1. 1 ^ Community eye care programs: The engine for change with Public eye health in rural India K. Anand Sudhan Head-Centre for Community Ophthalmology Sadguru Netra Chikitsalaya (SNC) September 17, 2012

2. Challenges faced by SNC Retention of Ophthalmologists Promotion of IOL surgeries Seasonal imbalance Management systems Financial viability

3. Strategies introduced by SNC Value added retention strategies Multi-tiered pricing system Outreach camps in summer months Introduction of Quality Management system Attracting paying patients

4. Cataract Pediatric Services Occuloplasty Low Vision Vitreo / Retina Cornea / Eye Banking Glaucoma Comprehensive eye care…

5. Tackling seasonal Imbalance (April to Sept – Summer Months)

6. My life time experience Cross cutting 2008-092009-102010-112011-12 # of Vision centre's 1724 New OPD 20044316963045036129 Camp OPD 7306305793261537403 Follow-up 7662181581439613300 Total Pts.Screened 35012804337752186832 Spectacle Prescription 13913287483516029969 Spectacle Dispensed 12012252033052826549 Surgery 238879971143111514

7. Collaborations for Management systems

8. Eye surgeries- Chitrakoot centre

9. Pre-positionExisting position Turnover of skilled Manpower45 Ophthalmologists and skilled administrative staff 23525 cataract surgeries with 55 % surgeries being Non IOL 84,600 cataract surgeries with 98 % being IOL 69% Cost Recovery100% operational cost Recovery 12% of the total surgery in summer months and 88% surgery in winter months 38% of the total surgery in summer months and 62% surgery in winter months 65% free surgery, 34% subsidized and 1% paying 43 % free surgery, 41% subsidized and 16% paying Outcome of Vision Building

10. Reaching out to REAL Indian population

11. 11 Thank you