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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

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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. - PowerPoint PPT Presentation

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Page 1: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

Integrating Primary Eye Care and

Primary Health Care17th Sept 2012

Dr Padmaja Kumari Rani,M.S,FNB (Retina)Head, Village Vision ComplexInternational Centre for Advancement of Rural Eye Care (ICARE)L V Prasad Eye InstituteHyderabad

Page 2: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

Acknowledgement:Puwat Charukamnoetkanok, MD, Thailand

Page 3: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

IntegratingPrimary Eye Care

and Primary Health Care

• Why • What• How • Global Scenario – Thailand Case Study• Indian Scenario (OEU & LVPEI Case studies)• Challenges• Way forward

Page 4: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

Why?

• Holistic care

• Treating causes of causes

• Wide reach

• Sustainability

Page 5: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

What?

WHO

Page 6: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

What?

• Horizontal approach

• Team work

• Networking

Page 7: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

What?

WHO

Page 8: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

How?

• Location

• Areas of Integration

• Stake holders

Page 9: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

How?

Khan et al

Page 10: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

Global scenario-Thailand

Page 11: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

Global scenario-Thailand

Page 12: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012
Page 13: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

Global scenario-Thailand

Page 14: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

• 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 -

Indian scenario – OEU Operation Eye Sight Universal – India

•Immunization coverage •ANC/ PNC coverage has reached 100%•Increased Awareness levels

Page 15: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

Indian scenario – LVPEI

To eliminate avoidable blindness through

integration of Primary eye care with Primary health

care by community Development Initiatives.

Page 16: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

Who is a Vision health guardian

•Local village person

•Literate

•Healing touch

•Health worker background

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

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

Page 18: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

Methodology

i. Identification and Training of Village Vision Health Guardians

i. Awareness creation

ii. Service delivery

iii. Community Development Initiatives

Page 19: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

Methodology I . Identification and Training of Village Vision Health

Guardians and village vision committee formation

Page 20: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

Methodology

II. Awareness creation

Teacher conducting Eye screeningTeachers Training Program

Page 21: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

Methodology

III. Service delivery

Page 22: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

MethodologyIV: Community Development Initiatives

JSS trade training program inauguration JSS trade training program in house wiring and electrical maintenance for village youth

Vision Garden Inauguration

Page 23: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

Coverage of One Mandal -54 Villages

Page 24: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

Situational Analysis of Study area

Illiteracy in Jainad Mandal 39.45 % - very low in females

% of population below poverty line >26%

Pattern of agricultureDry crops / irrigated dry crops cultivation due to lack of perennial source of irrigation

InfrastructurePoor Drainage / Sanitation / Power supply, roads etc.,

Employment opportunitiesMeager, due to lack of industries or arable lands and low scope for self employment

Type of houses 50% Semi pucca

Gas connection 30%

Individual toilets attached to houses 26%

Average percapita annual income 

Rs 29,187/-

GDP : 8,786 crores [2007-2008]

Page 25: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

Project Survey Data

Slums/Villages surveyed 54Houses surveyed 9,538

Population covered through door to door survey 38,829

Diabetes high risk [score>60] 56Known diabetics identified (2.5%) 1,006Known Hypertension (3.4%) 1106Identified with High BP > 140/90 by VHG 221Identified with disability [All category] 103People identified with eye ailments and referred for eye examination

2,740

Page 26: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

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

Page 27: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

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

Page 28: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

Qualitative Impact

Master SaiKumar

Three VHGs – enrolled as Vision technicians

Page 29: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

Challenges

• Slow Process• Linkage with health care providers• Understanding Motivators/Barriers for

performance of VHGs • Measuring the Impact

Page 30: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

Way forward

• Cost effective Technology Innovations

• Care of the Community, by the Community and for the Community

Page 31: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

“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

Page 32: Integrating Primary Eye Care and Primary Health Care 17 th Sept 2012

L V Prasad Eye Institutewww.lvpei.org

Thank you!

Excellence

Equity

Efficiency


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