PRESENTATION PRESENTATION

BY BY

GP. CAPT. (RETD.) K.K. DEYGP. CAPT. (RETD.) K.K. DEY

ADMINISTRATOR ADMINISTRATOR

ADEH, GURGAONADEH, GURGAON

PRESENTATIONPRESENTATIONONON

LEARNING EXAMPLESLEARNING EXAMPLES

IN PRIMARY EYE CAREIN PRIMARY EYE CARE

WHY TO LEARN?WHY TO LEARN?

EVERY MILE THAT RIVER FLOWS,EVERY MILE THAT RIVER FLOWS,

EVERY DAY THAT COMES AND EVERY DAY THAT COMES AND GOES,GOES,

SAYS TO ME AND SAYS TO YOU,SAYS TO ME AND SAYS TO YOU,

MUCH THERE IS TO LEARN AND MUCH THERE IS TO LEARN AND DO,DO,

FOR THE WATER AND THE DAY,FOR THE WATER AND THE DAY,

NEVER MORE WILL PASS THIS WAY.NEVER MORE WILL PASS THIS WAY.

Reaching the Un-reached….

ARUNODAYA CHARITABLE TRUST (ACT)

A SUGGESTED MODEL FOR OPHTHALMIC PRACTIONERS

IntroductionIntroductionArunodaya Charitable Trust (ACT), Arunodaya Charitable Trust (ACT), was the dream of a young couple - was the dream of a young couple - both ophthalmologists - who wanted to both ophthalmologists - who wanted to donate their time and professional donate their time and professional skill, to help reverse the tide of curable skill, to help reverse the tide of curable blindness in their city - New Delhi.blindness in their city - New Delhi.

Its primary objective is to restore Its primary objective is to restore the sight of the poor. With the sight of the poor. With restoration of their sight, the poor restoration of their sight, the poor can return to their vocations and can return to their vocations and become productive and contribute to become productive and contribute to the society, once again. This way the society, once again. This way families are supported and families are supported and communities begin to change for the communities begin to change for the better. better.

To accomplish these goals, the To accomplish these goals, the following are needed:following are needed:

1) An established, charitable 1) An established, charitable organization in and/or benefactor organization in and/or benefactor willing to invest its resources in the willing to invest its resources in the proposed project.proposed project.

2) A willingness on your part, to devote 2) A willingness on your part, to devote the extraordinary amount of time and the extraordinary amount of time and energy necessary, to establish and run energy necessary, to establish and run the foundation. the foundation.

3) The organizational and surgical skills 3) The organizational and surgical skills that are needed, to care for the huge that are needed, to care for the huge numbers of economically disadvantaged, numbers of economically disadvantaged, that you want to serve.that you want to serve.

In November 1990, a chance encounter with a In November 1990, a chance encounter with a visiting physician Dr. E.W. Jackson, from Utah visiting physician Dr. E.W. Jackson, from Utah (USA), who is the founder of the Deseret (USA), who is the founder of the Deseret International Foundation, Inc. lead to the International Foundation, Inc. lead to the inception of Arunodaya Charitable Trust (ACT). inception of Arunodaya Charitable Trust (ACT).

ACT is a registered, non-profit, public, non ACT is a registered, non-profit, public, non denominational, medical, welfare trust that denominational, medical, welfare trust that works in the field of curable blindness. works in the field of curable blindness.

We started with a small budget (Rs. We started with a small budget (Rs. 1000/-) Dr. Arun Sethi’s mother had 1000/-) Dr. Arun Sethi’s mother had an OB-GYN clinic in an economically an OB-GYN clinic in an economically disadvantaged section of Old Delhi. disadvantaged section of Old Delhi. This we transformed into an eye clinic This we transformed into an eye clinic with surgical capabilities. A lot of the with surgical capabilities. A lot of the equipment was old, but functional. equipment was old, but functional.

We then established a second facility in space We then established a second facility in space donated by a small charitable hospital, in New donated by a small charitable hospital, in New Friends Colony, New Delhi, where we were Friends Colony, New Delhi, where we were also able to operate.also able to operate.

