The National Program for Control of Blindness (NPCB)

National Program for
Control of Blindness

(21.09.2013)

www.npcb.nic.in

National Programme for Control
of Blindness was launched in the year 1976 as a 100% Centrally Sponsored scheme
with the goal to reduce the prevalence of blindness from 1.4% to 0.3%. As per
Survey in 2001-02, prevalence of blindness is estimated to be 1.1%. The level
of blindness was 1% in 2006-07

Main causes of blindness are as
follows: – Cataract (62.6%) Refractive Error (19.70%) Corneal Blindness
(0.90%), Glaucoma (5.80%), Surgical Complication (1.20%) Posterior Capsular
Opacification (0.90%) Posterior Segment Disorder (4.70%), Others (4.19%) Estimated National Prevalence of
Childhood Blindness /Low Vision is 0.80 per thousand

The objectives of the program
are: –

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

v To develop Eye Care facilities
in every district.

v To develop human resources for
providing Eye Care Services.

v To improve quality of service
delivery.

v To
secure participation of Voluntary Organizations in eye care.

Strategies being considered to achieve these objectives are :

1. Implementation
through District Health Societies.

2. Screening
of blind people.

3. Training
personnel; supplying equipment

4. Comprehensive
eye care apart from cataract surgery

5. Mobile
Opthalmic Units

6. Participation
of Panchayati Raj Institutions

7. Vision
centers in all Primary Health Care Insititutions

8. Construction
of Eye wards

The objective of NPCB in years going ahead is to reduce level of
blindness to 0.3% by 2020. A total of Rs. 2507 crores has been allocated in
NPCB during 12^th Five Year (2012-2017) plan for implementation of
program. Funds would be provided for :

1.
Performing
3.3 crore cataract surgeries

2. Assistance
to NGOs for expanding eye care services.

3. Engaging
Opthalmic Surgeons etc on contractual basis

4. Setting
up of Multipurpose District Mobile Opthalmic Units

5. Setting
up 5000 Vision Centres @1 Lakh with basic screening facilities.

6. Assistance
for providing free eye surgery

Clearly NPCB envisages performing 3.3 crore cataract surgery over
5 years of the 12^th Five Year Plan. The targets are equally divided
each year at 66 lakh each year.

National
Program for Control of Blindness(Targets)

2012-13

2013-14

2014-15

2015-16

2016-17

Total

Strengthening of District Hospitals for IOL Surgeries

120

150

600

Strengthenig of subdistrict Hospitals

100

Mobile Opthalmic Units

100

110

400

Strengthening of Primary Health Care Centres

676

1000

1090

1100

1134

5000

Performing
Cataract Surgeries(lakh)

330

Training Eye Surgeons

500

2500

Pattern of Assistance

1.
Grant In Assistance for Strengthening District Hospitals(Non
recurring) Rs. 40 lakhs

2.
Recurring Assistance for appointment of Opthalmic Surgeon Rs.
60,000 pm

3.
Recurring Assistance for appointment of Opthalmic Assistant Rs.
12,000 pm

4.
Non recurring Assistance for Mobile Opthamit Units Rs. 30 lakhs

5.
Grant In Assistance for Strengthening Sub District Hospitals(Non recurring) Rs.
30 lakhs

6.
Grant in Assistance for Strengthening Vision Centres Rs. 1 lakh

7.
Reimbursement
for performing Cataract Operation to NGOs Rs. 1000

8.
Reimbursement
for consumables for cataract to Government Hospitals Rs. 450

The NPCB envisages costs to be as follows :

National
Program for Control of Blindness(Expenses) for 12^th Five Year
Plan.

