Professional Documents
Culture Documents
Aravind Experience
Dr. Aravind Srinivasan
Administrator
Making it affordable
Lack of systems
Sustaining Quality
1
Cost of Blindness in India: Rs. 13,500 Crores (US$ 3 Billion) per year
2
Aravind Business Model
Fee for service: 35% of patient care
3
Demand Generation –Reaching Out
Aravind initiated its community outreach programmes in
response to
Problems of inaccessibility
4
Community Outreach
20-25 screening camps/week
Community Participation
Leveraging
Technology
Information Technology
5
N-Logue Kiosk Vision centre
VSAT
6
BACKGROUND
Does the present model alone benefit the
rural mass?
Vision Base
Kiosks Camps Solution
Centers Hospital
Making it affordable
7
Productivity (high volumes)
40% of all cataract surgeries
in Tamil Nadu are performed
in Aravind Eye Hospitals
A surgeon in Aravind
performs more than 2000
cataract surgeries a year which
Aravind Hospitals perform 150,000
is 5 times the number cataract operations in a year - more
than the whole NHS, UK - Mark Tully
performed by an average (BBC)
Indian ophthalmologist.
125000
Resource utilised 100000 Paying
Free
75000
Total beds: 4000
50000
0
1977
1980
1983
1986
1989
1992
1995
1998
2001
2002
2003
8
A classic example of turning apparent
disadvantages into realized opportunities.
developing countries.
Lack of systems:
An impediment to scaling up
9
Evolution of Aravind eye hospitals
Madurai (1978)
Theni (1984)
Madurai (1976)
Tirunelveli (1988)
Coimbatore (1997)
Pondicherry (2003)
Scaling Up Services
10
Location of Participating Hospitals
as on November 2004
Other Countries:
Bangladesh
Bulgaria
Bolivia
Cambodia
Egypt
Indonesia
Kenya
Malawi Lions - 92
Nepal Sight Savers - 38
Zambia CBM - 21
Zimbabwe WHO, ORBIS,
Guatemala Seva, others - 26
El Salvador Total: 177
Tanzania
Demand Generation
Quality
Cost Viability
Systems Refinement Follow-up Visit
11
Partnering with like minded organisations
• Acumen, USA • Mission REACH
A
U
R
O
L • Five million see the world through
Aurolab intraocular lenses (IOL)
A • Exported to 120 countries.
B • 9% of global market share in IOLs.
12
Sustaining Quality
Clinical quality Non-clinical quality
Training of doctors, Training of administrators
paramedics Packaging of services
Monitoring complication South to south collaboration
rate (developing countries sharing
Being at par with state of their expertise)
art technology
Benchmarking with
world class institutes:
Johns Hopkins hospital,
Wilmer institute.
Europe Russia
North
America
Africa
South
No. of IOL America Australia
Trainees - 890
Nigeria - 12
Bangladesh - 19 Germany - 20 Sierra Leone - 1
Belgium - 1 India - 768 Spain - 1
Bulgaria - 1 Indonesia - 29 Switzerland - 11
Cambodia - 2 Israel - 1 Turkey - 1
Italy - 7 UAE - 1
China - 1
Latvia - 4 Uganda - 2
D.R.Congo - 1
Maldives - 1 U.K. - 2
Egypt - 2
Estonia - 1 New Zealand - 1
13
Potential research areas
Scaling up of services.
14