National Programme for Control of Blindness(NPCB), Slides of Nursing

Download National Programme for Control of Blindness(NPCB) and more Slides Nursing in PDF only on Docsity! NATIONAL PROGRAMME FOR CONTROL OF BLINDNESS(NPCB) Dr. NAVYA KRISHNA 1ST YEAR PG DEPT. OF COMMUNITY MEDICINE OUTLINE • DEFINITIONS • BURDEN • GOALS & OBJECTIVES • STRATEGIES • ORGANIZATIONAL STRUCTURE • DISTRICT BLINDNESS CONTROL SOCIETY (DBCS) • ACTIVITIES OF NPCB • NEW INITIATIVES UNDER THE PROGRAM • EXTERNALLY AIDED PROJECTS • VISION 2020 • Visual Acuity:- – Sharpness of vision, measured as maximum distance a person can see a certain object, divided by the maximum distance at which a person with normal sight can see the same object • Economic blindness:- – Inability of a person to count fingers from a distance of 6 meters or 20 feet. • Social blindness:- – Vision 3/60 or diminution of field of vision to 10 degrees • Manifest blindness:- – Vision 1/60 to just perception of light • Absolute blindness:- – No perception of light • Curable blindness:- – That stage of blindness where the damage is reversible by prompt management e.g. cataract • Preventable blindness:- – The loss of vision that could have been completely prevented by institution of effective preventive or prophylactic measures.eg:- xerophtalmia,Trachoma Avoidable blindness: - • The sum total of preventable or curable blindness is often referred to as avoidable blindness. • Globally, uncorrected refractive errors are the main cause of moderate and severe visual impairment. • Cataracts remain the leading cause of blindness in middle and low income countries. • 80% of all visual impairment can be prevented or cured. • Prevalence is highest in African continent (avg. of 1.2%) followed by Asia (0.75%) and Latin America (0.5%) . Prevalence of Blindness Blindness Prevalence (%) O03 0320 M0s« a The boundaries and names shown and the designations used on this map do net imply the expression of any opinion Py whatsoever on the part of the World Health Organization concerning the legal status of any country, terntory, city or area or of its authorities, or conceming the delimitation of As fronhers or boundenes. Dotted lines on maps represent spprovirnate border tines World Health fr which there may not yet be full agreement Organization • National Burden:- • Out of 37 million people across Globe who are blind , India has 12 million blind persons NHS (ICMR-1974) - 1.38% NPCB/ WHO(1986-89) - 1.49% NPCB(2001-2002) - 1.1% NPCB (2006-07) - 1% NPCB PILOT SURVEY 2001-2002 @ Cataract Refractive Error @ Glaucoma @ Corneal Blindness & Posterior Segment Disorders Surgical complications © Others PROGRAMME INDIA was the first country in the world to launch National level Blindness control program. •1976 : NPCB launched as 100% centrally sponsored programme. • 1994-95: Programme decentralized with formation of District blindness control society(DBCS) in each district. GOALS • To reduce the prevalence of blindness from 1.49%(1986-89) to <0.3% by 2020. • To establish an infrastructure efficiency to cater new cases of blindness each year to prevent future backlog. STRATEGIES • Continued emphasis on free Cataract Surgeries. • Emphasis on Diabetic Retinopathy, Glaucoma, Corneal transplantation, Vitreo retinal surgeries, Childhood Blindness. • Active screening of population above 50 years of age. • Screening of school children for identification and treatment of Refractory errors • Coverage of underserved areas for Eye care through Public-Private Partnership • Capacity Building of Health personnel • IEC activities for Community • Strengthening of Regional Institute of Ophthalmology (RIOs) and Medical Colleges of States and District Hospitals. • Continuing emphasis on Primary Eye care. • Multipurpose District Mobile Ophthalmic Units for better coverage • Participation of community and Panchayathraj Institutions in organizing services in rural areas • Involvement of Public-Private Partnership District Blindness Control Society Goal:- “To achieve maximum reduction in avoidable blindness through optimal utilization of available resources ”. The Programme includes: – Comprehensive Eye Care – School Eye Screening – Community based Rehabilitation ACTIVITIES of NPCB • Cataract operations • Involvement of NGOs • Civil works • Commodity Assistant • IEC activities • Management Information System • Monitoring and Evaluation • School Eye Screening Programme • Collection and utilization of donated Eyes • Control of Vitamin A deficiency CATARACT OPERATIONS • IOL implantation by government, private and NGO organizations • 2014- july2015 NPCB statistics – India - 63,31,982 – Telangana - 2,23,721 Collection and utilization of donated Eyes • 2014-july 2015 NPCB Statistics • India - 57250 • Telangana - 4466 NEW INITIATIVES OF THE PROGRAM 1. Provision of free glasses in Presbyopia patients . 2. Provision of spectacles for school children by conducting Eye Testing Fortnight every year in the month of June 3.Provision of Multipurpose District Mobile Ophthalmic units(MDMOUs) in all districts all over the country. 4. To promote Eye donation and to urge the Eye banks to perform better in the forthcoming years. 5. Hospital Cornea Retrieval Programme – inclusion of mandatory required request for Eye donation from those who are deceased in the cause of death certificates issued by Hospitals need to be firmly put into practice (NPCB quarterly news letter july-sept. 2012) Plan of action for India : Proposed structure Centers of Excellence (20) Training Centers (200) Service Centers (2000) Vision Centers (20,000) Services at each centre Primary level : Vision centers 20,000 •Screening & referral services •School eye screening programme •Primary eye care •Refraction & prescription of glasses Secondary level : Service centre 2000 • Cataract surgery. • Other common eye surgeries. • Facilities for refraction. • Referral services. References • K.Park text book of Preventive and Social Medicine, M/s Bhanot Publishers 23rd Edition 2015 • Jugal Kishore, text book for National health programmes, 9th edition 2011 • www.who.int/mediacentre/factsheets/fs282/ en/ • Govt.of India,National Programme for Control of Blindness in India, Ministry of Health and Family Welfare, New Delhi 2nd THURSDAY OF => @ 2015 SIGHT LDAY