eye problems. Children with defective vision are identified in no time through a specially designed ‘E’ type vision card which is provided to the teachers in advance. ACT’s team then does the necessary and detailed eye check up, at the school premises, and provides free/subsidized spectacles for the children.

18. Community Eye Care Services Industrial Screening Eye care camps are also held in various workshops, factories, offices, bus transport services, etc.

19. AMBASSADORS OF SIGHT • Deseret International Foundation, Inc. (USA) ACT is grateful for the support extended by Deseret International Foundation, Inc. & to its founder President - Dr. E.W. Jackson, MD, for the support, extended, which has enabled over 7,24,386 poor & needy patients, to enjoy the sight of our beautiful world.

20. Deseret International Foundation, Inc. USA Het Schild, Netherlands LDS Charities, Inc. USA Embassy of Japan Dr. Pushpa Sethi Memorial Trust Embassy of Ireland New Zealand High Commission Royal Danish Embassy American Women’s Association Charity Aid Foundation, UK AND MANY MORE Australia & New Zealand Women’s Association (ANZA) Winrock International, USA United Airlines Summit Technologies, USA American International School Neemrana Fort-Palace Hotels Ltd. Friends “Social Workers” Association Youth Reach, India GEN Foundation, UK AMBASSADORS OF SIGHT

21. Eye Care Project Clinic Locations • Arunodaya Deseret Eye Hospital (ADEH), Gurgaon • Dr. Sethi’s Nursing Home, Delhi • Mata Ka Mandir, New Delhi • Senior Citizens Service Forum, Taimoor Nagar, New Friends Colony, New Delhi

22. ACHIEVEMENTS (up to OC TOBER, 2010 ) No. ofpatients Patients treated 7,24,386 Medicines dispensed 32,845 Spectacles dispensed 52,223 Surgeries 28,034

23. ARUNODAYA DESERET EYE HOSPITAL (ADEH)

24. Learning Exmples in Primary Eye Care

25. MEWAT EYE CARE PROJECT

26. Introduction & Need of the Project • The Mewat district is the land of Meo Community • There are six blocks - 503 villages, 1.2 million population. • 90% people are engaged in farming and 50% people are living below poverty line. • Over all literacy rate is around 30% and girl literacy is below 10%. • Mewat lacks basic health care facilities, and does not have even a single ophthalmologist doing surgical work in the whole of Mewat. • Poor eyesight and eye diseases have resulted from poor nutrition, & hygiene, lack of awareness and difficult access to health /eye care services, has resulted in many villagers losing their sight

27. LESSION LEARNT • Try to be a GOOD DOCTOR rather than a GREAT DOCTOR • Be courteous and friendly • Patiently listen to what patient says • Discuss to find out from history • Meticulous Examination • Detailed Examination • In Doubt compare the other eye

28. Profession as a Business • If ophthalmology is your profession then prevention of blindness in the community is your business. • While you deal with those able and willing to pay your private practice,help those who may remain blind or become blind because they are not able to pay,this is professionalism and will bring you great rewards.

29. Philosophy • Intelligence and capabiliy are not enough. • There must be the joy of doing some thing beautiful • Being of service to GOD AND HUMANITY, means going well beyond the sophistication of the best technology to the humble demonstration of courtesy and compassion to the people.especially the poor.

30. Need For Primary Eye care A DEDICATED TEAM HAVING THROUGH BASIC KNOWLEDGE ABOUT THE DISEASE SYMPTOMS AND SIGNS

31. THANK YOU You are welcome to contact : Arunodaya Charitable Trust (ACT) C-2, Maharani Bagh, New Delhi 110065, India. E-mail : act@airtelmail.in, Fax : +91-11-41628579 Website: www.acteyecare.com Tel: +91-11-41628082, 26844969, 41628579 (A Registered, Non Profit, Welfare Trust) GIVE. BEFORE THEY GIVE UP.