PresentationOn Effective & Sustainable Outreach Camps Dr. Jauhari Lal President ANUGRAHA DRISHTIDAAN Ph.: , * * Web.: given at 9 th Annual Conference of Vision 2020 : The Right to Sight-India on 6 th April 2013 at Sewa Sadan Eye Hospital, Bhopal

ANUGRAHA DRISHTIDAAN Working in eye-care area for last 10 years. Mainly organizing eye-screening and cataract operation camps as outreach program in backward and rural areas. Had been working in 17 states of India having 53 Associates.

CONTRIBUTION IN BRIEF YearOPD attendance Medicine beneficiaries Spectacles/ Dark glasses Distribution Cataract cases identified Cataract operations done No. of camps Total Ph.: , * * Web.:

Planning & Methodology for Camp Crucial decision-whether it is Free camp, Sponsored camp or Paid camp. Venue of camp and villages to be covered for publicity. Co-ordination with District and health authorities and seeking their co-operation / permission etc. Holding meetings at schools, gram pradhans, sarpanchs, local leaders of area for camp publicity.

Publicity through handbills, posters, banners, press, media, radio, TV, web sites and through loudspeakers covering weekly markets etc. Arrangements at camp site i.e. shamiana, furniture, toilets, drinking water, refreshment & facilities for doctors and paramedical staff for screening. Allocation of duties to volunteers/staff for various activities. Registration of patients with necessary details i.e. name, age, sex, address etc.

Inauguration of camp and talk on eye care and cataract operation. Medical examination of patients and identifying cataract cases, patients with low- vision or any other eye ailment. Refraction of Patients. Providing medicines and spectacles. Counseling and motivation of persons having cataract for operation.

B. P. and Sugar testing of patients. Tea and refreshment of identified cataract persons. Transporting cataract patients from venue to hospital and back. Arrangement of boarding/lodging for patients. Constant co-ordination with Base Hospital Authorities and taking care of patients. Discharge from Hospital and giving necessary briefing about hygiene etc.

Arranging Individual and group photos of patients undergone operation and Media coverage. Post operative care of operated patients on given date and providing dark glasses. EYE SCREENING & CATARACT OPERATION CAMP AT MAINATAND, BIHAR

According to NPCB, prevalence of Blindness was 1.1% (2002), which came down to 1% (2007) and they expected it to come down to 0.5% (2010). Cataract 62.6% Refractive Error 19.7% Glaucoma 5.8% Corneal Blindness 0.9% Posterior Segment Disorder 4.7% Others 5% Causes of Blindness

According to various estimates there are 12 million blind in India. 3.8 million new cases (incidences) are added every year. 12 million cases will enhance to 18 million by 2020 mainly because of longevity, inadequate infrastructure and very poor delivery system. Cataract may occur at any age but persons in age group 60 and above are most vulnerable. Present population is 127 crore and 8.2% are in age group of 60 years and above.

Thus 10 crore people are in age group of 60 years and above. 72.2% population lives in about 6.38 lakh villages in 640 districts. Only 27.8% population lives in 5480 towns and cities. Incidence of blindness are significantly higher in rural areas i.e. 1.62% as compared to 1.03% in urban areas. Infrastructure available to tackle this health problem is very-2 inadequate at Block level, Tehsil and District level.

NPCB had budget allocation of Rs crore for 11 th five year plan i.e. Rs. 260 crore per year for entire country, which is grossly insufficient. Bulk of Govt. expenditure is incurred in maintaining and equipping Govt. hospitals at district and sub-division levels. But incapable to handle population of district suffering from cataract, which is on average 18 lakhs i.e. 1.5 lakh 60+ age group. District hospitals either do not have operating eye surgeons or the equipment to perform surgeries are non functional.

In many cases, Govt. eye surgeons prefer to do surgeries at their residence ar at some private hospitals. A large number of NGOs/Charitable Eye Hospitals doing more than 70% total surgeries in the year, but do not get financial support from Govt. even as per norm. Since funds are routed through District hospitals, system adds to inefficiency and corruption. NPCB appear to be satisfied that as per their record 63 lakhs surgeries were done during against the target of 70 lakhs.

Because of many social and economic constraints old people can’t reach cities for treatment because of distance and cost of surgery, the services are required to be rendered at door step. Govt. Annual budget is not only inadequate but allocation and distribution is faulty with many loop-holes. There is need to have adequate facilities and eye hospitals in the private/public sector with committed staff to cater to rural population. There is need to involve society and NGOs to great extent in order to supplement efforts of Government. Over the years, Philanthropists have made great contribution in this field.

Strategies: Re-strengthening service delivery system focusing rural, backward and slum areas. Developing human resources for eye care with incentive to work in rural and backward areas. Promoting outreach activities and public awareness with public private partnership model. Developing and promoting institutional capacity building. Providing greater role and responsibility to NGO’s and charitable institutions with adequate incentive.

DIGBOI CAMP PHOTOBANGAIGURI CAMP, ASSAM JALALABAD CAMP PHOTOBHITAHA, W. CHAMPARAN CAMP

BHAIRAVGANJ CAMP, BIHAR MAINATAND CAMP, BETTIAH MAINTAND CAMP, BETTIAH NOOH MEWAT CAMP, HARYANA

Organizing camp at Gobarahia Don, West Champaran on Nepal Border across 6 rivers was very difficult. Even D.M. could not visit in that area during last 20 years. GOBARIA DON CAMP, BETTIAH LUNG FUNG CAMP, TRIPURASANKTORIYA CAMP, W. BENGAL

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