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Aravind is the largest and most productive eye care facility in the world. Taking its compassionate
services to the doorstep of rural India, Aravind's stunningly effective strategies vaulted barriers of
distance, poverty and ignorance to create a self-sustaining system.
From April 2009 to March 2010, including the work done in the Managed Eye Hospitals, over
2.5million out patients were treated and over 300,000 surgeries were performed.
5 hospitals
1 international research foundation and a resource and training center that is revolutionizing hundreds of
eye care programs across the developing world.
Genesis
Our effort is to make Aravind an instrument of the Divine Will. We strive to forget our limitations and
work with the direction of the Divine Will, not in a vain superficial way but with a deep commitment
and faith that guidance comes from a higher level of consciousness. Then one is able to work with the
great confidence that comes only with that faith and realization that we are all part of a spiritual capacity
or spiritual power. It is then that all of nature works with you. You don't feel that you are a superior
being but you are an instrument in the hands of a higher force and it is in that spirit that we meet our day
to day struggles and successes.
-Dr. G. Venkataswamy
Guiding Philosophy
Aravind Eye Hospitals are named after Sri Aurobindo, one of the 20th century’s most revered spiritual
leaders. In essence, Sri Aurobindo’s teachings focus on mankind’s transcendence into a heightened state
of consciousness through service, as an instrument of what he called the Divine Force.
At Aravind one finds, combined with modern technology and management practices, a measure of
compassionate spirituality, an awareness beyond the matter-of-fact, and the impetus of a mission.
Growing population, inadequate infrastructure, low per capita income, aging population, diseases in
epidemic proportions and illiteracy.
Given the magnitude of blindness and the challenges faced in a developing country, the Government
alone cannot meet the health needs of all. Realising this predicament, Dr. Venkataswamy wanted to
establish an alternate health care model that would supplement the efforts of the Government and also be
self-supporting.
Hence, upon his retirement in 1976, he established the GOVEL Trust to initiate eye care work.
Under this Trust, the Aravind Eye Hospitals were founded. Today, Aravind is more than an eye hospital.
It is :
Founder
Intelligence and capability are not enough. There must be the joy of doing something beautiful.
- Dr. G. Venkataswamy
Dr.G. Venkataswamy (Dr. V) was born in 1918 in a small village in South India. He received his
medical degree from Stanley Medical College, Chennai in 1944. He joined the Indian Army Medical
Corps, but had to retire in 1948 after developing severe rheumatoid arthritis – a disease that left his
fingers crippled and changed the course of his life. Despite his condition he returned to medical school
and earned a Diploma and Masters degree in ophthalmology. With hard work and determination, Dr. V.
trained himself to hold a scalpel and to perform cataract surgery. In time, he personally performed over
one hundred thousand successful eye surgeries.
He joined the faculty at Madurai Medical College as the head of the department of ophthalmology and
later served as the Vice Dean.
In these capacities he introduced a number of innovative programmes to attack the problem of blindness
in India, including the outreach eye camps, the initiation of a training programme for ophthalmic
assistants and the world’s first rehabilitation centre for the blind.
For much of his life Dr. V. has been a pioneering eye surgeon. In 1976, upon his retirement at age 58, he
formed the GOVEL Trust under which the Aravind Eye Hospital was founded.
Guided by a philosophy that taught the spirituality of service, driven by compassion far beyond the
ordinary and backed by the support and assistance of those who believed in his vision, Dr. V. set in
motion a 30-year old, and still continuing, crusade against blindness. His work and its remarkable results
have gained international recognition. He is the recipient of many national and international awards. The
Helen Keller International Award, the IAPB Award, the International Blindness Prevention Award by
the AAO and the Padmashree award from the Government of India are a few among them.
Milestones
Facilities
Manpower Development
2003 : Aravind Eye Care System and ORBIS International have jointly established the
training programmes in paediatric ophthalmology
2004 : Aravind Eye Hospital started a short-term training course in Low Vision
2006 : Aravind Eye Care System Launches “School of Optometry” in Madurai. This school will
offer a 2 year Diploma in Optometry which is recognized by the Madurai Kamaraj
University and also other short term courses on hospital and optical related
specializations.
