1

Role of MLOP

2

FOCUS OF VISION 2020FOCUS OF VISION 2020

Increase in workloadIncrease in adequately

trained human resources

Eliminate and control blinding diseases

3

Challenges in India

Inadequate ophthalmologists

•Enormous eye morbidity

•Growing Aging population

•Inadequate infrastructure

•Low income

•Lack of awareness

of available facilities and treatment options

4

Total PopulationTotal Populationof Indiaof India --

1,027,015,2471,027,015,247Total PopulationTotal Populationof Tamil Naduof Tamil Nadu --

62,110,83962,110,839

•12 million blind people in India

5

Pure clinical practiceCommunity oriented

service

Focus of eye care providers

Technological Advancements

Skilled and technically qualified personnel

6

MLOP

• Non doctor professionals working only in eye care

• Facility based

• Out reach based-camp

7

Role of OAS

Support services to ophthalmologist

• Collect data • Transmit and execute

orders• Supervise and

administer treatment ordered

Ophthalmologist• More surgery • Improve quality• training

8

Duties delegated to OPS

• Patient evaluation

• Monitoring

• Diagnostic tests

• Surgical assistance

• Counselling

• Proper direction/referral

10

Aravind-MaduraiAravind-Madurai

Aravind-TheniAravind-Theni

Aravind-CoimbatoreAravind-Coimbatore

Aravind-TirunelveliAravind-Tirunelveli

Tamil NaduTamil Nadu

Aravind-Pondicherry(proposed)Aravind-Pondicherry(proposed)

11

Out-patient Visits 1978-2001(Madurai, Tirunelveli, Theni, Coimbatore)

Out-patient Visits 1978-2001(Madurai, Tirunelveli, Theni, Coimbatore)

0

200000

400000

600000

800000

1000000

1200000

1400000

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

Free Paying

12

Surgeries 1978-2001(Madurai, Tirunelveli, Theni, Coimbatore)

Surgeries 1978-2001(Madurai, Tirunelveli, Theni, Coimbatore)

0

50000

100000

150000

200000

250000

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

Free Paying

13

14

Community Outreach Activities

• Free Eye Camps where surgery, food and accommodation are provided free of cost.

• Village Volunteers Programme• School Eye Health Screening• Community Based Rehabilitation

Programme• Increasing community involvement• Community eye health education

15

Base Hospital Approach

The patients screened at the camps are transported to the base hospital for surgery- for maximum utilisation of resources and - to maintain high quality.

16

Selection Criteria for Ophthalmic Assistants

Education - 12th (H.S.C) standard

Age 17-18 years

Experience - Fresh candidates with no work experience

Background - Rural, low income

17

Structure of the Two Years Training Programme

Orientation & Basic training 4 months

WardWardOut patient Out patient DepartmentDepartment

Optics and Optics and RefractionRefraction

Operating Operating RoomRoom

Assessment (Theory and Assessment (Theory and Skills)Skills)

Specialty training 8 monthsSpecialty training 8 months

Supervised Practical training in specialty( 6 months)Supervised Practical training in specialty( 6 months)

Evaluated Independent practice 6 monthsEvaluated Independent practice 6 months

Final AssessmentFinal Assessment