NATIONAL PROGRAMME FOR CONTROL OF BLINDNESS (NPCB), MIZORAM

National Programme for Control of Blindness (NPCB) was launched in the year 1976 with the goal of achieving a prevalence rate of 0.3% of population by 2020.

The implementation of the programme was decentralized in 1994-95 with formation of District Health Society in each district of the country. The District Health Society is expected to enhance the coverage and improve quality of eye care services in the district

Objectives :

Main objectives are:-

To reduce the backlog of blindness through identification and treatment of blind

To provide comprehensive eye care services and quality service delivery by NPCB.

To strengthen and develop human resources for providing eye care services

To enhance awareness on eye care and prevention measures

To secure participation of voluntary organization/private practitioners in eye care

Focus areas for 12th five year plan :

Free Cataract operations

Assistance to NGO to look after other eye diseases

School eye screening for refractive errors

Free spectacles for poor school age group and old persons

Setting up Vision Centres

Collection of eyeballs from Eye Banks and Eye Donation Centres

Construction of Eye Wards and Eye OTs

Involvement of NGO and private practitioners in the programme

Training of eye care personnels

Intensive use of IEC for mass awareness

Engagement of Opthalmic Surgeons and Opthalmic Assistants on contractual basis

Maintenance of Opthalmic instruments supplied to various centres

Monitoring through Management Information System

STATE PROFILE

The state is bordering by Myanmar in the east and south and the Bangladesh in the west, Mizoram occupies an area of great strategic importance in the north eastern corner of India. It has a total of 630 miles boundary with Myanmar and Bangladesh. Mizoram has the most variegated hilly terrain in the eastern part of India. The hills are steep and are separated by rivers that flow either to the north or the south creating deep gorges between the hill ranges. Mizoram has become the 23rd State of the Union in February 1987. Mizoram is a state with one of the highest literacy rates in India. Situated on the extreme south of the north eastern India, it is a land of unending natural beauty with an array of flora and fauna. It has 40 seats of legislative assembly. One member each represents the state in the Lok Sabha and Rajya Sabha.

The population of Mizoram is 0.89 million according to 2001 census and is scattered over 9 districts, 26 blocks and 817 villages. The state has the density of 42 persons per sq.km. The sex ratio of Mizoram at 935 females to 1000 males is higher than the national average of 933. The capital of Mizoram is Aizawl.

8 Districts are:-

Sl.no

District

Area Coverage

Population

1.

Aizawl district (West & East)

3576 sq km

4,04,054

2.

Champhai district

3185 sq km

1,25,370

3.

Mamit district

3025 sq km

85,757

4.

Kolasib district

1382 sq km

83,054

5

Serchhip district

1421 sq km

64,875

6

Lunglei district

4538 sq km

1,54,094

7.

Lawngtlai district

2557 sq km

1,17,444

8.

Saiha district

1399 sq km

56,366


NATIONAL BLINDNESS CONTROL PROGRAMME IN MIZORAM.

Infrastructure

Sl. No.

Particulars

Total strength

1.

Dedicated eye wards and OTs

7

2.

Vision Centres by Govt.

21

3.

Tele-Vision Centres by NGO S.A.T.H.I.

10

4.

Multipurpose Mobile Opth. Units

7

5.

Eye Bank

1

6.

Eye Donation Centre

1

7.

NGO with Cataract facility

3

8.

Private Hospital with Cat-op. facility

1

9.

PMOA training Centre

1

Manpower

Sl.No.

Manpower

Total

1.

Eye Surgeons

9+1(contract)

2.

Opthalmic Assistants

24 + 21(contract)

3.

Opthalmic Nurses

2 (contract)

4.

Data Entry Operators

10 (contract)

5.

Eye Donation counsellors

2 (contract)

6.

Budget & Finance officer

1 (contract)

7.

IV grade

2 (contract)

PHYSICAL ACHIEVEMENTS DURING 2016 – 17

Achievement under NPCB, Mizoram during 2016 – 2017 are as follows :

  • No. of Cataract Operation is two thousand one hundred and ten. (2120 nos.)
  • No. of School children screened is twenty eight thousand two hundred and thirty six. (28236 nos.)
  • No. of school Teacher trained is one thousand sixty five. (1065 nos.)
  • No. of school children detected Refractive Error is four thousand six hundred and fifty eight. (4658 nos.)
  • No. of free spectacle provided to poor children is eight hundred and forty eight. (848 nos.)
  • No. of Distribution of the spectacles to old persons suffering from presbyopia is seven hundred fifty five.
  • No. of eye ball collect is one hundred and two for eye transplant (102 nos.)
  • No. of eye transplant is fifty. (50 nos.)

