Aravind Eye Hospital, Madurai

In 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 India
1992 ‡ 30 million blind people all over the World ‡ 12 million in India
± 95% due to cataract related

2000 ‡ 18.7 million blind people
± 9.7 million blindness cases related to Cataract- related

2010 -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.

Aravind Eye Care System
Eye Care Facilities
(Aravind Eye Hospitals) Community Outreach Programs Lions Aravind Institute of Community Ophthalmology (LAICO) MISSION: To eradicate needless blindness by providing appropriate compassionate and high quality eye care for all

Education & Training Aravind PG Institute of Ophthalmology

Making technology affordable (Aurolab)

Telemedicine

Research Aravind Medical Research Foundation Eye Bank Rotary Aravind International Eye Bank

Service Sequence at Aravind Eye Hospital
Registration Vision Recording Preliminary Examination

Refraction Test

Tear Duct Function

Testing of Tension

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)

Leveraging technology

Constraints in turning up for examination
Causes of not turning up Still have vision , however diminished Cannot afford food and transportation Cannot leave family Fear of surgery No one to accompany Family opposition Others Percentage 26 25 13 11 10 5 10 Remedies being used Camps at peoples reach Camp sponsored Patients transported in Groups supported by volunteers

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%)
³Achievements 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

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