Npcb by pushkar dhir

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2. INTRODUCTION NPCB launched in the year 1976 ,Centrally Sponsored scheme . Goal to reduce the prevalence of blindness to 0.3% by 2020. To achieve this target min. of 21 million cataract operations are to be performed. Survey on Avoidable Blindness conducted under NPCB during 2006-07 showed reduction in the prevalence rate of blindness from 1.1% (2001-02) to 1% (2006-07). 230 crore approved by empowered programme committee (EPC) for 2013-14 for NPCB. 3. THE ORGANISATION CENTRAL Ophthalmology Section, DGHS,MOHFW Procurement of goods Grant in Aid to NGOs Organizing central level trainning courses Monitoring & evaluation Procurement of consultancy &services STATE State opthalmic cell, DHS, State health societies Coordinate and monitor with all the District Health Society Procure equipment and drugs which required in GOI facilities Receive and monitor use of funds, equipments and material from the Government Promote eye donation & monitor the districts for collection and utilization of eyes collected by eye donation centres and eye banks. DISTRICT District blindness control society Organize screening camps for identifying those requiring cataract surgery and other blinding disorders Organize screening of school children. Procure drugs and consumables Promote eye donation Regular screening for cataract and other diseases in the out 4. Service Delivery & Referral Systems Tertiary level (Regional Institute of Ophthalmology/ Centres of Excellence in Eye care & Medical colleges Secondary Level (District Hospital & NGO Eye hospital) Primary Level (Sub district level hospitals/CHC/Mobile Ophthalmic units, PHC /Panchayats) 5. Definition of Blind under NPCB Inability of a person to count fingers from a distance of 6 meters or 20 feet Technical Definition Vision 6/60 or less with the best possible spectacle correction Diminution of field vision to 20 or less in better eye 6. Main causes of Blindness in India are 62% 20% 1% 6% 1% 1% 5% 4% Cataract Refractive Error Corneal Blindness Glaucoma Surgical Complication Posterior Capsular Opacification Posterior Segment Disorder Others 7. Objectives of the Programme are To reduce the backlog of blindness through identification and treatment of blind. To develop Eye Care facilities for every 5 lac population To develop human resources for providing Eye Care Services. To improve quality of service delivery by establishing Regional institute of ophthal , up gradation of medical colleges & district hospital. To secure participation of Voluntary Organizations in eye care. To enhance community awareness on eye care 8. INFRASTRUCTURE DEVELOPMENT UNDER NPCB At RP centre and 10 other Regional Institutes of Ophthal, a National institute of Ophthal has been established for manpower develop, research and referral services. Medical colleges are upgraded under NPCB & at certain med institutes & paramedical ophthalmic assistants are trained. Eye banks have been developed in govt and non-govt sectors. >500 Dist hospitals have been equipped with ophthalmic equipments and requisite manpower is posted. DBCS was started as pilot project in 5 districts and now over a 500 centres under the chairmanship of DC/Dep Com have been set up. Prevalance of Blindness being acute in rural areas, NPCB has tried to expand the accessibility to these areas by the means of PHC, mobile eye units 9. Inclusion of NPCB in Prime Minister 20 point programme in 1982. World Bank:1994-95 to 2002 Expanding coverage in rural and tribal areas Training of ophthalmic manpower. Improvement of management system Providing IOL implants DANIDA: Man power development Establishment & development of monitoring and evaluation system at state level Training Preparation of health education material, teaching & information aids. WHO: 40 intra country fellowship in Institutes of excellence Survey on childhood blindness in East Delhi to estimate prevalence & causes of blindness in children