National programme for blindness control.pptx

National programme for blindness control

1. NATIONAL PROGRAMME FOR CONTROL OF BLINDNESS 1

2. 2 Definition of Blindness under NPCB Inability of a person to count fingers from a distance of 6 meters or 20 feet. Main causes of Blindness are Cataract(62%), Refractive error(20%), Glaucoma(6%), Corneal Blindness(1%), Surgical Complications(1%) and Others(4%).

3. 3 GLOBAL BURDEN OF BLINDNESS As per WHO Statistics:- 285 million people visually impaired worldwide 39 million are blind & 246 million have low vision 82 % of people living with blindness are aged 50 & above. Globally uncorrected refractive errors are the main cause of visual impairment. Cataract remain the leading cause of blindness in middle & low income countries.

4. 4 NATIONAL BURDEN OF BLINDNESS Out of 39 million blind people across globe , India has 8 million blind person. As per 2006-07 survey the prevalence of blindness was 1%. Prevalence of blindness- > 50 years was 8.5 %. Childhood blindness is 0.8 /1000. Children 5-15 yrs the visual impairment is 6.4%.

5. 5 Introduction India was the first country in the world to launch National Level Blindness Control Programme. NPCB was launched in 1976 as a 100% centrally sponsored programme. In 1994-95 programme decentralized with formation of District Blindness Control Society in each district. Goal - to reduce the prevalence of blindness from 1.4 to 0.3% by 2020.

6. 6 Objectives of NPCB To continue 3 ongoing major objectives i.e., performance of 66 lacs cataracts operations per year; school eye screening & distribution of 9 lacs free spectacles per year for refractive errors; and collection of 50 thousand donated eyes per year for keratoplasty.

7. 7 Co n t d ……. To develop comprehensive universal eye care services and quality service delivery. Strengthening and upgradation of Regional Institutes of Ophthalmology to Centre of Excellance in various sub-specialities. Strengthening of existing infrastructure facilities and to develop additional human resources for providing eye care in all districts.

8. 8 Co n t d …….. To enhance community awareness on eye care. To increase and expand research for prevention of blindness and visual impairment. To improve / develop participation of voluntary organizations/private practitioners in delivering eye care.

9. 9 Stratagies of Programme Continued emphasis on Free Cataract surgery through govt. health care system and through NGOs & private sectors. Making the program ‘ Comprehensive’ Active screening of population >50 yrs for cataract l

10. 10 Screening of children for refractive errors & provision of free glasses to the needy. Coverage of underserved areas ( Tribal areas) Capacity building of eye care providers IEC activities for creating awareness on eye care in the community improved & strengthen ing of medical colleges

11. 11 District hospitals also to be strengthened by upgrading infrastructure , staff & funds. Creating multipurpose district mobile ophthalmic units for improving coverage.

12. Organizational Structure 12

13. 13 Activities under NPCB Programme Cataract operations Involvement of NGOs I nformation education communication activities Management Information System School Eye Screening Programme Collection and utilization of donated Eyes Control of Vitamin A deficiency Monitoring and Evaluation by survey

14. 14 Cataract surgery by Steps to control cataract blindness 1. Identify the blind and list them in the village registers 2. Organise screening camps for confirming the cataract blind for referral 3. Transport the cataract blind to the base hospital 4. Follow up of the operated cases, carrying out refraction and providing best corrective spectacles. .

15. 15 School Eye Screening Programme 5%-7% of children aged 10-14 years have problems with their eyesight affecting their learning at school. Teachers have been trained to screen the children. Screening is to be done on an annual basis. After confirmation by Ophthalmic Assistants, glasses are prescribed or provided free of cost to the poor. During 2012-13, 7,08,861 school age children have been provided free spectacles

16. Collection and Utilization of Eye donation Corneal blindness accounts for 1 % of all cases of blindness. It mainly occurs among children and young adults. Common causes include vitamin A deficiency, eye infections and injuries. Donated eyes need to be removed within 6 hours of death of the individual. It is to be preserved in specific solutions in eye banks and utilized for transplantation within 72 hours. Eye donation fortnight is organized from 25th August to 8th September every year to promote eye donation/eye banking. 22

17. 17 Development of infrastructure : Construction of eye wards, operation theatres and dark rooms was taken up during ninth plan .

18. 18 IEC Activities : IEC activities are taken up at central, state and district level. Special comp s for mass awareness are taken up during eye donation fortnight (25th August to 8 th september) and world sight day (2nd Thursday of October). Support to voluntary organisations : Voluntary Organisations pla y a n impo r t a n t role in imple m e n ting v arious activities under the programme. For expansion/ D of eye care units in tribal and backward rural areas

19. New initiatives of the program in 12 th 19 Five Year Plan . Distribution of free spectacles Telemedicine in ophthalmology department Provision of multipurpose District Mobile Ophthalmic Units in all districts all over the country.

20. 20 VISION 2020: Right to Sight Global initiative to reduce avoidable blindness (preventable and curable) by the year 2020. Target Diseases: Cataract Refractive errors Childhood blindness Corneal blindness(trachoma) Glaucoma Diabetic retinopathy

21. 21 These two measures are: providing refractive services cataract surgery The basis of reduction of ‘avoidable blindness’ depends not only on specific eye care services but also on other sectors like- -RCH: immunization against (rubella,measles), nutrition, prematurity Safe water and basic sanitation.

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