DIABETETIC RETINOPATHY & GLAUCOMA COSI MEETING DR. UDAY GAJIWALA SEWA RURAL, JHAGADIA

SERVICE DELIVERY SCENARIO VERY LITTLE IS BEING DONE AT PRESENT BUSY WITH CATARACT SURGICAL WORK AWARENESS ABOUT THESE DISEASES IS VERY LESS EVEN AMONG SERIVCE PROVIDERS NOT MANY CENTRES ARE PROVIDING THESE SERVICES HOWEVER FEW APPROACHES HAVE BEEN TRIED AND DOCUMENTED IN RECENT YEARS.

MODELS OF SERVICE DELIVERY OPPORTUNISTIC SCREENING AT BASE HOSPTIAL / DIABETES CLINICS SPECIALLY TARGETTED DR WORK TELEMEDICINE NETWORK REACH OUT DR SCREENING CAMPS COMPREHENSIVE SCREENING CAMPS – COMMUNITY SCREENING – DOOR TO DOOR APPROACH

TREATMENT OPTIONS FOR DR FOR GLAUCOMA INTRA VITREAL INJECTIONS LASER TREATMENT VITRECTOMY FOR GLAUCOMA TOPICAL / ORAL MEDICATION LASER SURGERY

SERVICE DELIVERY – DR WHO WILL DO IT PRIMARY LEVEL – ONLY IDENTIFICATION OF DM STATUS CBR WORKERS ASHA WORKERS PHC / CHC STAFF ANY OTHER GRASS ROOT LEVEL WORKER SECONDARY LEVEL – IDENTIFICATION AND REFERRAL TERTIARY LEVEL - TREATMENT

SERVICE DELIVERY – GLAUCOMA WHO WILL DO IT PRIMARY LEVEL – ONLY AWARENESS GENERATION CBR WORKERS ASHA WORKERS PHC / CHC STAFF ANY OTHER GRASS ROOT LEVEL WORKER SECONDARY LEVEL – IDENTIFICATION AND REFERRAL TERTIARY LEVEL - TREATMENT

PREVENTION – DR PRIMARY PREVENTION IS NOT POSSIBLE EARLY IDENTIFICATION IS ESSENTIAL STRICT CONTROL OF DM – MULTI SYSTEM INVOLVEMENT – ALL CONCERNED NEED TO WORK AS A TEAM REGULAR FOLLOW UP LASER APPLICATION TO CONTROL THE PROGRESS OF THE DISEASE PRESERVE THE RESIDUAL VISION

PREVENTION – GLAUCOMA PRIMARY PREVENTION IS NOT POSSIBLE EARLY DETECTION STRICT CONTROL REGULAR FOLLOW UP GREATER AWARENESS AMONG THE COMMUNITY & SERVICE PROVIDERS REGULAR GONIOSCOPY, TONOMETRY & CENTRAL FUNDUS EXAMINATION OF ALL PATIENTS ABOVE THE AGE OF 40 YEARS AT YEARLY INTERVAL PRESERVE THE RESIDUAL VISION

PROMOTION - DM AWARENESS GENERATION OPHTHALMOLOGISTS OPHTHALMIC PARAMEDICS PHYSICIANS DIABETOLOGISTS LABORATORIES PHARMACISTS GENERAL COMMUNITY DIABETIC PATIENTS

PROMOTION - GLAUCOMA AWARENESS GENERATION OPHTHALMOLOGISTS OPHTHALMIC PARAMEDICS GENERAL COMMUNITY

PREVENTION / PROMOTION – WHO WILL DO IT PRIMARY LEVEL – AWARENESS GENERATION SECONDARY LEVEL – EARLY DETECTION / AWARENESS GENERATION TERTIARY LEVEL - ??

REHABILITATION PROVISION OF LOW VISION SERVICES PROVISION OF REHABILITATION SERVICES INCLUDING MOBILITY, DAILY LIVING SKILLS, ECONOMIC REHABILITATION WHERE APPROPRIATE AND EDUCATIONAL SERVICES TO CHILDREN COVERAGE OF REHABILITATION IS ONLY 4% ACROSS THE COUNTRY

REHABILITATION – WHO WILL DO IT WILL NEED SPECIALLY TRAINED PEOPLE AND ORGANISATION

THE REAL PROBLEM LACK OF AWARENESS PREVALENCE IS LOW – DIRECT INTERVENTIONS ARE VERY COSTLY COMPARISION WITH CATARACT

HOW TO RAISE AWARENESS FIRST CONDUCT KAP STUDY FOR ALL THE STAKEHOLDERS ANALYSE THE RESULTS BASED ON THE RESULTS DESIGN THE APPROACH

GENERAL APPROACH TO DEVELOP H. ED. MATERIAL Method Media Mass Press meeting Public meeting Public announcement Radio/television Poster/banner Newspaper Exhibition Chart Group Seminar Lecture/presentation Patient Interaction Group discussion Power point Booklet Pamphlet Posters Individual Patient education Counselling Flip chart Leaflet

IEC MATERIAL POSTER PAMPHLET BOOKLET VEHICLE STICKER DESKTOP CALENDAR TEACHING SLIDES POWER POINT PRESENTATIONS VIDEO

WHAT NEED TO BE DONE EYE CARE ACTIVITIES NEED TO BE MADE COMPREHENSIVE AT ALL THE LEVELS – BASE HOSPITAL AND OUT REACH MORE EFFORTS NEED TO BE MADE TO RAISE AWARENESS AT ALL LEVELS WE NEED INVOLVEMENT OF THE OTHER PLAYERS – LOCAL DEVELOPMENT ORGANISATIONS WHO HAVE STRONG PRESENCE AND GOOD RAPPORT APART FROM OTHER HEALTH CARE WORKERS

THANK YOU