aravind eye hospital, madurai
TRANSCRIPT
Aravind Eye Hospital, MaduraiIn Service for sight
Group 8
Agenda
• Blindness Problem• Aravind Eye Hospital
– Aravind Eye care System– Sequence of getting services at Aravind
• Components of service• Success/ failure measurements• Generalizing the framework
Blindness Problem In India1992• 30 million blind people all over the World• 12 million in India
– 95% due to cataract related2000• 18.7 million blind people
– 9.7 million blindness cases related to Cataract- related2010 -2020• 24.1 million by 2010• 31.6 million by 2020
http://www.ncbi.nlm.nih.gov/pubmed/11804362
Aravind Eye Hospital
• Founded by Dr. G. Venkataswamy in 1976.– 20 bed hospital and 3 doctors
• 70 beds in 1978• 250 beds in 1981• 1992
– 240 hospital staff, 30 doctors, 120 nurses, 60 admin personnel, 30 others.
MISSION:To eradicate needless blindness by providing appropriate compassionate and highquality eye care for all
Eye Care Facilities(Aravind Eye Hospitals)
Lions Aravind Institute of Community
Ophthalmology (LAICO)
Making technologyaffordable(Aurolab)
ResearchAravind Medical
Research Foundation
Eye BankRotary Aravind
International Eye Bank
Telemedicine
Education & TrainingAravind PG Institute of
Ophthalmology
Community OutreachPrograms
Aravind Eye Care System
Service Sequence at Aravind Eye Hospital
Registration Vision Recording
Preliminary Examination
Testing of Tension
Tear Duct FunctionRefraction Test
Final Examination
Features of Service Operations
• Building volume through community outreach– Hence realizing economies of scale
• Human resources and training– Most of the doctors and nurses and other personal are trained
from scratch internally • Technology development
– Lenses and instruments to operate– Aurolab for lenses and medication
• Exporting the eye care model– 231 eye hospitals work on its model (188 in India and 43
elsewhere)
Constraints in turning up for examination
Causes of not turning up Percentage Remedies being usedStill have vision , however diminished 26 Camps at peoples reach
Cannot afford food and transportation 25 Camp sponsored
Cannot leave family 13 Patients transported in Groups supported by volunteersFear of surgery 11
No one to accompany 10
Family opposition 5
Others 10
Success/ failure
• Tamil nadu census 2001– 370,031 cataract surgeries were done in 2001-2002– Government Hospitals -7.17%– Eye Camps -10.16%– Private clinics -7.86%– Nonprofit organization -74.82%
• Figures for other states– Andhra Pradesh (79.7%)– Orissa (79.3%)– Maharashtra (71.5%)
“Achievements under Cataract Blindness Control Project: 1994-2002”, NPCB-India, Quarterly
Statistics 1980-2005
Income expense 1983-2006
Problems in generalization
• Obtaining appropriate technology at LOW cost• Achieving economies of scale• Patient education problems
Thank You