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The
ICARE Model
Service Delivery Model
The pyramidal structure
model for eye care service delivery from community level
Vision Centres for primary care (1:50,000) to the Centre
of Excellence level for advanced tertiary care (1:50
million) is being implemented and propagated by the
Institute. ICARE has been developing this model with the
whole component of the pyramidal structure from the Vision
Centre to the Centre of Excellence levels in the state of
Andhra Pradesh. This model can lend itself globally to
adaptations and possible modifications as per the local
need under the 'VISION 2020: The Right to Sight' global
initiative for elimination of avoidable blindness.
The ICARE program at LVPEI has approached the problem of
avoidable blindness in India - and the need for efficient
and equitably distributed eye health centres to provide
effective solutions. Since the majority of blind people in
India live in rural areas, the most effective approach is
to develop the widest possible network of rural eye care
centers, staffed by trained eye health workers.
As the first step towards this, LVPEI developed a
comprehensive eye care model, which was subsequently
adopted by the VISION 2020: Right to Sight program of the
International Agency for the Prevention of Blindness (IAPB).
This service model attempts to reduce blindness by
providing high quality and sustainable eye care in rural
and underserved urban areas. The model aims to meet its
objectives by setting up new eye care centers while
upgrading existing facilities, thus creating a network of
services that are integrated with the local community
infrastructure.
The VISION 2020 service model is envisaged as a pyramid,
bringing a wide network of eye care facilities in
underserved areas under the umbrella of a state-of-the-art
eye Institute with tertiary care facilities, training
programs, research facilities, and a resource center for
infrastructure development and rehabilitation. The model
meets the criteria of availability, affordability, and
accessibility of preventive, curative, and rehabilitative
eye care services.
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