Center for Community Ophthalmology (CCO) - SNC Chitrakoot

“Our Aim is to reach the unreached communities with comprehensive eye care services and to reduce the burden of eye diseases from service catchment area.”

Introduction

The idea of establishing dedicated community ophthalmology wing is the brainchild of Dr.B.K Jain, Director  & Trustee of Shri Sadguru Seva Sangh Trust. The exposure gained by Dr.B.K Jain during his visits to Nepal and Southern India resulted to establishment of community outreach department 2001. The department started in a small place with four people today grown into an internationally recognized Centre for Community Ophthalmology. The objective behind initiating community outreach program was:

  • Combating seasonal imbalance in service delivery at Sadguru Netra Chikitslaya (SNC)
  • Creating healthy environment for eye care service delivery that is accessible, acceptable and affordable to all
  • Creating awareness among community for developing eye health seeking behaviour
  • Developing sustainable model of service delivery i.e. high volume, high quality and low cost (to patient) services.

Currently CCO caters to eye care needs of 23 million population spread in the 250 kms. radius.It reaches to remote and densely located villages where existence of any care service provider is almost impossible.

Outreach Activities

Reach-out camps

Outreach eye camps take eye care services to the doorstep of the community. Started in 2001-02 with mere 32 outreach camps and 340 odd surgeries, today outreach program run by CCO is one among the largest rural outreach program across the globe.

Districts covered:

Uttar Pradesh

Banda, Chitrakoot, Mahoba, Hamirpur, Fatehpur, Kanpur, Kaushambi, Allahabad, Mirzapur and Pratapgarh

Madhya Pradesh

Satna, Katni, Rewa, Sidhi, Panna, Chhatarpur

Year 2001 - 02 2002 - 03 2003 - 04 2004 - 05 2005 - 06 2006 - 07 2007 - 08 2008 - 09 2009 - 10 2010 - 11 2011 - 12 2012 - 13 2013 - 14
# Camps 32 42 113 79 174 182 272 368 387 1038 1118 1289 1702
Reach out Surgery 340 297 1755 3507 4578 6063 8332 10984 13962 27983 28095 42650 50250

Primary Eye Care Centers

The model of vision centre is envisaged by the Vision 2020 – The Right to Sight, a global initiative of International Agency for Prevention of Blindness (IAPB – a global machinery working across the world for the prevention of avoidable blindness). Vision Centres are aimed towards providing primary eye care services to the rural underserved population. Aligning with this initiative, Government of India is planning to set up at least 20,000 vision centres across the country. CCO at SNC envisioned establishment of 100 vision centres by the year 2020. Towards this endeavor CCO has already established32 IT enabled vision centres in remote rural locations of Uttar Pradesh & Madhya Pradesh.

Year Vision Centre Total patients screened Total spectacle prescribed Total spectacle dispensed Camps Outpatients Surgery Follow-up
2010-11 23 89627 33170 29037 (87%) 489 33096 11431 69%
2011-12 24 76455 28323 25104 (88%) 589 35028 11514 75%
2012-13 25 1,29,392 40478 36793 (90%) 743 66252 22152 89%
2013-14 26 160085 49231 43771 1102 101384 24220 89%

Location of Sadguru Vision Centers in Madhya Pradesh:

  • Satna

    • Unchehra
    • Nagod
    • Maihar
    • Amarpatan
    • Jaitwara
    • Rampur Baghelan
  • Rewa

    • Semariya
    • Sirmaur
    • Teonthar
    • Mangawan
    • Mauganj
  • Panna

    • Devendra Nagar
    • Panna
    • Ajaygarh
  • Chhatarpur

    • Laundi
  • Katni

    • Katni
  • Sidhi

    • Sidhi

Location of Sadguru Vision Centers in Uttar Pradesh:

  • Chitrakoot

    • Manikpur
    • Karwi
    • Rajapur
  • Banda

    • Atarra
    • Naraini
    • Bisanda
    • Tindwari
    • Baberu
    • Banda
  • Fatehpur

    • Amouli
    • Bindki
  • Allahabad

    • Shankargarh
  • Hamirpur

    • Maudaha
  • Mahoba

    • Mahoba

School Eye Health Program

School eye health program & Anaganwadi Screening is the regular activity of CCO to provide eye care services to neglected and sensitive population .i.e 0-15 age group.

Year Block Teacher’s Trained Students Screened Spectacle Dispensed Ref to SNC
2005-06 Unchehera 208 28458 406 199
2006-07 Nagod 317 35672 344 143
2007-08 Amarpatan 199 30389 306 186
2008-09 Pahadi (Rajapur) 201 28327 356 230
2009-10 Karwi+ Majahgawan 0 13938 385 80
2010-11 VC 173 7440 127 61
2011-12 Mahua (Atarra) 0 15641 203 153
2012-13 Pahadikhera (MP) & Pahadi (UP) 0 5563 150 57
Total   1098 165428 2277 1109

System Development

Management information system is a big challenge in managing mega outreach programs as well as primary eye care centers.  It is almost impossible to keep track each performance indicator of outreach camps, vision centers, school eye health and other community programs.  It is very complex to maintain database according to varied demands of funding agencies and donors.  To overcome this barriers Center for Community Ophthalmology (CCO) developed its own information systems to manage, monitor and evaluate community programs.

