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    Cataract Backlog Free District Initiative: North Tripura District Cataract Backlog Free District Initiative: North Tripura District

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    satyakam
    This document summarizes a cataract backlog reduction initiative in North Tripura District of India. It describes the large cataract surgery backlog problem in the region due to its remote, hilly terrain and lack of eye care services. The initiative aims to address this through strengthening health infrastructure, community mobilization, free transportation and cashless surgery services for patients through screening camps and partnerships with NGOs. Within 3 months, over 500 cataract surgeries were performed successfully on identified patients from 121 villages as part of this initiative. The program aims to further scale up efforts to address the large estimated cataract backlog in North Eastern India through optimal use of available financial and human resources.

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    Cataract Backlog Free District Initiative: North Tripura District Cataract Backlog Free District Initiative: North Tripura District

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    satyakam
    83 views11 pages
    This document summarizes a cataract backlog reduction initiative in North Tripura District of India. It describes the large cataract surgery backlog problem in the region due to its remote, hilly terrain and lack of eye care services. The initiative aims to address this through strengthening health infrastructure, community mobilization, free transportation and cashless surgery services for patients through screening camps and partnerships with NGOs. Within 3 months, over 500 cataract surgeries were performed successfully on identified patients from 121 villages as part of this initiative. The program aims to further scale up efforts to address the large estimated cataract backlog in North Eastern India through optimal use of available financial and human resources.

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    4-Tripura

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    This document summarizes a cataract backlog reduction initiative in North Tripura District of India. It describes the large cataract surgery backlog problem in the region due to its remote, hilly terrain and lack of eye care services. The initiative aims to address this through strengthening health infrastructure, community mobilization, free transportation and cashless surgery services for patients through screening camps and partnerships with NGOs. Within 3 months, over 500 cataract surgeries were performed successfully on identified patients from 121 villages as part of this initiative. The program aims to further scale up efforts to address the large estimated cataract backlog in North Eastern India through optimal use of available financial and human resources.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    83 views11 pages

    Cataract Backlog Free District Initiative: North Tripura District Cataract Backlog Free District Initiative: North Tripura District

    Uploaded by

    satyakam
    This document summarizes a cataract backlog reduction initiative in North Tripura District of India. It describes the large cataract surgery backlog problem in the region due to its remote, hilly terrain and lack of eye care services. The initiative aims to address this through strengthening health infrastructure, community mobilization, free transportation and cashless surgery services for patients through screening camps and partnerships with NGOs. Within 3 months, over 500 cataract surgeries were performed successfully on identified patients from 121 villages as part of this initiative. The program aims to further scale up efforts to address the large estimated cataract backlog in North Eastern India through optimal use of available financial and human resources.

    Copyright:

    © All Rights Reserved
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    of 11

    Cataract Backlog Free District Initiative:

    North Tripura District

    Dr Shailesh K Yadav, IAS


    MD NHM, Tripura
    NORTH TRIPURA DISTRICT PROBLEM STATEMENT

    1 Population 4,22,370
    • North Tripura is a Newly Created
    District having Border with Assam,
    2 Blocks 08
    Mizoram and Bangladesh
    3 District Hospital 01 • Difficult areas, hilly terrain, Tribal
    dominated
    4 Sub-Div Hospital 01
    • No dedicated DBCP Unit leading to
    5 PHC, CHC 18 poor eye services
    • Long queue for cataract surgery
    6 GP / ADC Village 121
    • People were going to Silchar
    7 Household 91,000 (Assam) for eye care services in pvt.
    Sector, leading to high OOPE
    Total families
    9
    enrolled for RSBY
    50,251 • Local Community Demand for eye
    care services.
    Project Outline
    • Special Initiative by District Administration & DHFWS
    • Baseline Survey (Tripura Eye Study): RAVI Method
    • L.V Prasad Eye Institute, Hyderabad in August, 2016
    • Planning
    • SWOT Analysis
    • MoU with Help Me See & P.C. Chatterjee Eye Hospital (NGOs)
    • Fund Provision: NHM & RSBY
    • Strengthening of Health Infrastructure
    • Training of ASHA/ Community Mobilization
    • PRI Body / Local NGO/CBO Involvement
    • Community level Screening by ASHA
    • Patient Evaluation at health facilities in campaign mode
    • Advance Calendar for Eye Screening and Cataract Surgery by DPCB
    Programme Description

