Presentation on theme: "FACTS Avoidable blindness has been defined as blindness that could reasonably be prevented or cured within the limits of resources . Approximately 80%"— Presentation transcript:
1NATIONAL PROGRAMME FOR CONTROL OF BLINDNESS(NPCB) DR A S RATHORE ADG GOVT.OF INDIA,N.DELHI
2FACTSAvoidable blindness has been defined as blindness that could reasonably be prevented or cured within the limits of resources .Approximately 80% of all blindness is considered to be avoidable.
3FACTSAccording to WHO estimate 45 million people are blind in the World as of 2000;60% blindness due to cataract and refractive errors [treatable];15% was due to trachoma, vitamin A deficiency & onchocerciasis (Africa) [preventable]; another15% of blindness was due to DR and glaucoma [partly preventable, although more difficult];10% was attributable to age-related macular degeneration and other diseases [more research required for best treatment].Source: WHO
4Role of NPCB Policy Maker Monitor & Evaluator Budget Provider Guide and Supporter of Stake holders including Vision 2020 INDIA
5CAUSES OF BLINDNESS Others Surgical Complication Glaucoma Corneal BlindnessRefractive ErrorCataract
12Pattern of Central allocation on Health 1st Five Year PlanAmt in Rupees653 MillionPercent of total outlay3.4%5th Five Year Plan12526 Million3%10th Five Year PlanMillion4.0%11th Five Year PlanMillion6.5%
13NPCB Budget 9th Five Year Plan 2500 million INR 1.2 % of GDP on Health0.9 % of Health expdr on NPCB
18POLICY SHIFTStudies indicated that visual out come in makeshift surgical camps were much below the desired level.And surgical camps have been banned w.e.f 1997 by Govt. of IndiaThis led to a strategic shift from camps to fixed facilities where a regularly functional sterile OT is available.Village wise blind registry introduced through link worker.More emphasis to Community based servicesInvolvement of mass media and PRI.Emphasis on PPP
19Creating Enabling Environment For NGOs. Institutional Rs. 3.0 millionEye Rs. 1.5 MillionReimbursement per Rs. 750Reimbursement for eye ball Rs. 1500/-Reimbursement for D.R., Glaucoma, ARMD Rs 1000/-Free Spectacle( Rs. 200/-Contd… on next
20INDIRECT INCENTIVEDuty free import of sight saving equipment, goods & medicinesLow cost supply made available in the Country forIOLMicro surgical suturesDrugs & disposableSupported quality institutions to grow to provide best eye care services at an affordable price (FCRA) etc.
21QUALITY MONITORING 5% cross verification for quality improvement Regular Evaluations by independent agencies.Local studies through SSU’s
31Assumptions: Desired CSR for India: 9,000 The CSR in a given state is driven by the > 50 yrs population which is 12.6% in Bihar and 16.0% in India as a whole.StateBiharPopulation of service Area:82,998,509CSR 1,684 for Bihar5,000 for IndiaEye Care PotentialRatePerPotential NeedCurrently TreatedUnmet NeedCataract Surgery7,0891,000,000588,380139,769448,610Spectacles5100 4,149,92565,0004,084,925Diabetes Prevalence2.50% 2,074,963- Diabetic Retinopathy20.00%of the diabetics414,9933,000411,993Glaucoma Patients1 829,9851,000828,985Incurably Blind 82,99982,899Low Vision Persons200829,785
32PPP in Bihar7districts(K.ganj,Katihar,Munger,Begusarai,Bhagalpur,Purnia,SamastipurMoU in 1 district - KishanganjSightsavers will share the Kishanganj experience
33Revised Financial Norms under 11th Five year Plan Financial norm during 10th PlanRevised financial norm during 11th PlanNew RIO(Non-recurring assistance) -Rs. 50 lakhRs. 60 lakhExisting RIO(Non-recurring assistance -Rs.30 lakhRs. 40 lakhMedical Colleges(Non-recurring assistance) -Rs. 30 lakh
34Financial norm during 10th Plan Revised financial norm during 11th PlanDistrict Hospitals(Non-recurring assistance)-Rs. 12 lakhRs. 20 lakhSub-district Hospitals(Non-recurring assistance)-Rs.3 lakhRs. 5 lakhVision Centres(Non-recurring assistance) Rs /-Rs.50,000/-
35Financial norm during 10th Plan Revised financial norm during 11th PlanEye Banks(Non-recurring assistance) -Rs. 10 lakhRs. 15 lakhRecurring Assistance -Rs.1000 per pair of EyesRs.1500 per pair of EyesEye Donation Centre – Rs.500 per pair of EyesRs.1000 per pair of EyesNGOs for strengthening/expansion of eye care units (Non-recurring assistance)-Rs. 25 lakhRs. 30 lakhSpectacles under School Eye Screening Programme Rs. 125/-Rs. 200/-
36Financial norm during 10th Plan Revised financial norm during 11th PlanCataract Operation(recurring assistance) Rs.750/- (upto) per cataract operation/per eyeRs.750/- (upto) per cataract operation/per eyeOther eye diseases (diabetic retinopathy, glaucoma management, laser techniques, corneal transplantation, vitreoretinal surgery, treatment of childhood blindness etc.) - NILOther eye diseases (diabetic retinopathy, Glaucoma management, laser techniques, corneal transplantation, vitreoretinal surgery, treatment of childhood blindness etc.) Rs.1000/- per case
37Financial norm during 10th Plan Revised financial norm during 11th PlanTraining of eye surgeonsUpto Rs.45,000/- per traineeTraining of eye surgeons Upto Rs.70,000/- per traineeSentinel Surveillance Units (recurring assistance) Upto toRs.1.50 lakh per SSUUpto to Rs.3.00 lakh SSU
38Financial norm during 10th Plan Revised financial norm during 11th PlanConstruction of Eye Wards and Eye OTs (Non-recurring assistance) - NILNon-recurring assistance) Upto Rs.75 lakh per unitMobile Ophthalmic Units with tele network (Non-recurring assistance) - NIL(Non-recurring assistance) -Upto Rs.60 lakh per unit. The assistance for Mobile Van with essential Ophthalmic equipments is upto Rs.20 lakh and assistance for tele-ophthalmic network/tele-model is upto Rs.40 lakh.Maintenance of Ophthalmic Equipments (Non-recurring assistance) - NIL(Non-recurring assistance) -Upto Rs.5 lakh per unit.
39Post approved during 11th Plan on contract Approx. numberSalary per month/per postsOphthalmic Surgeon in District Hospitals in new District.250Rs.25000/-Ophthalmic Assistant in District Hospitals in new Districts and in PHCs/Vision Centres where they are not available.425Rs.8000/-Eye Donation Counsellors in Eye Banks in Government and NGO Sector.150Rs.10000/-