By By· · Dr. v.K.Nisra Dr. v.K.

Nisra
State Programme Officer State Programme Officer
NPCB NPCB· ·U.P. Swasthya Bhawan U.P. Swasthya Bhawan
Lucknow. Lucknow.
National Program of National Program of
Control of Blindness Control of Blindness
National Program of National Program of
Control of Blindness Control of Blindness
: :·· Resolution Resolution of of the the Central Central Council Council of of
Health Health SS Family Family Welfare Welfare at at its its
meeting meeting in in the the year year 137S 137S. .
One One of of the the basic basic Human Human Right Right is is to to see see
and, and, therefore, therefore, it it is is to to be be ensured ensured that that no no
citizen citizen goes goes blind blind needlessly needlessly, , or or being being
blind blind does does not not remain remain so, so, if, if, by by
reasonable reasonable deployment deployment of of skill skill and and
resources, resources, his his eye eye sight sight could could be be
prevented prevented from from deteriorating deteriorating and and if if
already already lost lost could could be be restored" restored"
Some facts about Blindness in Some facts about Blindness in
!ndia !ndia
ncrease ncrease in in prevalence prevalence after after S0 S0 years years
Prevalence Prevalence higher higher in in females females
Prevalence Prevalence higher higher in in poor poor and and illiterate illiterate
High High prevalence prevalence in in underserved underserved rural rural and and tribal tribal
areas areas
Farmers Farmers and and laborers laborers are are at at higher higher risk risk
Nagnitude S Prevalence of Nagnitude S Prevalence of
Blindness(Sruvey Blindness(Sruvey· ·2004) 2004)
"f estimated 4S0 lac blind persons ( visual acuity < "f estimated 4S0 lac blind persons ( visual acuity <
6/60) in the world, 70 lacs are in ndia 6/60) in the world, 70 lacs are in ndia
An estimated 20 lac new cases of cataract every yr An estimated 20 lac new cases of cataract every yr
Category Category Prevalence Prevalence
(in percentage) (in percentage)
States States
ow ow ess than 1 ess than 1 Tamilnadu, Tamilnadu, Naharasthra, Naharasthra, Kerala, Kerala,
HP, HP, Uttaranchal, Uttaranchal, UP, UP, Bihar, Bihar, Sikkim, Sikkim,
Naghalaya, Naghalaya, Nizoram, Nizoram, Tripura Tripura
Noderate Noderate 11··1.43 1.43 Cuj Cuj. ., , Punj Punj. ., , NP, NP, AP,"rrissa, AP,"rrissa, WB WB
High High 1.S 1.S··133 133 ]har ]har. ., , Chattrh, Chattrh, Nanipur, Nanipur, Nagaland, Nagaland,
]K, ]K, Hary, Hary, Raj, Raj, Karnataka Karnataka
very high very high >2 >2 Assam, Assam, Arunanchal Arunanchal
oal S Objectives oal S Objectives
Coal: Coal:
·· Reduction in the Prevalence of Blindness from 1 to Reduction in the Prevalence of Blindness from 1 to
0.3% upto 2020 and 0.S upto 2012 0.3% upto 2020 and 0.S upto 2012
"bjectives: "bjectives:
·· To To provide provide high high quality quality of of eye eye care care to to the the affected affected
population population
·· To To expand expand coverage coverage of of eye eye care care services services to to the the
underserved underserved areas areas
·· To To reduce reduce the the backlog backlog of of blindness blindness by by identifying identifying
and and providing providing services services to to the the affected affected population population
·· To To develop develop institutional institutional capacity capacity for for eye eye care care
services services by by providing providing support support for for equipment equipment and and
material material and and training training personnel personnel. .