Target and Achievement during 2014 - 2015 :

CATARACT OPERATION

Sl.no

Particulars

Target

Achievement

1.

Districts Achievement till December 2014

4000

1151

2.

NGO : 1) Synod Hospital 2) Eye Care Community & Research Centre


76 209

Total

1,436

SCHOOL EYE SCREENING

Sl.no

Particulars

Target

Achievement

1.

School children to be screened

50000

24013

2.

Estimated school children detected R.E

3000

2986

3.

Free spectacles provided to poor children

1000

666

4.

Teacher Trained

577

5.

Target for other eye disease (Diabetic Retinopathy, Glaucoma, Laser technique, etc)

Glaucoma, Diabetic Retinopathy, trachoma, Squint, Low Vision, Corneal Blindness

1100

MIZORAM EYE BANK

Sl.no

Particulars

Target

Achievement

1.

Cornea collection

80

69

2.

Keratoplasty

5

Free Cataract Operation by NGO and private practitioners :-

Cataract is the dominant cause of blidnness as it accounts for nearly two third of blind population. The purpose of cataract surgery is to restore vision of the affected person through provision of package of services that can enable the person to gain sight and return to his normal working as before. The focus of NPCB is specifically targeted towards providing services in rural/tribal and other difficult areas. Physical target for the state of Mizoram during 2014 – 15 is 4,000.

Cataract Operations are performed at the State and District Hospitals, Sub-District Hospitals/CHCs, and at the Synod Hospital, Durtlang, Aizawl run by the Presbyterian Church. It may be mentioned that the Synod Hospital is identified as one of the base hospital for Cataract Operation. Surgical (Cataract) Eye Camps were organized by District Blindness Control programme in which Eye Surgeons working under Mizoram Govt. and Presbyterian Hospital.

Base camps are organized and operations performed by both Govt. Institutions and NGO.ASHAs are motivators and can earn incentive of Rs.250/- per operated case if they provide transportation of patients to be paid from the reimbursement of Rs.1000/-on NGOs.

Assistance for consumables/drugs/medicines amounting to Rs.450/- per case of Cataract operations are also given to District Hospitals, State Hospital and others who are performing the operation.

School Eye Screening Programme :-

These activities included organization of screening camps at school or visits for school eye screening programme, monitoring and supervisory visits and other eye care activities. These programme is very important while it is estimated that nearly 50% of blind children should be suffering form preventable or curable blindness due to cataract, corneal opacity and retinal disorders. Efforts should be made to identify underlying cause of blindness, assess chances of sight restoration and provide best possible treatment to the affected population. It is urgent to take up this activity and manege curable blindness in children as a priority intervention.

During 2014 – 2015, 24013 school children were screened and 2986 refractive errors found and corrected. For the year of 2015 – 2016, more 6,000 nos of children is expected to screen in this programme.

Screening and free spectacles to Old persons :

The target for the current year is 10000. This is very helpful in Eye Camps where free services are rendered. Older people need corrective lenses and this reassurance is indeed the contributing factor for success of Blind and cataract survey. The population of Mizoram is about 10.91 lakhs. Considering 60 years and above as 5.5 % will come to around 1 lakh and above 50 years as 20 % will come to 3 lakhs population. Most of the above 60 and some of 50+ will be requiring correcting lenses.

Recurring GIA to Eye Bank :-

An Eye Bank will mean an organization that is :

1) Registered under “The transplantation of Human Organs, Act 1994”

2) Provide a round the clock public response system for eye donation;

3) Coordinate with donor families and hospitals to motivate eye donation;

4) Harvest corneal tissue not less than 50 eyes in a year.

5) Collect/process and evaluate the collected tissue and blood for serology;

6) Distribute tissue in an equitable manner to organizations having capacity for corneal transplantation;

7) Ensure safe tranportation of tissue.

8) conduct health personnel and public awareness programs on eye donation.

Home For the Blind

Institution : The Salvation Army : Home for the Blind

Establishment: 15th April 1977

Location : Vengthar Kolasib, Mizoram

Employee: 10 nos

Capacity : 10 nos

No. Of building:

Main building – 1 no

Study Room – 1 no

Music Room – 1 no