operation eyesight universal
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Operation Eyesight Universal
Lynda Cherry, Vice President - International Programmes
and Kashinath Bhoosnurmath
Senior Director, India Programme20 September, 2012
Participation in Development
Engaging Community
Clinically driven models not enough
Outreach programmes Overcoming barriers Promoting health seeking behaviour Strengthening systems
Lessons…
Despite hospital’s long presence, problem of blinding diseases continue to exist
Gaps continue to exist between community, primary and secondary level services
Barriers at community level cannot be addressed by an eye hospital alone
Under-utilization of existing Government infrastructure and service
Sustainability of isolated community eye care programmes is questionable
Eyes must stay SAFE
S = surgery to treat the painful late stage of trachoma
A = antibiotics to halt infection
F = face-washing and hygiene education
E = environmental improvements, including water points and latrines
There is power in water
Helping people ‘own’ their water
A profound impact
Hospital Based Community Eye Health in India
Blend of stand alone community development programme and hospital outreach programme
Pilot launched in 2009 Hospital based but community owned Replicated in 12 locations across India
Approach to Participation
Delineation of hospital service area and
clusters
Community based health workers
Cluster based planning and implementation
HBCEHP: The concept
Secondary Eye Hospital
Vision Centre
C C
C
C
C = Cluster of villages/ community
Community Based Health Workers
On way to elimination of avoidable blindness
Way forward
Elimination of avoidable blindness
PEC integrated into PHC
Strengthened eye care services
Improved eye health
seeking behaviour
Livelihoods/ reasonable wages
Food security
Education
Governance/ safety and security
People’s Participation
People’s Participation
Swaraj and behavioural change
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