Component

Target

Unit Costs

Total

Non recurring Expenses

Strengthening of District Hospitals for IOL Surgeries

600

Rs. 40 lakhs

Rs. 240 crores

Strengthening of Subdistrict Hospitals

100

Rs. 20 lakhs

Rs. 20 crores

Strengthening of PHC

5000

Rs. 1 lakhs

Rs. 50 crores

Recurring
Expenses for Cataract Surgery over 12^th Five Year Plan

Reimbursement
for Cataract Operations to NGOs

80 lakh
cases

Rs.
1000

Rs. 800
crores

Reimbursement
for consumables at Govt. Hospitals

150
lakh cases

Rs. 450

Rs. 675
crores

Targets and Achievements
for 2012-13 on Cataract surgery

States

Targets

Achievements

Andhra Pradesh

496060

526848

Bihar

607070

281067

Chattisgarh

89010

64306

Goa

8460

8499

Gujarat

350220

79071

Haryana

147070

123255

Himachal Pradesh

39777

33911

Jammu
and Kashmir

72780

9983

Jharkhand

196200

81176

Karnataka

354576

388210

Kerala

198650

128644

Madhya Pradesh

426060

464749

Maharashtra

651760

802666

Orissa

248290

116595

Punjab

165680

216652

Rajasthan

398000

259126

Tamil Nadu

418400

611031

Uttar Pradesh

1162570

754670

Uttaranchal

58680

54111

West Bengal

529820

331518

Arunachal Pradesh

8020

1098

Assam

180780

62463

Manipur

15790

4405

Meghalaya

17190

2014

Mizoram

6330

2088

Nagaland

11490

905

Sikkim

3530

428

Tripura

21290

6743

Andaman and Nicobar

2200

504

Chandigarh

6120

10251

Dadra Nagar Haveli

1990

4307

Daman and Diu

1410

Delhi

97170

43245

Lakshadweep

370

Pondicherry

7220

16366

Total

7000000

6201415

Achievements on Cataract Surgery in
11^th Five Year Plan

S.N.

State

2007-08

2008-09

2009-10

2010-11

2011-12

MAJOR STATES

Target

Achiev.

Target

Achiev.

Target

Achiev.

Target

Achiev.

Target

Achiev.

ANDHRA PR

500000

547899

550000

582318

550000

574182

550000

574784

655000

647832

BIHAR

140000

137685

150000

154817

150000

166862

150000

210122

285000

276439

CHHATTISGARH

65000

86580

100000

97040

100000

90452

100000

103304

137000

88972

GOA

7000

7189

3000

2628

3000

7658

3000

7437

9100

7548

GUJARAT

550000

644389

700000

745143

700000

734433

700000

780957

570000

806396

HARYANA

100000

128634

125000

135779

125000

137188

125000

102251

170000

242111

HIMACHAL PRADESH

20000

22511

30000

27012

30000

29170

30000

29795

40000

33035

JAMMU & K

10000

11845

20000

25021

20000

12762

20000

15712

114000

9483

JHARKHAND

75000

71516

75000

73370

75000

78924

75000

79614

114000

83601

KARNATAKA

350000

314989

400000

384447

400000

352418

400000

375285

410000

413195

KERALA

90000

91890

100000

118093

100000

107838

100000

113130

121000

121434

MADHYA P

350000

322822

450000

376143

450000

408518

450000

429695

455000

454150

MAHARASHTRA

550000

712305

725000

718606

725000

726888

725000

733720

795000

735635

ORISSA

124000

96045

150000

110716

150000

128508

150000

120852

200000

107237

PUNJAB

160000

167256

180000

170572

180000

134467

180000

205170

160000

211154

RAJASTHAN

325000

317279

300000

223690

300000

216573

300000

251899

285000

281761

TAMIL NADU

500000

504358

650000

650092

650000

635902

650000

550015

682000

562200

UTTAR P

550000

597541

714000

681910

714000

731827

714000

767838

1026000

667004

UTTRANCHAL

50000

55282

50000

48165

50000

55129

50000

53667

57000

52896

WEST BENGAL

300000

393929

325000

302315

325000

313634

325000

332944

456000

345352

NORTH EASTERN STATES

ARUNACHAL P

2000

1364

2000

1172

2000

1578

2000

1627

3400

1059

ASSAM

47000

43490

50000

48749

50000

50426

50000

56332

114000

63555

MANIPUR

1200

642

2000

1723

2000

2393

2000

2297

5300

1448

MEGHALAYA

2000

1064

2000

2308

2000

1936

2000

1948

5000

2512

MIZORAM

2000

1739

3000

2397

3000

2156

3000

1991

4000

1867

NAGALAND

2000

823

1500

1048

1500

1046

1500

972

2850

1008

SIKKIM

600

530

800

690

800

609

800

375

1700

510

TRIPURA

8000

6732

7000

8429

7000

6316

7000

7193

8500

7431

UTs

ANDAMAN & NICO

1000

653

1200

657

1200

689

1200

550

1700

592

CHANDIGARH

7000

7435

8000

9317

8000

9609

8000

9879

9000

10465

DADRA & N H

500

1202

500

540

500

5563

500

5681

2900

4903

DAMAN & DIU

600

325

500

326

500

394

500

420

1150

DELHI

90000

93808

100000

92580

100000

76236

100000

90372

91000

90943

LAKSHADWEEP

100

120

100

167

100

400

PONDICHERRY

10000

12655

14400

12403

14400

8233

14400

14896

8000

15416

GRAND TOTAL

4990000

5404406

5990000

5810336

5990000

5810684

5990000

6032724

7000000

6349205