^ Community eye care programs: The engine for change with Public eye health in rural India K. Anand Sudhan Head-Centre for Community Ophthalmology Sadguru Netra Chikitsalaya (SNC) September 17, 2012 1 Challenges faced by SNC Retention of Ophthalmologists Financial viability Management systems Promotion of IOL surgeries Seasonal imbalance Strategies introduced by SNC Value added retention strategies Attracting paying patients Introduction of Quality Management system Multi-tiered pricing system Outreach camps in summer months Comprehensive eye care… Pediatric Services Glaucoma Occuloplasty Cataract Cornea / Eye Banking Low Vision Vitreo / Retina Tackling seasonal Imbalance (April to Sept – Summer Months) My lifeCross timecutting experience 2008-09 2009-10 2010-11 2011-12 17 24 24 24 20044 31696 30450 36129 Camp OPD 7306 30579 32615 37403 Follow-up 7662 18158 14396 13300 Total Pts.Screened 35012 80433 77521 86832 Spectacle Prescription 13913 28748 35160 29969 Spectacle Dispensed 12012 25203 30528 26549 2388 7997 11431 11514 # of Vision centre's New OPD Surgery Collaborations for Management systems Partners Partners Eye surgeries- Chitrakoot centre Outcome of Vision Building Pre-position Existing position Turnover of skilled Manpower 45 Ophthalmologists and skilled administrative staff 23525 cataract surgeries with 55 % surgeries being Non IOL 84,600 cataract surgeries with 98 % being IOL 69% Cost Recovery 100% operational cost Recovery 12% of the total surgery in summer months and 88% surgery in winter months 38% of the total surgery in summer months and 62% surgery in winter months 65% free surgery, 34% subsidized and 1% paying 43 % free surgery, 41% subsidized and 16% paying Reaching out to REAL Indian population Thank you 11