A third out patient facility was established at A third out patient facility was established at the the

well known Mata Ka Mandir, New Friends well known Mata Ka Mandir, New Friends Colony, New Delhi.Colony, New Delhi.

We are able to perform cataract surgery We are able to perform cataract surgery with phaco at very nominal cost. with phaco at very nominal cost.

Knives, tubing(s) are sterilized Knives, tubing(s) are sterilized disposables. Lenses are single piece disposables. Lenses are single piece PMMA, viscoelastic manufactured in PMMA, viscoelastic manufactured in India. Visco-elastic normally used is India. Visco-elastic normally used is methylcellulose 3%.methylcellulose 3%.

Ultimately we were able to go big time. With the Ultimately we were able to go big time. With the aid of the Deseret International Foundation, Inc. aid of the Deseret International Foundation, Inc. (USA), we constructed a state-of–the-art tertiary (USA), we constructed a state-of–the-art tertiary eye care facility in the fast growing eye care facility in the fast growing new new Gurgaon. Gurgaon.

In ACT’s eye care project, 60% of the cases are In ACT’s eye care project, 60% of the cases are economically disadvantaged. Their care is partially economically disadvantaged. Their care is partially subsidized, by the other 40 %, who pay the going subsidized, by the other 40 %, who pay the going rate for private care. rate for private care.

OBJECTIVES OF ACTOBJECTIVES OF ACT

Provide comprehensive eye care Provide comprehensive eye care services to the economically weaker services to the economically weaker sections of our community in the rural sections of our community in the rural and out-reach areas.and out-reach areas.

We focus on doing simple things, that We focus on doing simple things, that produce dramatic life style changes produce dramatic life style changes such as ...... removal of cataracts by such as ...... removal of cataracts by phacoemulsification / SICS, and intra phacoemulsification / SICS, and intra ocular lens implantation. ocular lens implantation.

ACT has, to date, reached out to ACT has, to date, reached out to 7,24,386 7,24,386 needy needy patients. Its services are available from three patients. Its services are available from three different clinics in Delhi, throughout the year. It different clinics in Delhi, throughout the year. It also conducts eye care camps in nearby slums also conducts eye care camps in nearby slums and villages, where apart from examination and and villages, where apart from examination and treatment, spectacles and medicines are also treatment, spectacles and medicines are also dispensed. Over dispensed. Over 28,03428,034sight restoring surgeries sight restoring surgeries have been successfully undertaken at our base have been successfully undertaken at our base hospitals. hospitals.

ACT’s EYE CARE PROJECTACT’s EYE CARE PROJECT

Mobile Ophthalmic Mobile Ophthalmic UnitUnit Industrial Screening Industrial Screening Rural Eye ScreeningRural Eye Screening NGO’s NetworkNGO’s Network Health EducationHealth Education

Base HospitalBase Hospital Vision ScreeningVision Screening Eye surgeriesEye surgeries Specialty ClinicsSpecialty Clinics Refraction / glassesRefraction / glasses

School ScreeningSchool Screening Teacher’s TrainingTeacher’s Training Student’s ScreeningStudent’s Screening Refraction / glassesRefraction / glasses

Satellite ClinicsSatellite Clinics Vision ScreeningVision Screening TreatmentTreatment Health EducationHealth Education Identification of Identification of

Patients for SurgeryPatients for Surgery

Community Eye Care Community Eye Care ServicesServices

Mobile Eye Care VanMobile Eye Care Van ACT is equipped with aACT is equipped with avision express (Tempo vision express (Tempo Traveler) which ferries theTraveler) which ferries theeye doctors, optometrists eye doctors, optometrists and allied health workers, and allied health workers, with their equipment to the eye screening campswith their equipment to the eye screening campswhere eye care services are rendered free to thewhere eye care services are rendered free to theneedy. needy. Patients requiring surgical intervention are broughtPatients requiring surgical intervention are broughtback to the base hospital, in Gurgaon / Delhi. back to the base hospital, in Gurgaon / Delhi.

