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eyeVISION 2020 INDIA
(www.vision2020india.org)
Thursday, 28 April 2011

BETTER PREVENTIVE AND CURATIVE HEALTHCARE DRAFT STRATEGY PAPER

FOR
The XIIth Five Year Plan (2012-17) for elimination of Avoidable Blindness1 from India by working with the National Program for Control of Blindness (NPCB), Ministry of Health and Family Welfare, Government of India and other stakeholders (including IAPB, WHO, AIOS, EBAI, COSI) Prepared by2 VISION 2020 INDIA XIIth Plan Team Contact Person: Dr Rajesh Noah, Executive Director, VISION 2020 INDIA www.vision2020india.org / rajeshnoah@vision2020india.org / 9810108752 Distribution: NPCB Team (JS/DDG (O)/ADG), VISION 2020 Member Organizations and its stakeholders/partners, including IAPB/AIOS/WHO/EBAI/COSI

Avoidable blindness is blindness which could reasonably be prevented or cured within the limits of resources likely to be made available. 2 VISION 2020 INDIA XIIth PlanTeam: Team Leader: Mr RD Thulasiraj, Aravind Eye Care System, Ms Elizabeth Kurian, Sightsavers International, Col. (Dr) Madan Deshpande, PBMA’s HV Desai Eye Hospital, Mr Paritosh Das, JPM Rotary Club of Cuttack Eye Hospital & Research Institute, Dr Asim Sil, Vivekananda Mission Ashram, Dr Rajesh Noah Overall Guidance from Dr GN Rao 1

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1. INTRODUCTION……………………………………………………………………….. . 2. XIth FIVE YEAR PLAN (2007-12) …………………………………………………. a. Main Objectives b. Strategies c. Activities 3. VISION 2020………………………………………………………………………………. 4. VISION 2020 and NPCB a. Work done in XIth Plan and Opportunities for the XIIth Plan……. 5. KEY CHALLENGES IN IMPLEMENTATION……………………………………….. 6. STRATEGIES CRITICAL FOR THE XIIth Five Year Plan……………………. 7. KEY ISSUES IDENTIFIED AND SUGGESTIONS…………………………………

8. ANNEXURES………………………………………………….……………………… 1. 2. 3. 4. Prevalence of Blindness in India…………………………………………… Causes of Blindness in India………………………………………………... Cataract Surgical Rate (CSR)……………………………………..………… Copy of order of XIth Plan constituting the Task Force for developing the strategy……………………………………………………..… 5. Costing of surgery……………………………………………………………….. 6. INGO Service data (for 2010)……………..……………...………………… 7. VISION 2020 INDIA MEMBER ORGANIZATIONS……...………………… 8. References (Documents consulted)………………………………………. 9. Meeting with the Additional Secretary, Health (Mr Keshav Desiraju) 10. Meeting with Joint Secretary Health (Ms Shakuntala D Gamlin)

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(1) INTRODUCTION  The National Programme for Control of Blindness (NPCB) is in its thirty fifth (35th) year, initiated as a Centrally Sponsored scheme (CSS) and in the Eleventh Five Year Plan (2007-12) under the flagship Health Programme of National Rural Health Mission (NRHM); designed as a Health Sector Reform (HSR) Programme. The NPCB is considered as a flagship model of Public Private Partnership (PPP). NGOs and Private Practitioners play a key role in NPCB with over 73% of the cataract operations being performed by them.



(2) XIth FIVE YEAR PLAN (2007-8 to 2011-12) 1. Main Objectives a. The six main objectives of the NPCB to reduce the prevalence of blindness include b. Reduce the backlog of blindness c. Develop comprehensive eye health facilities in the 626 districts d. Strengthen Human Resources e. Enhance the quality of eye health services to the population f. To secure the participations of the Non-Governmental Organizations i. The four key expectations3 included 1. Adopt area for eye-care services (Block or group of villages), 2. Identify the blind, organise screening camps and transport patients to base hospitals; 3. Provide medical/laser/surgical rehabilitative treatment; and 4. Ensure follow-up g. To enhance community awareness 2. Strategies Five key strategies to achieve the objectives, included a. Decentralise the implementation of the programme and manage though the State and District Health Societies b. Increase participation of the voluntary organizations, including the Private sector c. Train personnel (eye health team), provide support for equipment, monitor...
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