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DIRECTORATE GENERAL OF HEALTH SERVICES

Ministry of Health & Family Welfare
Government of India

National Programme for Control of Blindness

National Programme for Control of Blindness (NPCB) was launched in the year 1976 as a 100% centrally sponsored scheme with the goal of reducing the prevalence of blindness to 0.3% by 2020.  Rapid Survey on Avoidable Blindness conducted under NPCB during 2006-07 showed reduction in the prevalence of blindness from 1.1% (2001-02) to 1% (2006-07). 

Main causes of blindness are as follows: - Cataract (62.6%) Refractive Error (19.70%) Corneal Blindness (0.90%), Glaucoma (5.80%), Surgical Complication (1.20%) Posterior Capsular Opacification (0.90%) Posterior Segment Disorder (4.70%), Others (4.19%) Estimated National Prevalence of Childhood Blindness /Low Vision is 0.80 per thousand. 

Main objectives

·  To continue three ongoing signature activities under NPCB:

    a) Performance of Cataract surgeries per year;

     b) School Eye Screening and distribution of free spectacles per year to school children suffering from refractive errors;

      c) Collection of donated eyes per year for keratoplasty.

·  To reduce the backlog of avoidable blindness through identification and treatment of curable blind at primary, secondary and tertiary levels, based on assessment of the overall burden of visual impairment in the country;

·  Develop and strengthen the strategy of NPCB for “Eye Health for All” and prevention of visual impairment; through provision of comprehensive universal eye-care services and quality service delivery;

·  Strengthening and up-gradation of Regional Institutes of Ophthalmology (RIOs) to become centre of excellence in various sub-specialities of ophthalmology and also other partners like Medical College, District Hospitals, Sub-district Hospitals, Vision Centres, NGO Eye Hospitals; 

· Strengthening the existing infrastructure facilities and developing additional human resources for providing  high quality comprehensive Eye Care  in all Districts of the country;

·    To enhance  community awareness on eye care and lay stress on preventive measures; 

·    Increase and expand research for prevention of blindness and visual impairment;

·     To secure participation of Voluntary Organizations/Private Practitioners in delivering eye Care. 

Budgetary allocation for 12th Five Year Plan

Out of a total projected budget of Rs.2800 crore, a provision of Rs.2506.90 crore has been approved by the Empowered Programme Committee (EPC) for Eye-care activities upto district level during 12th Plan.  A provision of Rs.130.00 crore was approved by the Expenditure Finance Committee (EFC) for continuing tertiary level activities (RIOs, Medical Colleges etc.) during the years 2013-14 and 2014-15.

New Initiatives during 12th Five Year Plan

·  Provision for setting up Multi-purpose District Mobile Ophthalmic Units in District Hospitals of States/UTs.

·  Provision for distribution of free spectacles to old persons suffering from presbyopia.

Programme activities and service providers

Major achievements during 12th Plan

Cataract operations

Year

Target

No. of Cataract operations performed

% surgery with IOL

2012-13

66,00,000

63,02,894

95

2013-14

66,00,000

62,63,150

95

2014-15

66,00,000

64,19,933

95

2015-16

66,00,000

62,88,234

95

Total

2,64,00000

2,52,74,211

95

Treatment/management of other eye diseases

(Diabetic retinopathy, glaucoma, childhood blindness,VR surgery, keratoplasty etc.):

Year

Target

Achievement

2012-13

72,000

2,55,804

2013-14

72,000

2,12,596

2014-15

72,000

2,42,830

2015-16

72,000

3,10,519

Total

2,88,000

7,11,230

School Eye Screening Programme

Year

No. of free spectacles provided to school children suffering from refractive errors

Target

Achievement

2012-13

9,00,000

7,08,861

2013-14

9,00,000

6,24,942

2014-15

9,00,000

7,35,718

2015-16

9,00,000

8,70,616

Total

36,00,000

29,40,137

Collection of donated Eyes for corneal transplantation

Year

No. of donated eyes collected

Target

Achievement

2012-13

50,000

53,543

2013-14

50,000

57,944

2014-15

50,000

58,757

2015-16

50,000

59,032

Total

2,00,000

2,29,276

Training of Eye Surgeons:

                Year

Target

No. of eye surgeons trained

2012-13

500

350

2013-14

500

350

2014-15

500

275

2015-16

500

175

2016-17

500

35

Best practices adopted under the programme:

·  To reach every nook and corner of the country to provide eye-care services, provision for setting up Multipurpose District Mobile Ophthalmic Units in the District Hospitals of States/UTs as a new initiative under the programme.  Few states have set up these Units.  There is a need to replicate the same by other States.

·   Provision for distribution of free spectacles to old persons suffering from presbyopia to enable them for undertaking near work as a new initiative under the programme.  The activity needs to be expedited in the all the States.

  • Emphasis on the comprehensive eye-care coverage by covering diseases other than cataract like diabetic retinopathy, glaucoma, corneal transplantation, vitreo-retinal surgery, treatment of childhood blindness including retinopathy of pre-maturity (ROP) etc. These emerging diseases need immediate attention to eliminate avoidable blindness from the Country;
  • Strengthening of Tertiary Eye-Care Centres by providing funds for purchase of sophisticated modern ophthalmic equipments.

·    Ensure setting up of Superspecialty clinics for all major eye diseases including   diabetic retinopathy, glaucoma, retinopathy of prematurity etc. in state level hospitals and medical colleges all over the country.

·    Linkage of tele-ophthalmology centres at PHC/Vision centres with Superspecialty eye hospitals to ensure delivery of best possible diagnosis and treatment for eye diseases, specially in hilly terrains and difficult areas. 

·   Development of a network of eye banks and eye donation centres linked with medical colleges and RIOs to promote collection and timely utilization of donated eyes in a transparent manner.

Note: For further details, please visit NPCB website: www.npcb.nic.in

 

 

 

 

 

Last Updated On 14/02/2017