Hospital Centre Based Community

Eye Health Project

For All The World To See

Soumya Moosa
Operation Eyesight Universal
•Established in 1963
•Presence in India, Africa, Nepal and Bangladesh.
•Headquarters in Calgary, Canada and South Asia Country office in Hyderabad.
•Currently working in partnership with 32 eye hospitals in 16 states
•Extend technical and financial support to eye hospitals
•Community based initiatives
•Initiatives to improve quality of services
•Research and advocacy
•SUNETRA – a partnership programme by LVPEI and OEU
•4 locations
Need for combined approach
• Despite hospitals long presence, problems of blinding diseases continue to
exist
• Gaps continue to exist between community, primary and secondary level
services.
• Barriers at community level cannot be addressed through outreach
programmes
• Under-utilization of existing Government infrastructure and services.
• Lack of sufficient human resources for primary eye health care.
• Target communities fail to receive services on a sustainable basis.
Hospital Based Community Eye Health Programme
• Hospital based and managed.
• Rooted in and owned by the community.
• Strong vertical linkages to primary and secondary eye care services
• Strong horizontal linkages with PHC services
• Measurable interventions
• Long lasting results
• Fuller utilization of Hospital’s capacity
• Elimination of avoidable blindness
Way forward

People’s
Participation
Key issues at community level
HBCEHP: The concept

Base
hospital
HBCEHP approach: The concept
Promote community eye health as an integral part of
secondary level services with proper integration of PEC
into PHC and develop effective linkages with other
sectors of development for the elimination of avoidable
blindness among the vulnerable population.
Objectives
Goal: To eliminate avoidable blindness in the service area of the hospital
within 5 years.

Objectives:
• Improve eye health seeking behaviour of the population
• Reduce backlog of blinding/ visual impairment causes by over 90%
• Strengthen and Integrate primary eye care services into existing primary
health services.
• Network with relevant governmental and non-governmental agencies
• Establish a referral system leading to sustained accessibility to eye care
services.
Project implementation Process
Target Area Selection/Delineation of Clusters

Recruitment of Project Coordinator and Cluster Based Field Workers

HBCEHP module training for Project Staff

Implementation of Project activities

Monitoring and Reporting

ABFV declaration

Evaluation/Impact Assessment
Expected Outcomes
• Increased knowledge and positive behavioral change towards eye health
• Strong linkages between community, primary eye center and the base hospital
• Strengthened primary health care system
• Integrated primary eye care services into primary health care system
• Increased walk in patients to Vision Centre/ base hospital
• Increased uptake of services
• Avoidable visual impairment and blindness controlled or reduced significantly in target areas
Evolution of HBCEHP
• Pilot project launched in Mettupalayam – Tamil Nadu in partnership with
EBRS in 2009
• Shared the results with partners in 2010 in partners meet
• All partners accept HBCEHP as a way forward
• Launched HBCEHP as a flagship programme of OEU
• Launched second project Rajganj Block, Siliguri with SGLEH in 2010
• Launched 13 projects in 2011
• Launched 8 projects in 2012, 13 in 2013 & 7 in 2014,……………………..
• Non financial technical partnership
The story of
Grandpa Morang
Paradise lost?
Paradise lost?
Guiding force
Chandra Prabha Eye Hospital
• Tertiary level eye
hospital
• Located in Jorhat
town
• All quality protocols
in place
 How do we get the patients to the hospital?

• Primary screening by trained

women community eye health
workers
• Screening programmes
• Transportation to hospital
• The ferry operates only twice a
day
Ms. Binu Hazarika
 Conclusion
• Referrals should start from community to primary and
secondary

• Women health workers and vision technicians contribute high

conversion rates

• Building capacity of PHC/ ICDS staff will help to sustain eye

health services
Thank You

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