Community Eye Care Community Eye Care ServicesServices

School Screening ProgrammeSchool Screening Programme A novel program of vision screening A novel program of vision screening

for school children has been initiated for school children has been initiated for early detection of refractive errors for early detection of refractive errors and other eye problems. Children with and other eye problems. Children with defective vision are identified in no defective vision are identified in no time through a specially designed ‘E’ time through a specially designed ‘E’ type vision card which is provided to type vision card which is provided to the teachers in advance. the teachers in advance.

ACT’s team then does the necessary ACT’s team then does the necessary and detailed eye check up, at the and detailed eye check up, at the school premises, and provides school premises, and provides free/subsidized spectacles for the free/subsidized spectacles for the children.children.

Community Eye Care Community Eye Care ServicesServices

Industrial ScreeningIndustrial Screening

Eye care camps are also held in Eye care camps are also held in various workshops, factories, offices, various workshops, factories, offices, bus transport services, etc.bus transport services, etc.

AMBASSADORS OF SIGHTAMBASSADORS OF SIGHT

Deseret International Deseret International Foundation, Inc. (USA)Foundation, Inc. (USA)ACT is grateful for the ACT is grateful for the support extended by Deseret support extended by Deseret International Foundation, Inc. International Foundation, Inc. & to its founder President - Dr. & to its founder President - Dr. E.W. Jackson, MD, for the E.W. Jackson, MD, for the support, extended, which has support, extended, which has enabled over 7,24,386 poor & enabled over 7,24,386 poor & needy patients, to enjoy the needy patients, to enjoy the sight of our beautiful world.sight of our beautiful world.

AMBASSADORS OF SIGHTAMBASSADORS OF SIGHT Deseret International Deseret International Foundation, Inc. USA Foundation, Inc. USA Het Schild, Netherlands Het Schild, Netherlands LDS Charities, Inc. USA LDS Charities, Inc. USA Embassy of Japan Embassy of Japan Dr. Pushpa Sethi Memorial Trust Dr. Pushpa Sethi Memorial Trust Embassy of Ireland Embassy of Ireland New Zealand High Commission New Zealand High Commission Royal Danish Embassy Royal Danish Embassy American Women’s Association American Women’s Association Charity Aid Foundation, UKCharity Aid Foundation, UK

AND MANY AND MANY MOREMORE

Australia & New Zealand Australia & New Zealand Women’s Association (ANZA) Women’s Association (ANZA) Winrock International, USA Winrock International, USA United Airlines United Airlines Summit Technologies, USA Summit Technologies, USA American International American International

School School Neemrana Fort-Palace Hotels Neemrana Fort-Palace Hotels

Ltd. Ltd. Friends “Social Workers” Friends “Social Workers”

Association Association Youth Reach, India Youth Reach, India GEN Foundation, UKGEN Foundation, UK

Eye Care Project Clinic Eye Care Project Clinic LocationsLocations

Arunodaya Deseret Eye Arunodaya Deseret Eye Hospital (ADEH), Hospital (ADEH), GurgaonGurgaon

Dr. Sethi’s Nursing Home, Dr. Sethi’s Nursing Home,

DelhiDelhi

Mata Ka Mandir, New DelhiMata Ka Mandir, New Delhi

Senior Citizens Service Senior Citizens Service Forum, Taimoor Nagar, Forum, Taimoor Nagar, New Friends Colony,New Friends Colony,

New Delhi New Delhi

ACHIEVEMENTS ACHIEVEMENTS (up to OC TOBER, 2010 ) (up to OC TOBER, 2010 )

No. ofNo. of patientspatients

Patients treated Patients treated 7,24,386 7,24,386

Medicines dispensed Medicines dispensed 32,845 32,845

Spectacles dispensedSpectacles dispensed 52,223 52,223

Surgeries Surgeries 28,034 28,034

ARUNODAYA DESERET EYE ARUNODAYA DESERET EYE HOSPITAL (ADEH)HOSPITAL (ADEH)

