NPCB_Gujarat

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    National Program for Control of

    Blindness in Gujarat India was the first country to launch a National

    Program for Control of Blindness in 1976.

    State Government of Gujarat started

    implementation of this programme in 1978.

    To bring more intensity in the programme

    Government of Gujarat has launched Drashtry

    Programme on 26th

    Jan. 96. Gujarat is committed to reduce the burden of

    avoidable blindness by the year 2020 by

    adopting strategies advocate for VISION 2020.

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    To provide high quality of Eye care to the affected

    population.

    To expand coverage of eye care services to the

    underserved areas.

    To reduce the backlog of blindness by identifyingand providing services to the affected population.

    To develop institutional capacity for eye care.

    Services by providing support for equipment &

    material and training personnel.

    Goal :

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    ACTIVITIES UNDER NPCB

    Cataract Surgery.

    School Eye Screening Programme.

    Eye Banking.

    Co-ordination with NGO and Private Sector.

    Preparation of Village Blind Register.

    IEC activities.

    Training of Ophthalmic Surgeon, Ophthalmic

    Assistant, Medical Officers and Paramedical

    workers.

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    CATARACT

    Gujarat has achieved more than 100% of cataract surgery

    since 1997-98.

    During the decade of eighties, the total cataract operations

    being performed in Gujarat State were only 75000 to

    100000 per year. Now it has increase to 600000.

    Gujarat is also achieving the highest Cataract Surgery

    Rate (CSR) per lack population consistently for the last

    seven years.

    The CSR has been increase from 383 / lac population in1994 - 95 to 1150 in the year 2006-07.

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    Trend of Cataract Surgery

    During : 2002-03 to 2006-07

    400000 410000

    450000

    500000 500000

    436740 449234

    490205

    548232

    610958

    0

    100000

    200000

    300000

    400000

    500000

    600000

    700000

    2002-03 2003-04 2004-05 2005-06 2006-07

    Target Achievement

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    DistrictwiseCatar

    actSurgery

    Trend

    During::

    2006-07

    178

    167

    166157

    129

    126

    120

    107

    106

    104

    10

    10

    10

    10

    102

    102

    101

    100

    99

    97

    91

    040

    80

    120

    160

    200

    A eda ad

    Surat

    K edaand inagar

    a t

    Vad dara

    a nagar

    Anand/ etad

    anc a a

    Junagad

    atan

    Me sana

    Da d

    aruc

    Sa ar ant a

    a sari

    r andar

    Ja anagar

    A rei

    ar da

    Va

    sad

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    Year wise Cataract Surgery Rate (CSR) Per lac population

    846 863

    941

    1032

    1150

    0

    200

    400

    600

    800

    1000

    1200

    1400

    2002-03 2003-04 2004-05 2005-06 2006-07

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    School Health Programme Approximately 6 to 7 % of children in the age group

    between 6 to 14 years found to be having Eye problems.

    The common causes are refractive errors, Vita. A def.,corneal opacity, cataract, Glaucoma.

    Government of Gujarat has launched and successfullydoing well in School Health Programme since last 5 years

    and spend Rs. 3 Crorers/Year for the programme. This programme is running with the co-ordination of primary

    education department.

    One teacher from each primary school preferably ladiesteacher wearing the glass is trained for primary eye

    examination of the school children. In the year 2006-07, 7600 teachers have been trained.

    With the efforts the no. of children screened have beenincreased from 6887584 in 1998-99 to 8417655 in 2006-07.

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    Trend of SES Children Screened and Given Free Glasses

    During 2002 - 03 to 2006 - 07

    83750148129044

    92173219744724

    8417655

    38297

    43980

    39936

    10297

    35687

    0

    1000000

    2000000

    3000000

    4000000

    5000000

    6000000

    7000000

    8000000

    9000000

    10000000

    2002-03 2003-04 2004-05 2005-06 2006-07

    0

    5000

    10000

    15000

    20000

    25000

    30000

    35000

    40000

    45000

    50000

    Children Examined Free Spects Provided

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    Eye Banking

    Eye donation activities have been alsoincreased in last five years. 25 % of thetotal Eye donation in country.

    There are 11 Eye banks in Gujarat.

    Every year a fortnight from 25thAugust to8th September is celebrated for promotionof Eye donation campaign.

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    Eye Donation Activity (Last five years)

    No. Year Target Eye Donated

    2002-03 3000 0

    2 2003-0 3000 60 2

    3 200 -0 000 3 6

    200 -06 6000 6

    2006-07 6000 6

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    Assessment of blindness.

    Development of Infrastructure.

    Human resources development.

    Public Awareness.

    Co-ordination and Networking.

    Challenges for Government

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    NGOs and private sectors have been remainedas pillars of success of National Program for

    Control of Blindness in Gujarat.

    They are involved in different activities like

    Preparing of Village blind registers, ScreeningCamps, Motivation and Transport of Surgical

    patients providing Primary Eye care facilities,

    School Eye Screening, Training programmes,

    Eye donation activities.

    Government and NGO(1)

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    In Gujarat there are 174 No. of NGOs working insuch activities. Certain NGOs in different district

    have registered themselves as base hospitals to

    provide all type of Eye care facilities.

    In such base hospitals cataract surgeries andother eye surgeries are done free of costs under

    Government schemes. They also provide

    Medical treatment for Glaucoma, Diabetic

    Retinopathy etc. Government has Revised the pattern of

    assistance to NGO from 1st Oct. 2004.

    Government and NGO(2)

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    Revised pattern of assistance to NGO

    Assistance to Non-government Organizations

    Grant-in-aid for free cataract surgery Grant-in-aid of a maximum amount of Rs. 500 for

    conventional surgery and Rs. 750 for IOL surgery including

    SICS/Phaco surgery.

    Component ICCE ECCE/IOL SICS/PHACO

    Drugs and consumables 150 200 200

    Sutures(in kind by DBCS) 50 50 0

    Intraocular Lens &material 0 200 250

    Spectacles 125 125 125

    Transportation 100 100 100

    Organization overheads 75 75 75

    Total Grant-in-aid 500 750 750

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    Non-recurring grant-in-aid of Rs. 2 lakhs to NGOs for

    expansion or up gradation of eye care units for tribal or

    backward rural population for ;

    Construction of wards and OTs.

    Procurement of ophthalmic equipments.

    Purchase of vehicle for mobilization of patients &.

    Furnishing and fixture for wards/OTs.

    Eligibility:

    (1) The scheme seeks to enhance capacity to provide eye care facility forunderserved population having no access to such facilities within 40 to 100 Kmrange either in public or in private sector. For this either NGO must be locatedin such a area where eye care facilities are not available within 40 to 100 kmrange, or NGO has to adopt minimum two taluka besides its working areawhich are underserved and for this it has to submit a bond to Government.

    (2) NGO will be provided this non-recurring GIA on a. 1:1 sharing basis maximumupto 25 lakhs.

    (3) Population of services area should covered 5 lakhs population.

    (4) NGO has to perform minimum 1000 cataract surgery per year.

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