Transcript Aravind Eye Care System

Framework for Designing
effective DR Programs
Thulasiraj Ravilla
LAICO – Aravind Eye Care System
Current Status relating to DR
 Well established diagnostic & treatment
protocols
 Training programs for clinical
personnel
 Very low screening coverage of
diabetics
 Poor follow-up rates of DR patients
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DR Program - design framework
Awareness
Creation
Equipment &
Technology
Staff &
Skills
Barriers
Facility
Access
Quality
Cost
Remote
Diagnosis
Ownership to
the DR issue
Partnerships
for referrals
Attitude &
Perspective
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DR Program - design framework
Aravind Eye Care System
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Diabetic
Retinopathy
Intervention
Service
Model
Infrastructure
Development
HR Development
Strategies to
address the
challenges
Awareness creation
Outreach Activities
Treatment
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Diabetics examined & treated at Hospital
60000
Diabetics
DR
Laser
50000
40000
30000
20000
10000
0
2000
2002
2004
2006
2008
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Laser Procedures for DR
12000
10000
8000
6000
4000
2000
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
0
Intra-Vit Inj
Laser
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Replication of this model
Having had success with this framework,
the same has been replicated in
 PUEC, Beijing, China
 22 Eye Hospital DR Projects in India
 Consultancy to Oman - Evaluation of the
Management of DR for the entire country
& provided recommendation
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DR Management Manual
 Guidelines for the
comprehensive
management of DR
in India
 Supported by
Sightsavers, India,
Published under
VISION 2020 – Right
to Sight, India
http://www.vision2020india.org/dr_manual.pdf
Aravind Eye Care System
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Aravind Eye Care System
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