Organisation and Management of Eye Care Programme Service Delivery Models

Eye care program management: Efficient models ensure accessibility, quality, and sustainability, promoting community engagement and optimal vision health.

1. Organisation and Management of Eye Care Programme Service Delivery Models Presented by: Harsh Rastogi PhD Student Advanced Eye Centre

2. Introduction National Program for Control of Blindness, 1976: Goal: Reduce blindness prevalence from 1.4% to 0.3% by 2020. Focus primarily on cataract-related blindness. Success story: Decrease in cataract prevalence. Increased cataract surgical rate (CSR). Definition change to National Program for Control of Blindness & Visual Impairment, 2017: Aim: Address overestimation of blindness in India due to differences in criteria. New goals: Expand focus to include other causes of visual impairment such as diabetic retinopathy, glaucoma, childhood blindness, low vision, and cataract.

3. Importance of Eye Care Programs

4. Objectives of Eye Care Programs

5. Indian Community Health System

6. Service Delivery & Referral Network

7. Service Delivery Models Overview

8. Hospital-Based Models

9. Community-Based Models Community-based models bring eye care services directly to communities through mobile clinics, outreach programs, and community health workers. These models can overcome geographical, financial, and cultural barriers, leading to improved access, uptake, and outcomes.

10. Integrated Health Systems Integrated health systems involve incorporating eye care services into existing healthcare infrastructure, such as primary care clinics, health centres, and hospitals. This approach improves accessibility, continuity of care, and cost-effectiveness.

11. Telemedicine and E-Health Telemedicine enables remote diagnosis, consultation, and monitoring of eye conditions using telecommunications technology. This approach can overcome geographical barriers, increase access to specialist care, and improve patient outcomes.

12. Public-Private Partnerships (PPPs) PPPs involve collaboration between government agencies, private sector companies, and non-profit organizations to deliver eye care services and address public health challenges. PPPs can harness the strengths and expertise of multiple stakeholders, enhance service delivery capacity, and achieve greater impact.

13. NGO-Driven Models NGO-driven models involve non-governmental organizations taking the lead in planning, implementing, and managing eye care programs. These models are flexible, innovative, and community-engaged, leading to sustainable and culturally appropriate interventions.

14. Human Resource Management Human resources are the backbone of eye care delivery, encompassing a diverse range of professionals, including ophthalmologists, optometrists, nurses, and community health workers. Strategies for recruiting, training, and retaining qualified eye care professionals are essential for effective eye care delivery.

15. Training and Capacity Building

16. Infrastructure and Equipment

17. Financing Mechanisms Financing refers to the mechanisms used to fund the delivery of eye care services, including government funding, insurance schemes, user fees, philanthropy, and donor support. Sustainable financing models are essential to ensure the availability, accessibility, and affordability of eye care services over time.

18. Monitoring and Evaluation

19. Challenges and Solutions Challenges: Limited resources infrastructure constraints workforce shortages accessibility barriers Solutions: Include advocacy efforts to mobilize resources Partnerships to leverage strengths and expertise Technology adoption to improve efficiency Community engagement to address local needs and preferences

20. Comprehensive Primary Eye Care (HWC)

21. Comprehensive Primary Eye Care (cont.) Eye Health Assessment Tool (EHSA) domains Specific provisions for eye care under Ayushman Bharat Governance Health and Wellness Centre (HWC) linked to nearest Primary Health Centre (PHC) Medical Officer at PHC in charge of linked HWC Health Financing Pradhan Mantri Jan Arogya Yojana (PM-JAY) insurance scheme Provision to cover 42 eye care packages for surgeries at tertiary centers Health information system Data recording formats available at HWC This information is then uploaded into (HWC) online portal Human resource Community health officer at (HWC) is responsible for carrying out all the general and eye related activities Medicine & Technology Eye care specific medicines available at health and wellness centers and higher centers according to National List of Essential Medicines (NLEM) Telemedicine platform to create hub (specialist center) and spoke (HWC’s) model to expand eye care services to the rural population Service delivery Refer to slide 6

22. Best Practices Best practices include: Standardized protocols Quality assurance measures Patient centred approaches Implementing best practices can: Improve efficiency Effectiveness Equity in eye care services

23. Future Directions

24. Conclusion Effective organization and management are crucial for the success of eye care programs. By adopting evidence-based approaches, leveraging partnerships, and prioritizing patient-centred care, eye care programs can improve access, quality, and outcomes for individuals and communities.

25. Thank You!