Definitions Definitions
Category of visual Category of visual
impairment impairment
Better eye Better eye
(Can see) (Can see)
Worst eye Worst eye
(Can see) (Can see)
Normal vision Normal vision 6/6 on snellen's chart 6/6 on snellen's chart 6/18 line on Snellen's 6/18 line on Snellen's
chart chart
ow vision ow vision 6/18 line on Snellen's 6/18 line on Snellen's
chart in better eye chart in better eye
6/60 line on Snellen's 6/60 line on Snellen's
chart chart
Economic blindness Economic blindness 6/60( by finger 6/60( by finger
counting)* counting)*
1/60( by finger 1/60( by finger
counting) counting)
Nanifest blindness Nanifest blindness 1/60( by finger 1/60( by finger
counting) counting)
Perception of light Perception of light
present present
Absolute blindness Absolute blindness No perception of light No perception of light No perception of light No perception of light
* Simple definition· inability of a person to count fingers from a distance of 20 feet
Causes of Blindness in !ndia Causes of Blindness in !ndia
1
1
6
10
62
20
Cataract Ref. error laucoma
Corneal Path Surg. Compl. Others
4
S
2
2
7
80
Survey 1386·83
Survey 2001·04
(n %)
Prevalence of Ocular Norbidity Prevalence of Ocular Norbidity
in !ndia (1386 in !ndia (1386· ·83) 83)
Ocular Norbidity Ocular Norbidity Prevalence Prevalence
(No. affected per 1000 people) (No. affected per 1000 people)
Refractive errors Refractive errors 141.2 141.2
Cataract Cataract 76.8 76.8
Trachoma Trachoma 40.2 40.2
vitamin A deficiency vitamin A deficiency 13.2 13.2
Central corneal Central corneal
opacities opacities
7.3 7.3
Claucoma Claucoma 0.7 0.7
ye Care ( including education) at Primary Level ye Care ( including education) at Primary Level
PRONOT!v
Nutrition education
mproved maternal S child nutrition
Health education
Face washing
Cood ANC
Safe water
mproved environmental sanitation
PRvNT!v
"cular prophylaxis at birth
vitamin A doses
Neasles vaccine
Perinatal care
Avoid medication in pregnancy
Avoid hypoxia at birth
Examine neonatc's eyes
Nutrition supplementation
CURAT!v
vision screening
Treatment for vit. A def.
Referral for surgery
Emergency management
Treatment for trachoma
Treatment for other common
eye diseases
RBAB!L!TAT!v
Provision of low vision services
Community based rehabilitation
Counseling of incurably blind
Certification of blind
Sensitize about concessions
Nain Activities Nain Activities
Cataract Surgery by " implantation Cataract Surgery by " implantation
Eye Care Education Eye Care Education
School Eye Screening School Eye Screening
Eye Banking Eye Banking
ive steps to control Cataract ive steps to control Cataract
Blindness Blindness
dentify dentify the the blind blind and and list list them them in in village village
registers registers
"rganise "rganise screening screening camps camps for for confirming confirming the the
cataract cataract blind blind for for referral referral
Transport Transport the the cataract cataract blind blind to to the the base base hospital hospital
Free Free Surgery Surgery by by ntraocular ntraocular lens lens (") (")
implantation implantation at at base base hospital(District hospital(District Hospitals, Hospitals,
" " Centers Centers at at CHC CHC and and Nedical Nedical Colleges Colleges as as
tursurry tursurry level level. .
Follow Follow··up up of of operated operated cases, cases, carrying carrying out out
refraction refraction and and providing providing best best corrective corrective
spectacles spectacles
(Base (Base hospital hospital means means unit unit with with properly properly equipped equipped "T) "T)
Cataract Performance Cataract Performance· · UP UP
S.2
S.S
7.14
S.36
S.S1
S.67
S.74
6.24
6.36
S.37
3.22
S.2
4.S
4.S
4.S 4.S
1.08
2.78
1.02
S.S3
S.43
4.S8
3.S3
2.37
0
1
2
3
4
S
6
7
8
2001·02 2002·03 2003·04 2004·0S 200S·06 2006·07 2007·08 2008·03
Target Achievement !OL
( in lacs)
Yearly achievements of Cataract Operations Yearly achievements of Cataract Operations
Year Year AnnuaI AnnuaI
Targets Targets
AnnuaI AcbI. AnnuaI AcbI. % AcbI. % AcbI.
AgnstAnnu AgnstAnnu
Trgt. Trgt.
