national blindness control programme
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National Blindness Control
Programme
Presented by :-Sneha .Phalle
Sneha . Gopalkrishnan
NBCP
• It was launched in the year 1976 as a 100% centrally sponsored programme.
• India was the first country in the world to launch a national level blindness control programme.
• The implementation was decentralized in
1994-95 with the formation of district blindness society in each districts of the country.
GOALS• To reduce the prevalence of blindness (1.49% in
1986-89) to less than 0.3%. • To establish an infrastructure and efficiency levels
in the program to be able to cater new cases of blindness each year to prevent future backlog.
OBJECTIVES• 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 eye care services.• To improve quality of service delivery. • To secure participation of civil society, NGOs, and
private sector in eye care.• To enhance community awareness on eye care.
National Program Management Cell
State Program Cell
District Blindness Control Society
District
District HospitalOpthalmic SurgeonDistrict Mobile Unit
District Health Officer
CHCs
PHCs
Medical Officers
Paramedical Opthalmic Assistants
Organisation StructureNational Level: It is managed by Directorate General
of Heath Service, Min. of Health and Family Welfare, New Delhi.
State Level: State Health Society is formed with
the following members: Chairman : State Mission Director/
Secretary Vice Chairman : Director Health Services Member Secretary : Joint/ Dy. Director (from
the state cadre)
District Level:The District Health Society has max. of 15 members,
consisting of not more than 8 ex-officio and 7 other members as detailed below:
Chairman: District collector/ District Mission Director
Vice- Chairman: Chief Medical & Health Officer
Member Secretary: Officer of the level of Dy. CMO, preferably an opthalmologist
Technical Advisor: Chief Opthalmic Surgeon of District Hospital.
Members: Medical Suprintented/ Civil Surgeon of distict hosp.
District Education Officer Representatives from NGOs District Mass Media/ IEC Officers Prominent Practicing Eye Surgeons
Manpower & Infrastructure (2003)
states population
No:of districts
Eye facilities
Eyebeds
Eye surgeons
Opthalmic assistants
optometrists
Totl opticshops
Chandigarh
900914 ----------
28 135 64 -------------- --------- 0
Delhi 13782976 9 156 1601 592 5 ------ 0
Gujarat 42735439 25 427 4362 562 172 103 779
Goa 13343998 2 19 104 29 5 13 42
Kerala 27953614 14 120 1663 376 147 98 176
Maharashtra
94565379 35 578 4488 1128 611 190 734
Tamil Nadu
53870165 30 267 9673 740 356 233 191
Eleventh Five Year Plan (2007-2012)
Following target has been set for the 11th five year plan:
• Prevention and control and management of Diabetes retinopathy
• Hospital based Screening of Glaucoma and prevention of childhood blindness.
• Improvement in the visual outcome of cataract surgery by performing IOL implantation.
• Development of Pediatric Ophthalmology Units.• Development of fully functional eye bank
networks.• Developing human resource and institutional
capacity.
STRATEGIESThe four pronged strategy of the program is:1. Developing institutional capacity2. Developing human resources for eye care3. Strengthening service delivery4. Promoting outreach activities and public awareness
REVISED STRATEGIES• Strengthening services for other causes of blindness.• To shift from eye camp approach to a fixed facility
surgical approach and from conventional surgery to IOL implantation.
• To expand World Bank projects to the whole country.• To strengthen participation of voluntary organisations• to enhance the coverage of eye care services to
tribal and other under served areas.
ACTIVITIES• Cataract Operations• Involvement of NGOs• Civil works• Training• Commodity Assistant• Information, Education, Communication• Management Information System• Monitoring and Evaluation• School eye screening program• Collection and utilisation of donated eyesOTHER MAJOR ACTIVITIES• Control of vitamin A deficiency• Control of Trachoma• Ophthalmic assistant
FUNDING
• Funds will be released by the GOI to State Health Society based on annual action plan.
• For release of funds, the state society has to submit the following documents:
⁻ Statement on performance and expenditure⁻ Audited statement of accounts⁻ Utilization certificate⁻ State annual action plan for the current year• GOI will release funds into 2 equal installments,
first will equivalent to 50% of planned budget and second will be released on basis of progress made.
• The central government has allocated Rs.1550 crore under the 11th plan for national program which was just Rs.450 crore in 10th plan.
• Though it is a Central Govt program, major service providers are NGOs, non- profit orgs, private, corporate hospitals, philanthropists, volunteers.
• Since almost 75-80% of eye care within the country is provided through non govt. organisations, this resource should be used appropriately.
Funds Released & Expenditure for the Year 2010-11
Particulars Amount (lakhs)
Income
Unspent balance of previous year (08-09) in hand 158.27
Amount received under GIA 1000.00
Amount received (For 5 Medical Colleges) 200
Interest 11.67
Total Funds available (1+2+3) 1169.94
Release & Expenditure
Total Release & Expenditure incurred 707.39
Total Balance available 462.55
Year 2002-032003-042004-052005-062006-072007-082008-09 2009-10 2010-11
Target 240000240000250000250000250000350000450000450000450000
Achievement
224049233870261224274619290973187545376143409601429695
Percentage 93.35 %97.45 %
104.49 %109.85 %116.39 %
92.00%84.00 %91.02 %95.49 %
IOL Percentage
70.00 %
83.00 %
89.26 %
94.50 %
97.00 %
98.00 %
98.00 %
98.47 %
98.72 %
Latest Data For NBCP
KERALA• Cataract is the main cause of blindness in Kerala
state. • There are about 2.5 – 3.0 lakhs blind people in
Kerala.• There are about 25-30,000 corneal blindness
cases.
Vitamin A Prophylaxis Programme
• It is a part of National Program for Control of Blindness (India)
• It was launched by the Ministry of Health and Family Welfare in 1970
• It utilises technology developed by National Institute of Nutrition, Hyderabad
• It has helped to decrease the preventable blindness in the community
• Children between nine months to three years are given six monthly doses of vitamin A.
• The administration of the first two doses is linked with routine immunisation.
Objectives: To decrease the prevalence of vitamin A
deficiency from current 0.6% to less than 0.5%
Strategy:• Health and nutrition education to encourage
colostrum feeding, exclusive breast feeding for first 6 months.
• Adequate intake of Vit A rich foods thereafter.• Early detection and proper treatment of infections.• Prophylactic Vit A as per following dosage
schedule: 100000 IU at 9 mnths with measles immunisation 200000 IU at 16-18 mnths, with DPT booster 200000 IU every mnth upto 5 yrs Thus, a total of 9 mega doses to be given from 9
months upto 5 yrs.
Sick Children
• All children with xerophthalmia are to be treated at health facilities.
• All children having measles to be given 1 dose of Vit A if they have not received it in the previous month.
• All cases of severe malnutrition to be given one additional dose of Vit A.
VISION 2020
• Right to sight. • To eliminate the main
causes of avoidable blindness in India.
Challenges in implementation
*identified by department
5 challenges perceived by VISION 2020 INDIA
1) NGO/ Voluntary sector participation2) Strengthened Public Sector3) Convergence4) Rehabilitation services5) Human resources
Thank you!!!
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