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Project2 - Establishing an Eye Hospital in Gulburga, Need Assessment

 

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Establishing an Eye Hospital in Gulburga, Need Assessment

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As per earlier studies, the northern part of Karnataka has poor health status compared to rest of the state. Blindness is one of the major health problems and blindness prevention is one of the most cost-effective public health interventions available. Considering the importance of the blindness control, a need assessment study was conducted from November 7 - 24, 2004 in the district of Gulburga for establishing an eye hospital.

The objectives of the study was to determine the magnitude of blindness in the district, to identify existing service providers in government and private sector, to explore the paying capacity of the community towards the eye services and to assess the need for establishing an eye hospital.

The study population comprised of community members and the service providers. Five taluks were included in the study and from each taluk two PHC areas and from each PHC area one village was selected for data collection. The qualitative method of data collection was adopted using techniques like focus group discussions, in depth interviews and observation. The sample size undertaken to conduct the study was 18 In-depth interviews with service providers and 10 focus group discussions in the community. Also, a visit was made to L V Prasad Eye Institute, Hyderabad to understand its structure and working mechanism.

The findings of the study reveal that the community has poor socio economic conditions in Gulburga. The literacy level is low among females. The main source of income is through agriculture and working as laborers. According to the community on an average 20-25 people in each village suffers from eye related problems like blurred vision, watering of eyes, headache, conjunctivitis; some of them have irritation due to dust related to agriculture. According to DH&FWO, the district has 2% prevalence of blindness, which is higher than the national average and about 0.5 percent of outpatient attendance in various government hospitals is related to eye problems. Cataract is the major cause of blindness and constitute around 80- 90 % of cases reporting to eye hospitals. Apart from cataract, there are cases with refraction errors, conjunctivitis, Trauma, Traumatic cataract, Glaucoma, Damage in Retina etc.

 

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