IOL IOL
OperatIon OperatIon
Agnst TotaI Agnst TotaI
Acb. Acb.
IOL % AcbIv. IOL % AcbIv.
AgaInst totaI AgaInst totaI
2000 2000- -2001 2001 4,45,223 4,45,223 5,64,135 5,64,135 126.71% 126.71% 1,99,928 1,99,928 35.44% 35.44%
2001 2001- -2002 2002 4,50,000 4,50,000 5,36,647 5,36,647 119.25% 119.25% 2,37,506 2,37,506 44.25% 44.25%
2002 2002- -2003 2003 4,50,000 4,50,000 5,51,516 5,51,516 122.55% 122.55% 2,78,928 2,78,928 50.57% 50.57%
2003 2003- -2004 2004 4,50,000 4,50,000 5,67,718 5,67,718 126.12% 126.12% 3,22,856 3,22,856 56.87% 56.87%
2004 2004- -2005 2005 4,50,000 4,50,000 5,74,526 5,74,526 127.67% 127.67% 3,59,430 3,59,430 62.56% 62.56%
2005 2005- -2006 2006 5,20,000 5,20,000 6,24,298 6,24,298 120.06% 120.06% 4,58,082 4,58,082 73.38% 73.38%
2006 2006- -2007 2007 5,20,000 5,20,000 6,36,924 6,36,924 122.48% 122.48% 5,43,642 5,43,642 85.35% 85.35%
2007 2007- -2008 2008 5,50,000 5,50,000 5,97,541 5,97,541 108.64% 108.64% 5,59,672 5,59,672 93.66% 93.66%
2008 2008- -2009 2009
Sep Sep
7,14,000 7,14,000 1,08,385 1,08,385 15.18% 15.18% 1,02,561 1,02,561 94.63% 94.63%
33.4%
2S.72%
3S.22%
ovt
NO
Private
Agency wise Cataract Agency wise Cataract
Performance 2007 Performance 2007· ·08 08
variation 23.4 to 30 %
variation 38.1
to 42.8%
7 year variation
Average per bed performance
40, per surgeon 22S
School ye Screening Programme School ye Screening Programme
S to 7% of children aged 10 S to 7% of children aged 10··14 years have refractive problems, 14 years have refractive problems,
can be corrected by a pair of spectacles can be corrected by a pair of spectacles
The progammes seeks to: The progammes seeks to:
Screen Screen all all children children in in the the age age group group of of 10 10 to to 14 14 years years for for
refractive refractive errors errors (difficulty (difficulty in in clearly clearly seeing seeing distant distant or or near near
objects) objects), ,
Train Train teachers, teachers, preferably preferably with with science science background, background, female female
and and those those wearing wearing spectacles, spectacles, identifying identifying children children with with eye eye
problems problems, ,
Refer Refer children children with with suspected suspected refractive refractive errors, errors, to to the the
"phthalmic "phthalmic Assistant Assistant at at the the PHC PHC for for refraction refraction, ,
Prescription Prescription of of spectacles spectacles, ,
Provide Provide children children from from poor poor families families with with free free glasses glasses, ,
Screen Screen on on an an annual annual basis basis. .
School ye Screening Program School ye Screening Program
UP UP
66··14 School going 14 School going
Children screening Children screening
Children with ref. Children with ref.
error error
Children with ref. Children with ref.
error given free error given free
specs specs
Year Year Targ Targ Ach Ach % % Targ Targ Ach Ach % % Targ Targ Ach Ach % %
0S 0S··06 06 S000 S000 2817 2817 S6.34 S6.34 3S0 3S0 160.0 160.0 4S.71 4S.71 10S 10S 83.3 83.3 84.76 84.76
06 06··07 07 S833 S833 281S 281S 48.27 48.27 408 408 143.3 143.3 36.73 36.73 122 122 30.0 30.0 73.S2 73.S2
07 07··08 08 S833 S833 23S7 23S7 S0.70 S0.70 408 408 1S7.2 1S7.2 38.S0 38.S0 122 122 33.6 33.6 81.37 81.37
( n 1000)
Corneal Blindness and ye Corneal Blindness and ye
Donation Donation
Corneal Corneal blindness blindness mainly mainly occurs occurs among among children children
and and young young adults adults, ,
Estimated Estimated 40 40 thousand thousand new new cases cases occur occur every every
year year, ,
Common Common causes causes include include vitamin vitamin··A A deficiency, deficiency, eye eye
infections infections and and injuries injuries, ,
"nly "nly treatment treatment available available is is corneal corneal
transplantation transplantation, ,
n n ndia ndia at at least least 11 lacs lacs eye eye donation donation is is requirted requirted. .
