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S. PremAnand

Vision Centre Program- Tripura , A Tele- Ophthalmology Project. S. PremAnand. Tripura – At a Glance.

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S. PremAnand

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  1. Vision Centre Program- Tripura , A Tele- Ophthalmology Project S. PremAnand

  2. Tripura – At a Glance TRIPURA AT A GLANCE1. Surface are- 10491.69 Sq.Km2. Total Projected Population– 37 lacs.3. S.T. Population– 31.5%4. Rural Population– 75%STATUS REPORT OF EYE CARE PROVIDERS1. Secondary Eye Care Hospital -- 03 2. Primary Eye Care Hospital -- 03 3. No of Ophthalmologists in public Sector. -- 19 in Pvt. Sector. -- 06 4. No. of Ophthalmic Assistant in Public Sector. -- 26

  3. Tripura - Challenges in Eye Care

  4. Tripura - Challenges in Eye Care Service Provisioning

  5. Possible Mitigation Plan

  6. Project Conceptualization base • ICT for rural health care out reach • To find solutions for challenges in the health care service delivery; • Lack of qualified medical doctors • Functional Access points for patients • Accountability of patients identified • A structured escalation of patients to the tertiary care support • Reduced cost of servicing rural patients and for patients reduce cost of accessing eye care services.

  7. Key Stake Holders

  8. The Tripura Vision Centre Program

  9. Technology Architecture

  10. 40 Primary & Preventive Access Points • Highlights of the Project: • 40 Ophthalmic Assistants across all the blocks of the State • The entire State rural population accessing the • State HQ for eye care, as been provisioned access points. • A TVC present in less than 8-10kms radius for the rural patients • Screened more than 2,33,291patients. • Accountability for the patients through the online VCMS module • System Internalized with Dept H&WF, GoT

  11. TVC Statistics • Total Population Covered in the project area (starting from Apr’07 – May’ 13): 2999988 • Total Consultations: 233291 (7.776%) ;Total Male: 130524 (55.949%); Total Female: 102767 (44.051%) • Number of centres and patient consultation (Year wise) • New registrations: 199282 • Review/Follow up: 34009 • Refraction tested: 175167 (75.085); Male: Female- 98369: 76798 (56.157%: 43.842%) • Correction Prescribed: 71870 (41.029%) [Accounts for 30.807% of total patients ]; Male: Female- 40958: 30912 (56.99%: 43.01%) • Referral to IGMH: 13788 (5.91%) Male: Female- 7313: 6475 (53.04%: 46.96%) • Inference: A case load of 233291-which would be visiting IGMH directly was reduced to 13788 with the TVC intervention. • Number of patients with cataract referred to IGMH: 9614; Cataract surgeries conducted in IGMH: 6342

  12. TVC Performance

  13. Establishing and Maintaining Service Delivery in TVC

  14. Classification of New and Follow up Cases

  15. Refraction tested & Correction Prescribed

  16. Comparison of total case load and Referrals made to IGMH

  17. Number of cataract patients referred and treated

  18. TVC Statistics Source: Monthly Reports of the Project

  19. Vision Centre Benefits Benefits1) Patient need not visit secondary Eye Care facility frequently just for primary eye care service.2) Financial burden of the Patient due to travel and other associated costs is minimized. 3) Increase in the number of patients accessing the eye care facility since the facility is available in the near vicinity of the communities thus leading to increased productivity of the VC’s5) Load to Secondary eye care centres (IGM & GBP Hospital)has gradually decreased. thus contributing reduction health care burden of the State Cost Per Patient is Rs. 186.00 spent by Government for primary and preventive eye care services per patient

  20. Key Learning's from the project • Both tangible and intangible positive outcomes • A precedence to various other Tele-ophthalmology and Tele- medicine projects in state and elsewhere. • Technology Customization: • Technology should act only as an enabler for a healthcare projects. • No predefined solutions for a particular set of health services; the solution needs to be tailored to meet the defined objectives. • 2. Outreach to masses • Improved access to eye care services almost at the door steps and also their trust in the services offered at these centre's. • 3. Information Transaction efficiency • Electronic Medical record module records all relevant details pertaining to the patients and aids doctors to manage patients

  21. Key Learning's from the project 4. Accountability and Management Information System Effective Management Information System to make informed decisions and build required capacities for both day to day operations and strategic planning. 5. Improved standard medical practices The project has resulted in the attainment of required transparency and accountability in clinical examination at both at Vision centres and the Secondary level.

  22. The Inside Story • A Functional and Effective Nodal officer- The Deputy Medical Superintendent of IGM: • Periodic update to internal administration on the progress and challenges • Ownership at all levels both Administrative and Political Level • Measurable outcomes from the program • Highly motivated and performance driven front line team

  23. Thank you for your Time

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