National Programme for control

of blindness

By- Group 5
 Group
•
5
Abhishek Nirwal (42)
• Chaitanya Soman (81)
• Nandita Patne (71)
• Niranjan Gaikwad (41)
• Poornima Waghmare (12)
• Priyanka Ajmani (84)
• Rohit Abrol (64)
• Rohit Sharma (73)
• Roshni Ravi (82)
• Sachita Chawla (63)
 The National Programme
For control of Blindness

• Launched in 1976
• Earlier Trachoma control
control programme 1968
•
 Strategies
• Strengthening service delivery
• Developing human resources for eye
care
• Promoting outreach activities and
public awareness
• Developing institutional capacity
• To establish eye care facilities for
every 5 lac person
 Revised Strategies
• To make NPCB more comprehensive by
strengthening services for other cause of
blindness
• To shift from the eye camp approach to a
fixed facility surgical approach
• And from conventional surgery to IOL
Implantation
• To expand the world bank project activities
• To strengthen participation of voluntary
organizations in the programme
• Improve the performance of govt. units
• To enhance the coverage of eye care
services in tribal and other underserved
areas
 Infrastructural
development
• National institute of ophthalmology
established 10 other institute
• 82 medical colleges upgraded under
NPCB
• 39 medical colleges designated as
training centers for paramedical
ophthalmic assistance
• 166 eye bank developed in Govt. and
non-Govt sectors
• 445 district hospitals
• The concept of district blindness control
society was first developed in 5 pilot
district
Development of infrastructure for
eye care
Item Current achievement
Strengthening of PHCs 5633
Central mobile units 80
Strengthening of district hospitals 445
Upgrading of departments of ophthalmology 82
in medical colleges
Establishment of regional institute 11
Ophthalmic assistance training centers 39
District mobile units 341
State ophthalmic cells 21
Establishment of DBCSs 512
Eye banks(Govt) 166
Paramedical ophthalmic assistance posted 4881
 Organizational
structure

Ophthalmology Section ,
ral

Directorate General of health

services,
Cent

Ministry of health and Family

FW

State Ophthalmic cell,

Directorate of health
services,
e
Stat

State health societies

rict

District Blindness control

society
Dist
 Service delivery and
referral system
evel

Regional Institute of
ry L

ophthalmology and centers

of excellence in eye care medical
rtia

colleges
lTe
Leve

District Hospitals
and NGO eye
dary

Hospitals
econ
l S

Sub-district level
hospitals/CHCs
Leve

Mobile ophthalmic units

Upgraded PHCs
ary

Link workers/ Panchayats

Prim
 Other Programmes
• School eye Screening programmes
6-7% of children aged between 10-14

years have problem with eye sight

effecting their learning at school
• Collection and utilization of donated
eyes
20000 donated eyes are collected

every year in India

 Externally aided
Projects
 World bank
• Highly successful project.
• Assisted cataract blindness control
project.
• Implemented in 1994 -95 for 7 years.
• Completed in June 2002.
• Target was 11 million operations.
• 15.35 millions operations were
performed instead.
• IOL implantation increased from 3% in
1993 to 75% in 2002
 Danish association
• 1983-2003
• Funds were utilized for
1.Training
2.Supply of equipment
3.Preparation of health education
material and support to
Karnataka.
• Project was completed on 5th
November 2003.

 WHO
• Includes:
Ø Intra country fellowships in corneal
transplantation.
Ø Vitreo-retianl surgery.
Ø Lasers in ophthalmology and pediatric
ophthalmology
Ø Pilot survey on childhood blindness in Delhi.
Ø Training in district programme management.
Ø Situational analysis of eye care
infrastructure and human resources in
India.
Ø High quality workshops in eye care for
faculty of medical colleges.
 Centers of excellence 20
Proposed §Professional Leadership
§Strategy development
Structure §Continued medical Education(CME)
§Laying of standards and quality
assurance
§Research
Training centers 200
§Tertiary eye care including retinal
iary

surgery, corneal transplant, glaucoma

surgery etc
§Training and CME
Tert

Service centers
2000
dary

§Cataract surgery
§Other common eye
surgeries
econ

§Facilities for
refraction
§Referral services
ary S

Vision Centers 20000

§Refraction and prescription of
glasses
§Primary eye care
Prim

§School eye screening programme

§Screening and referral
services
Thank you