"nly "nly 20 20 thousand thousand eyes eyes are are collected collected on on an an
average average per per annum annum in in ndia ndia, ,
Hospital Hospital corneal corneal retrieval retrieval programme programme envisages envisages
motivation motivation of of relatives relatives of of terminally terminally ill ill patients, patients,
accident accident victims victims and and other other grave grave diseases diseases to to
donate donate eyes eyes by by counsellors, counsellors, social social workers workers SS
medical medical staff staff, ,
Eye Eye donation donation fortnight fortnight is is organized organized from from 2S 2Sth th
August August to to 88th th September September every every year year to to promote promote
eye eye donation donation // eye eye banking banking, ,
Donated Donated eye eye is is to to be be preserved preserved in in specific specific
solutions, solutions, stored stored in in eye eye banks banks and and utilized utilized for for
transplantation transplantation at at cornea cornea grafting grafting centres centres with with 72 72
hours hours, ,
Contd.. Contd..
Link Workers Link Workers -- Key to Key to
Community Participation Community Participation
"ne "ne link link worker(ASHA) worker(ASHA) in in aa village village is is being being
trained trained for for mobilizing mobilizing and and ensuring ensuring following following: :
Preparation Preparation of of village village··wise wise blind blind registry registry through through
local local bodies bodies like like Panchayats, Panchayats, Nahila Nahila Nandals Nandals and and
community community groups, groups, Health Health workers, workers, teachers, teachers,
anganwadi anganwadi workers, workers, youth youth clubs, clubs, volunteers volunteers etc etc, ,
Notivation Notivation and and transportation transportation of of cases cases through through
grass grass root root NC"s, NC"s, peripheral peripheral health health staff, staff, link link
workers workers and and village village community community, ,
Training Training in in interpersonal interpersonal communication communication through through
village village level level link link workers, workers, satisfied satisfied patients patients and and
grief grief counsellors counsellors in in hospitals hospitals, ,
Public Public awareness awareness through through various various media media
channels channels. .
Role of Link Workers Role of Link Workers
#ole of ASHA/Village health workersWorker under NPCB #ole of ASHA/Village health workersWorker under NPCB
#ole #ole Works / Functions Works / Functions
Surveyor Surveyor
To identiIy blind persons by house hold survey in the community with the help oI To identiIy blind persons by house hold survey in the community with the help oI
measuring tap and E measuring tap and E- -Chart kit provided by district society. Chart kit provided by district society.
#ecord #ecord
keeper keeper
To record names oI suspected blind person in the village blind register. To record names oI suspected blind person in the village blind register.
To send the identiIy patients to optometrist at nearby PHC/CHC To send the identiIy patients to optometrist at nearby PHC/CHC
To maintain village blind register. To maintain village blind register.
Health Health
Education Education
To create awareness about cause oI blindness and their management by To create awareness about cause oI blindness and their management by
discussion and IEC materials. discussion and IEC materials.
To create awareness regarding eye check To create awareness regarding eye check- -up and Operations. up and Operations.
To educate BPL population regarding Free services in the programme. To educate BPL population regarding Free services in the programme.
To discard rumors and miths regarding programme. To discard rumors and miths regarding programme.
To explain Iollow To explain Iollow- -up importance oI operated eyes. up importance oI operated eyes.
Helper Helper
To arrange transportion and approach Ior the blinds with the help oI NGO`s and To arrange transportion and approach Ior the blinds with the help oI NGO`s and
local leaders. local leaders.
Accompany and assist the patients during examination. Accompany and assist the patients during examination.
To assist the patient during eye operations and Iollow To assist the patient during eye operations and Iollow- -up. up.
