Our Mission
A Year of Loss & Renewal
Performance
Community Outreach
DR Initiatives
Education & Training
CMEs & Publications
LAICO
Managed Eye Hospitals
IT and Systems
HR Development
AMRF
Aravind Eye Banks
Aurolab
Accolades
Partners in Service
Trustees and Staff
Lions Aravind Institute of Community Ophthalmology
I. Consultancy & Capacity Building Services
Today, a major part of LAICO’s work centers around enhancing the capacity of existing and new eye hospitals worldwide for comprehensive organizational development through sharing the best practices in eye care. It works with these hospitals in collaboration with international voluntary organizations such as the Lions Clubs International Foundation, Sight Savers International, CBM, International Eye Foundation, Seva Foundation, Orbis International, Lavelle Fund for the Blind and World Health Organisation to contribute to the mission of eliminating needles blindness.
Through the consultancy process, LAICO now works with 220 eye hospitals spread all over the country and in other developing nations.
Consultancy is carried out through the following phases:
· Needs Assessment Visits
· Vision Building Workshops
· Follow-up Visits, and Monitoring


Needs Assessment Visits

Aravind’s Needs Assessment Team with KCMC staff at Moshi, Tanzania
Aravind Consultancy team makes Needs assessment visits to gain an understanding of the working systems and management structure to help establish a framework for capacity building specific to each hospital.


Needs Assessment Visits from Jan. 2006
- Kilimanjaro Christian Medical Centre, Moshi, Tanzania
- Fateh-bal Eye hospital, Nepalgunj, Nepal
- Bangalore West Lions Super Speciality Eye Hospital, Bangalore, Karnataka
- Jindal Sanjeevani Hospital, Toranagallu, Karnataka
- Vinayaka Mission Hospital, Salem, Tamil Nadu
- Jhalda Lions Eye Hospital, Jhalda, West Bengal
- Paran Chandra Roy Memorial Lions Eye Hospital, Ghatal, West Bengal,
- Nabadwip Lions Eye Hospital, Nadia, West Bengal
- Eye Department, Kerala Institute of Medical Sciences, Thiruvananthapuram, Kerala
- Comtrust Eye Hospital, Calicut, Kerala


Vision Building and Strategic Planning Workshops

Dr. M.Srinivasan with the participatns at the Vision Building and Strategic Planning Workshop
Following the needs assessment visit, a multidisciplinary team consisting of key people from each hospital attend a six-day workshop at LAICO. The workshop provides an environment for the teams to evolve a vision for their hospital, and help them develop various strategies followed by detailed action plans through which this vision can be translated into reality. Since January 2006, five Vision Building and Strategic Planning Workshops were conducted at LAICO.
Participants from the following hospitals attended the courses:


From January 30 - February 4, 2006
- Sri Janaki Eye Hospital, Janakpur, Nepal
- CEHP Nepal Red Cross, Nepalgunj, Nepal
- Swiss Red Cross, Janakpur, Nepal
- Health Dept. Nepal Red Cross Society National Head quarters, Nepal
- Kilimanjaro Christian Medical Centre (Eye Department), Moshi, Tanzania
- Lotus Eye Hospital, Mumbai, India


From June 12 -17, 2006
- Fateh-Bal Eye Hospital, Nepal
- Jindal Sanjeevani Hospital, Toranagallu
- BW Lions Eye Hospital, Bangalore
- Vinayaka Mission Hospital, Salem


From July 17-22, 2006

Team from UCH - IBADAN, Nigeria with the Aravind team
A special workshop was conducted for UCH-Ibadan, Nigeria, the largest and the oldest teaching hospital in Nigeria to orient them towards enhancing services for the needy and poor and improve the residency training by enhancing the level of service delivery. An MoU was signed for the responsibilities of each stakeholder for the future course of action between International Congress of Ophthalmology, UCH-Ibadan, OSN and LAICO.


From October 23-28, 2006
- Sight First Hospital, Hendala, Srilanka
- Lions Gift of Sight Hospital, Panadura, Srilanka
- Paranchandra Roy Memorial Lions Eye Hospital, Ghatal, Medinipur, West Bengal
- Nabadwip Lions Eye Hospital, Nabadwip, Nadia, West Bengal
- Neta Mandir, Mumbai
- Jhalda Lions Eye Hospital, Jhalda, Purulia, West Bengal.


From December 4-9, 2006
- Comtrust Eye Hospital, Calicut, Kerala
- Hindu Mission Hospital, Tambaram, Chennai
- Bansara Eye Care Center, Shillong, Meghalaya
- Dr. Abdullah Zahir (Individual), Male, Maldives


Follow-up Visits
After allowing six months for the hospitals to implement their strategies, the LAICO – Aravind team makes follow-up visits to provide further support to the hospitals in implementing their action plan. In addition to help with the change process, training support is offered to individuals from the hospitals, both in clinical and administrative areas.


