GUILDFORD ROTARY EYE PROJECT THE AVOIDABLE BLINDNESS PROGRAMME.
TITLE CLUSTER BASED PLANNING FOR ELIMINATION OF AVOIDABLE BLINDNESS
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Transcript of TITLE CLUSTER BASED PLANNING FOR ELIMINATION OF AVOIDABLE BLINDNESS
TITLE CLUSTER BASED PLANNING
FOR
ELIMINATION OF AVOIDABLE BLINDNESS
(Rajganj Block, Jalpaiguri district, West Bengal)
Presenter :-Anup ZimbaSiliguri Greater Lions Eye HospitalSiliguri, West Bengal, India
SILIGURI GREATER LIONS EYE HOSPITAL
SILIGURI GREATER LIONS EYE HOSPITAL
PARTNERS :-
Comprehensive OphthalmologyVitreo Retina
Pediatric Ophthalmology & SquintGlaucoma / Oculoplasty
Low Vision Clinic / Contact LensTele-ophthalmology
B.Sc. OptometryVision Technician
Ophthalmic assistant
Established :1981Beds : 54OPD : 888,817 Surgery : 85,437 Outreach Screening : 483,095 School Screening : 1,663,398
Vision
“SGLEH’s vision is to be Centre of Excellence to provide quality eye care services for all”
Mission
“SGLEH is a public trust committed to provide excellent, affordable eye care services through dedicated team work and
making it accessible to all in Eastern part of India.”
Objective To assess the role of cluster based community eye health planning in eliminating
avoidable blinding causes with the help of a secondary level hospital.
To improve eye health seeking behavior of the target population
To strengthen primary health services
To integrate primary eye care services with primary health care services
Improved utilization of eye care services leading to elimination of avoidable
blindness
HOSPITAL BASED COMMUNITY EYE HEALTH PROGRAMME(HBCEHP)
Supported by Operation Eyesight
SILIGURI GREATER LIONS EYE HOSPITAL
Cluster formation o Division of clusters :
- Each cluster has 20,000-22,000 population - Geographical area - Population distribution
o Field staff trainees selection• 2 trainees per cluster• Priority to women candidates• Previous experience• Good communication skills • Local people to given preference
Project area/ cluster formation
SILIGURI GREATER LIONS EYE HOSPITAL
Based on Number of blind persons identified through door to door survey Number of persons with cataract (bilateral & unilateral) Number of persons with other eye diseases Current levels of knowledge, attitude and practices among the
cluster population
Number of persons with other eye diseases Number of screening Programme required to be conducted Number of eye health/ general health education events Number of NGOs present in the cluster Number of ICDS/ PHC centers and staff
Development of cluster plans
• Project started in July 2010
• 14 candidates underwent 23 days training.
• Door to door survey covering 1,04,327 persons.• 320 villages covered.• Survey period 3 months (Sep ‘10-Nov ‘10).
• Eye care services provided by Field Staffs• Screening • Diagnosis, referral• Treatment • Follow up• Health education
•Coordination with government agencies for • Immunization• ANC/ PNC
•Socio economic development • Networking with other agencies
The process
SILIGURI GREATER LIONS EYE HOSPITAL
Training : Curriculum developed by OE First module
Identifying blind persons and person with eye diseases
Survey methodology Second module training
Curriculum developed by OE All the trainee workers attend PHC services Networking Implementation of eye health
services
Door to door survey Conducted over 3 months Covers the entire population of the
selected area (all clusters) The survey focuses on identification of
visually impaired persons with special emphasis on identification of persons with cataract and refractive errors
Computerization of all collected data for further analysis
Training and survey
SILIGURI GREATER LIONS EYE HOSPITAL
Community Eye Care: Screening programmes in each cluster
Eye check up Treatment for minor ailments Referral for further management to the
base hospital.
Primary eye care centers (vision centers)
Health promotion/education activities
Training of self help groups in eye care
Implementation of cluster plans
SILIGURI GREATER LIONS EYE HOSPITAL
Primary Health Care and Community Development Maternal and child health care Immunization Vitamin A Micro-skill development Primary and non formal education Water and sanitation Referral for community based rehabilitation
Implementation of cluster plans
SILIGURI GREATER LIONS EYE HOSPITAL
Daily wage workers Seasonal fluctuation Drop outs of health workers Capacity building of new recruits Weather
Challenges
SILIGURI GREATER LIONS EYE HOSPITAL
Eye care (Jan 2011-July 2012) Total Camp: 76 Total Screened: 9,398 Total Advised for Cataract Surgery: 1,456 Total cataract operated: 1,186 (81%) Total Specs Advised: 1,265 Total Specs uptake: 833 (66%) Total People educated for Health Education: 39,015 Total network with local NGO/Govt: 19
Surgery
70% Free
20% Subsidized
10% Paying/RSBY
Outputs
Services 1 2 3 4 5 6 7 Total
Identified patients •Blind•Uni. & Bil-cataract •Others
6077571
9334381`
155556105
21938863
86462109
68256116
126323199
8073103663
Operated 140 200 201 168 160 192 247 1,308
Spectacles provided 106 103 107 109 108 104 105 833
Balance patients 706 143 460 283 411 180 275 2458
Eye health education 6,140 6,486 6,065 6,421 5,876 5,966 6,693 39,015
Immunization coverage Two years back 69.7% *Now 80%
Surgical conversion 81%
Spectacle conversion 66%
Results
* Singapore Med J 2010; Socioeconomic impact on child immunization in the districts of West Bengal, India
Immunization Rally by Children on Eye care Sanitation demo
Health Awareness
Health camp Training ICDS workers
Meeting with NGOs
Public awareness
Project Activities
SILIGURI GREATER LIONS EYE HOSPITAL
SummaryCluster based planning brings: Services right at the door steps of the needy Ensures treatment of identified Increases positive behavioural change
SILIGURI GREATER LIONS EYE HOSPITAL
1. Establish a Vision Center.2. Expansion of project catchment area.3. Implement similar program in other Blocks.4. Identify potential donors for supporting the project
in other blocks.
Future programs
SILIGURI GREATER LIONS EYE HOSPITAL
Cluster based planning is proving to be an effective approach to elimination of avoidable blindness.
Brings permanent and positive change in eye health seeking behavior in Rajganj block before the end of the project(2014).
CONCLUSIONS