National Programme for Control of Blindness - Latur District

National Programme for Control ofBlindness is started in the year 1976 .India is the first country amongst the worldto launch this programme on large scale.The aim was decided to reduce theprevalance rate of blindness from 1.4 % to0.3 % by the year 2000, but this goal isnot achieved and hence in the year 2000 itwas decided to have realistic goal of“VISION TO ALL” by 2020.

CAUSES OF BLINDNESS• Catract :- 67 to 70 %• Refractive error :- 23 to 25 %• Glaucoma :- 3 to 5 %• Corneal Blindness :- 2 to 4 %• Diabetic Retinopathy :- 1 to 2 %• Trauma :- 0.5 to 1 %• Vit A Deficiency :- 0.03 to 0.5 %• Age related macular degeneratioin :- 0.1-0.2%

OBJECTIVE :-• MAIN OBJECTIVE OF NATIONAL PROGRAMMEFOR CONTROL OF BLINDENESS IS TO REDUCETHE BACKLOG OF BLINDNESS IS THROUGHIDENTIFICATION AND TREATMENT OF THEBLIND.• SECURE PARTICIPATION OF VOLUNTARYORGANIZATION AND VARIOUS PRIVATEPRACTITIONERS IN VARIOUS EYE CAREACTIVITIES• BESIDES CATRACT SURGERY, PROVISION OFASSISTANT FOR OTHER EYE DISEASES LIKEDIABETIC RETINOPATHY, GLAUCOMA, LASERTECHNIQUES, CORNEAL TRANSPLANTATION,CHILD HOOD BLINDNESS.

Short comings• Lack of Independent funds at the level of CivilSurgeon although Civil Surgeon is a monitoringofficer of the programme.• Lack of vechicle for mobile units.• Shortage IOL/ Instruments/ Medicine for everydistrict• Lack of New Purchase of catract sets.• Clerk posted at present is part time & should beregularized for full time.• NGO’s are not Participating in school eye healthprogramme due to lack of funds• Data entry Operator should be posted fulltime forthis programme.

LAST 6 YEARS PERFORMANCE OF DBCS LATURYearAnnualTargetAchievementPercentage2005-06 9500 12322 129%2006-07 10000 12728 127%2007-08 12000 15141 126%2008-09 15000 18131 121%2009-10 17500 22342 127%2010-11 20500 25191 123%2011-12(up to Oct.)20500 14596 122.06%

THREE DESIGNATED IOLCENTRES ARE1) GMC Latur.2) SDH Udgir.3) SDH Nilanga.4) Proposed RH Ahmedpur.5) Proposed RH Babhalgaon

NGO1) Udaygiri Lions Eye Hospital, Udgir2) Miragi Netralaya, Latur3) Netra Pratishthan, Latur4) MIMSR, Medical College, Latur5) Senior Citizen Club, Latur6) Yashwantrao Somwanshi ShikshanSanstha, Rathoda Tq. NilangaNGO’s are also participating inNPCB. They are of good help to promoteCatract Surgery and for giving vision toneedy Patients.

SCHOOL HEALTH• DBCS & NPCB also helps in removing refractiveerror- a major cause of avoidable blindness fromscreening of school going children. Generallystudents are selected from 5 th std. class andafter screening if any student found to haverefractive error, we correct if by giving suitableglasses.• Thus we can overcome near about 2 to 8 % ofblindness.

Last year 2010-11Total no. of school 1235Total no. of childrenexpectedTotal no. of childrenExaminedTotal no. of studentsRefractive ErrorsTotal no. of spectprovided (throw SSA)713157324721872187

Corneal Transplantation•Cornea is the clear tissue covering the front of the eye-•If the Cornea becomes cloudy from disease, injury, infection or poornutrition vision is dramatically reduced or lost.• Corneal blindness can be treated by replacing the damaged corneaby a healthy donated human cornea. The human cornea can beprocured through Eye Donation only.•Corneal blindness affects mainly children and young adults who havea long life ahead of them.•Though we have trained, highly qualified surgeons and hospitalfacilities to do the transplant we do not have enough eye tissues to dothe surgery.•Approximately 11 lakh blind population of our country are waiting forcorneal transplantation and approximately 25,000 new cases are beingreported.•One eye donation can give sight to two corneally blind persons.Eye Donation :-•Eye donation means donating the eyes of a persons after death fortransplantation with the family consent.

