Projects

General Information

Name of the Proposing Organisation	Vanshidhar Chikitsa Seva Sansthan
Title of Project	Cataract Eye surgery with IOL Implant 300
Proposed Duration (From- To)	24th October 2018 to 25th February 2019
FCRA Registration number of the organization and status	136530056 Certificate Validity 01/11/2016 to 31/10/2021
Contact person : Name	Dr. Sharad Bajpai
Designation	Secretary
Email ID & Contact No.	drsaradbajpai@gmail.com
Official Address	111/A/5 Harsh Nagar, Kanpur Pin Code 208012

Vision Statement

To provide quality hitech medical service to the poor older and under privileged cataract blind persons. Our aim under this Project is to serve the older needy patients by treating curable blindness and making them physically and financially self dependant. This way we are giving them good quality life and longevity

Mission Statement

We will organize free Eye check up camps at various underserved areas and after identifying the needy old cataract blind persons we will bring then to the base hospital in our own vehicles. After complete medical & pathological examination quality IOL surgery will be done. Pre operative, post operative medicine, food, glasses & spectacles will be provided by organization & patient will be dropped back to the screening site next day. Regular follow ups will be done for a month at screening sites.

Rationale

Prevalence of the problem (highlight the magnitude of the problem and its effect on community)

Cataract is a ageing problem after 50 years of age. Now it is very Prevalent to see graying of crystalline lens after 50 years of age. Apart from age, poor deitry intake, malnutrition and pollution is also causative factor. Surprisingly magnitude of the problem has increased because one side cataract is presented at early age & other side due to early detection and better medical facilities life expectancy has enhanced. Thus the volume of disease is increasing day by day & huge backlog is there. Now we can imagine the magnitude of problems. As you see it is happening at early age apart from their day to day activities source of earning is also affected. People of low socio economic status are suffering more with this avoidable blindness due to lack of funds and resources. Because of younger age they have social and family liabilities also. They are dependent for their day to day activities including bread and Butter. These old blind person are physically and economically dependent on others & living with a feeling of helplessness.

Relevance of intervention in the proposed area (cite examples of any previous interventions and their impact)

Old Blind Persons are physically & Economically dependent on others & they are living with a feeling of helplessness. Making them Physically Self dependent this way they can earn their bread & butter with their own and move comfortably for their day to day activities. This way we are providing them longevity with quality life. Targeting a village and making it a cataract free Zone. After massive Screening programme we have prepared a blind register. Weekly we did screening and follow-up camps in that area in a six months time. We were able to operate 80% of our screened needy cataract patients rest were inoperable due to severe medical illness like uncontrolled diabetes, hypertension, asthma and many other social hindrance. After surgery and regaining their vision so many older male patients started farming, few started teaching to their grandsons, some started working as peon and house worker and some get involved in social services also. Few of older operated patients have started their old business like tailoring, shop keeping, some of our operated patients could see clear faces of their grandsons and daughters after a long time. It was really very much satisfying and rewarding to see the glow of their faces after regaining vision and their normal life. This way they have become not only self dependent rather than helping their family. Physically and financially also. Thus our surgical program has definitely improved their quality of life and given them longevity.

Objective

To Provide quality Eye Services to the old needy poor patients and thus making them self dependent Physically and Economically. This way providing them longevity with quality life.

Project Location (Attach Camp Permission Letter)
S/No	District	Block	Villages	Remarks
1	Kanpur Nagar	10	35	We will identifying old cataract patient depending on economical status & need.
2	Unnao	05	17	We will identifying old cataract patient depending on economical status & need.
3	Kanpur Dehat	03	15	We will identifying old cataract patient depending on economical status & need.

Methodology

Detailed plan on how the project will be executed project activities with schedule (who will do what, when, where and how

Target- targets are desired results with budgetary implication while indicators are measurable outcomes taking into consideration assumptions and risks

S/No	Activities	Timeline	Measure of Verification	Output	Remarks
1	Publicity & Advertising	24/10/2018 to 25/02/2019	Mr. K.K. Tripathi	Patient come for eye examination center.	Mr. K.K. tripathi report to Dr. Sharad Bajpai
2	Eye Examination Camps	24/10/2018 to 25/02/2019	Mr. S.K Pandey	Patient identify for cataract surgeries.	Mr. S.K. pandey report to Dr. Sharad Bajpai.
3	IOL Cataract Surgery	24/10/2018 to 25/02/2019	Dr. Sharad Bajpai, Dr. Mohit Khatri, Dr. Pallavi Shukla & O.T. team	Patient operated & refer to follow up camps.	Dr.Mohit Khatri & Dr. Pallavi Shukla report to Dr. Sharad Bajpai.
4	Follow up Camps	24/10/2018 to 07/04/2019	Mr Anil Verma & Mr. Mayank Pratap Singh	Patient refraction & providing spectacles.	Mr. Anil Verma & Mr. Mayank Pratap Singh report to Dr. Sharad Bajpai