Follow-up Visit in 2006
Lotus Eye Hospital, Mumbai, Maharashtra.


Capacity Building for Specialty Services
Capacity Building for Peadiatric Ophthalmology

Dr. P. Vijayalakshmi with the participants of the ORBIS long range strategic planning workshop
In addition to developing a paediatric ophthalmology human resource team, Aravind ORBIS Paediatric Ophthalmology Learning & Teaching Programme Initiatives project focuses on capacity building of ORBIS partner eye hospitals.


ORBIS Long Range Strategic Planning Workshop
LAICO, December 4 – 6
A total of 15 participants from four eye hospitals took part in this workshop.
- HV Desai Eye Hospital, Pune, Maharashtra,
- Lions NAB Eye Hospital, Miraj, Maharashtra,
- Srikiran Institute of Ophthalmology, Kakinada, Andhra Pradesh,
- Lotus Eye Hospital, Mumbai, Maharashtra


Other Consultancy Projects
Agreement on Establishment of Friendly Relations, China
December 27, 2005 - January 4, 2006

Dr. M.Srinivasan Mr.R.D.Thulasiraj, Dr.P.Balakrishnan and Ms.Preethi Pradhan with the Wenzhou Medical College team
In response to an invitation for training at Peking University Eye Centre and for an exploratory visit to Wenzhou Medical College for signing of the MoU for collaboration between Aravind Eye Care System and the Wenzhou Medical College-Eye Centre, Dr. M. Srinivasan,
Mr. R.D. Thulasiraj, Dr.P. Balakrishnan and Ms. Preethi Pradhan visited China. The MoU was signed on January 5, 2006 by
Dr. Qu Jia, Director, Eye Hospital, Wenzhou Medical College, China and Dr.M.Srinivasan, Director, Aravind Eye Hospitals & Postgraduate Institute of Ophthalmology, India.


He Eye Hospital, Shenyang, China
April 3 - 16

Mr. R. Meenakshi Sundaram, Mr. Keerthi Pradhan and Mr.Ganesh Babu with the He Eye Hospital team in Shenyang
The Aravind team of consultants visited the He Eye Hospital founded by Dr Wei He to offer consultancy in three areas: Strategic growth and development, Community Outreach and Management Information System.


Baramati, Maharashtra
September 14-15

Mr. Selvakumar at the Rural Hospital (Tehsil Level Referral Centre), Baramati
Digital Health Division of Intel India is collaborating with Aravind Eye Hospital to set up an IT enabled centre which will create access to experts through a Telemedicine system. HV Desai Eye Hospital, Pune will be the immediate referral centre for ophthalmology while Aravind would provide services for higher level management. Ms. KM.Sasipriya, Faculty, LAICO visited Rural Hospital (Tehsil level referral centre), Baramati, Maharashtra State to provide inputs in setting up the infrastructure, layout, in identifying training needs, establishing linkages and planning the modality for collaboration to provide eye care services.


Timor and Sumba Islands, Indonesia
May 27 - June 7
On invitation by PERDHAKI, a national NGO in Indonesia, Mr. Keerti Bhusan Pradhan went to assess their partner organizations for eye care services in Timor and Sumba Islands. He also visited the partner organizations of PERDHAKI to assess and to guide the eye care programmes to enhance the services to reach more needy population in islands where no eye care services are provided by the government.


SEVA – Tibet and Kham Eye Centre in Dartsedo, China
October 4 – 12

Mr. Keerti Bhusan Pradhan with the Tibet team and Mr.R.P.Kandel
Mr. Keerti Bhusan Pradhan visited Dartsedo Prefecture Hospital and the regional health centers in Eastern part of Kham to discuss the eye care plan with both SEVA Foundation and the Government of Tibet.


TVS Group Social Development Division-Lakshmi Vidya Sangam
October 16
The LAICO team organized a workshop for the key members of Lakshmi Vidya Sangam (LVS), the charitable wing of TVS Group in Madurai to give strategic inputs towards institutionalizing the Social Development Division in line with the Vision and Mission of LVS.


Melaghar Vision Centre & Indira Gandhi Memorial Govt Hospital, Agartala, Tripura
January 1 to 8, 2007
Aravind is collaborating with Infrastructure Leasing & Financial Services Pvt. Ltd to provide primary eye care services through their network of Community Services Centres (CSC) which have been set up to essentially provide IT services to rural areas as part of the nationwide programme by the Ministry of Information & Technology. The concept is to set up Vision Centres in select CSC’s and use the existing IT capabilities to provide comprehensive eye examinations. As a pilot, a Vision Centre is being rolled out at Melaghar and with successful implementation, this will be scaled up across the State of Tripura where access to health care services is one of the challenges, especially access to speciality care. As part of this collaboration Aravind is providing complete technical support in setting up the Vision Centre, training, and providing the Tele-consultation software.