CENTRAL OFFICE
AUROLAB
LAICO
Executive Director MR. R.D. THULASIRAJ MBA
Aravind Eye Hospitals began in 1976 with just 11 beds. Today, in addition to the hospital in Madurai,
there are four other Aravind Eye Hospitals in Theni, Tirunelveli Coimbatore, and Pondicherry with a
combined total of nearly 3,590 beds.
With less than 1% of the country's ophthalmic manpower, Aravind accounts for 5% of the ophthalmic
surgeries performed nationwide. The hospitals have well-equipped specialty clinics with comprehensive
support facilities.
2,539,615 outpatient visits were handled and 302,180 surgeries were performed at the Aravind Eye
Hospitals from April 2009 to March 2010. Two-third of the outpatient visits and three-fourth of the
surgeries were serviced to the poor, free of cost.
Aravind Eye Hospitals were started with a mission to eradicate needless blindness. Over the last 30
years, Aravind has contributed extensively to prevention of blindness in the country. In view of the
existing backlog of cataract and other causes of blindness, India requires many more institutions of this
kind.
Aravind Eye Hospitals has gained national and international reputation for its service orientation,
modern ophthalmic techniques and its community-based outreach activities which deliver quality eye
care to the rural masses. Its operational research has practical applications in the formulation of effective
blindness prevention programmes. To take up the challenge of blindness, Aravind has recognised the
need to develop human resources - ophthalmologists, paramedics, eye care managers and support
service personnel.
Several training programmes have been designed to develop ophthalmic manpower. Catering to all
levels of ophthalmic teaching and training, these are intended not only for ophthalmologists but also for
ophthalmic technicians, opticians, clinical assistants, outreach coordinators and health care managers.
These training programmes are both long term and short term, and some of these are affiliated to local
universities. The postgraduate clinical courses are affiliated to Dr. MGR Medical University, Chennai.
The postgraduate courses in Optometry & Ophthalmic Assistance are affiliated to Madurai Kamaraj
University. Apart from these, a six week training course in the maintenance of ophthalmic surgical
instruments and other equipment for technicians is also offered.
Dissemination of knowledge and skills in eye care will not only satisfy the needs of the institution but
also take care of the needs of the country. Aravind has also recognised the need for transition from
conventional surgical procedures to state-of-the-art techniques in management of cataracts. It offers
short term training courses in IOL microsurgery, lasers in diabetic retinopathy management and
glaucoma diagnosis and therapy and also a five day course in instrument maintenance for
ophthalmologists.
Continuing Medical Education programmes and workshops are offered on a regular basis. The
institution along with Lions Aravind Institute of Community Ophthalmology works with several eye
hospitals in India and abroad to improve their capacity to provide high volume, high quality care and
enabling them to become financially self-reliant in the long run.
Aravind Eye Care System has extended its activities by expanding the research facilities and has started
Ph.D programme in ophthalmology, genetics and immunology for medical graduates in affiliation with
the Tamil Nadu Dr. MGR Medical University; Ph.D in affiliation with Madurai Kamaraj University in
Biomedical science for non-medical graduates, and Ph.D in Biotechnology and Humanities and social
sciences in affliation with Indian Institute of Technology, Chennai.
In addition to the structured short term and long term courses described earlier, Aravind and LAICO
also offer learning opportunities to meet with the specific needs of individuals and organisations. Such
training is offered through-out the year and the actual scheduling is based on mutual convenience. These
requests often take the form of observation, some hands-on training and spending time in specific
clinical or administrative areas. The duration of such learning, actual dates and costs (if any) vary from
one request to another. The broad areas where such learning opportunities are often requested and
provided are:
A. CLINICAL AREAS
B. NON-CLINICAL AREAS
Throughout the year, several short courses and workshops are organised, both on the clinical and
management side. Such clinical courses are usually of two days duration while the management or non-
clinical courses are spread over one week. Information on these courses are sent to institutions and
individuals two to three months in advance. These courses are designed as an update on knowledge and
skills, to enable professionals keep in touch with latest developments.
