Maharashtra State - Health Status

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State 2001 Census Highlights
AIDS Control
National Anti-Malaria Programme
Basic Health Programme (BHP)
National Programme for Control of Blindness
Border District Project (BDP): (UNICEF)
National Cancer Control Programme
National Surveillance Programme for Communicable Diseases (NSPCD)
Demographic and Reproductive Health Situation
Maharashtra Health Systems Development Project
Epidemic Control Programme
National Filaria Control Programme
Health Programmes
Hospital Services
State Health Information, Education Communication Bureau (IEC)
Health Intelligence & Vital Statistics
Introduction
National Iodine Deficiency Disorder Control Programme
Public Health Laboratory Services
National Leprosy Eradication Programme (NLEP)
National Mental Health Programme (NMHP)
Minimum Needs Programme
Findings in National Family Health Survey-2
Organizational Structure
Integrated Population & Development Project (I.P.D) (UNFPA)
Population Policy
Reproductive Health and Child Health Programme
RTI/STI Sub-Project Nasik
Sector Investment Programme: (European Commission)
Revised National Tuberculosis Control Programme
Health Transport Organisation

NATIONAL PROGRAMME FOR CONTROL OF BLINDNESS (NPCB)

National Programme For Control of Blindness (NPCB) was launched in 1976. Since then, the programme is implemented as 100% Centrally Sponsored Programme.

GOAL

To Bring down the prevalence of Blindness from 1.4% in 1975 to below 0.3% by 2000 A.D.

STRATEGY

• Eye Health Education
• Eye Camp Approach
• Establishing Institutions for Comprehensive Eye Care

AIMS

• 60% cataract surgeries on bilateral blind persons.
• 40% cataract surgeries on below poverty line people (SC/ST)
• 60% surgeries by IOL technique in public sector.
• More than 50% surgeries in Base Hospitals.

CAUSES OF BLINDNESS

• Cataract : 80%
• Refractive Error: 8%
• Cornealopacity : 3%
• Glaucoma: 3.8%
• Vito A Deficiency: 0.5%

OBJECTIVES

• High quality high volume surgery
• Reducing the backlog by more than 50%
• Reducing incidence of bilateral blind by more than 30%.
  The Programme is monitored by the Joint Director of Health Services, located in the Directorate of Health Services, Mumbai.

Infrastructure Available

 

S. No.	Institutes	Total
1	Primary Health Centres (Selected)	612
2	District Mobile Units	33
3	District Hospitals	39
4	Medical Colleges	4
5	Base Hospitals (at Rural Hosp.)	78
6	Eye Banks	93
7	District Blindness Control Societies (DBCS)	31

Resources Available
	Public	Private	Total
Ophthalmic Surgeons	231	925	1156
Para Medical Ophthalmic Asstts.	683	-	683
Eye Beds	922	2900	3822
Eye Banks	37	56	93

STEPS PROPOSED TO ENHANCE THE PROGRAMME

Shift in emphasis from quantitative achievement of cataract operation to qualitative outcome.

1. Technological Advancement (ECCE / 10L) in cataract surgery by training of OS & Providing, package of equipments.
2. Shift from Camp approach to Institutional approach for Cataract Operations.

1. Standard guidelines are prepared & circulated to all Medical Colleges & District Hospitals. 
2. Approach envisages Pick up Camps, Free transportation & institutional surgery.

3. Revised computerized M.I.S. to monitor quantitative coverage & qualitative outcome of cataract operations.
4. Training for Ophthalmic Nursing in Ophthalmology.
5. To construct Eye units (Wards + OT) at 21 places.
6. National Sample Survey in district Satara.
7. Annual Maintenance Contract for 18, operating Microscopes (Lice) & other major equipments