II. Teaching and Training Division
LAICO runs a series of management training and skills development courses to address the need for professionally trained human resource in eye care. The following management and skills development courses on eye care services are offered at LAICO
• Management Priorities in Eye Care Delivery
• Management Training for Eye Care Programme Managers
• Management Training and Systems Development for Hospital Administrators
• Training in Community Outreach
• Fellowship in Eye Hospital Management
• Training in Eye Hospitals Operation
• Project Management Training for Eye Care
• Instrument Maintenance and Training


Management Priorities in Eye Care Delivery

Participants of the Management Priorities in Eye Care Delivery, Jan, 2006 with Mr. Nagarajan, Prof. Fred Munson, Dr.G.Venkataswamy, Mr. Irai Anbu, Ms. Cindy Harrison, Dr.P. Namperumalsamy and MR.R.D. Thulasiraj
This is a short term intense training programme to strengthen the management perspective of the heads of eye hospitals. It provides an overview and appreciation of different principles and practices of management that contribute to more effective and efficient delivery of eye care services. It aims to impart management skills necessary to help in planning, monitoring and evaluation to increase their efficiency and productivity by optimally utilizing the available resources.
In the Fifth Course conducted from January 15 – 21, 2006, there were twenty participants for this workshop from twelve nations. Three representatives from each of the Aravind Eye Hospitals at Tirunelveli, Coimbatore and Puducherry also participated.
In the Sixth Course conducted in January 7-13, 2007, there were twenty seven participants for this workshop from nine nations.
Prof. Fred Munson, Dr. Cindy Harrison, Mr.D.Nagarajan, Mr. R.Muralikrishnan,
Prof. G. Balasubramanian and Prof. Janat Shah, Ms. Liana Maria Vira-De-Oliveira were the guest faculty for these courses.


Management Training for Eye Care Programme Managers

At the Management Training for Eye Care Programme Managers Workshop
The objective of this training is to enable the participants to acquire knowledge, skills and attitude to become effective in eye care programme management. This training is designed for professionals concerned with eye care programme development, planning, implementation, monitoring, evaluation and funding.
In the Fifth Course held from February 13-24, 2006, there were twenty participants from seven nations.
In the Sixth Course held from February 19 - March 2, 2007, a total of 32 participants from 18 countries - India, USA, UK, Cameroon, Uganda, Ethiopia, Swaziland, Ghana, Ireland, Bolivia, Tanzania, South Africa, Cambodia, China, Pakistan, Nepal, Mexico and Vietnam participated.


Management Training and Systems Development for Hospital Administrators

Participants to the Management Training and Systems Development for Hospital Administrators with the Aravind team
This course is designed to give exposure and training in the best practices for day-to-day operations management in an eye hospital. Each student is guided to develop and take back a detailed action plan to implement the new ideas and concepts learned in the course.
In the Twelfth Course held from April 15 to May 27, 2006 participants from eight hospitals all over the country participated.
In the Thirteenth Course held from October 2 – November 10, a total of 15 participants from Afganistan, Bangladesh, Guatemala, India, Kenya, Nepal, attended.


Training in Community Outreach
Certificate course on Community Outreach & Social Marketing of Eye Care Services

Mr. R. D. Thulasiraj with participants to the Community Outreach Course
The main objective of this certificate course is to improve the community outreach activities in their organization. During the course, the participants attend a series of lectures, visit camps, participate in the process of camp organization, see patient counselling in action, engage in calculation of magnitude of blindness and developing health education materials such as posters and banners.
In the Nineteenth Course conducted from June 15- July 14, participants from fourteen hospitals from various parts of India attended.
In the Twentieth Course conducted from November 14 – December 15, 11 participants from eight hospitals in Bangladesh, Egypt, India and Nigeria attended. Representatives from Aravind Eye Hospitals, Coimbatore and Madurai also participated.


Fellowship in Eye Hospital Management

The second batch students of Fellowship in Eye Hospital Management
The second Fellowship in Eye Hospital Management Programme began on July 24, 2006 with eight Fellows. These Fellows on completion of the training will be employed as Managers in various areas according to their aptitude, skills and the requirement in the system.


Training in Eye Hospital Operations
LAICO, July 17
Certificate Course on Eye Hospital Operations was started on July 17, 2006. A total of 12 candidates participated in the course. After the training programme all the members were posted at different Aravind Eye Hospitals.