Aravind-Madurai conducts an ophthalmology update for exam-going postgraduates (DO, MS, Dip.NB,
MRCO). Candidates from government and other private institutions in the country are eligible for this
course. It provides an update in theory, diagnostic aids and clinical management. Model examinations
focusing on case discussions, case presentations and clinical examinations enable candidates to face
their forthcoming examinations with confidence.
The course is conducted once a year during the first/second week of September.
Pre-Arrival Formalities
Visa
A Visa is necessary for you to travel to India. Please contact your local Indian Embassy or Consulate for
the proper forms and information. Depending on the length of your stay it may be necessary for a
`Residential Permit' from the Police Department in Madurai on arrival.
It is advisable for any assignee to carry additional copies of visa/ passport/ residential permit. Having
spare passport sized photographs with you will also be useful.
Insurance
It is advisable to obtain a travel insurance policy to cover theft, loss and medical problem before leaving
for India. There are a wide range of policies, and your travel agent can advise you. Be sure to check the
small print that covers things like an emergency flight home with a medical escort and the ambulance
costs. Keep a copy of this policy apart from the original.
General
Before leaving your own country you should visit your doctor to receive information on the precautions
and vaccinations needed for India.
Since India can be quite dusty, contact lens wearers may find it difficult especially in the rural areas. It is
advisable to bring along a pair of sunglasses and some sunscreen lotion.
Beyond Today:
Now with the establishment of Centres of Excellence within Aravind’s specialty clinics, alongside its
continued emphasis on academic rigor and its recent thrust on developing comprehensive service
delivery models in areas like diabetic retinopathy, glaucoma and pediatric ophthalmology, as well as its
rapid strides in the field of tele-ophthalmology with remote consultations and the creation of a special
software for diagnosis and teleconferencing between hospitals Aravind is poised as never before to take
on a new challenge.
The Focus:
Aravind is aware that its current position yields enormous opportunities for basic research and as such it
feels called upon to initiate the establishment of the Aravind Eye Research Institute along with like-
minded partners. The main focus of this institute will not only be on investigating and evaluating the
genetic factors of vision robbing diseases like cataract, glaucoma, diabetic retinopathy, retinoblastoma
(eye cancer) etc but to also engineer against the gene mutations by developing a process to arrest and to
rectify, if possible. The estimated cost of this ambitious project is 15 crores. While Aravind has come
forward to contribute the physical space for the institute, and will also provide support in terms of
infrastructure, staff, equipment and other resources, it is looking now for partners committed to the same
cause to come forward and join its efforts by pledging support in any of a number of different ways.
1. Financial donations (donors contributing above a certain sum will be eligible to fund an entire
area of research)
2. Research equipment donations
3. Deputing and funding visiting scientists and research scholars to the Institute
4. Undertaking the finances for one or more research projects
5. Undertaking finances for building one floor of the institute
6. Undertaking to bear in full or a part of the recurring expenses of the institute etc. As Aravind
prepares to take this bold and necessary venture forward it invites all NGOs, INGOs,
governmental bodies, corporate organizations, philanthropists and individuals to join hands in
order to make this Institute a truly global collaboration, and to hasten the collective effort to
combat needless blindness worldwide.
Scale of Work
In addition to laboratory-based research, the studies carried over here cover a broad spectrum of areas,
including:
• Hospital-based randomised clinical trials that evaluate surgical techniques and conduct drug
trials
• Community-based randomised clinical trials that study the impact of Vitamin A supplementation
on the morbidity and mortality of infants and children; role of antioxidants in cataract prevention
• Population-based surveys: Beneficiary assessment; prevalence surveys; rapid assessment; impact
assessment of cataract intervention
• Qualitative research: Using Participatory Rapid Appraisal (PRA) Techniques to ascertain
patient's barriers in accessing eye care services in a community; development of quality of life
assessment instruments for persons with visual disability
• Health systems research: Operations research to evaluate the effectiveness of community
interventions in providing cataract services; assessment of eye care infrastructure utilisation
Research Collaborators:
The University of Iowa,USA.
PHLS Central Public Health Laboratory,London.
Proctor Eye Foundation,USA.