    • Strengthening Health Infrastructure

    – District Hospital established in 2014


    – District Blindness Control Programme (DBCP) notified in
    2016
    • Involvement of District Hospital Rogi Kalyan Samity (RKS)
    • Necessary repair & maintenance of Eye OT + 3 OT tables
    • 50 Bedded dedicated Eye ward
    Programme Description
    Community mobilisation:
    1. Sensitization of PRI and NGO Members
    - District and Block level

    2. Development of Training Module for ASHA


    - AYUSH MOs as ToT & Monthly ASHA Varosha Divas

    3. Advocacy Meeting and VHNDs


    - MLA/ BDO/ CDPO/ School Education
    - Four VHND in each GP/ADC per month

    4. IEC -BCC
    - Four Types of Display in each GP/ADC Village
    - District IEC Mobile Van

    5. Screening by ASHAs & Patient Mobilization


    - House to House visit by ASHA (covering 300 population by each ASHA)
    - Mobilization of patients in PHC for evaluation on pre-determined dates
    Programme Description

    Patient Evaluation at Health Facility


    level:
    - Camp approach evaluation at each PHC
    by District Eye Surgeon, MO I/C,
    Ophthalmic Assistant

    - On spot Computerised data base on the


    basis of diagnosis
    - line listing of cases done

    - Supply of spectacles within 10 days to


    the PHC / CHC

    - Distribution of spectacles by ASHAs at


    patient doorstep.
    Programme Description
    • Cashless Services for Patients :
    - A prime feature of the project

    - Free To and fro of patient from PHC to


    District Hospital
    - Hiring of Two Mini Buses (30 Seated) for
    free transportation
    - Providing cashless services under RSBY
    and NPCB to patients
    - Availability of Pre-sterilised single use
    kits along with experienced eye surgeons
    (Help Me See and P C Chatterjee)- MSICS
    - IEC, Post -surgery counselling (Local
    NGO/CBO)
    Financial Implication

    • ASHA incentive of 3 Rs per household visit


    and regular incentive under NPCB
    - Rs. 2.5 L – ASHA incentive from MFP.
    • Repairing infrastructure of Eye OT at
    District Hospital
    - Rs. 5.00 L from District Hospital RKS.

    • Development of IEC Materials, Training Kit


    - Rs. 2.00 L From IEC head under MFP.

    • RSBY beneficiaries
    • NPCB: NGO provision
    Programme Outcome
    • Estimated blindness suffering population - 1281 as per study
    - 80000 household visit by 907 trained ASHAs
    - 2286 Patients evaluated at Health Facility level
    • 648 cataract cases identified within 03 months from 121 villages
    - 83% surgery (538) done successfully in single OT at North District
    Hospital between March to May 2017
    • Cashless services to beneficiaries under RSBY
    • Cashless services to non-RSBY from NPCB
    • 1500 nos. Refractive Error corrected by distribution of spectacles
    - Tele-ophthalmology (1200 nos.) / Health Camp (300 nos.)
    • Community Ownership and Demand Generation at village level.
    • Self reporting, patient inflow from Assam/Bangladesh- 300 surgeries in
    pipeline.
    Scalability
    • Since 2012-2013, the 08 North Eastern States on
    an avg could do only 32% of Cataract Surgeries
    Disease Burden against the target.
    • As per data from NPCB: total estimated backlog
    for North Eastern states is 10,12,868.

    Financial • RSBY And National Health Mission


    Resources • CSR Funds

    Human • MPWs, ASHAs, Ophthalmic assistants


    Resources • NGOs

    • WHO and NPCB target is to reduce prevalence of


    Vision 2020 Blindness to less than 0.3 % . By use of all resources
    in planned manner with focus on high backlog areas
    above targets can be achieved
    THANK YOU

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