Project Management Training for Eye Care
September 4 – 30, LAICO
Project Management training for Eye Care is a new course added to the management courses stream ORBIS India initiative for their partner hospitals. The main objective of this course is to enable the participants to acquire knowledge, skills and develop attitude to manage eye care projects effectively. This training programme is a four week course. Sixteen participants including one from Bhutan, ten from different parts of India and five belonging to Aravind participated in this programme.


Training in Instruments and Equipment Maintenance
In the four courses offered in 2006, twenty three persons were trained including one each from Zambia, Jamaica and Ghana, and two each from Malaysia and Cambodia. Two ophthalmologists were trained in the course for ophthalmologists & administrators. The Instrument and Equipment Maintenance department celebrated its 50th Golden Jubilee training course in the year 2007. Among the 302 trainees who have attended these courses, 100 were from 23 developing countries.


Innovation – Appropriate Technology

Changes in the retina due to diabetic retinopathy or on the optic disc due to glaucoma can be ascertained from fundus images and when this is detected early, timely treatment can be initiated to prevent further loss of vision. Fundus imaging requires a fundus camera which is very expensive and found only in tertiary care eye hospitals. To provide an inexpensive tool for the routine examination of the fundus at primary eye care Vision Centres, the Aravind Instrument Maintenance Laboratory developed a simple attachment to mount the common digital camera on a slit lamp. The arrangement is so simple that a trained paramedic, using the slit lamp and a 78 or 90 dioptre lens can take good fundus or anterior segment pictures, copy them onto a computer, and transmit it to the base hospital for further diagnosis and send back advise for follow-up action. This is now used in all Aravind Vision Centres. The invention has created world wide interest and the set up is already being used in many developing nations such as Sri Lanka, Nepal, Syria, and Kenya.


OFF-SITE Training
Visiting Faculty to Instrument Maintenance Workshop
Ethiopia and Uganda, May 2006

Participants of the Ehiopia Workshop along with the instruments repaired by the trainees under the guidance of Mr.Poornachandran and Prof.Srinivasan.
In May 2006 Orbis International conducted a workshop in Ethiopia and Uganda. Mr.S.Poornachandran and Prof. V. Srinivasan were invited as Visiting Faculty for those workshops.


Eye Care Management Training for VISION 2020 Community Eye Health Course participants
South Africa, September 11-15

Mr. Keerti BhushanPradhan at the Course on Community Eye Health in Cape Town, South Africa
Mr. Keerti Bhusan Pradhan, Senior Faculty went to University of Cape Town, South Africa - as a resource person for an eight week certificate course on community eye health jointly run by the University and ICEH, London. The objective of the Programme was based on the key concepts in eye care services management. There were 18 participants including Ophthalmologists, Ophthalmic Clinical Officers, Ophthalmic Nurses, and Optometrists from ten African countries - Angola, Botswana, Ethiopia, Lesotho, Malawi, Nigeria, Rwanda, South Africa, Zambia and Zimbabwe.


Workshop on “Improving the Quality of Life through Partner Enablement”
CBM – SARO, Bangalore, March 22-23
Mr.R.D.Thulasiraj, Executive Director-LAICO, Mr.Ganesh Babu, Senior Manager – IT and Systems, Ms.Preethi Pradhan, Senior Faculty, LAICO were at Bangalore on March 22-23, to conduct a workshop for staff of CBM SARO(S), and to internalize and operationalise the new direction CBM has mandated for their organization.


Continuing Professional Education Programmes
PRISM-Reflecting Perspectives in Hospital Management
The main goal of the conference was to provide new insights and approaches of addressing various managerial issues for improving the delivery of hospital services. It also provided an opportunity for networking with professionals of diverse background in the field of hospital administration.


PRISM-2006 February 25, 2006

Dr. P.Namperumalsamy lighting the lamp to inaugurate Prism-2006
Among the 184 participants, students from different Hospital management schools around South India formed the major group.


PRISM - 2007 January 20, 2007
The conference was attended by 116 external delegates from different parts of India.
The sessions were on various functional areas of Hospital and Health care Management such as Planning Hospital Facilities, Human Resource Development, Turnaround Strategies, Crisis management and Quality Assurance facilitated by expert resource persons in the respective areas from various parts of the country.


Custom Designed Training
Hospital Administration Programme
- Mr. Arudra Kuchibhatta, Vijayawada, attended the programme from June 23-24, 2006
- Dr. Bakul N. Trivedi, Consultant-Oculoplasty, Om Eye Hospital, Gujarat attended the programme from September 4-9, 2006


I-connect Workshop on Resource Center Collaboration
LAICO, March 15-17, 2007

Participants of the i-connect workshop
A total of 14 persons from California, Canada, Tanzania, Nepal, USA, UK, and India participated in the workshop. The workshop was held in recognition of the vital role of knowledge-seeking and sharing in strengthening sustainable eye care services. A platform for effectively sharing research literature, case studies, training curricula, and management tools were developed.