To help in supply oI medicines aIter discharge oI patients. To help in supply oI medicines aIter discharge oI patients.
To take assistance Irom NGO`s Ior assisting in eye camps etc. To take assistance Irom NGO`s Ior assisting in eye camps etc.
To help in providing Iree spectacle to patients aIter cataract surgery. To help in providing Iree spectacle to patients aIter cataract surgery.
#ole #ole Works / Functions Works / Functions
Motivator Motivator
To motivate cataract patients and their relatives so that the patients identiIied To motivate cataract patients and their relatives so that the patients identiIied
patients can be operated. patients can be operated.
To motivate patients to reach base hospitals/ IOL centres. To motivate patients to reach base hospitals/ IOL centres.
To inIorm regarding Iree transportation and Iree medical Iacilities to the said To inIorm regarding Iree transportation and Iree medical Iacilities to the said
centres. centres.
Provide inIormation about beneIits oI the cataract surgery with IOL`s. Provide inIormation about beneIits oI the cataract surgery with IOL`s.
To motivate the operated patients to Iollow proper Iollow To motivate the operated patients to Iollow proper Iollow- -up instructions and up instructions and
medications to avoid inIections. medications to avoid inIections.
To identiIy the school children with deIective vision and reIerred to PHC/CHC. To identiIy the school children with deIective vision and reIerred to PHC/CHC.
To help in distribution oI Iree spectacles to BPL students with deIective vision. To help in distribution oI Iree spectacles to BPL students with deIective vision.
To motivate (the population covered by her) Ior eye donation and registration in To motivate (the population covered by her) Ior eye donation and registration in
nearby eye banks. nearby eye banks.
ncentive ncentive
#s. Upto 175 can be paid to ASHA`s Ior above said cataract surgery related #s. Upto 175 can be paid to ASHA`s Ior above said cataract surgery related
work. work.
#s. 25 can be paid to assist the children and procuring spectacles by BPL #s. 25 can be paid to assist the children and procuring spectacles by BPL
children. children.
Nicro Nicro· ·Planning at District Level Planning at District Level
Resource mapping for preparing District Action Resource mapping for preparing District Action
Plan Plan
·· isting isting of of blind blind persons persons (in (in both both eyes) eyes) through through trained trained
health health staff, staff, NC", NC", PR PR member member or or volunteer volunteer
·· Napping Napping of of eye eye care care infrastructure infrastructure -- govt govt. ., , NC" NC" SS
Private Private sector, sector, allot allot work work load load @ @ 700 700 cataract cataract
surgery/eye surgery/eye surgeon surgeon SS S0 S0/bed /bed
·· Distribute Distribute geographical geographical areas areas to to eyecare eyecare facilities facilities
·· Target Target setting setting : : 600 600 CSR/lack CSR/lack pop pop. ., , S0 S0% % coverage coverage for for
women, women, 40 40% % coverage coverage to to SC/ST/Ninority SC/ST/Ninority SS BP BP
clients clients for for free free cataract cataract surgery surgery
Nicro Nicro· ·Planning at District Level Planning at District Level
·· Promote Promote institutional institutional " " surgery surgery with with
requisite requisite infrastructure infrastructure SS manpower manpower
·· Assessment Assessment of of drugs drugs consumables consumables SS other other
material, material, manpower manpower SS financial financial resources resources
·· Concurrent Concurrent monitoring monitoring for for quality quality control control SS
validation validation of of reported reported data data regarding regarding follow follow··
up, up, provision provision of of spectacles spectacles SS client client
satisfaction satisfaction
Nulti Nulti· ·sectoral Action at District Level sectoral Action at District Level
DN
Providing leadership
"verall supervising S monitoring
CN"/Eye surgeon/DPN
ntegrate eye care with Primary health care
Resource (including finance) management
Ensure logistics
Nonitoring S evaluation
Distt. Education
"fficer
"rganizing school
eye care programme
Spectacles to
children with
refractive error
NC"
Adopt area for services
