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Framework for Designing effective DR Programs. Thulasiraj Ravilla LAICO – Aravind Eye Care System. Current Status relating to DR. Well established diagnostic & treatment protocols Training programs for clinical personnel Very low screening coverage of diabetics
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Framework for Designing effective DR Programs Thulasiraj Ravilla LAICO – Aravind Eye Care System
Current Status relating to DR • Well established diagnostic & treatment protocols • Training programs for clinical personnel • Very low screening coverage of diabetics • Poor follow-up rates of DR patients
DR Program - design framework Equipment & Technology Staff & Skills Awareness Creation Barriers Facility Quality Access Ownership to the DR issue Cost Attitude & Perspective Partnerships for referrals Remote Diagnosis
DR Program - design framework • Rehab • Cure • Prevention
Diabetic Retinopathy Intervention Strategies to address the challenges Awareness creation Service Model Outreach Activities Infrastructure Development HR Development Treatment
Replication of this model Having had success with this framework, the same has been replicated in • PUEC, Beijing, China • 22 Eye Hospital DR Projects in India • Consultancy to Oman - Evaluation of the Management of DR for the entire country & provided recommendation
DR Management Manual • Guidelines for the comprehensive management of DR in India • Supported by Sightsavers, India, Published under VISION 2020 – Right to Sight, India http://www.vision2020india.org/dr_manual.pdf