the aravind eye hospital
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The Aravind Eye Hospital
In service for sight
By
Shradha Devidan(11PGDM111)
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Aravind Eye hospital Facts
12 million blind people in India. 75-80% due to cataract (About 9 million
people)
1.2 million cataract operations only done over a year. Medial infrastructure
to clear this backlog is inadequate.
Aravind Eye Hospital is committed to the goal of elimination of blindness
Established by Dr. Govindappa Venkataswamy in 1976 in Madurai
Started with 20 beds, only three surgeons & all types of surgeries
30-bed annex added in 1977
70-bed free hospital opened in 1978
Branches in Madurai, Theni and Tirunelveli by 1991
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Services @ free and Paying Hospital
Main Hospital Free Hospital
Key Outcomes Servicing high volume ofsurgeries daily
Servicing high volume ofsurgeries daily
Specialised surgeons Specialised surgeons
Trained and motivatedadministrations and
support staff
Trained and motivatedadministrations and
support staff
Complicated surguries
from free hospitalhandled as well
Basic & routine surguries
State of art high end
equipment
Basic & essential
equipment
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Main Hospital Free Hospital
Capacity Improvements Total 1471929 candidates screened
with 115290 surguries performed in16 years
Total 2184043 candidates screened
with 220409 surguries performed in16 years
Compounded Average growth in the
number of screening visits is 21.74%
& in number of surgeries is 33.77%
Compounded Average growth in the
number of screening visits is 42.22%
& in number of surgeries is 30.10%
Average surgery Time 15 minutes Average surgery Time 15 minutes
Fresh patients penetration = 47.46%
(1992)
Fresh patients penetration
= 64.23% (1992)
Delivery of Key processes Both ICCE & ECCE surgeries
conducted
Primarily ICCE surgeries conducted
Patients screened on basis of
treatment required
Patients screened on basis of
treatment required
Managing resources Three types of accomodation Class
A,B,C
Primary accomadation
Total Bed capacity is 564 Total Bed capacity is 1224
Bed occupancy (6 months -1992) is
57.80%
Bed occupancy (6 months -1992) is
73.77%
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Role of clinic and support staff
Registration Vision RecordingPreliminary
examination
Testing of tension andtear duct function
RefractionFinal examination by
a senior medicalofficer
Camps: Optical shops ( as required) / sent to base hospital
Hospitals: Specialty cases/Optometry room/In-patientadmission for cataract surgery
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Contd
Ophthalmic staff work as follows:
Record vision of patients
Note doctors preliminary diagnosis of the
patientTest patient for ocular tension, tear duct
function and refraction tests
Assist doctor in surgery
Ophthalmologist s pay: Rs 80,000
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Contd
Nurses - Recruited and trained from scratch,not from the typical nursing school
The staff is a dedicated team enjoying asymbiotic relation with the hospital
Commitment and dedication to the mission ofAravind eye hospital drives them
Every saturday and sunday, teams of doctors
and support staff with diagnostic equipmentreached out to rural population through eyecamps
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Dr Vs Role Founded this private, non-profit eye hospital to provide quality eye
care at reasonable cost.
Mortgaged his house to raise the capital required to start Highly motivated to serve the society in a big way - Reached out to
poor villagers
Dedication and devotion to the practice
Encouraged doctors to attend conferences, publish papers andadvance their professional standing in the field
Resolution to provide 100% IOL surgeries to all paying and freepatients
Goal is to spread Aravind model across India, Asia and Africa
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Weakness in Aravinds model Performance In Eye Camps
293 campsorganized
Around 16people turn up
in hospital
Around 13surgeries a dayin Free hospital
331 campsorganized
Around 45people turn up
in hospital
Around 40surgeries a dayin Free hospital
83 campsorganized
Around 11people turn up
in hospital
Around 3surgeries a dayin Free hospital
Tirunelveli area Theni areaMadurai area
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Problems:
Occupancy rate of hospital is unevenMon, Tues, Wendesday overflowing withpatients; Thurs and Friday slack
Inspite of improvements in facilities and
capacity, the Tirunelveli hospital was notfinancially self-sufficient; unable to repaythe cost of capital
Employees pay not on par as in the sector
Eye camps: How to organize, createpropaganda and plan logistics
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Bed Occupancy data IssuesMain (Paying ) Hospitals Tirunelveli hospital Theni hospital
Bed capacity 200 40
Beds occupied per day on
average
51 10
Occupancy 25.5% 25%
Free Hospitals Tirunelveli hospital Theni hospital
Bed capacity 200 60
Beds occupied per day on
average
154 28
Occupancy 77% 46.6%
Madurai had high occupancy rate of 82% Maybe the paying class perceivedthese 2 satellite hospitals to be of lower quality.
Demand exists but not able to reach out to target community due to lack of
effective channels
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Problems faced (Contd)Despite recommendation for surgery,
people didnt turn up in hospitalReasons:Affordability, fear, noone to accompany,
cost of lens, family opposition
Solution:1. Sponsors to bear costs2. Transported in groups3. Developing support groups
4. Providing assurance5. Construction of a new facility to reduce
costs of lens further
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THANK YOU
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