Faculty Development Programme
Consultancy for Capacity Master Class - Review Session
March 22, 2006

Mr. Colin Williams at the Review Session f the Consultancy for Capacity Master Class
A review session of the Consultancy workshop held in November, 2005 was conducted on March 22, 2006. Mr. Colin Williams from W² consulting, UK was the facilitator. The one day session was attended by 21 participants including Mr. R.D. Thulasiraj, Executive Director-LAICO, CMOs /representatives from all Aravind Eye Hospitals, Senior Managers from Aravind-Madurai and LAICO faculty. The aim of the session was to reinforce the concepts discussed in the previous workshop in order to improve the consultancy skills of Aravind Consultants and to review the progress in the action plans developed related to various consulting issues. The participants had already been grouped into 9 teams, each working on a specific consulting issue. The teams developed new action plans relating to the respective issues applying the key principles in consulting.


Workshop on Theory of Constraints
Aravind –Madurai, September 26-27

At the Workshop on Theory of Constraints
A total of 29 participants attended the workshop on Theory of Constraints. The main participants were senior doctors, administrative staff of all Aravind Eye Hospitals and LAICO faculty. The workshop was facilitated by W2 Consulting, UK, with their key faculty members including Mr. Colin Williams, Mr. John Bickell, and Ms. Sarah Keith and Mr. P. Bill West from Goldratt Institution, UK.


Individual Faculty Development Programme
- Ms. Preethi Pradhan and Mr. Keerti Pradhan continued their work towards Ph.D (registered under IIT-Chennai)
- Mr. Sanil Joseph was at Aravind-Puducherry from May 20 - June 12 to enhance practical knowledge of hospital management.
- Mr. Rajadurai, Faculty Associate, LAICO was in Aravind-Theni from June 19 - July 19 to understand Aravind’s basic system and how it functions.
- Dr. Noela Prasad attended the National Training Programme in Advanced Epidemiology workshop which was held in Mumbai, April 20-28 at TATA Institute of Social Sciences


Other LAICO Activities
Synergy & Sight: SEVA Global Networking Workshop
The SEVA Global Networking workshop was conducted at LAICO from March 24-29, 2006. The objective of the workshop was to promote stronger Programme services by strengthening SEVA’s network with a focus on building relationships, partnerships, communications, reporting across programmes and with SEVA offices. A total of 25 participants from 9 countries attended the workshop.


Centers for Community Ophthalmology Workshop

Mr. Suresh Kumar and Dr.Noela Prasad with other participants at the Centers for Community Ophthalmology Workshop
SEVA organized a three day workshop in Lumbini, Nepal, September 25-27, 2006 as a sequel to the SYNERGY & SIGHT meeting. This workshop was organized to further the objective of creating a network of Community Ophthalmology Centers across the globe to synergise available Knowledge, Expertise and Best Practices within such individual centres to benefit the various eye programmes that they work with. A three member team of Mr. Keerti Pradhan, Dr.Noela Marie and Mr.R.Suresh Kumar represented Aravind.


Seva Partner and Staff Retreat Overview

Seva Partners at Aravind-Puducherry
Seva Partner and Staff Retreat Overview was conducted at Aravind-Puducherry from March 3-6, 2007. Mr. R.D. Thulasiraj, Dr. R.D. Ravindran and Mr. Keerti Bhusan Pradhan attended the Programme. The objective of the programme was to help develop eye care programmes in Cambodia and Dartsendo-Tibet, China. Consultants worked with SEVA staff members from USA and country offices along with the partner organizations from respective countries to conceptualize and develop eye care programmes. This retreat highlighted the values and mission that directs the work, focus on practical goals to reduce avoidable blindness, and to draw from “positive and negative” experience of previous programs, adapt and build new strategies to achieve the goals of sustainable, quality, community-oriented eye health.


Contribution to the XI National Five year Plan for Prevention of Blindness

Mr. R.D. Thulasiraj, Dr.G.N.Rao, Dr.G.V. Rao and Mr.Swamy with Dr. Montek Singh Ahluwalia of the Planning Commission
The Ministry of Health, Government of India made a formal request to VISION 2020: The Right to Sight, India to develop the XI Five-year plan of the National Programme for Control of Blindness. This work was then entrusted to LAICO to coordinate the development. This was carried out by Mr. Thulasiraj and Dr. Noela Prasad who developed the draft plan and incorporated inputs from the Government, INGOs and other stake holders. This called for plan outlay of over Rs. 1,500 crores (US$ 360 million) over the 5 year period which represents a three-fold increase from current plan. Subsequently, separate meetings were arranged with the Union Finance Minister Mr.P.Chidambaram and Dr. Montek Singh Ahluwalia of the Planning Commission, in which R.D.Thulasiraj along with members of VISION 2020: The Right to Sight, India presented the proposal to facilitate its understanding and approval.