National Eye institute,USA.
Doheny Institute,ISA.
International Centre for Eye Health,London.
Madurai Kamaraj University,India.
LAICO
(Lions Aravind Institute of Community Ophthalmology)
LAICO was founded with the mission of contributing to the prevention and control of global blindness
through teaching, training, consultancy, advocacy and research in eye care delivery. Since its inception
in 1993 it has accomplished a great deal towards fulfilling this mission.
LAICO’s work makes it possible for Aravind to transfer the best of its expertise and experience to an
ever-increasing number of eye care institutes across India and the rest of the developing world. Its global
impact on the quality and efficiency of eye care delivery is steadily growing.
Activities:
The activities of the institute contributing to eye care in India and other developing countries can be
broadly classified under the following areas:
LAICO provides needs-based support to the network of Aravind Eye Hospitals and Aurolab.
This support is offered through various ways, one being systems development which allows efficient use
of resources, another key area is quality management. LAICO also offers support in planning and
conducting workshops.
The support offered by LAICO serves to enhance functioning in areas such as Human Resource,
Purchase, Information Technology, Quality Assurance, Financial Management, Research and General
Systems and procedures.
Faculty
As LAICO offers management support and consultancy services to hospitals in India and abroad, the
faculty of the institute is able to incorporate a considerable amount of practical perspective in their
teaching. The Institute Faculty consist of experts in the field of Management Sciences, Health
Economics, Public Health, Hospital Management, Information Technology, Bio-statistics and Social
Sciences. The courses are supported by the senior faculty from Aravind Eye Hospitals for clinical
training. Visiting faculty from reputed training institutes and hospitals in India and abroad are also
involved.
Facilities
The institute is located in a separate building with an area of 50,000 sq.ft. It has a well-equipped
audiovisual unit, resource centre, library and publications division. The PG hostel provides comfortable
accommodation for visiting faculty and students. The Institute’s Library and Resource Centre has an
impressive collection of books, periodicals, videos, reports on eye-care programmes from around the
world and on all aspect of community ophthalmology and hospital management.
All LAICO programmes and activities have the full advantage of complete and open access to the
Aravind Eye Hospitals and all their activities as observational models with opportunities for data
collection and research, and a forum for practical hands-on projects and skills development.
Collaborating Agencies
LAICO works closely with International organizations like World Health Organization, Lions
International, Seva Foundation (USA), Sight Savers International (UK), International Eye Foundation
(USA), Seva Service Society (Canada), CBM (Germany), Proctor Foundation (USA), Rotary
International (USA) and the National Eye Institute (USA). LAICO also works closely with the
Government of India, other NGO’s and the Government of Tamilnadu in the National Programme for
the Control of Blindness.
AUROLAB
Aurolab, the manufacturing division of Aravind Eye Hospital, supplies high quality ophthalmic
consumables at affordable prices to developing countries. Since its inception in 1992 as a non-profit
charitable trust, Aurolab has set up manufacturing facilities to produce intraocular lenses (IOLs), suture
needles, pharmaceuticals, spectacle lenses and hearing aids.
The international organizations that actively participated in developing the various activities in Aurolab
include Seva Foundation, USA; Sight Savers International, UK; Combat Blindness Foundation, USA;
Seva Service Society, Canada; CBM International, Germany; CIDA, Canada; Al-Noor Foundation,
Saudi Arabia. Aurolab products are primarily supplied to non-profit eye care programs at affordable
prices. Aurolab products include
Community Outreach
An integral part of Aravind is its community outreach programmes like screening eye camps, school eye
health programme, village volunteer programme all of which provide different strategies for taking eye
care service to the doorstep of the community. They provide curative, preventive and rehabilitative care
to the community along with IEC (information, education & communication) programmes to improve
service delivery to potential patients in the community.
Step 1:
Patient registration: The camp team, composed of ophthalmologists and paramedical
staff, proceed to the campsite. With support from camp sponsors, local volunteers
(usually students with legible handwriting) record the patient details - name, age
and address - in the OP register and case sheet. Patients are given identity cards,
which may be used for any future follow-up.