dentify clients,
organize screening
camps, transport client
to base hospital
Follow up of operated
clients
Community eaders/PR/
ink Worker/ Women Croups
Spread awareness on
availability of services
Help clients to obtain
services
Help · identify clients, blind
screening camps, school
screening camps S mobilize
manpower S resources
Private Sector
Timely report on
cataract surgeries to
DBCS
Adopt villages for free
surgeries
Spread awareness
"ther Sector, DRDA,
Social Welfare, Nedia
Spread awareness
for eye care
Organisational Structure for Organisational Structure for
NPCB NPCB
Administration
Central "phthalmology Section, DCHS, N"HS FW, C"
State State "phthalmology Cell, DCNHS·UP/State Health Society
District District Blindness Control Society
Service Delivery and Referral System
Tertiary Level Regional nstitutes of "phthalmology S
Centres of Excellence in Eye Care
Nedical Colleges
Secondary Level District Hospital and NC" Eye Hospital
Primary Level
Sub·district level Hospitals/CHCs Nobile "phthalm
Units Upgraded PHCs, ink Workers / Panchayats
DBCS DBCS
Autonomous Autonomous society society to to implement implement NPCB NPCB
Representation Representation from from govt govt. ., , NC" NC" SS private private sector sector
Decentralized Decentralized planning, planning, management management SS monitoring monitoring
Direct Direct funding funding from from C", C", empowered empowered to to utilize utilize SS raise raise
funds funds
Forum Forum for for community community participation participation
Chairman Chairman: : DN, DN, vC vC: : CN", CN", Tech Tech. . adviser adviser: : H"D H"D deptt deptt. . "f "f
"phth "phth NC/ NC/ Distt Distt. . Eye Eye surgeon, surgeon, member member sec sec: :
DyCN"/Addl DyCN"/Addl. .CN", CN", members members: : NC"/ NC"/ private private sector/ sector/
media media
Function Function: : Planning Planning·· preparation preparation of of annual annual action action plan plan SS
its its implementation, implementation, monitoring monitoring of of activities activities SS quality quality
control, control, financial financial SS material material management, management, soicial soicial
mobilization mobilization SS EC, EC, orientation orientation of of health health SS other other
functionaries, functionaries, procurement procurement of of approved approved equipments equipments SS
consumables consumables SS monitoring monitoring and and assistance assistance to to Eye Eye Banks Banks
and and Eye Eye donation donation centers centers
Assistance to overnment ixed Assistance to overnment ixed
acilities acilities
rom rom O! O!
"phthalmic "phthalmic equipments equipments for for " " surgeries surgeries
Consumables Consumables: : sutures sutures SS " " lenses lenses
" " training training to to eye eye surgeons surgeons (( @ @ Rs Rs 4S000 4S000// trainee) trainee)
Training Training of of N"s N"s SS paramedics, paramedics, teachers teachers SS link link workers workers
rom rom DBCS DBCS
Drugs Drugs SS consumables consumables required required for for cataract cataract surgery surgery @ @ Rs Rs. . 1S0 1S0// case case
for for CCE, CCE, Rs Rs. . 200 200// for for ECCE ECCE ", ", Rs Rs. . 2S0 2S0 for for SCS/PHAC" SCS/PHAC"
Spectacles Spectacles prescribed prescribed following following refraction refraction: : 44 to to 66 weeks weeks after after
cataract cataract surgery( surgery( @ @ Rs Rs. . 12S 12S// pair) pair)
Transportation Transportation of of patients patients from from screening screening campsto campsto the the hospitals( hospitals( @ @
Rs Rs 100 100// patient) patient)
Sutures Sutures SS "s "s either either received received from from C" C" or or purchased purchased locally locally in in
case case of of short short supply supply
Ninor Ninor repair repair // maintenance maintenance of of equipments equipments
istrict Hospital 70
District Mobile Unit 60
Divisional Mobile Unit 9
OL Centres at CHC & other Hospital 238
#egional nstitute of Ophthalmology 1
Ophthalmic Depart. in State Medical College 10
Ophthalmic Depart. in Private Medical College 5
#egistered Eye Banks 15
State Ophthalmic Cell/Project Cell 1
Civil Construction
Eye Ward 20 Bedded 8
Eye Ward 10 Bedded 24
Only Operation Theatre 47
Dark #oom 152
D.B.C.S #egistered 70
ye Care !nfrastructure ye Care !nfrastructure· ·in U.P. in U.P.
