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National Program For Control of Blindness
The overall Cataract Surgical Rate (CSR) is 326 per 1 lakh population. But it is observed that CSR is not uniform throughout the State. CSR rate differs from one District to another. Overall CSR rate is not at desired level. More attention is needed to the underserved districts and subdivisions to improve the CSR. Uttar Dinajpur, Dakshin Dinajpur and Coochbehar are very low performing Districts.
Following activities are being undertaken and planned:
- Improved maintenance and updating of Village wise Blind Register.
- To address the shortage of Paramedical Ophthalmic Assistant (PMOA).
- Construction of more number of dedicated Eye OT and Eye Wards at the Sub Divisional and State General level Hospitals for conducting more cataract operations by maintaining the proper sterility.
- Trained Ophthalmic Surgeons in the field of treatment of Diabetic Retinopathy, Glaucoma, Pediatric Ophthalmology and Childhood Blindness at the District Hospitals for providing accessible eye care services.
- Involvement of more NGOs having base hospitals in Districts where Govt, infrastructure is unable to meet the huge demand of the people.
- The IEC activities of the Districts should be strengthened and conducted throughout the year intensively so that each and every person of the remotest village is aware of the eye care services provided under NPCB.
- Regularity in submission of report by the District authorities should be emphasized for due evaluation and monitoring of the performance of the Districts.
- Introducing monitoring and mechanism to facilitate implementation and maintain quality control.
School eye Screening District Wise
Inclusion of students of SSK, MSK and secondary schools in the School Eye Screening Program has covered screening of vast number of students for detection of refractive errors at an early stage.
Community based strategies for coverage of school dropouts need to be evolved including involvement of Panchayat and Community.
School Eye Screening at the beginning of the academic year was recommended. Compliance of this recommendation and experiences need to discussed for future strategies.
In most of the Districts the percentage of Refractive error detected is mush less than the standard. In such Districts implementation of SES Program, IEC Program has to be strictly monitored by the district program officer.
- Deployment of PMOA’s in all PHC having the facilities of Vision Center in phased manner so that Vision Screening can be done in regular manner of the School students and the Drop outs.
- Training of Health Worker and School Teachers in screening of refractive errors may prove beneficial for the program. Further communication with the Education Dept. with the request to extend their co-operation in vision screening program at school may improve the activities. Moreover integration of same activities done by other section of the health dept. can improve the activities.
Cornea Collection & Utilization
After careful analysis it is found that the Utilization Percentage of the corneas collected is not up to the mark because of the distance and time taken for transportation of the collected eye balls from the donor’s doorstep to the Eye Bank where it would be utilized.
It is also found that the method used for preservation of the eye balls is ancient one also the cause of low utilization of the Eye Balls. Only cornea collected and transported in M.K. Media from distant place has higher percentage of Utilization.
As the media in which the eye balls are to be transported is very costly, GOI was requested to increase the recurring grant provided to the Eye Donation Centers and Eye Banks for collection so that the fund can be utilized by the Institutions for procuring the M.K. Media for transportation of eye balls.
Source: Annual Administrative Report 2008-2009 (Health & Family Welfare Department Government of West Bengal)