Step 2:
Preliminary vision testing: Preliminary vision testing is performed by ophthalmic
assistants. Vision charts, such as the Snellen (in the local language) and E type
charts, are used.
Step 3:
Preliminary diagnostic examination: Doctors perform the preliminary examination.
Clinical conditions such as external eye infections, vision loss caused by nutritional
deficiency and the incurably blind are examined.
Step 4:
Tension and duct examination: Patients above the age of 40 have their intraocular
pressure tested. Trained ophthalmic assistants administer topical anaesthetic drops
and measure the intraocular pressure with a Schiotz tonometer. Facilities for the
patients to lie on, additional benches for waiting patients, and adequate lighting are
necessary.
Step 5:
Refraction: Refraction is performed on patients who exhibit refractive errors,
presbyopia, outdated glasses, or aphakia. This process occurs in a simple,
prefabricated, dark cubicle which is equipped with one or more foldaway partitions,
trial lens sets, and mirrors. Well-trained ophthalmic technicians refract while
volunteers control the patient flow.
Step 6:
Final examination: Senior doctors evaluate the test findings, perform the final
examination, review the patient records, make the final diagnoses and prescribe
treatment. (In a small camp, one doctor conducts both the preliminary and the final
examinations.) Patients advised for surgery are motivated by the counsellor to
undergo surgery at the hospital.
Step 7:
Optical Shop - Sales persons and technicians from optical division also attend the
screening camp. Patients advised to wear glasses may purchase ready-made
spectacles, if available. Otherwise, the optician finishes the lens on a grinding
machine, mounts the lens in the frames chosen by the patient, and delivers the
finished spectacles to the patient at the same camp site.
Step 8:
Counselling & IP Administration - Patients counselled at the campsite are registered
in IP register and transported to the base hospital for surgery. These patients
receive surgery, postoperative care, meals, and round-trip transportation all free of
cost.
Camp sponsors are communicated the results of camp, viz., patients screened, number of surgeries
performed, patient discharged etc.
Any individual or voluntary social service organisation - such as Lions, Rotary, religious groups,
industries, trusts, banks, hospitals, rural service organisations, recreation clubs, farmers associations,
panchayat presidents - interested in the community welfare may sponsor an eye camp.
Sponsors' Role
The sponsors should play the primary role in setting up the campsite, arranging facilities and publicising
the camp. They are responsible for assembling patients and providing lodging and food for the medical
team.
• 55% of sponsors provide one-way bus fare for 100 camp patients in Aravind-Madurai.Besides
these expenses, they also sponsor publicity expenses and Medical team hospitality expenses.
• 45% of sponsors meet only the publicity expenses in Aravind - Madurai.
• Plan for manpower and finance to conduct widespread publicity through all possible media.
• Delegate a separate team of members and volunteers to look after the publicity work
• Arrange boarding and lodging for the medical team if the location is beyond 125km from the
base hospital
• Arrange transport for patients between the villages and the site of the camp, if the camp venue is
not accessible to a radius of 5 to 10 Kms.
Refraction Camps
Joining hands with industries, transport companies, banks and government bodies, Aravind conducts
refraction camps for their employees. Thousands of patients attending these camps benefit from the on-
the-spot dispensation of quality prescription glasses almost immediately at a fraction of the cost they
would otherwise uncur. In 2006-07, a total of 162 refraction camps were conducted, where 34,794
employees were screened and 9,727 were found to have refractive errors and prescribed glasses.
Camp Statistics
Sponsor Camps Out-Patients Cat.&IOL Others Total
• Procurement of eyes
• Processing of eyeballs
• Distribution of Corneal tissues
• Training to Eye Bank technicians & corneal surgeons
• Promote public relation activities
• Provide eye tissues for Training & Research
1997 32 20
2004 22 9
2005 44 13
2006 62 34
2007 36 31
2008 82 52
2004 98 19
2005 128 70
Aravind Computer Department was started in 1983 with 2 Apple computers for patient statistics and
reports generation. LAN was setup in 1990 and online system patient care management was
implemented in March 1991 with 11 computers at Madurai. In Tirunelveli, online system was
implemented in 1995 and in Theni it was implemented in 1997. Coimbatore and Pondicherry hospitals
were started in 1997 and 2001 respectively with online system from day one. More recently this has also
been deployed in our managed hospital – Indira Gandhi Eye Hospital in Uttar Pradesh.
