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Aravind Eye Hospital, Madurai
       In Service for sight




                              Group 8
Agenda

• Blindness Problem
• Aravind Eye Hospital
   – Aravind Eye care System
   – Sequence of getting services at Aravind
• Components of service
• Success/ failure measurements
• Generalizing the framework
Blindness Problem In India
1992
• 30 million blind people all over the World
• 12 million in India
   – 95% due to cataract related
2000
• 18.7 million blind people
   – 9.7 million blindness cases related to Cataract- related
2010 -2020
• 24.1 million by 2010
• 31.6 million by 2020
                                     http://www.ncbi.nlm.nih.gov/pubmed/11804362
Aravind Eye Hospital

• Founded by Dr. G. Venkataswamy in 1976.
  – 20 bed hospital and 3 doctors
• 70 beds in 1978
• 250 beds in 1981
• 1992
  – 240 hospital staff, 30 doctors, 120 nurses, 60 admin personnel,
    30 others.
Aravind Eye Care System
                               Eye Care Facilities
                               (Aravind Eye Hospitals)
 Community Outreach
                                                          Lions Aravind Institute of
     Programs
                                                                 Community
                                                          Ophthalmology (LAICO)


                               MISSION:
Education & Training           To eradicate needless
Aravind PG Institute of        blindness by providing               Making technology
   Ophthalmology               appropriate                             affordable
                               compassionate and high                  (Aurolab)
                               quality eye care for all

     Telemedicine                                                        Research
                                                                     Aravind Medical
                                                                    Research Foundation

                                      Eye Bank
                                    Rotary Aravind
                                International Eye Bank
Service Sequence at Aravind Eye Hospital

                        Vision     Preliminary
      Registration
                       Recording   Examination




                       Tear Duct    Testing of
     Refraction Test
                       Function      Tension




         Final
      Examination
Features of Service Operations
• Building volume through community outreach
  – Hence realizing economies of scale
• Human resources and training
  – Most of the doctors and nurses and other personal are trained
    from scratch internally
• Technology development
  – Lenses and instruments to operate
  – Aurolab for lenses and medication
• Exporting the eye care model
  – 231 eye hospitals work on its model (188 in India and 43
    elsewhere)
Constraints in turning up for examination
Causes of not turning up                 Percentage   Remedies being used
Still have vision , however diminished   26           Camps at peoples reach
Cannot afford food and transportation    25           Camp sponsored
Cannot leave family                      13           Patients transported in
Fear of surgery                          11           Groups supported by
                                                      volunteers
No one to accompany                      10
Family opposition                        5
Others                                   10
Success/ failure

• Tamil nadu census 2001
   –   370,031 cataract surgeries were done in 2001-2002
   –   Government Hospitals           -7.17%
   –   Eye Camps                      -10.16%
   –   Private clinics                -7.86%
   –   Nonprofit organization -74.82%
• Figures for other states
   – Andhra Pradesh (79.7%)
   – Orissa (79.3%)
   – Maharashtra (71.5%)

        “Achievements under Cataract Blindness Control Project: 1994-2002”, NPCB-India, Quarterly
Statistics 1980-2005
Income expense 1983-2006
Problems in generalization

• Obtaining appropriate technology at LOW cost
• Achieving economies of scale
• Patient education problems
Aravind eye hospital, madurai

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Aravind eye hospital, madurai

  • 1. Aravind Eye Hospital, Madurai In Service for sight Group 8
  • 2. Agenda • Blindness Problem • Aravind Eye Hospital – Aravind Eye care System – Sequence of getting services at Aravind • Components of service • Success/ failure measurements • Generalizing the framework
  • 3. Blindness Problem In India 1992 • 30 million blind people all over the World • 12 million in India – 95% due to cataract related 2000 • 18.7 million blind people – 9.7 million blindness cases related to Cataract- related 2010 -2020 • 24.1 million by 2010 • 31.6 million by 2020 http://www.ncbi.nlm.nih.gov/pubmed/11804362
  • 4. Aravind Eye Hospital • Founded by Dr. G. Venkataswamy in 1976. – 20 bed hospital and 3 doctors • 70 beds in 1978 • 250 beds in 1981 • 1992 – 240 hospital staff, 30 doctors, 120 nurses, 60 admin personnel, 30 others.
  • 5. Aravind Eye Care System Eye Care Facilities (Aravind Eye Hospitals) Community Outreach Lions Aravind Institute of Programs Community Ophthalmology (LAICO) MISSION: Education & Training To eradicate needless Aravind PG Institute of blindness by providing Making technology Ophthalmology appropriate affordable compassionate and high (Aurolab) quality eye care for all Telemedicine Research Aravind Medical Research Foundation Eye Bank Rotary Aravind International Eye Bank
  • 6. Service Sequence at Aravind Eye Hospital Vision Preliminary Registration Recording Examination Tear Duct Testing of Refraction Test Function Tension Final Examination
  • 7. Features of Service Operations • Building volume through community outreach – Hence realizing economies of scale • Human resources and training – Most of the doctors and nurses and other personal are trained from scratch internally • Technology development – Lenses and instruments to operate – Aurolab for lenses and medication • Exporting the eye care model – 231 eye hospitals work on its model (188 in India and 43 elsewhere)
  • 8. Constraints in turning up for examination Causes of not turning up Percentage Remedies being used Still have vision , however diminished 26 Camps at peoples reach Cannot afford food and transportation 25 Camp sponsored Cannot leave family 13 Patients transported in Fear of surgery 11 Groups supported by volunteers No one to accompany 10 Family opposition 5 Others 10
  • 9. Success/ failure • Tamil nadu census 2001 – 370,031 cataract surgeries were done in 2001-2002 – Government Hospitals -7.17% – Eye Camps -10.16% – Private clinics -7.86% – Nonprofit organization -74.82% • Figures for other states – Andhra Pradesh (79.7%) – Orissa (79.3%) – Maharashtra (71.5%) “Achievements under Cataract Blindness Control Project: 1994-2002”, NPCB-India, Quarterly
  • 12. Problems in generalization • Obtaining appropriate technology at LOW cost • Achieving economies of scale • Patient education problems

Notas del editor

  1. Following such a noble philosophy the AEH’s during its inception as well as growth were focused on their core business that was social benefit which was realized by the means of eye care. As shown in the above diagram that to achieve its mission to serve the needless with precious eye sight they had crossed its boundaries of its core competency, that is eye hospital and surgery, to diversify in the related and the unrelated domains of manufacturing (ophthalmic consumables), education and training, telemedicine and awareness programs. Hence instead it became a complete eye care system not a mere eye hospital. Thus we can call AEH a ‘Corporate Social Responsibility’ to its core. Any steps taken were for the benefit of the needless, whether opening a manufacturing unit for getting the costs down, so maximum people can benefit from it, or to open a training and education centre for its employees. Everything was dedicated to get the eye care facilities to an affordable price.