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Performance Assesment of Vision Centers with Pre and Post Training Assessment


  • Ishangi Dadaji Nimgade
  • Agency : Bhoruka Netralaya, Staff crunch, Hospital
  • Objective : Globally, in 2002 more than 161 million people were visually impaired, of whom 124 million people had low vision and 37 million were blind. However, refractive error as a cause of visual impairment was not included, which implies that the actual global magnitude of visual impairment is greater. Worldwide for each blind person, an average of 3.4 people has low vision, with country and regional variation ranging from 2.4 to 5.5.
    India was the first country to launch the National Program for Control of Blindness (NPCB) in 1976, as a 100% centrally sponsored Program. A large number of blind people in a country denote poor socio-economic development and an inefficient eye care service in the country. This is because about 80-90% of the blindness is either curable or preventable. Visual outcomes after cataract surgery were poorer among females, rural residents and those who underwent surgery at an older age (more than 70 years). In 1983, the National Health Policy of India reiterated that blindness was an important public health problem and set a target to reduce the blindness prevalence rate from 1.4% to 0.3%.
    The targets of Vision 2020 are not possible to achieve unless Government and private Organizations work hand in hand. Government can provide the basis resources and private Organization can use these resources to provide the services to rural population. Karuna Trust is working for the remote areas where health care facilities are unavailable. This study was held from 1st April-30th June 2013, in the 10 PHCs of Karuna Trust in Karnataka State. Para Medical Ophthalmic Assistants were called from each PHC and a pre and post assessment test was given them to fill before and after the training. A focused group discussion was also arranged between the Para Medical Ophthalmic Assistants. Secondary data is reviewed from the records of the vision centers.
    The main findings of the study are: a) initially the performance of vision centers were very well but in follow up years it has PMOAbeen dropping due to the reasons like lack of interest & motivation, unavailability of the budget for outreach activities, less salary etc. b) The sell of spectacles are less because of poor economic status of community; c) PMOAs are having knowledge about the refractive errors but they have poor idea about the childhood eye problems;. On the basis of the study and its analysis certain recommendations have been made for better accessibility and availability of the primary eye care services
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This study was held from 1st April-30th June 2013, in the 10 PHCs of Karuna Trust in Karnataka State