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Framework for Designing

effective DR Programs
Thulasiraj Ravilla
LAICO Aravind Eye Care System
Aravind Eye Care System - laico
Current Status relating to DR
Well established diagnostic & treatment
protocols
Training programs for clinical
personnel
Very low screening coverage of
diabetics
Poor follow-up rates of DR patients
Aravind Eye Care System - laico
DR Program - design framework
Equipment &
Technology
Attitude &
Perspective
Ownership to
the DR issue
Quality
Facility
Staff &
Skills
Awareness
Creation
Remote
Diagnosis
Partnerships
for referrals
Cost
Access
Barriers
Aravind Eye Care System - laico
DR Program - design framework
Aravind Eye Care System - laico
Treatment
Outreach Activities
Strategies to
address the
challenges
Awareness creation
Diabetic
Retinopathy
Intervention
Service
Model
HR Development
Infrastructure
Development
Aravind Eye Care System - laico
Diabetics examined & treated at Hospital
0
10000
20000
30000
40000
50000
60000
2000 2002 2004 2006 2008 2010
Diabetics DR Laser
Aravind Eye Care System - laico
Laser Procedures for DR
0
2000
4000
6000
8000
10000
12000
2
0
0
0
2
0
0
1
2
0
0
2
2
0
0
3
2
0
0
4
2
0
0
5
2
0
0
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2
0
0
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2
0
0
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2
0
0
9
2
0
1
0
2
0
1
1
Intra-Vit Inj
Laser
Aravind Eye Care System - laico
Replication of this model
Having had success with this framework,
the same has been replicated in
PUEC, Beijing, China
22 Eye Hospital DR Projects in India
Consultancy to Oman - Evaluation of the
Management of DR for the entire country
& provided recommendation
Aravind Eye Care System - laico
DR Management Manual
Guidelines for the
comprehensive
management of DR
in India
Supported by
Sightsavers, India,
Published under
VISION 2020 Right
to Sight, India
http://www.vision2020india.org/dr_manual.pdf
Aravind Eye Care System - laico

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