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Background :- National Programme for Control of Blindness was launched by the Ministry of Health & FW , Govt. of India in 1976. India was the first country in the world to have launched a national level blindness control programme. As India realized that cataract was the major cause of blindness in the country and that surgical facilities were not accessible to most people in the rural areas, the programme was initiated.

From the very inception the programme is being implemented as a 100% centrally sponsored programme. It was included in the Prime Minister's 20- point socio economic programme in 1982.

Planning Process under National Programme for Control of Blindness :-

The District Blindness Control Society's plan should as far as practicable to be an aggregation and consolidation of the village and the block primary eye care level. The perspective plans must be on the basis of village eye care plan. Block PHC / CHC will be the key level for development of decentralized plan.

Village level eye care provider would be responsible for village eye care activities. ASHA , Anganwadi Workers , Health Workers would be key persons responsible for household survey, the village Blind Register

The cluster level will be led by the PHC / CHC personnel like PMOA who facilitate planning inputs of the village level eye care providers to formulate a broad plan.. Medical Officer , In-charge of the PHC will work in close co-ordination.

The District Blindness Control Society , particularly the DPM / Member Secretary and the Chairman will review the plan and monitor the eye care activities as per NPCB Guideline.


Situation Analysis :

Assam is one of the backward states of India situated in the North-East. Guwahati is its capital, lies on the bank of river Brahmaputra.

Assam State Blindness Control Society ( ASBCS) was formed and registered under Society's Act 1860 vide Reg. No. RS/KAM/240/T/25 Dtd. 22-06-2004 of 2004-05. It has one Governing Body and one Executive Body to plan, to execute and to monitor the work of National Programme for Control of Blindness in Assam.


The Governance Structure of N.P.C.B., Assam :-

A. The Governing Body :-

  • Chair --Minister, Health& F.W., Assam
  • Co-Chair --Secretary, Health &F.W. Dptt, GOA, Dispur
  • Member Secy --Jt. DHS(O)/ SPO,NPCB,Assam
  • Member --DHS., Assam
  • Member D--ME., Assam
  • Member --Regional Director, MOH&FW,GOI
  • Member --Director, RIO, Guwahati
  • Member --Medical Director, SS Nethralaya, Guwahati

B. The Executive Body :-

  • Chair-- Secretary, Health & FW, Dptt. GOA, Dispur
  • Co-Chair-- DHS, Assam
  • Member Secy-- Jt. DHS(O)/SPO, NPCB, Assam
  • Member-- Jt Secy .H&FW, Assam

There are 24 nos. of District Blindness Control Society (DBCS) in Assam at present and functioning smoothly. Each DBCS is headed by the Deputy Commissioner of the respective District as Chairman and the District Programme Manager (DPM) as Member Secretary.

As per the Govt. notification No. GAG(B)137/2002/Pt/117 Dt. 30.10.2003, another 3 nos. of new districts namely Chirang, Baksa and Udlaguri were created but DBCS is not yet formed. In theses districts the NPCB activities are being carried out by the parent DBCS. So early formation of DBCS in these district is awaited.

· Total population --------------------- 2,93,27,104 (Census-2001-02)
· Urban population ------------------- 2,32,16,288(87%)
· Land area --------------------------- 78438Sq.Km
· Density of population -------------- 339
· Sex ratio ---------------------------- 935/1000
· BPL population ---------------------- 98,76,314.
· High Risk population ---------------- 1,23,86,653.
· Total Districts ----------------------- 27
· Total BPHCs ------------------------ 156
· Total FRU ---------------------------- 30
· Total Villages ------------------------ 29,237.

Health Infrastructure ( in Govt. Sector )
· Medical Colleges --------------------- 3
· Dental College ----------------------- 1
· Ayurvedic College ------------------- 1
· Homeopathic Colleges -------------- 3
· Nursing College ---------------------- 1
· Regional Inst. Of Ophthalmology --- 1
· Inst. Of Mental Health --------------- 1
· State Hospital ------------------------ 1
· District Hospital ---------------------- 24
· Chest Hospitals ---------------------- 3
· First Referral Unit(FRU) ------------- 30
· Block PHC --------------------------- 156
· Health Sub-Centers ----------------- 5109 ( approx)
· Eye Bank ----------------------------- 5(Regd. Eye Bank…4)

Other Govt. Hospital :-
· NF Rly Hospital ………. 1
· Army Hospital ……… 2
· ESI Hospital ……… 3
· CRPF Base Hospital ……… 1
· IOC Hospital ……… 1
· ONGC Hospital ……… 1
· Police & Jail Hospital ……… 20

