2. Agenda
• Blindness Problem
• Aravind Eye Hospital
– Aravind Eye care System
– Sequence of getting services at Aravind
• Components of service
• Success/ failure measurements
• Generalizing the framework
3. Blindness Problem In India
1992
• 30 million blind people all over the World
• 12 million in India
– 95% due to cataract related
2000
• 18.7 million blind people
– 9.7 million blindness cases related to Cataract- related
2010 -2020
• 24.1 million by 2010
• 31.6 million by 2020
http://www.ncbi.nlm.nih.gov/pubmed/11804362
4. Aravind Eye Hospital
• Founded by Dr. G. Venkataswamy in 1976.
– 20 bed hospital and 3 doctors
• 70 beds in 1978
• 250 beds in 1981
• 1992
– 240 hospital staff, 30 doctors, 120 nurses, 60 admin personnel,
30 others.
5. Aravind Eye Care System
Eye Care Facilities
(Aravind Eye Hospitals)
Community Outreach
Lions Aravind Institute of
Programs
Community
Ophthalmology (LAICO)
MISSION:
Education & Training To eradicate needless
Aravind PG Institute of blindness by providing Making technology
Ophthalmology appropriate affordable
compassionate and high (Aurolab)
quality eye care for all
Telemedicine Research
Aravind Medical
Research Foundation
Eye Bank
Rotary Aravind
International Eye Bank
6. Service Sequence at Aravind Eye Hospital
Vision Preliminary
Registration
Recording Examination
Tear Duct Testing of
Refraction Test
Function Tension
Final
Examination
7. Features of Service Operations
• Building volume through community outreach
– Hence realizing economies of scale
• Human resources and training
– Most of the doctors and nurses and other personal are trained
from scratch internally
• Technology development
– Lenses and instruments to operate
– Aurolab for lenses and medication
• Exporting the eye care model
– 231 eye hospitals work on its model (188 in India and 43
elsewhere)
8. Constraints in turning up for examination
Causes of not turning up Percentage Remedies being used
Still have vision , however diminished 26 Camps at peoples reach
Cannot afford food and transportation 25 Camp sponsored
Cannot leave family 13 Patients transported in
Fear of surgery 11 Groups supported by
volunteers
No one to accompany 10
Family opposition 5
Others 10
9. Success/ failure
• Tamil nadu census 2001
– 370,031 cataract surgeries were done in 2001-2002
– Government Hospitals -7.17%
– Eye Camps -10.16%
– Private clinics -7.86%
– Nonprofit organization -74.82%
• Figures for other states
– Andhra Pradesh (79.7%)
– Orissa (79.3%)
– Maharashtra (71.5%)
“Achievements under Cataract Blindness Control Project: 1994-2002”, NPCB-India, Quarterly
12. Problems in generalization
• Obtaining appropriate technology at LOW cost
• Achieving economies of scale
• Patient education problems
Editor's Notes
Following such a noble philosophy the AEH’s during its inception as well as growth were focused on their core business that was social benefit which was realized by the means of eye care. As shown in the above diagram that to achieve its mission to serve the needless with precious eye sight they had crossed its boundaries of its core competency, that is eye hospital and surgery, to diversify in the related and the unrelated domains of manufacturing (ophthalmic consumables), education and training, telemedicine and awareness programs. Hence instead it became a complete eye care system not a mere eye hospital. Thus we can call AEH a ‘Corporate Social Responsibility’ to its core. Any steps taken were for the benefit of the needless, whether opening a manufacturing unit for getting the costs down, so maximum people can benefit from it, or to open a training and education centre for its employees. Everything was dedicated to get the eye care facilities to an affordable price.