A team at each location takes care of maintenance of the system, training the users and attending user
complaints and working on further improvements.
Central team at LAICO coordinates with all the hospitals for enhancing the application and develops
new application for both internal use as well as other organizations.
Microsoft Exchange Server, Internet Server and Intranet server are maintained for supporting
communication activities at Aravind Eye Care System.
It has also started supporting other charitable eye hospitals for implementing IT systems. It has
implemented the Aravind hospital management software in 15 other hospitals which includes in 1 in
Tanzania and 5 in Bangladesh.
thalmologists / physician / eye care providers in any part of the globe to consult with Aravind
Eye Hospitals ophthalmologist.
• Aravind Virtual University – a facility to conduct classes, discussion and sharing thoughts over
Internet
• Introduce Electronic Medical Record
• Wireless PDA applications in patient care and facility maintenance
Aravind Eye Hospitals respect the personal and unique needs and values of each patient.
We consider our patients as partners in our medical care.
Our respect for and observance of Patients' Rights will ensure mutual cooperation and greater
satisfaction for both patients and hospital staff.
1. To know the name, identity, and professional status of all persons providing services to you and
to know the physician who is primarily responsible for your care.
2. To receive complete and current information concerning your diagnosis, treatment and prognosis
in terms that you can understand
3. To have access to all information contained in your medical record through your primary
consultant
4. To an explanation in terms you can understand of any proposed procedure, drug or treatment; the
possible benefits; the serious side effects, risks or drawbacks which are known; potential costs;
problems related to recovery; and, the likelihood of success. The explanation should also include
discussion of alternative procedures or treatments.
5. To accept or refuse any procedure, drug or treatment, and to be informed of the consequences of
any such refusal. If there is conflict between you and your parents/guardian regarding your
exercise of this right, you and parent/guardian may need to participate in conflict resolving
discussions.
6. To personal privacy. Care discussion, consultation, examination and treatment will be treated as
confidential.
7. To expect that all communications and records related to your care will be treated confidentially.
8. To supportive care including appropriate management of pain, treatment of uncomfortable
symptoms and support of your psychological and spiritual needs even if you are dying or have a
terminal illness.
9. To assistance in obtaining consultation with another physician regarding your care. This
consultation may result in additional cost to you or your family.
10. To request consultation with the Hospital Ethics Committee regarding ethical issues involved in
your care.
11. To be transferred to another facility at your request or when medically appropriate and legally
permissible. You have a right to be given a complete explanation concerning the need for and
alternatives to such a transfer. The facility to which you will be transferred must first accept you
as a patient.
12. To know if your care involves research or experimental methods of treatment. You have the right
to consent or refuse to participate.
13. To voice complaints regarding your care, to have those complaints reviewed, and, when possible,
resolved without fear of any harm or penalty to yourself. You have the right to be informed of
the response to your complaint.
14. To expect reasonable continuity of care and to be informed by care providers of realistic patient
care options when hospital care is no longer appropriate. You have the right to participate in this
discharge planning process.
15. To examine your bill and receive an explanation of the charges regardless of the source of
payment for your care.
16. To be informed of any hospital policies, procedures, rules or regulations applicable to your care.
NOTE:
If you are unable to exercise these rights, your guardian, next of kin or legally authorized surrogate has
the right to exercise these rights on your behalf.
1. To provide all personal and family health information needed to provide you with appropriate
care. This includes reporting if you are in pain, or require pain relief.
2. To participate to the best of your ability in making decisions about your medical treatment, and
to comply with the agreed upon plan of care
3. To ask questions to your physician or other care providers when you do not understand any
information or instructions
4. To inform your physician or other care provider if you desire a transfer of care to another
physician, care provider, or facility
5. To be considerate of others receiving and providing care
6. To observe facility policies and procedures, including those regarding smoking, noise, and
number of visitors
7. To accept financial responsibility for health care services and settle bills promptly