• Eyes should be donated with in 6-8 hrs of death.• Anyone can be a donor, irrespective of age, sex,bloodgroup religion.• Persons suffering form hypertension, diabetes canalso donate eyes.• Total procedure takes 15-20 minutes, There is nodisfigurement of the face of the donor.• Eyes can be donated even if the deceased had notformally pledged their eyes during their lifetime.• Eye Bank team will rush over to the donors home orany other place where the body is available afterdeath. This is free service in public interest.• After pledging please inform you family about yourwish to donate eyes. So that they can fulfill your wish.

ASHA WorkerNPCB is also giving money/incentives toASHA Worker who participates in NPCB.Being a grass root level worker, ASHA to beinvolved in this programme, she has to bringcatract Patient to the PHC/RH where OphthalmicAssistant (Officer) is posted and afterconfirmation of catract, transfer of this patientto respective IOL Centre and then after 1 st followup ,NPCB gives incentives of Rs. 175/- perpatient to ASHA worker as per GOI Guidelines.This is only valid for promotion of patient toGovt. Institutes (for transportation and Publicity).

General Outlines1) Don’t prescribe and allow patient to instill steriod Eyedrops as Betnsol-N, Sofracort Eye drops, Ciplox-D,Pyrimon Eyedrops unless Knowing the Etiology of thedisease as steroids are dangerous.2) Do not allow Children to play Arrows, Vity Dandu.3) Do not allow children to handle sharp weapons, utenilsas chaku, compass, needle.4) Do not try to remove the foreign bodies unless sure asmaking this act may be a dangerous and visionthreatening.5) Do not play with fire crackles, in Deepawali, gulalColours in Holi as this may be a vision threatning also.6) Ask to wear suitable goggles while driving ,welding andalso during Eclipse.7) Always refer the patient to nearly opthalmologiest for eyecheck up routinely and every year after 40 years.

NATIONAL BLINDNESS CONTROL PROGRAMME- (March 2011)ActivityDistrictAnnualTargetProp.TargetAchievement% to% ofTotalOperationD.M. Prog. A.T. P.T.A) Cat.Operations(Govt.Sector) LATUR 10250 10250 1738 14677 143.19 143.19 58.26

NATIONAL BLINDNESS CONTROL PROGRAMME- (March 2011)ActivityI O L (Outof A)(Exp.90%)DistrictAnnualTargetProp.TargetAchievement% toD.M. Prog. A.T. P.T.% ofTotalOperationLATUR 1729 14623 99.63

NATIONAL BLINDNESS CONTROL PROGRAMME- (March 2011)ActivityDistrictAnnualTargetProp.TargetAchievement% toD.M. Prog. A.T. P.T.% ofTotalOperationBilateralBlind(out of A)(Exp.60)LATUR 1057 9006 61.36

NATIONAL BLINDNESS CONTROL PROGRAMME- (March 2011)ActivityDistrictAnnualTargetProp.TargetAchievement% to% ofTotalOperationSC/ST/BPL(out of A)(Exp. 40)D.M. Prog. A.T. P.T.LATUR 1168 9499 64.72

NATIONAL BLINDNESS CONTROL PROGRAMME- (March 2011)ActivityDistrictAnnualTargetProp.TargetAchievement% toD.M. Prog. A.T. P.T.TotalCatractSurgeries LATUR 20500 20500 3153 25191 122.88 122.88

DISTRICT WISE RANKING (March 2011)MARKS OBTAINED INSr.No.DistrictIOL(max30)Govt.Inst.(Max 25)Bailat(Max20)TotalPerf.(max15)SC/ST/BPL(Max 10)Total(max100) Rank1 LATUR30 25 20 15 10 100 I