III. Projects Division
LAICO Projects Division contributes to the elimination of needless blindness through
- Effective provision of end to end project management systems and processes
- Development of project management capability through constant training and capacity building.
The main areas of work under this division will be to develop the right approaches to Project Development & Management, evaluation of the projects, and provide Project Management Training.


Primary Eye Care through Vision Centres
Following by the pilot implementation of five IT enabled Vision Centres linked to Aravind Eye Hospital, Theni, supported by International Eye Foundation, USA, Aravind Eye Care System has now joined hands with Lavelle Fund to scale up the number of Vision Centres by another twenty during the next two years linked to Aravind Hospitals at Madurai, Tirunelveli, Coimbatore and Puducherry. The first set of eight Vision Centres (two each) are coming up between April and May 2007. Based on the experience gained on an earlier initiative, Aravind is incorporating Community Based Rehabilitation coupled with aggressive community based activities, thus providing comprehensive coverage and services – preventive, curative and rehabilitative. This programme aims at covering a population of approximately 2 million through these Vision Centres. Functioning of these Vision Centres will come under the outreach division of each hospital and thus will become an integral approach to community eye care.
In addition to developing the infrastructure in the community to provide service delivery, Aravind is also setting up training units to train human resource for the Vision Centres in the categories of Vision Centre Technician, Vision Centre Counsellors and Eye Health Community Workers that would enable not only Aravind but also other eye care programmes to initiate similar approaches.


Aravind WDF Diabetic Retinopathy Management Project
Aravind is working on developing a sustainable service delivery model with the support of International NGOs like Lions Clubs International, World Diabetes Foundation and with the Government of India – TIFAC CORE. With the successful implementation of Diabetic Retinopathy Programme at Aravind Eye Hospitals at Madurai, Tirunelveli and Puducherry, WDF is now extending support to the existing project centres along with further expanding of this programme to Aravind Coimbatore. Through these Diabetic Retinopathy screening programmes, Aravind will be reaching out to about 40% of the Tamilnadu’s population during the next three years starting from May 2006. Key strategies of the DR programme are continuous awareness creation, aggressive outreach, providing required diagnostic and treatment services and employing information technology to extend the clinical expertise to centres that need them. Experience and insights gained through this programme are being shared with other eye care programmes through publications, seminars and participation in expert committees.


Aravind ORBIS Paediatric Ophthalmology Learning and Teaching Centre Programme
(POLTC) - I
Aravind’s recent collaboration with ORBIS International gave an opportunity to develop a full-fledged Training Centre thus actively contributing to the development of trained human resource in the country for Paediatric Ophthalmology. Started in August 2003 with the aim of developing seventy seven eye care personnel, this project was completed by Dec 2006. Aravind was able to train one hundred and thirteen personnel from fourteen Indian States and seven countries.
In addition to developing human resource, Aravind, has supported four eye hospitals through the capacity building programme for the development of their organisational as well as paediatric ophthalmology services. A follow-up workshop comprising of all the four hospitals was conducted between December 4-7, 2006 in order to understand the inputs provided through capacity building initiatives and develop strategies for the long term sustenance.
This programme also provided ample opportunity to Aravind in developing resources like patient information brochures, posters, training videos in DVDs, manuals, MIS software for Paediatric Ophthalmology. POLTC with the support of ORBIS hosted Volunteer Faculty, experts in their own right, each of them running one Hospital Based Programme (Orthoptics, Strabismus, Retinopathy of Prematurity and Paediatric Glaucoma) which benefited not only the Fellows in the paediatric department but also the Postgraduate Residents at all of the Aravind Centres.


(POLTC) - II
Considering the need for developing more human resources to deliver paediatric ophthalmology services as envisaged in the VISION 2020 National Plan, ORBIS International, India is contributing to this by supporting eye care programmes to set up and run the paediatric ophthalmology services. With this growing need, ORBIS has extended the support to Aravind for another three years starting Jan 2007. During this extended phase, around 52 personnel will be trained through structured training courses. As a teaching and resource centre, Aravind will develop a standard study protocol to assess magnitude of blindness and visual impairment in children through a research study. Additionally, preferred clinical practice manuals will be developed that would be useful in Indian context.


Tele-ophthalmology Initiatives with National Programme for Prevention of Blindness (NPCB), Government of India
NPCB is in the process of developing tele-ophthalmology initiatives to strengthen service delivery mechanism in the government set up. In this regard, meetings were held in New Delhi with eye hospitals and other institutions currently practicing tele-ophthalmology. In order to evaluate the different models demonstrated by the participating institutions, NPCB is supporting each of these institutions to implement a pilot model for one year starting April 2007 followed by the evaluation of the same by the expert team at the year end so as to develop and adopt concrete service delivery model. With this support, Aravind would establish an IT enabled Vision Centre in Rameswaram, Tamil Nadu.


