Aravind Eye Hospital, Madurai

In Service for sight

Group 8

Agenda
Blindness Problem Aravind Eye Hospital
Aravind Eye care System Sequence of getting services at Aravind

Components of service Success/ failure measurements Generalizing the framework

Blindness Problem In India

1992 30 million blind people all over the World 12 million in India
95% due to cataract related

2000 18.7 million blind people

9.7 million blindness cases related to Cataract- related

2010 -2020 24.1 million by 2010 31.6 million by 2020

http://www.ncbi.nlm.nih.gov/pubmed/11804362

Aravind Eye Hospital

Founded by Dr. G. Venkataswamy in 1976.
20 bed hospital and 3 doctors

70 beds in 1978 250 beds in 1981 1992

240 hospital staff, 30 doctors, 120 nurses, 60 admin personnel, 30 others.

Aravind Eye Care System

Eye Care Facilities
(Aravind Eye Hospitals) Community Outreach Programs Lions Aravind Institute of Community Ophthalmology (LAICO) MISSION: To eradicate needless blindness by providing appropriate compassionate and high quality eye care for all

Education & Training Aravind PG Institute of Ophthalmology

Making technology affordable (Aurolab)

Telemedicine

Research Aravind Medical Research Foundation Eye Bank Rotary Aravind International Eye Bank

Service Sequence at Aravind Eye Hospital

Registration Vision Recording Preliminary Examination

Refraction Test

Tear Duct Function

Testing of Tension

Final Examination

Features of Service Operations

Building volume through community outreach
Hence realizing economies of scale

Human resources and training

Most of the doctors and nurses and other personal are trained from scratch internally

Technology development
Lenses and instruments to operate Aurolab for lenses and medication

Exporting the eye care model

231 eye hospitals work on its model (188 in India and 43 elsewhere)

Leveraging technology

Constraints in turning up for examination

Causes of not turning up Still have vision , however diminished Cannot afford food and transportation Cannot leave family Fear of surgery No one to accompany Family opposition Others Percentage 26 25 13 11 10 5 10 Remedies being used Camps at peoples reach Camp sponsored Patients transported in Groups supported by volunteers

Success/ failure
Tamil nadu census 2001
370,031 cataract surgeries were done in 2001-2002 Government Hospitals -7.17% Eye Camps -10.16% Private clinics -7.86% Nonprofit organization -74.82%

Figures for other states

Andhra Pradesh (79.7%) Orissa (79.3%) Maharashtra (71.5%)
Achievements under Cataract Blindness Control Project: 1994-2002, NPCB-India, Quarterly

Statistics 1980-2005

Income expense 1983-2006

Problems in generalization
Obtaining appropriate technology at LOW cost Achieving economies of scale Patient education problems