1. A2Z Child Blindness Program Regional Capacity Building Workshop April 29 -30, 2011 Preethi Pradhan Sr Faculty, LAICO Aravind Eye Care System

2. Quality eye care Visits the hospital for a check up Accepts Doctors advice Regular follow up 1.Early detection 2.Eye examination 3.Good quality treatment 4.Follow-up care Courtesy: Dr Muhit Childhood Cataract: Home to Hospital, CEH Vol 17, No 50, 2004

3. For Patient Patients are dependent on caregivers to take them to the hospital for check up Serves to surface any other concern as children do not complain of worsening vision They can meet the same doctor who carried out the intervention For Doctor Outcome of the surgery or intervention whether it is good they can assess Can help to schedule their work better Can provide better patient satisfaction Giving a specific follow up date helps the patient to remember when to come back

4. A to Z Child Blindness Program Regional Capacity Building Workshop April 29 – 30, 2011 Follow Up Rate = No of patients who came for follow up Total no of patients who were asked to come for follow up

5. First: You need to measure the Follow up Rate  To screen children in private schools and provide them cards – Total no. of schools screened8 Total no. of students screened16982 Total no. of students with defective vision1269 (7.5%) Total no. students who came for check up at the hospital on Sunday 460 (36%) If you are not measuring you wont know and you can’t improve

6. A to Z Child Blindness Program Regional Capacity Building Workshop April 29 – 30, 2011 S.No.Date Counselor Surgery Follow up 105-01-2007R.M.92% 206-01-2007TC.S.85% 307-01-2007S M.L.98% 419-01-2007M.S.82% 520-01-2007UP.R.63% 621-01-2007VM.K.57% 721-01-2007N.96% 821-01-2007DU.G.98% 921-01-2007R.S.90% 1021-01-2007S.R.95% 1121-01-2007C K.V.93% 1223-01-2007MS.B.71%

7. A to Z Child Blindness Program Regional Capacity Building Workshop April 29 – 30, 2011 When the counsellor was discussing with the patient about a suitable follow up date, the patient requested for an alternate date as that particular date was not comfortable for her. The counsellor was not sure whether Doctor is available.

8. A to Z Child Blindness Program Regional Capacity Building Workshop April 29 – 30, 2011 Two weeks after cataract surgery at home, one morning the father notices his child’s eye is reddish. What should I do now? Should I go back to the eye hospital or can I consult local ophthalmologist?

9. A to Z Child Blindness Program Regional Capacity Building Workshop April 29 – 30, 2011 My son’s follow-up check up is on the same date as my sister’s wedding Will the doctor be available then? When date should I go? Would it be possible for me to change the date?

10. A to Z Child Blindness Program Regional Capacity Building Workshop April 29 – 30, 2011 School studiesSchool Examinations Child falls ill Improper follow up of instructions Poor communication

11. Counseling Training of Trainers Workshop April 15-17, 2011

12. A to Z Child Blindness Program Regional Capacity Building Workshop April 29 – 30, 2011 Follow up card addressed to teachers

13. A to Z Child Blindness Program Regional Capacity Building Workshop April 29 – 30, 2011 Consult with parents before giving follow up date Double check if they will be able to come on that date

14. A to Z Child Blindness Program Regional Capacity Building Workshop April 29 – 30, 2011 Remind parents about the importance of the follow up Reschedule the appointment

15. A to Z Child Blindness Program Regional Capacity Building Workshop April 29 – 30, 2011 Encourage them to come any way Reinforce importance of compliance and the consequence of not following up

16. A to Z Child Blindness Program Regional Capacity Building Workshop April 29 – 30, 2011 Lack of communication between the child’s parents and their relatives Identify the key decision maker Are we addressing communication to all? Need to communicate whether outcome of surgery is good or bad need to come for follow up Provide instruction in a print or written format

17. A to Z Child Blindness Program Regional Capacity Building Workshop April 29 – 30, 2011 Review patients are seen by senior Medical officer and disposed as early as possible. Separate vision room for > 5 years & < 5 years -

18. A to Z Child Blindness Program Regional Capacity Building Workshop April 29 – 30, 2011 Ensure convenient date & time for the parents and the child Avoid exam dates, festivals, inauspicious days etc Provide printed instructions Follow up cards Appointment cards Reminders Text message Phone calls Postcards

19. A to Z Child Blindness Program Regional Capacity Building Workshop April 29 – 30, 2011 Post surgical follow up Appointment same dateother dateTotal Same date%Total % Jan703820585483 Feb53436498192 Mar67548628193 April11784221067291 may966022826385 june733830685293 July82708788595 Aug71568647990 Sep70596658493 oct574112537293 Nov72481765 6790 Dec52 3110416079 Total 8806221697917190

20. A2Z Child Blindness Program Regional Capacity Building Workshop April 29 -30, 2011