Transcript AT A GLANCE - Bangladesh Eye Care Society

WELCOME
GLAUCOMA RESEARCH AND
EYE HOSPITAL – AT A GLANCE
A PROJECT OF
BANGLADESH EYE CARE SOCIETY
BACKGROUND OF BANGLADESH
Bangladesh is a developing country
in South-East Asia. Geographically
it is located between the Himalayas
and the Bay of Bengal bounded by
India on the north, west and
northeast, by Myanmar on the
southeast and by the Bay of Bengal
on the south.
Total Area
:
147,570 sq km
Population
:
148.13 million
Literacy rate
:
43.1%
Rural population
:
75%
Ophthalmologists
:
750 (approx)
Population per
Ophthalmologist
:
About 185,162
Total No. of Hospital
providing eye care services
:
132
Govt. Hospital
:
65
Private Hospital
:
13
NGO
:
54
BACKGROUND OF BANGLADESH
• Large effort made over the past years to deliver
primary healthcare including eye care but we are
lacking behind because of paucity of qualified
physician and ophthalmologist.
• Finding of studies conducted by different
organizations:
• One million people are totally blind
• Two million people are partially blind who are
unable to support themselves and to
contribute to the national development.
• 75% of those could either by prevented or
cured by early detection and treatment.
NATIONAL SUMMARY
• Population 2005 (extrapolated) : 130.8 million
• No. of hospitals providing Eye Care Services: 132
(Govt-65, NGO-54, Private-13)
• Total qualified ophthalmologist: 750
• Total Non-Ophthalmologists but working in eye
care: 268
• Total number of cataract surgeons: 450
• Total MLEP: 708
• Total number of Cataract Surgery: 131475
• Cataract Surgical Rate: 1006
• Paediatric Cataract Surgery: 4243
• Total number of Eye Beds: 3179
• Total number of teaching hospital: 26
BANGLADESH BLINDNESS PROFILE
• Over 750,000 blind
• 650,000 due to cataract (80% of total blindness)
• Over 6 million need vision correction by
spectacles and other means
• Approx. 150,000 irreversible blind which need
rehabilitation
• Approx. 40,000 children are blind of which 12,000
are due to cataract and can be cured by surgery
• 80% of the above live in rural areas
• 90% of the doctors and their helpers live in towns
Source: The summary Report of The Bangladesh National Blindness & Low Vision
Survey (30 & above age group), May 2003
CATARACT SURGERY
• Between 2,400 and 3,000 cataract operations are
required/million population/year in Bangladesh to
control cataract blindness
• This translates to a total of 314,000-392,000
cataract operations annually
• Currently about 131,000 cataract operations are
being done which represents 42% of the
estimated need
Source:
The summary Report of The Bangladesh National Blindness & Low Vision
Survey (30 & above age group), May 2003
CATARACT SURGICAL RATE REQUIRED
Minimum CSR required = 1,200-1,500/mill/year
to deal with the current backlog.
This rate needs to be doubled as
• Demand is increasing and surgery being done
earlier
• The population is ageing
• Second eyes are being operated upon
CSR to control cataract blindness = 2,4003,000/mill/year
ABOUT BECS
Bangladesh Eye Care Society (BECS) was established
in 1988 by a group of volunteers and professionals,
namely • Late Prof M A Jalil
• Late Prof AQM Harun
• Late Prof Mubarak Ali
• Late Engr Quamrul Islam Siddique
• Mr Syed A K Mahmudul Haque
• Dr Syed Reza Hussain
• Dr Rashed Nizam
• Mrs Mira Mitra
• Dr Niaz Rahman
under the leadership of Prof M Mustafizur Rahman,
Founder President and Dr Rashed Nizam, Founder
Secretary General of BECS
BECS OBJECTIVES
•
•
•
•
•
•
•
•
To organize nationwide primary eye care
activities
To train professionals on community eye
care
To conduct research and studies on eye
diseases
To establish primary and secondary eye
care centers
To organize seminars, symposiums and
workshops on eye care at national, district
and upazila level
To provide financial and technical support
to post graduate students for higher studies
in ophthalmology
To disseminate information on glaucoma
amongst public by public awareness
program
To establish a modern Glaucoma Research
and Eye Hospital at Dhaka and outside
Dhaka
PAST BECS ACTIVITIES
•
•
•
•
•
National Glaucoma Prevalence Survey in
Bangladesh in 1993 and Glaucoma Prevalence
Survey of Dhaka Division with the technical and
financial support of IGA (London) in 1997
An International Workshop on “Eye Banking” in
1992 organized in collaboration with Sandhani
and ORBIS International participated by USA, Sri
Lanka, India and Bangladesh
One rural based 18-beded Charitable Eye
Hospital DMCEH is run at Bhaluka Upazila of
Mymensingh district, which is one of the pride
projects
Scholarships are awarded to postgraduate
students studying in ophthalmology
One Glaucoma Research and Eye Hospital is
being run at Mirpur, Dhaka. Here all kinds of eye
patients are treated and operated with special
emphasis on glaucoma
Glaucoma Prevalence Survey in 1993
Dr Rashed Nizam delivering speech in
Scholarship Awarding Ceremony
Rural-based Charitable Eye Hospital at
Bhaluka Upazila of Mymensingh district
PAST ACTIVITIES OF BECS
Dr Abu Raihan, Country Representative Project ORBIS
International is watching the School side testing program
Seminar on Eye Banking and Eye Donation at Mymensingh
Medical College with all religious leaders of the Country
Inauguration Ceremony of the Eye Camp
Postoperative Patients are seen in the Eye Camp
GLAUCOMA IN BANGLADESH
Two national survey on glaucoma
conducted by BECS in collaboration with
International Glaucoma Association (IGA),
London firstly in 1993 and secondly in 1997.