0SURGEON WISE PERFORMANCE (March 2011)Surgeries DoneDist Name of Surgeon HQ DesignationTrainedin IOLD.M.ProgressiveTotal IOL Conv. TotalDr. Pathak S.G. G.H.Latur M.O. Yes 146 989 21 1010Dr. Gadikar A.B. G.H.Latur M.O. Yes 0 132 4 136Dr. Madansure B.N. SDH Udgir M.O. Yes 48 190 4 194LaturDr. Swami A.C. SDH Udgir M.O. No 46 44 2 46Dr. Kulkarni S.V. RH Devani M.O. No 16 107 1 108Dr. B.B. Helambe GH Latur M.O. Yes 0 0 0 0Dr. U.N. Shelke RH Murud M.O. Yes 0 0 0 0

NATIONAL BLINDNESS CONTROL PROGRAMME- (Oct. 2011)ActivityDistrictAnnualTargetProp.TargetAchievement% to% ofTotalOperationD.M. Prog. A.T. P.T.A) Cat.Operations(Govt.Sector) LATUR 10250 5979 803 8568 83.59 143.3 58.70

NATIONAL BLINDNESS CONTROL PROGRAMME- (Oct. 2011)ActivityI O L (Outof A)(Exp.90%)DistrictAnnualTargetProp.TargetAchievement% toD.M. Prog. A.T. P.T.% ofTotalOperationLATUR 798 8538 99.65

NATIONAL BLINDNESS CONTROL PROGRAMME- (Oct. 2011)ActivityDistrictAnnualTargetProp.TargetAchievement% toD.M. Prog. A.T. P.T.% ofTotalOperationBilateralBlind(out of A)(Exp.60)LATUR 519 5484 64.01

NATIONAL BLINDNESS CONTROL PROGRAMME- (Oct. 2011)ActivityDistrictAnnualTargetProp.TargetAchievement% to% ofTotalOperationSC/ST/BPL(out of A)(Exp. 40)D.M. Prog. A.T. P.T.LATUR 565 5934 69.26

NATIONAL BLINDNESS CONTROL PROGRAMME- (Oct. 2011)ActivityDistrictAnnualTargetProp.TargetAchievement% toD.M. Prog. A.T. P.T.TotalCatractSurgeries LATUR 20500 11958 1571 14596 71.20 122.07

DISTRICT WISE RANKING (Oct. 2011)MARKS OBTAINED INSr.No.DistrictIOL(max30)Govt.Inst.(Max 25)Bailat(Max20)TotalPerf.(max15)SC/ST/BPL(Max 10)Total(max100) Rank1 LATUR30 25 20 15 10 100 I

0SURGEON WISE PERFORMANCE (Oct. l2011)Surgeries DoneDist Name of Surgeon HQ DesignationTrainedin IOLD.M.ProgressiveTotal IOL Conv. TotalDr. Pathak S.G. G.H.Latur M.O. 53 421 7 428Dr. Gadikar A.B. G.H.Latur M.O. 0 0 0 0LaturDr. Madansure B.N. SDH Udgir M.O. 4 61 6 67Dr. Swami A.C. SDH Udgir M.O. No 0 36 0 36Dr. Kulkarni S.V. RH Devani M.O. No 0 22 0 22Medical College Latur 20 316 0 316

0SURGEON WISE PERFORMANCE (Oct. l2011)Surgeries DoneDist Name of Surgeon HQ DesignationTrainedin IOLD.M.ProgressiveTotal IOL Conv. TotalDr. Pathak S.G. G.H.Latur M.O. 53 421 7 428Dr. Gadikar A.B. G.H.Latur M.O. 0 0 0 0LaturDr. Madansure B.N. SDH Udgir M.O. 4 61 6 67Dr. Swami A.C. SDH Udgir M.O. No 0 36 0 36Dr. Kulkarni S.V. RH Devani M.O. No 0 22 0 22Medical College Latur 20 316 0 316

