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Eye Care Camps- Need and Assessments

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1) Eye camps are organized by NGOs and provide eye care services to remote areas, with two main types being comprehensive camps and cataract-only camps. 2) Comprehensive camps identify and treat various eye conditions while cataract camps focus solely on cataract surgery. 3) Monitoring camp activities through indicators like number of patients examined and treated helps evaluate effectiveness and allows organizers to improve services.

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Community Health Series Eye Care (Importance and its Process)
Monitoring and assessment of activities of outreach eye camps
Eye camp concept is a highly desirable and accepted strategy in providing eye health services to the populations in remote and underserved areas of developing countries. Eye camps are generally of two types. 1. Comprehensive eye care camps 2. Mass cataract camps
In mass cataract camps the prime emphasis is on cataract surgery. No other services are routinely provided.
Comprehensive eye care camps are concerned with primary eye care approach providing several types of services for many ocular or systemic conditions that lead to visual disability or blindness if left untreated.
Example:- Identifying corneal disease, cataracts, refractive errors, glaucoma, squints, Eye infections, allergies, trauma and other common eye conditions.
Most eye camps are organized by non governmental organizations. They have a major role in organization and conducting eye camps. Technical inputs are provided by the institutional ophthalmic team where the eye surgeon is the team leader.
The camp organizers should be highly motivated, devoted and committed to the cause and the community participation is a very important factor in making an eye camp a success.
Corrective measures for those identified conditions are usually undertaken either at the camp or after referral to the base or main center.
Manpower and Duties In addition to routine eye care workers (Eye surgeon, Ophthalmic nurses and refractionists) several other health personnel are required in such programs including ophthalmic assistants, public health workers and nurses.
Distribution of work during an eye camp has to be very clearly defined before the commencement. Work should be assigned to different personnel on their qualification and experience.
Work Screening for visual defects using Snellens chart and examination for obvious anomalies IOP checking using Shiotz tonometer Refraction Personnel Trained Ophthalmic - Nurse / Medical officer Trained Ophthalmic - Nurse / Assistant Refractionist / Trained - Ophthalmic assistant
Work Drug distribution Diagnosing, treating and referral Health education Logistics Personnel Trained Ophthalmic assistant Ophthalmologist Nurse /FHW / Ophthalmic assistant Camp organizers
For the improvement of camp services, Monitoring of activities, finding the constraints and evaluating the effectiveness are major important feedback mechanisms. Recommended follow up activities should also be carefully monitored for the fulfillment of the concept of eye camps.
Monitoring and evaluation provide a feedback on camp activities as well as information on the impact of the services provided. Some indicators are needed for this assessment.
Indicators should be based on 1. Measuring the progress 2. Finding whether the set targets are achieved
Different performance of eye camps are the easiest measures to use as the indicators. It must be comprehensive and cover all aspects of eye camp services. In using performance indicators a minimum manpower requirement should be finalized.
The team should consist at least one ophthalmologist, one optometrist and two ophthalmic assistants/nurses. Performance unit for each activity are expected to increase with the increase of manpower.
1. Patient examination A) 20 patient examinations and treatment (Vision checking, anterior segment examination Funduscopy) B) 5 refractions (Dry / cycloplegic) 1 Unit 1 Unit Indicators suggested Performance in units
C) 20 IOP checking D) 10 cataract referrals for surgery E) 30 referrals to base for follow up / investigation 1 Unit 1 Unit 1 Unit
2. Intervention at the camp / base A) 5 removal of superficial foreign bodies B) 5 any other minor procedure C) 1 cataract extraction at the camp D) 2 cataract extraction at the base E) 10 investigations and follow up at the base 1 Unit 1 Unit 1 Unit 1 Unit 1 Unit
3. Screening procedures only A) 50 school children B) 50 community members 1 Unit 1 Unit
4. Health education A) 25 people given education (lecture/leaflet/posters) B) 1 film show / video presentation 1 Unit 1 Unit
5. Rehabilitation A) Rehabilitation of 1 blind patient 1 Unit
Progress of a camp can be assessed using those set indicators and their performance units. Total number of units for each camp can be compared with another same type of a camp for each activity or for overall activities.It may be compared with a gold standard or set goals for a single camp too.
This procedure would provide an opportunity for the organizers and the authorities to assess their own performances, which could be compared with other similar activities of the country. This ensures whether the planned procedures are on track and indicate the deviations allowing the adoption of corrective measures.
Eye camps are an essential component in prevention of blindness activities in the countries where community ophthalmology is not an established discipline.
In such situations if a national program is planed for the prevention of blindness, these indicators could be used targeting certain number of unit values for different activities or overall unit value for total events at different levels for peripheral mobile units and central mobile units separately to achieve in a given time period.
An example for performing evaluation of eye camp activities Five eye camps were conducted in different parts of a country for a period of six months.
Eye camp No. attended Camp 1 Camp 2 Camp 3 Camp 4 Camp 5 74 163 117 270 142 Total 766 Findingsofeyecamps conductedforpastsix months