Private / NGO Hospitals :-
· Sri Sankardev Netralaya, Guwahati ….. 1
· Down Town Hospital ….. 1
· GNRC,Guwahati …... 1
· Chandraprava Eye Hospital Jorhat …… 1
· Mission Hospital …… 5
· Red Cross Hospital …… 1
· Nursing Homes …… 152
· Eye Banks …… 2

Manpower of State Blindness Control Society :: ASSAM :-

· Jt. Director, Health Services/State Programme Officer …1
· U.D.A. …1
· L.D.A. cum Typist …1.
· Statistical Assistant …1
· Gr.IV …1
Contractual Staff:-
· Budget & Accounts Officer …1
· Data Entry Operator …1
· Administrative Assistant …1
Other Staff Including Districts:-
· Ophthalmic Surgeon …90
· Ophthalmic Assistant …202
· D.P.M Designated (M & HO) …16
· D.P.M., Contractual …8


State Profile and progress Made during 2005 to December 2007

Creating an infrustructure for cataract surgical & support services Cataract Surgical Services :-

Creation of Regional Institute of Ophthalmology (RIO) at Guwahati to provide specialty services and referral support to other institutions.

  • Strengthening and upgrading eye departments of medical colleges like A.M.C.H., Dibrugarh, S.M.C.H. , Silchar and Ayurvedic College, Guwahati,. Dedicated eye OTs, eye wards and ophthalmic equipments are being provided to all medical colleges and 24 district hospitals.
  • We have 90 nos. of eye surgeons. Eye Surgeons from the district are being trained in latest surgical methods at SSN, Guwahati, Rotary Eye Hospital, Cuttack , Arvind Eye Hospital, Madurai etc. Already 49 nos of eye surgeons have been trained. At present another 7 (seven) nos. of Eye Surgeons are nominated to the Govt. of India for training on IOL/ECCE/MSICS etc. Remaining Eye Surgeons will be nominated to the GOI periodically.
  • Creation of District Mobile Units to provide cataract surgical services in the rural and remote areas. There are 7 (seven) Nos. of District Mobile Unit.
    1. AMCH, Dibrugarh 2.SMCH, Silchar 3. RIO, Guwahati,
    4. Sonitpur 5. Nagaon 6. Goalpara
    7. Barpeta.

  • NGOs participating in eye care services are being supported by providing GIA.

Following NGOs are helping in the activities of NPCB, Assam in following
DBCS of Assam

Sl No Name of D.B.C.S. Name of NGO Remarks
1. BONGAIGAON LIONS CLUB ( own O.T.)  
2. CACHAR 1. Lions Eye Hospital, Silchar
2. Red Cross Hospital, Silchar
 
3. DIBRUGARH Lions Club ,
2. Rotary Club
 
4. HAILAKANDI 1. Lions Eye Hospital  
5. JORHAT 1. Lions Eye Hospital  
2. Chandraprava Eye Hospital/Jeuti Eye Bank  
3. Sankar Nethralaya  
4. Borthakur Eye Clinic  
6. KAMRUP 1. Lion Club
2. Gauhati Lion Eye Hospital
3. Vision Hospital ( Charitable Trust)
4. Down Town Hospital ( Sankar Madav Medical College & Hospital)
5. Pragjyotish Eye Care & Research Centre, Guwahati,
 
7. Kamrup (M) 1. Marwari Yuba Manch 2. Lion Hospital, Kamrup 3. Lions Eye Hospital
4. Pragjyoti Eye Care & Charitable Trust
5. Nabajagaran Surjodoi Sangha
 
8. Karimganj 1. Lions Eye Hospital
2. Red Cross Hospital
 
9. Nagaon 1. Seuji Jyoti, Nagaon
2. Lions Club Grater Nagaon
3. Lion Club, Nagaon
 
10. Nalbari 1. Lotus Progressive Centre
2. Economic Dev. & Social reformation Centre.
3. Pub Namborbhag Samanay Manch
4. Youth Development Society , Bhangramari, Mukalmua
 
11 Tinsukia 1. Lions Club  

NATIONAL PROGRAMME OF CONTROL OF BLINDNESS::: ASSAM
MONTH WISE PERFORMANCES OF CATARACT SURGERY IN ASSAM
From 01.04.2007 to 31.12.2007 (SESSION - 2007-2008)