Consultancy for Setting up of Diabetic Retinopathy Services in Peking University Eye Center, Beijing, China
The International Council of Ophthalmology Foundation has identified Beijing University Eye Centre, Beijing as a site for the Eli Lilly Diabetic Eye Disease Centre (ELDEDC) to provide advanced care of diabetic eye diseases by developing sustainable programme for detection and treatment. For this two year programme, LAICO will support ELDEDC to set up and manage DR services through systematic approach and help put in place the appropriate service delivery and human resources development mechanism. To accomplish this, a team from LAICO will visit the centre to develop a baseline document to enable the team to work together to develop good strategies and metrics through a structured workshop and exchange visits. The impact of the activities undertaken will be evaluated in the second year. To kick start this programme, a multidisciplinary team from LAICO will visit Beijing University Eye Centre, Beijing in June 2007.


Creating Access for Rural Eye Care
Rotary Clubs International is supporting Aravind for one year starting January 2007 to experiment on developing a service delivery approach that will motivate patients with visual impairment seek eye care on their own. This project covers a population of 130,000 near Dindigul, Tamilnadu. This involves recruiting and training the field workers (5) to carry out house to house enumeration and basic screening.


IV RESEARCH

Dr. Madan P. Upadhyay, Regional Adviser, WHO, Delhi, Mr. Muthusamy, Mr.G.Saravanan, Mr.P.Vijayagamoorthy, Ms.R.Mahalakshmi, Ms.M.Priya at a review meeting
The mission of LAICO’s research division is two fold - one to generate a research culture among Aravind staff, through which a critical mass of research capacity is built that conducts scientifically rigorous and relevant research, and the other to engage in epidemiologic, and population based studies and health systems research to generate evidence to guide global policy in the elimination of avoidable blindness.
The Biostatistics Department provides vital support in data entry, management and analysis for all ongoing clinical, epidemiological and health systems research conducted at Aravind. Additionally, statistical inputs are provided whenever needed for planning research studies and for reviewing articles by various reviewers within Aravind and to research projects elsewhere on request. A part-time short course on the use of the statistical package SPSS was developed and conducted by the Biostatistics Department for the academic staff at Fathima College, Madurai.
Major studies completed and ongoing are:
- the Diabetic Retinopathy India Prevalence Study,
- the Rapid Assessment of Avoidable Blindness in Cuddalore district,
- the development of an instrument to measure Quality of Life among individuals with visual impairment due to refractive errors,
- developing a tool to measure patient satisfaction,
- a study of HR practices that impact employee satisfaction and patient satisfaction
- HRD related operations research to develop and test tools for assessing HR practices that are culturally relevant,
- a community interventional trial using Village Health Nurses to provide primary care for trivial corneal injuries,
- and a series of studies on detecting refractive errors and the demand for spectacles
- the SCUT (Steroids for Corneal Ulcer Treatment),
- INGOTT (The India National Glaucoma Outcomes Treatment Trial),
- and the IND-EYE study.


Workshop on Research Methodology
LAICO, February 5-10, 2007

Dr. Namperumalsamy with the participants to the Research Methodology Workshop
This workshop aimed at building the capacity of eye care professionals in the conduct of scientifically rigorous research. A total of 24 participants attended the workshop.
The main objectives of the workshop was to
- Understand the relevance of clinical, operations and field research.
- Acquire knowledge and skills in generating health related data.
- Design and conduct relevant priority research in health.
- Perform appropriate data analysis, interpret the findings and make appropriate recommendations.


Major Conferences Attended Elsewhere
One World South Asia Annual Regional Meeting
Agra, January 23-24, 2006
Mr. Keerti Bhusan Pradhan
- The ICTs application in Aravind Model of services delivery to reach the communities.
Tsunami Evaluation Meeting


Tsunami Evaluation Meeting
Sri Lanka, March 19-21, 2006
Mr. R.D. Thulasiraj facilitated the development of an evaluation framework at this meeting for the Tsunami rehabilitation projects supported by CBM.


ZFS Partners Meeting
Bangalore, March 17-18, 2006
Ms. Veni, Administrator, LAICO attended the meeting as a representative of Aravind Eye Hospitals.