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Eye Care Camps- Need and Assessments

  • 1. Community Health Series Eye Care (Importance and its Process)
  • 2. Monitoring and assessment of activities of outreach eye camps
  • 3. Eye camp concept is a highly desirable and accepted strategy in providing eye health services to the populations in remote and underserved areas of developing countries. Eye camps are generally of two types. 1. Comprehensive eye care camps 2. Mass cataract camps
  • 4. In mass cataract camps the prime emphasis is on cataract surgery. No other services are routinely provided.
  • 5. Comprehensive eye care camps are concerned with primary eye care approach providing several types of services for many ocular or systemic conditions that lead to visual disability or blindness if left untreated.
  • 6. Example:- Identifying corneal disease, cataracts, refractive errors, glaucoma, squints, Eye infections, allergies, trauma and other common eye conditions.
  • 7. Most eye camps are organized by non governmental organizations. They have a major role in organization and conducting eye camps. Technical inputs are provided by the institutional ophthalmic team where the eye surgeon is the team leader.
  • 8. The camp organizers should be highly motivated, devoted and committed to the cause and the community participation is a very important factor in making an eye camp a success.
  • 9. Corrective measures for those identified conditions are usually undertaken either at the camp or after referral to the base or main center.
  • 10. Manpower and Duties In addition to routine eye care workers (Eye surgeon, Ophthalmic nurses and refractionists) several other health personnel are required in such programs including ophthalmic assistants, public health workers and nurses.
  • 11. Distribution of work during an eye camp has to be very clearly defined before the commencement. Work should be assigned to different personnel on their qualification and experience.
  • 12. Work Screening for visual defects using Snellens chart and examination for obvious anomalies IOP checking using Shiotz tonometer Refraction Personnel Trained Ophthalmic - Nurse / Medical officer Trained Ophthalmic - Nurse / Assistant Refractionist / Trained - Ophthalmic assistant
  • 13. Work Drug distribution Diagnosing, treating and referral Health education Logistics Personnel Trained Ophthalmic assistant Ophthalmologist Nurse /FHW / Ophthalmic assistant Camp organizers
  • 14. For the improvement of camp services, Monitoring of activities, finding the constraints and evaluating the effectiveness are major important feedback mechanisms. Recommended follow up activities should also be carefully monitored for the fulfillment of the concept of eye camps.
  • 15. Monitoring and evaluation provide a feedback on camp activities as well as information on the impact of the services provided. Some indicators are needed for this assessment.
  • 16. Indicators should be based on 1. Measuring the progress 2. Finding whether the set targets are achieved
  • 17. Different performance of eye camps are the easiest measures to use as the indicators. It must be comprehensive and cover all aspects of eye camp services. In using performance indicators a minimum manpower requirement should be finalized.
  • 18. The team should consist at least one ophthalmologist, one optometrist and two ophthalmic assistants/nurses. Performance unit for each activity are expected to increase with the increase of manpower.
  • 19. 1. Patient examination A) 20 patient examinations and treatment (Vision checking, anterior segment examination Funduscopy) B) 5 refractions (Dry / cycloplegic) 1 Unit 1 Unit Indicators suggested Performance in units
  • 20. C) 20 IOP checking D) 10 cataract referrals for surgery E) 30 referrals to base for follow up / investigation 1 Unit 1 Unit 1 Unit
  • 21. 2. Intervention at the camp / base A) 5 removal of superficial foreign bodies B) 5 any other minor procedure C) 1 cataract extraction at the camp D) 2 cataract extraction at the base E) 10 investigations and follow up at the base 1 Unit 1 Unit 1 Unit 1 Unit 1 Unit
  • 22. 3. Screening procedures only A) 50 school children B) 50 community members 1 Unit 1 Unit
  • 23. 4. Health education A) 25 people given education (lecture/leaflet/posters) B) 1 film show / video presentation 1 Unit 1 Unit
  • 24. 5. Rehabilitation A) Rehabilitation of 1 blind patient 1 Unit
  • 25. Progress of a camp can be assessed using those set indicators and their performance units. Total number of units for each camp can be compared with another same type of a camp for each activity or for overall activities.It may be compared with a gold standard or set goals for a single camp too.
  • 26. This procedure would provide an opportunity for the organizers and the authorities to assess their own performances, which could be compared with other similar activities of the country. This ensures whether the planned procedures are on track and indicate the deviations allowing the adoption of corrective measures.
  • 27. Eye camps are an essential component in prevention of blindness activities in the countries where community ophthalmology is not an established discipline.
  • 28. In such situations if a national program is planed for the prevention of blindness, these indicators could be used targeting certain number of unit values for different activities or overall unit value for total events at different levels for peripheral mobile units and central mobile units separately to achieve in a given time period.
  • 29. An example for performing evaluation of eye camp activities Five eye camps were conducted in different parts of a country for a period of six months.
  • 30. Eye camp No. attended Camp 1 Camp 2 Camp 3 Camp 4 Camp 5 74 163 117 270 142 Total 766 Findingsofeyecamps conductedforpastsix months