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DIRECTORATE GENERAL OF HEALTH SERVICES

Ministry of Health & Family Welfare
Government of India

National Programme for Control of Blindness & Visual Impairment

NATIONAL PROGRAMME FOR CONTROL OF BLINDNESS & VISUAL IMPAIRMENT

 

 

Background

 

National Programme for Control of Blindness & VI (NPCB&VI)  India 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&VI 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 & VI:

a)      Performance of 66 lakh Cataract surgeries per year;

b)    School Eye Screening and distribution of 9 lakh free spectacles per year to school children suffering from refractive errors;

c)      Collection of 50,000 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&VI 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.

 

 

Salient features/strategies adopted to achieve the objectives:-

 

  • Continued emphasis on free cataract surgery through the health care delivery system as        well as by the involvement of NGO sector and private practitioners;
  • Nationwide awareness creation for early detection and treatment of diabetic retinopathy and glaucoma. These emerging diseases need immediate attention to eliminate avoidable blindness from the Country;
  • In addition, emphasis on comprehensive Eye-care by covering diseases other than cataract like, retinopathy of prematurity (ROP), corneal transplantation, vitreo-retinal surgery, treatment of childhood blindness etc.;
  • Reduction in the backlog of blind persons by active screening of population above 50 years, organizing screening eye camps and transporting operable cases to fixed eye care facilities;
  • Refractive Errors comprises a major part of avoidable blindness. Screening of children for identification and treatment of refractive errors and provision of free glasses to those affected and belonging to poor socio-economic strata;
  •  Coverage of underserved area for eye care services through public-private partnership;
  •  Capacity building of health personnel for improving their knowledge and skill in delivery of high quality eye services;
  • Information Education Communication (IEC) activities for creating awareness on eye-care within the community; 
  • Regional Institutes of Ophthalmology and Medical Colleges of the states to be strengthened in a phased manner with latest equipments & training of manpower so that they can be upgraded as Centres of Excellence in the regions;
  • The District Hospitals to be strengthened by upgrading infrastructure, equipment and providing adequate manpower like Ophthalmologists and PMOAs on contractual basis and provide earmarked funds for basic medicines and drugs;
  • Continuing emphasis on primary healthcare (eye care) by establishing Vision centres in all PHCs with a PMOA in position;
  •  Multipurpose District Mobile Ophthalmic Units for better coverage. 

 

 

 

 

New Initiatives introduced during 12th Five Year Plan:      

Out of a total projected budget of Rs.2800 crore, a provision of Rs.2506.90 crore was approved by the Empowered Programme Committee (EPC) for activities upto district level for continuation of NPCB &VI during 12th Plan with the introduction of the following new initiatives.

            

 

 

  • Provision for starting Multi-purpose District Mobile Ophthalmic Units in the District Hospitals of States/UTs.
  •  Provision for distribute of free spectacles to old persons suffering from presbyopia.

 

 

Major Performance Indicators:-

 

Physical targets and achievements

Year wise progress of major performance indicators

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

63,04,177

95

2016-17

66,00,000

64,81,435

 

2017-18*

66,00,000

6,06,321

 

                                       

Treatment/management of other eye diseases

(Diabetic retinopathy, glaucoma, childhood blindness including ROP, VR Surgery, Keratoplasty etc.)

Year

No. of persons with other eye diseases treated

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

3,12,925

2016-17

72,000

4,04,677

2017-18

72000

51,180

 

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

7,36,572

2015-16

9,00,000

8,30,620

2016-17

9,00,000

7,57,906

2017-18*

9,00,000

22,946

 

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

59,163

2016-17

50,000

65,135

2017-18*

50,000

4,726

 

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

121

2017-18*

500

51

 

 

Note:-

1.      The figures of physical performance for the year 2017-18  are based on reports received from States/Uts upto 14.07.2017.

 

 

 

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

 

 

 

 

 

Last Updated On 26/07/2017