Framework for Designing effective DR Programs

Thulasiraj RavillaLAICO – Aravind Eye Care System

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Current Status relating to DR

Well established diagnostic & treatment protocols

Training programs for clinical personnel

Very low screening coverage of diabetics

Poor follow-up rates of DR patients

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Demand

Supply

DR Program - design framework

Equipment & Technology

Attitude & Perspective

Ownership tothe DR issue

Quality

Facility

Staff & Skills

Awareness Creation

RemoteDiagnosis

Partnershipsfor referrals

Cost

Access

Barriers

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DR Program - design framework

PreventionCure

Rehab

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Treatment

Outreach Activities

Strategies to address the challenges

Awareness creation

Diabetic Retinopathy Intervention

Service Model

HR Development

Infrastructure Development

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Diabetics examined & treated at Hospital

0

10000

20000

30000

40000

50000

60000

2000 2002 2004 2006 2008 2010

Diabetics DR Laser

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Laser Procedures for DR

0

2000

4000

6000

8000

10000

12000

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

Intra-Vit Inj

Laser

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Replication of this model

Having had success with this framework, the same has been replicated in PUEC, Beijing, China 22 Eye Hospital DR Projects in India Consultancy to Oman - Evaluation of the

Management of DR for the entire country & provided recommendation

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DR Management Manual

Guidelines for the comprehensive management of DR in India

Supported by Sightsavers, India, Published under VISION 2020 – Right to Sight, India

http://www.vision2020india.org/dr_manual.pdf

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