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Sr. No.Name of OphthalmicOfficer1 Shri. B.D. Deshmukh2 Shri H.M. Joshi3 Shri D. B. Joshi4 Shri N.P Kaknale5 Shri V.R. Todkar6 Shri H.P. Joshi7 Smt. S.P.KulkarniHead Quarter & PHCNational Programme for Control of BlindnessDist :- LaturOpthalmic Officer Wise PerformanceTargetYear 2011 - 12DuringProg. %MonthTotal No. ofSchoolsSchool Coveredduring MonthProgressiveNo. of SchoolSpect issuedPHC Janwal 120 52 102PHC Chapoli 100 36 70Total 220 88 172 78.18 56 4 45 47RH Chakur 200 50 202PHC Nalegaon 100 0 18Total 300 50 220 73.33 41 5 31 71RH Ausa 150 5 126PHC Belkund 60 4 63PHC Ujani 80 3 64Total 290 12 253 87.24PHC Hasegaon 100 15 60PHC Gangapur 80 10 45PHC Bhada 80 8 50Total 260 33 155 59.62 72 25 43 41RH Killari 100 20 80PHC Lamjana 80 0 20PHC Jawalga (po) 60 5 20PHC Matola 60 5 20Total 300 30 140 46.67 45 8 38 52PHC Jawala 100 20 135PHC Chincholi (b) 80 10 90PHC Chikurda 60 9 77Total 240 39 302 125.8 48 3 48 58RH Murud 150 31 271PHC Niwali 100 0 35Total 250 31 306 122.4 28 6 21 22

8 Shri. V.P. Deshpande9 Shri C.R. Mahajan10 Smt. L.S.Pawar11 Shri. D.S.Phulsunder12 Shri B.K. Bhure13 Shri R.N. Kulkarni14 Shri R.P. Waghmare15 Shri S.T Karape16 Shri A. D. BansodeRH Renapur 100 40 112PHC Pohregaon 60 10 74PHC Bitargaon 60 7 55Total 220 57 241 109.5 39 7 32 80PHC Pangaon 100 45 110PHC Kharola 80 15 75PHC Karepur 60 10 50Total 240 70 235 97.92 31 24 31 80PHC Shirul (an) 100 25 110PHC Sakol 80 10 72Total 180 35 182 101.1 50 6 32 31SDH Nilanga 300 15 143PHC Nitur 50 0 45PHC Panchincholi 70 9 52Total 420 24 240 57.14 48 5 25 37RH Kasarshirsi 100 7 80PHC Kasar Balkunda 30 5 35PHC Madansuri 30 5 30Total 160 17 145 90.63 38 8 8 15PHC Aurad (sh) 100 35 243PHC Halgara 80 17 61PHC Ambulga 60 0 60Total 240 52 364 151.7 32 3 25 54RH Ahmedpur 200 42 248PHC Shirur (ta) 80 0 30PHC Hadoli 60 9 97Total 340 51 375 110.3 62 13 27 84PHC Kingaon 80 15 83PHC Andhori 70 12 64PHC Satala 60 9 57Total 210 36 204 97.14 56 7 52 43SDH Udgir 450 97 206Total 450 97 206 45.78 38 28 28 41

17Shri V.B.ChewaleHali/Handerguli18 Shri Y. M. DuraniRH Deoni 100 20 97PHC Walandi 60 14 45PHC Borol 40 12 43PHC Devrjan 60 15 65260 61 250 96.1Total5PHC90 35 80PHC Wadhona 80 15 10PHC Her 70 0 0Total 240 50 90 37.5 62 8 62 24PHC Bori 80 20 63RH30 8 21Shri R.G. Bhabhalgaon19Kulkarni PHC Bhataganli 80 7 61190 35 145 76.3Total2###20 Shri P.V. More - -DH Latur ##Shri J.S.###21- -Kshirsagar DMU Latur##22 VacantPHC Nalgir 80 -RH Jalkot 80 -PHC Atnur 80 -Total 240 0 046 6 41 21