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Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012. Dr Padmaja Kumari Rani,M.S,FNB (Retina) Head, Village Vision Complex International Centre for Advancement of Rural Eye Care (ICARE) L V Prasad Eye Institute Hyderabad.

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Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

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  1. Integrating Primary Eye Care and Primary Health Care 17th Sept 2012 Dr Padmaja KumariRani,M.S,FNB (Retina) Head, Village Vision Complex International Centre for Advancement of Rural Eye Care (ICARE) L V Prasad Eye Institute Hyderabad

  2. Acknowledgement:Puwat Charukamnoetkanok, MD, Thailand

  3. IntegratingPrimary Eye Care and Primary Health Care • Why • What • How • Global Scenario – Thailand Case Study • Indian Scenario (OEU & LVPEI Case studies) • Challenges • Way forward

  4. Why? • Holistic care • Treating causes of causes • Wide reach • Sustainability

  5. What? WHO

  6. What? • Horizontal approach • Team work • Networking

  7. What? WHO

  8. How? • Location • Areas of Integration • Stake holders

  9. How? Khan et al

  10. Global scenario-Thailand

  11. Global scenario-Thailand

  12. Global scenario-Thailand

  13. Indian scenario – OEU Operation Eye Sight Universal – India • Launched in 1963 • 15 Projects • 11 Partners • 9 States & UT • 3.4 million - people covered • 0.75 million – persons directly benefited HBCEHP – USEHP – OE India - • Immunization coverage • ANC/ PNC coverage has reached 100% • Increased Awareness levels

  14. Indian scenario – LVPEI To eliminate avoidable blindness through integration of Primary eye care with Primary health care by community Development Initiatives.

  15. Who is a Vision health guardian • Local village person • Literate • Healing touch • Health worker background

  16. LVPEI (2010-2012) • One tiny Village (5 months) – n-746 • Mandal ( District Subunit) – 54 villages with (2011-14) n-39,000 • Present Coverage – 70 villages -n-100,000

  17. Methodology • Identification and Training of Village Vision Health Guardians • Awareness creation • Service delivery • Community Development Initiatives

  18. Methodology I . Identification and Training of Village Vision Health Guardians and village vision committee formation

  19. Methodology II. Awareness creation Teacher conducting Eye screening Teachers Training Program

  20. Methodology III. Service delivery

  21. Methodology IV: Community Development Initiatives JSS trade training program inauguration JSS trade training program in house wiring and electrical maintenance for village youth Vision Garden Inauguration

  22. Coverage of One Mandal -54 Villages

  23. Situational Analysis of Study area

  24. Project Survey Data

  25. Project Survey Interim Data • Blindness (<6/60)-0.4% • Visual Impairment (<6/18)-7.1% • Spectacles prescribed- 664 • Spectacles Purchased-354 (53%) children-35 • Cataract Identified – 771 • Patients visited SC-491 • Cataract surgeries done-122

  26. Project Survey Interim Data • Eye health and Primary health education events conducted -363 • n-2,877 • Number of pregnant women in the covered villages - 408 • Antenatal care-408 , Postnatal care-140

  27. Qualitative Impact Master SaiKumar Three VHGs – enrolled as Vision technicians

  28. Challenges • Slow Process • Linkage with health care providers • Understanding Motivators/Barriers for performance of VHGs • Measuring the Impact

  29. Way forward • Cost effective Technology Innovations • Care of the Community, by the Community and for the Community

  30. “Thousands of candles can be lit from a single candle, and the life of the candle will not be shorter. Happiness never decreases by being shared.” The Buddha

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