Camp Automation System (CAS):  Our IT team has developed in-house software program to manage information systems for outreach camps. Developed in 2006, CAS is very useful and effective tool to manage huge database for tracking performance of each outreach camp.  With-in single flick CAS software provides required data in tabular form and analyzes crucial information for decision making. It provides systematic information on all performance indicators to make tailor made reports as per various reporting requirements. It has inbuilt tab for generating report on Visual Acuity Analysis, and financial reports.

Vision Center Management Systems (VCMIS): Another feat achieved by our IT team by developing software to manage Vision Centers.  Developed in 2009, VCMIS is capable to track each and every activity of Vision Centers. It provides day-to-day information on Outpatient visits, Refraction and Optical dispensing, treatment and follow-up records.  It also has separate tab for managing vision centers inventory and finances. It also has inbuilt mail delivery services to communicate with base hospital. VCMIS makes vision center monitoring easier and it is very user friendly.

School Eye Health Systems (SEHS): Developed in 2007 by our IT team SHES is user friendly software to manage and analyze data of school eye health program.  Once all basic information is entered it provides School Eye Health Program results in single click.  It is very helpful in managing, monitoring and evaluating School Eye Health Program.

Consultancy and Advocacy

Advocacy

SNC actively participates in raising the voice for marginalized and poor people from the region.SNC is the prominent member of Vision 2020-Right to Sight India. Trust is also member of Community Ophthalmology Symposium of India (COSI). In addition to this CCO never miss any opportunity to advocate the rights of marginalized people suffering with avoidable blindness at any forum. It actively celebrates all the advocacy events such World Sight Day, Eye Donation Fortnight, Diabetes day, Glaucoma day for creating awareness among masses etc.

Consultancy

SSSST always believe in team work and capacity building. Realizing the immediate eye care needs of marginalized population we are engaged in capacity building of other struggling/new eye hospitals to build their capacity in reaching more underserved population. Capacity building focuses on sustainable development of eye hospitals with putting systems in place and ensuring quality of care with high volume surgeries.

  • Sitapur Eye Hospital, Sitapur
  • Sadguru Sankalp Netra Chikitsalaya, Anandpur
  • Seva Sadan Eye Hospital, Bhopal
  • Ratanjyoti Eye Hospital, Gwalior

Current Projects

  • Seva-Lavelle Vision Centre Project: Since 1978, Seva has been a leading innovator in the delivery of vital eye care services to the world’s most vulnerable including women, children, and indigenous people.  Seva-SSSST partnership started in 2002-03. Initially the project started with supporting adult outreach camps, hospital based training programs (HBPs) and training of manpower. Currently, Seva Foundation is supporting Seva-Lavelle project aimed towards development of Seva supported vision centres.  Seva Foundation is also playing  a catalyst role in Seva-IAPB-SNC mentoring project as well as TOMS service delivery project.
  • TOMS: TOMS is a well-established American shoe company. When Toms sells a pair of shoes a pair of shoes is given to an impoverished child, and when Toms sells a pair of eyewear, part of the profit is used to save or restore the eyesight for people in developing countries. TOMS is working with SSSST through Seva Foundation since July 2011.
  • SEVA-IAPB-CCO Mentoring Project: Through the efforts of the Seva Foundation and IAPB, selected institutions in every region of the world are becoming hubs for training, mentoring, and improvement among surrounding eye hospitals.  This network is known as the Global Sight Initiative (GSI), and its goal is to build the capacity of at least 100 eye hospitals through this process and to produce an additional one million sight-restoring cataract surgeries annually.  GSI partners are working to continually improve their own hospital’s services, while reaching out to help other hospitals in their region. The aim is to multiply the number of sustainable, community-oriented eye programs throughout every part of the world.
    SSSST as a CCO partner currently engaged in capacity building of two hospitals: (i) Sitapur Eye Hospital, Sitapur (ii) Sadguru Sankalp Netra Chikitsalaya, Anandpur, Vidisha and a plan for adding two more hospitals i.e. Seva Sadan Eye Hospital, Bhopal and Ratan Jyoti Eye Hospital, Gwalior is almost final.
  • Help Me See – helping the blind see: Creating a massive treatment program that will provide millions, the miracle of sight surgeries in 80 of the world’s poorest countries. Help Me See aimed towards eliminating avoidable blindness due to Cataract by empowering local surgeons and hospitals towards sustainable eye care services.
    Help Me See is associated with SSSST since 2011. Help Me See-SSSST partnership making inroads in the Bundelkhand region for making Vidisha Division a ‘Cataract Backlog Free Zone’.
  • Cataract Backlog Free Zone:
    • Chitrakoot: CCO was engaged in making Chitrakoot District a ‘Cataract Backlog Free Zone’. The population of Chitrakoot is around one million and there were estimated >10000 cataracts. Declaration of Chitrakoot district as Cataract Backlog Free Zone was made on 2nd October 2014.
    • Banda & Panna: Inspiring from the success of Chitrakoot Cataract Backlog Free Zone project our team is currently engaged in making Banda & Panna districts Cataract Backlog Free Zone. The project has been initiated in June 2014 and 50% of targets have been already achieved. It is estimated around 20,000 cataract surgeries to make both the districts Cataract Backlog free zone.