Sl No MONTH GOVT. PVT. N.G.O Conven-tional I.O.L. TOTAL CUMULA-TIVE
1 April 1231 615 1353 16 3183 3199 3199
2 May 1397 709 1670 12 3764 3776 6975
3 June 1303 641 1297 9 3232 3241 10216
4 July 1109 657 1186 4 2948 2852 13168
5 August 1445 642 1199 7 3279 3286 16454
6 September 1451 659 1201 5 3306 3311 19765
7 October 1473 710 1085 15 3253 3268 23033
8 November 1915 964 1318 8 4189 4197 27230
9 December 1557 803 1566 10 3916 3926  
  TOTAL 12881 6400 11875 86 31070 3116  

STATE BLINDNESS CONTROL SOCIETY :: ASSAM
DISTRICT WISE PERFORMANCE OF CATARACT SURGERY
SINCE APRIL'2007 TO DECEMBER '2007

Sl No Name of District GOVT. PVT. N.G.O Convl. I.O.L. TOTAL Remarks
1 Barpeta 329 0 8 0 337 337  
2 Bongaigaon 200 26 91 0 317 317  
3 Cachar 69 703 1628 0 2400 2400  
4 Darrang 470 0 0 0 470 470  
5 Dibrugarh 440 567 245 0 1252 1252  
6 Dhubri 499 0 0 23 476 499  
7 Dhemaji 129 3 0 0 132 132  
8 Golaghat 923 0 0 3 920 923  
9 Goalpara 472 0 0 0 472 472  
10 Hailakandi 84 165 175 0 424 424  
11 Jorhat 408 778 1384 11 2559 2570  
12 Kamrup 112 57 1498 0 1667 1667  
13 Kamrup Metro 544 2336 386 2 3264 3266  
14 Karimganj 447 109 455 0 1011 1011  
15 Karbi Anglong 104 38 346 0 488 488  
16 Kokrajhar 178 10 0 10 178 188  
17 Lakhimpur 489 6 0 0 495 495  
18 Morigaon 228 0 0 0 228 228  
19 Nagaon 757 583 619 31 1928 1959  
20 N.C. Hills 137 0 0 0 137 137  
21 Nalbari 687 393 51 0 1131 1131  
22 Sibsagar 975 48 0 0 1023 1023  
23 Sonitpur 75 144 309 6 522 528  
24 Tinsukia 522 434 484 0 1440 1440  
25 SSN 0 0 4196 0 4196 4196  
26 RIO 1685 0 0 0 1685 1685  
27 A.M.C.H. 973 0 0 0 973 973  
28 S.M.C.H. 945 0 0 0 945 945  
  State Total 12881 6400 11875 86 31070 31156  

School Eye Screening and Refraction Services
This programmes are undertaken by our 24 nos. of D.B.C.S. under three types of refractive correction :-

  • Myopic correction for school children
  • Presbyopic correction to above 40 yrs of age.
  • Some cataract operated patients also need refractive correction.

For carrying out these activities , we are initiating the following as per NPCB guidelines :-

Training of PMOAs for manning the refraction services at CHCs/ upgraded PHCs. PMOAs undertake refraction work and help in the organization of eye camps in the PHC area.

There 202 nos. of PMOAs. 46 nos. of PMOAs & OT Nurses have already been trained. And another list of 44 nos of PMOAs & OT Nurses for training at RIO, Guwahati, AMCH, Dibrugarh & SMCH, Silchar are undergoing from 11th of December/2007.

Total 25698 nos. of Middle School Teachers have already been trained from 25698 middle school. Preference are given to the female teachers with science background. One teacher from each school.

  • Creation of Dark Room & Vision Centers at upgraded PHCs & CHCs
  • We have already established 9 nos. of Vision Centers in different district.

(i) Dhakuakhana CHC, Lakhimpur
(ii) Ghilamara PHC, Lakhimpur
(iii) Rangia FRU, Kamrup
(iv) Kakojan PHC, Jorhat
(v) Kakopathar, Tinsukia
(vi) Howraghat PHC/CHC, Karbi-Anglong
(vii) Dotoma Block PHC, Kokrajhar
(viii) Geleki PHC, Sibsagar
(ix) Bongaigaon PHC, Bongaigaon

Another 11 nos. of Vision Centers are under process in following districts :
1. Barpeta, 2. Sonitpur 3. Nagaon 4.Darrang
5. Dhemaji 6. N.C. Hills 7. Goalpara 8. Dhubri
9. Hailakandi 10. Karimganj 11. Morigaon

  • Provision of spectacles to the refractive error detected school children on free of cost to the BPL family from the fund provided to the D.B.C.S.
  • School Eye Screening Performance 2003-2008(Up to December'2007)
Indicators 2003-04 2004-05 2005-06 2006-07 2007-08
No. Teacher Trained 3834 7111 4221 7918 2614
No. Student Screened 114677 61474 148794 236995 101979
No. RE Detected 2123 1197 2499 9867 3760
No. Glasses Provided 209 346 288 1764 1274