Report published in British Journal of
Ophthalmology in Dec 2004
•
Prevalence of glaucoma in Bangladesh above 35 yrs = 3.1%
•
Prevalence of glaucoma suspect in Bangladesh above 35 yrs = 10%
•
Awareness about glaucoma amongst population = 4%
Name of the Donors who volunteered for the
development of the Society and Hospital
• International Glaucoma Association, LondonFor two National Glaucoma Surveys
• North American Bangladeshi Islamic
Community (NABIC)- For Equipments & Eye
Camps
• Ministry of Health and Family Planning, Govt.
of the People’s Republic of Bangladesh- For
construction of the present building for the
Office & Hospital
• Patrons (10 Nos.) - For the development work
• Life Members (51 Nos.) - For the development
work
RENDERING SERVICES
BECS established a Glaucoma Research &
Eye Hospital in its own land measuring 0.24
acres in 2007. Rendering the following
services in one storied semi pucca building
(consisting 10 rooms):
•
Out patients consultation
•
Slit lamp biomicroscopy
•
Refraction by Automated refractometer
•
IOP measurement by applanation
Tonometer
•
Visual field analysis by Humphrey Field
Analyzer
•
Pachymetry for CCT measurement
•
Gonioscopic examination
•
24 hours phasing of IOP for glaucoma
patients
•
Phaco surgery by latest and most
modern phaco-machine
Chief Consultant of GREH performing IOL implant
surgery under microscope donated by NABIC
Senior Consultant of GREH performing Glaucoma
surgery under microscope donated by NABIC
SURVEY DONE
• Eye camps in rural areas where cataract and
pterygium surgery done in the camp
• SICS with IOL implant
• Phaco emulsification with IOL implant
• Trabeculectomy and tenomectomy
• DCR for Dacryocystitis
• Squint surgery
• Keratoplasty
• Other operation like pterygium, orbital tumor and
other minor surgery
The accommodation and service facilities need to be
expanded. Hence, plan to establish a 12-storied
building for the hospital is taken
PROPOSED GLAUCOMA RESEARCH & EYE HOSPITAL
12-storied Hospital Building
In Patients Department
Total Beds – 160
Total OT – 6
General Ward (Male & Female) – 100
Double Bed Cabin – 10
Single Bed Cabin – 5
Diagnostic Service
Training Service
Out Patients Department
Consultation Room including refraction
Emergency Department
Daycare service except intraocular
PROPOSED HOSPITAL BUILDING
Hospital will provide all eye care services like:
• General ophthalmology, cataract, Cornea, Vitroretina, Glaucoma, Oculoplasty, Contact lens
• Orbital surgery, Intraocular lens implant surgery,
Daycare IOL surgery with phaco emulsification, scan
facilities, fundus fluorescence angiography
• YAG laser, Argon laser, Neuro ophthalmology,
Paediatric ophthalmology, Low vision rehabilitation
centre
• 24 hours laboratory services
PRELIMINARY ESTIMATED COST UPTO 12-STORIED GLAUCOMA
RESEARCH & EYE HOSPITAL BUILDING AT MIRPUR, DHAKA
Estimated cost of the total project: Taka 32 crores (320 million)
Total area of the building: 6630 sqm
Estimated Cost for 1st Phase (up to 1st Floor) Taka 4 crores (40
million) which includes :
1. Formation in plinth including store pile retaining wall etc.
2. Basement
3. Ground floor with drain, apron, gate etc
4. First floor
5. Internal sanitary & water supply
6. Electrification
7. Pump, Reservoir, water and sewerage connection etc