Indian Journal of Ophthalmology

COMMUNITY EYE CARE
Year
: 2003  |  Volume : 51  |  Issue : 3  |  Page : 273--277

Utilisation of community-based rehabilitation services for incurably blind persons in a rural population of southern India


V Vijayakumar, D Datta, A Karthika, Ravilla D Thulasiraj, Praveen K Nirmalan 
 Aravind Medical Research Foundation, Madurai, Tamil Nadu, India

Correspondence Address:
V Vijayakumar
Aravind Medical Research Foundation, Madurai, Tamil Nadu
India

Purpose: To identify barriers in utilisation of community based rehabilitation (CBR) services for incurably blind persons in rural South India. Methods: A community-based rehabilitation programme for incurably blind persons was initiated in Theni district of southern Tamil Nadu in south India. After door-to-door enumeration and preliminary ocular screening by trained workers at the village, identified blind persons were categorised as either curable or incurable by an ophthalmologist. Trained workers provided rehabilitation, including mobility training (OM), training to perform activities of daily living (ADL), and economic rehabilitation for the incurably blind in their respective villages. Results: Of the 460,984 persons surveyed, 400 (0.09%) were certified as incurably blind including 156 (39.00%) persons blind from birth. Social rehabilitation was provided for 268 (67.00%) incurably blind persons. Economic rehabilitation was provided to 96 persons, and integrated education to 22 children. Nearly one-fifth (n=68,17.00%) of incurably blind persons refused the services provided. The major reasons for refusal included old age and other illnesses (41.18%), and multiple handicaps (19.12%). Twenty-seven (6.75%) persons had either migrated or died, and 29 (7.25%) persons were already able to function independently. Conclusion: Although CBR programmes provide useful services to the incurably blind, a better understanding of barriers is required to improve service utilisation. Developing a standardised data collection format for every CBR programme can result in the creation of a national database of ophthalmic diseases.


How to cite this article:
Vijayakumar V, Datta D, Karthika A, Thulasiraj RD, Nirmalan PK. Utilisation of community-based rehabilitation services for incurably blind persons in a rural population of southern India.Indian J Ophthalmol 2003;51:273-277


How to cite this URL:
Vijayakumar V, Datta D, Karthika A, Thulasiraj RD, Nirmalan PK. Utilisation of community-based rehabilitation services for incurably blind persons in a rural population of southern India. Indian J Ophthalmol [serial online] 2003 [cited 2024 Feb 29 ];51:273-277
Available from: https://journals.lww.com/ijo/pages/default.aspx/article.asp?issn=0301-4738;year=2003;volume=51;issue=3;spage=273;epage=277;aulast=Vijayakumar;type=0