DISTRICT WISE PERFORMANCE REPERT OF SCHOOL EYE SCREENING
SINCE APRIL'07 TO DECEMBER/2007

Sl No Name of District School Teachers Traineed School Children Screened Children detected with R.E. Children Provided glass I.O.L
1 Barpeta 158 14598 244 3  
2 Bongaigaon 241 325 79 0  
3 Cachar 0 779 30 0  
4 Darrang 0 0 0 0  
5 Dibrugarh 85 2198 425 14  
6 Dhubri 26 4139 112 91  
7 Dhemaji 32 612 16 0  
8 Golaghat 19 14433 168 0  
9 Goalpara 0 8546 18 5  
10 Hailakandi 24 366 9 0  
11 Jorhat 26 1363 22 0  
12 Kamrup 0 3514 57 35  
13 Kamrup(M) 6 1815 46 15  
14 Karimganj 2 150 0 0  
15 Karbi Anglong 67 6243 653 104  
16 Kokrajhar 60 12497 320 247  
17 Lakhimpur 1182 6577 892 682  
18 Morigaon 313 625 7 0  
19 Nagaon 0 0 0 0  
20 N.C. Hills 0 113 67 6  
21 Nalbari 0 9440 182 0  
22 Sibsagar 168 4179 47 0  
23 Sonitpur 205 8530 306 60  
24 Tinsukia 0 127 6 0  
25 SSN 0 810 54 12  
26 RIO 0 0 0 0  
27 A.M.C.H. 0 0 0 0  
28 S.M.C.H. 0 0 0 0  
  State Total 2614 101979 3760 1274  

Strengthening Eye Health Education Activities by Intensive IEC Activities :-

Cataract Surgery, Eye Donation& School Eye Screening programme are all dependent on information, education & communication activities.

The Common Activities under IEC are :- display of hoardings, postering, bannering, wall-writing, new paper advertising , TV & Radio talk, printing materials, awareness meeting & programme, possession, Street Drama , Beautiful Eye Contest, organizing Sishu Jyoti Mela, workshop on eye donation etc.

IEC & Special Events 2007-2008( upto December/2007)

22nd Eye Donation Fortnight was observed from 25th August/07 to 8th September/07 in collaboration with Regional Institute of Ophthalmology, Guwahati & NGO ASHA.

Publicity through News Papers for public awareness and Rally & Bator Naat ( Street Drama) was centrally organized at Guwahati on 6th September/07 along with displaying of Hoardings & Banners.

Members participating in Street Drama During the National Eye Donation

All the DBCSs in the district level were also observed the 22nd National Eye Donation Fortnight /2007 during the fortnight by displaying hoardings, banner, distributing leaflets, etc

8th World Sight Day 2007 was observed during the month of October/2007 in collaboration with Regional Institute of Ophthalmology, Guwahati, NGO ASHA & Sri Sankardev Nethralaya, Guwahati.

The theme for the 8th World Sight Day/07 was "VISION FOR CHILDREN".

An inauguration meeting was held on 11th October/2007 at Swasthya Bhawan , Guwahati .

SISHU JYOTI MELA was organized on 13th Oct/2007 at Srimanta Sankardev Kalakshetra, Guwahati in collaboration with the NGO ASHA.

Total 600 Nos. of school children were screened at Sishu Jyoti Mela.

Along with eye screening Beautiful Eye Contest, Dance Competition, Song competition were also carried out at mela.

All the DBCSs in the district level were also observed the World Sight Day during the month by displaying hoardings, banner, distributing leaflets and observing SISHU JYOTI MELA .

Control of Corneal blindness including Establishment of Eye Banks

*Conditions like Vit - "A" deficiency, Trachoma, Measles, Corneal ulcreation etc. can lead to opacification of the cornea. Corneal grafting is the only way to restore sight. We have to develop infrastructure to collect donor,s eyes.

*For this purpose the ASBCS supports the establishment of 5 nos. of Eye Banks & Eye Donation Centers at:-

1. Regional Institute of Ophthalmology, Guwahati.
2. Assam Medical College, Dibrugarh
3. Sri Sankardev Nethralaya, Guwahati.
4. Jeuti Eye Bank, Jorhat
5. Silchar Medical College, Silchar.