Project fund flow (Timeline for Fund Requirement)

S/No	Installment Pattern	Activities	%
1	1st Installment	On Signing of Agreement	80
2	2nd Installment	Submission of Interim Report	20

Budget

1. Outreach Camp Protocol

First our field team visits the camp area & assess the volume and magnitude of the problem considering the social economic status of that area.
Take permission of camp dates from Chief Medical Officer (C.M.O.) of that District.
Selection of screening Camp site, may be community hall, school building etc.
Involve the local influential persons to gain the faith of camp attending patient
Banners, Posters, Pamphlet displayed and distributed for awareness of services provided.
Announcement by the loud speakers.
Camp screening date Hospital team visits the camp site including ophthalmologist, optometrist On and paramedical staff with all equipments for identification of cataract patients, refraction and medical advice to the people attending camp.
Medical examination is also done there.
Registration of total screened patients.
Registration of total refraction done.
Registration of total cataract patients selected for surgery.

2.Surgical Protocol

Identified cataract patients shifted to the base hospital by Hospital vehicles.
Medical examination is done.
Blood pressure, blood sugar testing done.
Xylocaine sensitivity done
Start instilling antibiotic eye drops to the eye selected for surgery.
Intraocular pressure taken.
Condition of lacrimal Sac examined.
Eye which is selected for surgery is marked for Identification.
Intraocular Lens IOL power Calculated by A-Scan.• Intraocular Lens IOL power Calculated by A-Scan.
Surgery is done by Phacoemulsification technique. Sometime SICS in very hard and compromised cornea cataract cases.
Operated eye patched for one day.

3. Post-Surgery Protocol

Oral antibiotic and analgesics given.
Specific medicines given in medical illness cases.
Next day operated eye examined by Ophthalmologist.
Instill antibiotic drops in operated eye, sometimes dilator is required.
Black Goggles given
Antibiotic drops, Steroid drops and antibiotic Eye ointment given.
Light diet given.

4. Discharge Guidelines –

At the time of discharge – discharge card is given with all information regarding surgical procedure done and precautions to be taken at home.
Antibiotic drops, Steroid drops and antibiotic Eye ointment given.• Antibiotic drops, Steroid drops and antibiotic Eye ointment given.
Verbally all precautions and after care is advised. On the back of discharge card precautions and after care is also printed.
Fixed date is given for first follow-up at the screening camp site.
On the first follow-up day Ophthalmologist. Optometrist and Paramedical Staff visit the screening camp site to examine the patients.
Medicines and eye drops distributed to the Patients. Next Follow-up date is given.
On Next follow-up date same procedure is applied and final follow-up date given.
On final follow-up day Ophthalmologist, optometrist and paramedical staff visit the camp site, examined and advised accordingly. Final refraction done
On a fixed day optometrist visits the camp site and spectacles are distributed.

Project governance

Details noted on how and by whom the project will be governed

Project will be governed by Dr. Sharad Bajpai M.S., Ophthalmologist of the hospital. Every steps of the project will be guided and planned under his headship. He will remain actively involved is all activities to achieve targets smoothly and Successfully. HelpAge India officers and executives will be requested to evaluate the outcome of the project during camp Programme. Impact assessment of this project will be done by HelpAge India officers few months after the camp Programme and then to see and appreciate the change in life pattern and life style of those operated blind patients after restoring good vision.

Budget Heads		Budget*in Rs
For IOL surgeries project
1	Staff Salary & Establishment Exp(Doctors Fee, OT Staff, OT Charges))	1,13,046/-
2	Lab Investigations	43,584/-
3	Purchase –Cost of Medicine/Consumables	1,61806/-
4	Cost of IOL	2,17,800/-
5	Black Glasses	7,500/-
6	Food	43,584/-
7	Publicity	32,688/-
8	Transport	32,688/-
9	Contingency	10,000/-
10	Spectacles	18,304/-
11	Total Cost of Surgery	6,81,000/-
12	Organisation’s Contribution	00.00/-
13	HI’s Grant	6,81,000/-

Vanshidhar Chikitsa Seva Sansthan