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National Programme for Control of Blindness govt. of india. Dr. A. S. Rathore Asstt. Director General November , 2009. Causes of Blindness. Objectives of NPCB. To reduce the backlog of blindness through identification and treatment of blind
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National Programme for Control of Blindness govt. of india Dr. A. S. Rathore Asstt. Director General November , 2009
Objectives of NPCB To reduce the backlog of blindness through identification and treatment of blind To develop comprehensive eye care facilities in every district To develop human resources for providing eye care services To improve quality of service delivery To secure participation of voluntary organization/private practitioners in eye care
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 1500 Eye Surgeons trained in various Eye Care Specialties. • 80 NGOs assisted for setting up/expanding eye care facilities. • 70% coverage of eye care services.
Focus areas for 11TH five year plan • Cataract • Childhood Blindness • Refractive Error & Low Vision • Corneal Blindness • Glaucoma • Diabetic Retinopathy • Trachoma(Focal)
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 children .
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.
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.
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 (> 90% with VA > 6/18); • Increase proportion of Intra Ocular Lens surgery >90% • Coverage of population > 90%.
NEW INITIATIVES Construction of dedicated Eye Wards and Eye Operation theaters in NE States, Bihar, Jharkhand, J&K, Himachal Pradesh, Uttrakhand and few other States as per demand. Contd….
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.
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)
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.
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