Support of Technical Trained Staff
Eye Surgeons 362
PMOA(Optometerist) 929
OL Trained Eye Surgeon 360
MSCS Trained Eye Surgeon 100
Surgical NGO`s 50
Private Eye Surgeon 1200
Assistance to NO Organizations Assistance to NO Organizations
11.. !A !A for for free free cataract cataract surgery surgery !n !n RS RS
Component Component CCE CCE ECCE/" ECCE/" SCS/PHAC" SCS/PHAC"
Drugs S consum. Drugs S consum. 1S0 1S0 200 200 200 200
Sutures in kind by DBCS Sutures in kind by DBCS S0 S0 S0 S0 00
" S material " S material 00 200 200 2S0 2S0
Spectacles Spectacles 12S 12S 12S 12S 12S 12S
Transportation Transportation 100 100 100 100 100 100
"rganizational overheads "rganizational overheads 7S 7S 7S 7S 7S 7S
Total Total S00 S00 7S0 7S0 7S0 7S0
* Rs. 17S per operate case can be paid by DBCS to Panchayats for transportation
S organizational overheads
22. . Non Non recurring recurring CA CA of of Rs Rs. . 2S 2S lacs lacs for for NC"s NC"s for for
expansion/ expansion/ up up··gradation gradation of of eye eye care care units units for for tribal tribal
or or backward backward rural rural population population for for: :
·· Construction of wards S "T Construction of wards S "T
·· Procurement of ophthalmic equipments Procurement of ophthalmic equipments
·· Purchase of vehicles for mobilizing patients Purchase of vehicles for mobilizing patients
·· Furnishing and fixtures for wards S "T Furnishing and fixtures for wards S "T
33. . Recurring Recurring grants grants to to Eye Eye Banks Banks·· Non Non recurring recurring
CA CA of of Rs Rs. . 10 10 lacs lacs to to NC"s NC"s for for setting setting up/ up/
strengthening strengthening of of eye eye banks banks for for: :
·· Purchase of equipments, medicines Purchase of equipments, medicines
·· Furnishing and fixtures in the eye bank Furnishing and fixtures in the eye bank
·· Purchase of vehicles Purchase of vehicles
·· "ther items required for eye banks "ther items required for eye banks
Contd.. Contd..
44. .Recurring Recurring CA CA for for collecting collecting donated donated eyes eyes: :
·· Up Up to to Rs Rs. . 1000 1000 per per pair pair of of yes yes collected collected for for
P"/ P"/ transportation/ transportation/ hiring hiring of of vehicles, vehicles,
consumables consumables items items required required in in eye eye collection, collection,
storage, storage, testing, testing, counseling counseling and and for for personnel personnel
cost cost
Eligibility Eligibility: :
·· A A society society registered registered under under ndian ndian Societies Societies
Registration Registration Act Act 1860 1860 or or any any other other such such act act
resolved resolved bystate,or bystate,or aa charitable charitable public public trust trust
registered registered under under law law for for time time being being in in force force
·· Track Track record record of of having having experience experience in in providing providing
health health services services for for aa minimum minimum of of three three years years
·· Having Having available, available, well well trained trained staff, staff,
infrastructure infrastructure SS managerial managerial expertise expertise
·· Agreeing Agreeing to to abide abide by by guidelines guidelines SS norms norms of of the the
program program
Contd.. Contd..
Nonitoring S !nformation low Nonitoring S !nformation low
State Cell
Data entry in specific software for NS
Data analysis S feed·back
"utput from Sentinel Surveillance Units
Use of information for evaluation S policy implication
District Cell
Compilation of information from various providers
Random verification of sample of operated cases
Compilation of information in standard proforma
Timely reporting of information to State/Central levels
R!O
Recording of Activity nformation
Standard Cataract Surgery Records S Discharge Cards
Compilation of information at Provider evel
Thank You Thank You



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