Aravind Eye Hospital, Madurai

Aravind Eye Hospital, MaduraiIn 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 India1992• 30 million blind people all over the World• 12 million in India

– 95% due to cataract related2000• 18.7 million blind people

– 9.7 million blindness cases related to Cataract- related2010 -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.

MISSION:To eradicate needless blindness by providing appropriate compassionate and highquality eye care for all

Eye Care Facilities(Aravind Eye Hospitals)

Lions Aravind Institute of Community

Ophthalmology (LAICO)

Making technologyaffordable(Aurolab)

ResearchAravind Medical

Research Foundation

Eye BankRotary Aravind

International Eye Bank

Telemedicine

Education & TrainingAravind PG Institute of

Ophthalmology

Community OutreachPrograms

Aravind Eye Care System

Service Sequence at Aravind Eye Hospital

Registration Vision Recording

Preliminary Examination

Testing of Tension

Tear Duct FunctionRefraction Test

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)

Constraints in turning up for examination

Causes of not turning up Percentage Remedies being usedStill have vision , however diminished 26 Camps at peoples reach

Cannot afford food and transportation 25 Camp sponsored

Cannot leave family 13 Patients transported in Groups supported by volunteersFear of surgery 11

No one to accompany 10

Family opposition 5

Others 10

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%)

“Achievements 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

Thank You