EYE BANKING PERFORMANCE DURING 2002-2008 ( UPTO DEC/2007)

Cornea Collection & Transplantation :- 2002-2008

Position Sanctioned Posts In-Position Proposed Addition Trained inlast 3 - years
Medical Officers
2940 1984   744
LHV(Female Multi-purpose Health Supervisor)   343   To be trained for 2 days re-orientation
Male Multi-purposeHealth Supervisor   4315   1654
ANM(Female Multi-purposeHealth Supervisor) 5972 5908   3788
Male Multi-purposeHealth Supervisor     1500  
Contractual ANM   2703 1385  
Contractual GNM   396    

Control of Corneal blindness including Establishment of Eye Banks

  • Conditions like Vit - "A" deficiency, Trachoma, Measles, Corneal ulcreation etc. can lead to opacification of the cornea. Corneal grafting is the only way to restore sight. We have to develop infrastructure to collect donor,s eyes.
  • For this purpose the ASBCS supports the establishment of 5 nos. of Eye Banks & Eye Donation Centers at:-
    1. Regional Institute of Ophthalmology, Guwahati.
    2. Assam Medical College, Dibrugarh
    3. Sri Sankardev Nethralaya, Guwahati.
    4. Jeuti Eye Bank, Jorhat
    5. Silchar Medical College, Silchar.

EYE BANKING PERFORMANCE DURING 2002-2008 ( UPTO DEC/2007)

Cornea Collection & Transplantation :- 2002-2008

Year RIO AMCH SSN JEUTI Total
2002-03       13 10 23
2003-04   4   39 24 67
2004-05   9   59 38 106
2005-06   11   116 86 213
2006-07 Collection 7 12 86 104 209
Transplantation 7 10 73 12 102
2007-08 Collection 8 4 108 54 174
  Transplantation 8 3 61 7 79

Infrustructure Status :-

* 20 (Twenty) nos. of Ophthalmic Operating Microscope have installed in different district hospital in following District :-

(1)Lakhimpur (2) Sonitpur (3) Darrang (4) Dhemaji
(5) Nagaon (6) Morigaon (7) Jorhat (8) Sibsagar
(9) Tinsukia (10) Kamrup (11) Nalbari (12) Barpeta
(13) Dhubri (14) Kokrajhar (15) Bongaigaon (16) N.C. Hills
(17)Hailakandi (18) Cachar (19) Karbi-Anglong
(20) Ayuevedic College, Guwahati.

* 10 ( ten) nos. of Ophthalmic O. T. Table have already installed in different district hospital in following District :-

(1)Lakhimpur (2) Sonitpur (3) Darrang (4) Nalbari
(5) Barpeta (6) Dhubri (7) Morigaon (8) Tinsukia
(9) N.C. Hills (10) Kamrup


* 10 ( ten) nos. of Flash Autoclave (Small) supplied to different district hospital in following District :-

(1)Lakhimpur (2) Sonitpur (3)Nalbari (4) Nagaon
(5) Jorhat (6) Tinsukia (7) Barpeta (8) Dhubri
(9) Kamrup (10) Ayurvedic College, Guwahati Kamrup

Infrustructure Status:-

Sl. No. Name of District INFRUSTRUCTURE
Availability of Eye OT Facility Separate Eye Ward
1 Barpeta Yes ( Designated ) yes
2 Darrang Yes ( Designated) Yes
3 Goalpara Yes (Designated) Yes
4 Karimganj Yes (Designated) Yes
5 Karbi-Anglong Yes (Designated) Yes
6 Nalbari Yes (Designated) Yes
7 Sonitpur Yes (Designated) Yes
8 Nagaon Yes (Designated) Yes
9 Golaghat Yes (Separate) Yes
10 Hailakandi Yes (Separate) Yes
11 Jorhat Yes (Separate) Yes
12 Kamrup Yes (At MMCH) Yes
13 Lakhimpur Yes(Separate) Yes
14 Morigaon Yes(Separate) Yes
15 Dhemaji Yes(Separate) Yes
16 Dibrugarh Yes (Separate) at A.M.C.H. O.T. Yes(AMCH)
17 Bongaigaon Yes ( Separate ) at CHCAbhayapuri Yes
18 Cachar Comb. Yes
19 Kokrajhar Combined Nil
20 N.C. Hills Combined Yes
21 Sibsagar Combined Yes
22 Tinsukia Combined Yes
23 Dhubri Combined Yes


Achievement in developing Infrastructure 2005-2006, 2006-07 & 2007-08

YEAR
Eye Ward
OT's
Vision Center
Unit Prposed Unit Completed Unit Prposed Unit Prposed Unit Prposed Unit Completed
2005-06 4 4 4 4    
2006-07 4 4 4 4    
2007-08 10 8 10 8 30 20

Proposed Plan for Developing Infrastructure 2008-2009

Year EYE WARD EYE OT VISION CENTER
2008-09 7 7 50
 
 
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