Workshop on Information needs to improve implementation of refractive error programmes in India
Faridabad, New Delhi, March 20-25, 2006
MR. R.D. THULASIRAJ WAS A CHAIRMAN FOR A PLENARY SESSION ON “EPIDEMIOLOGICAL ISSUES IN REFRACTIVE ERRORS”.
- Prevalence of RE among the aged in India
- Need for Refractive correction in a Population
- Costing of services at secondary level institutions

DR. P.VIJAYALAKSHMI WAS A CHAIRMAN FOR A PLENARY SESSION ON “SERVICE DELIVERY APPROACHES FOR SPECIFIC POPULATIONS”.
- Description of refractive errors
- Norms for establishing a quality RE services

DR. NOELA PRASAD
- IEC approaches for augmenting RE services uptake

MR. V. VIJAYAKUMAR
- Designing Quality of life instruments to monitor impact


Practice Management Symposium
Bangalore, April 16, 2006
MS. PREETHI PRADHAN
- Patient Satisfaction


Aravind Model Presentation at World Bank- Ashoka Conference
Delhi, July 12
ASHOKA (Ashoka: Innovators for the Public) as part of it’s programme on change makers-health for all invited Aravind Eye Care System to present the model and innovations for their success to an audience at four sites in World Bank Institute, Paris; World Bank Office, Washington, World Bank Office, Pretoria, South Africa; and World Bank, New Delhi through Video Conference from Delhi. Mr. Keerti Pradhan, Senior Faculty, LAICO did the Aravind Model presentation.


ORBIS Dissemination Workshop on Mapping of Human Resource and Infrastructure for Speciality Eye Care Services in India
Delhi, April 30, 2006
The Delhi meeting was held to disseminate the findings of the survey. Dr. Noela Prasad attended the workshop.


First Annual National Conferences of Federation of Hospital Administration (FHA)
Ooty, August 25-27, 2006
A team from AECS Mr. R. Suresh Kumar, Faculty-LAICO, Mr.Rajakumar – Manager, Medical Records, Mr.Ramesh Babu, Asst Administrator Free Hospital, Madurai, Mr.Kanagaraj, Manager-HR, Aravind - Coimbatore and Mr.Ranjit Kumar, Manager-Free Hospital, Aravind-Coimbatore attended.


Sight First Conclave of Eastern India
Kolkata, September 3-4, 2006
Mr. R. D. Thulasiraj Executive Director, LAICO, participated in the Sight First Conclave and spoke on community ophthalmology.


National Program for Control of Blindness [NPCB]
Cuddalore, September 11-16, 2006
Dr. Noela, Research Medical Officer and Mr.Srinivasan, Field co-ordinator Diabetic Retinopathy project, gave training to the team for Rapid Assessment of Avoidable Blindness.


American Academy of Ophthalmology (AAO) and Asia Pacific Academy of Ophthalmology (APAO) Joint Meeting
Las Vegas, November 11 - 14, 2006
MR.R.D.THULASIRAJ
AT THE SYMPOSIUM ON DEVELOPING INTERNATIONAL RESEARCH COLLABORATIONS
- ‘India: A Model for the Future?’
IN THE PANEL DISCUSSION I:
- Who is going to pay for the world’s eye care?
AT THE SPECIAL MEETING: 2006 INTERNATIONAL FORUM:
- The Truth about Needless Blindness


Dr. Abdul Husain Nawab Arastu Yar Jung Bahadur Memorial Lecture
Hyderabad, December 21-22, 2006
Mr. R.D. Thulasiraj, Executive Director, LAICO participated in the Memorial Lecture in honour of Dr. Abdul Husain Nawab Arastu Yar Jung Bahadur and gave inaugural lecture on the Topic of Diabetic Retinopathy and Epidemic Blindness in India. This Memorial Lecture was attended by family members of Dr. Abdul Husain, public and staff of LV Prasad Eye Institute.


IESE Business School
University of Nabarra, Barcelona-Spain, January 18-19, 2007
Mr. R.D. Thulasiraj, Executive Director, LAICO and Mr. David Green spoke about the Aravind model and Aurolab, to the students of the MBA Programme.


Social Entrepreneur Forum
Zurich, January 20-23, 2007

Mr. R.D. Thulasiraj at the Social Entrepreneur Forum
Mr. R.D. Thulasiraj attended Social Entrepreneur Forum organized by Nabarra Foundation. During the three day meeting he interacted with other Nabarra fellows and Business Leaders to find out how the Aravind Model can be further escalated.


World Economic Forum
Davos, Switzerland, January 23-28, 2007
Mr. R.D. Thulasiraj attended the World Economic Forum. During the five day meeting, he attended several sessions and interacted with several people belonging to Academic and Business World.


Technology Working Committee of IAPB Meet
Durban, South Africa, January 2007
Prof. V. Srinivasan participated in the Technology Working Committee of IAPB Meeting.


“Medallion 2007”
School of Medical Education, Kottayam, Kerala, March 3, 2007
MS. PREETHI PRADHAN
- Marketing to the internal customers
MR. KEERTI PRADHAN
- Importance of management systems in hospitals - a example from the World’s largest eye care systems.


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Activity Report, 2006-07