Learning Learning Exmples in Exmples in

Primary Eye Primary Eye CareCare

MEWAT EYE CARE PROJECTMEWAT EYE CARE PROJECT

ARUNODAYA DESERET EYE HOSPITAL(ADEH)

BASE HOSPITAL

COMMUNITY SCREENING

PROGRAMMEVISION SCREENING HEALTH EDUCATION

Introduction & Need of the Introduction & Need of the ProjectProject

The Mewat district is the land of Meo CommunityThe Mewat district is the land of Meo Community There are six blocks - 503 villages, 1.2 million There are six blocks - 503 villages, 1.2 million

population.population. 90% people are engaged in farming and 50% people 90% people are engaged in farming and 50% people

are living below poverty line.are living below poverty line. Over all literacy rate is around 30% and girl literacy is Over all literacy rate is around 30% and girl literacy is

below 10%.below 10%. Mewat lacks basic health care facilities, and does not Mewat lacks basic health care facilities, and does not

have even a single ophthalmologist doing surgical have even a single ophthalmologist doing surgical work in the whole of Mewat.work in the whole of Mewat.

Poor eyesight and eye diseases have resulted from Poor eyesight and eye diseases have resulted from poor nutrition, & hygiene, lack of awareness and poor nutrition, & hygiene, lack of awareness and difficult access to health /eye care services, has difficult access to health /eye care services, has resulted in many villagers losing their sightresulted in many villagers losing their sight

LESSION LEARNTLESSION LEARNT

Try to be a GOOD DOCTOR rather Try to be a GOOD DOCTOR rather than a GREAT DOCTORthan a GREAT DOCTOR

Be courteous and friendlyBe courteous and friendly Patiently listen to what patient saysPatiently listen to what patient says Discuss to find out from historyDiscuss to find out from history Meticulous ExaminationMeticulous Examination Detailed ExaminationDetailed Examination In Doubt compare the other eyeIn Doubt compare the other eye

Profession as a BusinessProfession as a Business

If ophthalmology is your profession then If ophthalmology is your profession then prevention of blindness in the prevention of blindness in the community is your business.community is your business.

While you deal with those able and While you deal with those able and willing to pay your private practice,help willing to pay your private practice,help those who may those who may

remain blind or become blind because remain blind or become blind because they are not able to pay,this is they are not able to pay,this is professionalism and will bring you great professionalism and will bring you great rewards.rewards.

PhilosophyPhilosophy

Intelligence and capabiliy are not enough.Intelligence and capabiliy are not enough. There must be the joy of doing some thing There must be the joy of doing some thing

beautifulbeautiful Being of service to GOD AND HUMANITY,Being of service to GOD AND HUMANITY,

means going well beyond the means going well beyond the sophistication ofsophistication of

the best technology to the humblethe best technology to the humble

demonstration of courtesy and compassion demonstration of courtesy and compassion to the people.especially the poor.to the people.especially the poor.

Need For Primary Eye care Need For Primary Eye care

A DEDICATED TEAMA DEDICATED TEAM

HAVING THROUGH HAVING THROUGH BASIC KNOWLEDGE BASIC KNOWLEDGE ABOUT THE DISEASE ABOUT THE DISEASE

SYMPTOMSSYMPTOMS

AND SIGNSAND SIGNS

THANK YOUTHANK YOU

You are welcome to contact :You are welcome to contact :

Arunodaya Charitable Trust (ACT)Arunodaya Charitable Trust (ACT)C-2, Maharani Bagh, New Delhi 110065, India.C-2, Maharani Bagh, New Delhi 110065, India.

E-mail : act@airtelmail.in, E-mail : act@airtelmail.in, Fax : +91-11-41628579Fax : +91-11-41628579

Website: www.acteyecare.com Website: www.acteyecare.com Tel: +91-11-41628082, 26844969, 41628579Tel: +91-11-41628082, 26844969, 41628579

(A Registered, Non Profit, Welfare Trust)(A Registered, Non Profit, Welfare Trust)

GIVE. BEFORE THEY GIVE UP.GIVE. BEFORE THEY GIVE UP.