Post Operative day of Cataract surgery in a Remote place of Nepal.(Credit- SalikRam Gautam, Rapti Eye Hospital)
Nepal is a landlocked country while major parts of goods are imported from foreign thorough the road transport and Air Transport medium. In Context of medicines and machinery parts for health care services, they too are imported. Nepal is a developing country with inaccessible geographical diversities in between the 3 different regions ranging south to the north. It has always been harder for Government to make health services accessible to the remote parts of Nepal. Health Facility in Nepal is so-so, even after the hard trials made by Nepal Government. Existence of Superstitions is the main hurdle in the distribution of Health services to the people of Remote place. In the past, Lack of health care professionals was the main cause for unavailability of health care facility, which, in the recent years has been seen to be solved and not being a problem anymore.
Nepal Government has sufficient health workers like Health Assistants, Mid-Wife, Staff Nurses and Doctors. The main problem of this time is the ignorance and existing social taboos. Nepal Government runs health awareness programes at villages through the district health office of the respective districts. Lack of roads is another bigger problem for reaching to the unreached.
Photo – Manoj Dhimal
Eye Care Facility was started long ago in Nepal seeing the needs of Eye Patients and with Increasing Eye Diseases. Bir Hospital in the capital city of Kathmandu was the pioneering eye service provider for Nepalese Citizen. Later Eye Care facility was shifted to Nepal Eye Hospital i.e. First Eye Hospital of Nepal. Later many Eye Hospitals and Eye Care Centres in each districts of Nepal were Opened. Nepal Netra Jyoti Sangh and Nepal Eye Program Tilganga Eye Hospital are the two major eye care monitoring bodies in Nepal. These two organizations run eye care facility in different parts of the country.
Bir Hospital of Nepal in ancient times(1915AD)
Eye Care Facility is not monitored by Nepal Government itself. The Netra Jyoti Sangh takes the major Parts of Responsibility to provide eye care services around the nation.
Prevalence of Blindness in Nepal was pretty high in the past few decades. After the start of Comprehensive eye care facility in different parts of Nation, Burden of Blindness has decreased to 0.39% from 0.84%.
Dr. Sanduk Ruit being presented Padma Shri Award by President of India
Nepal has one of the best eye care facility in the world. Cost Effective intraocular lens(IOL) designed by Dr. SandukRuit(Senior Ophthalmologists, Tilganga Institute of Ophthalmology) and Fred Hollows has made cataract surgery easier. Many patients from neighbouring countries visit Nepal to find cure to their eye problems. Nepal has cost effective and reliable comprehensive eye care facility. Major eye hospitals of Nepal like Tilganga Eye Hospital, Biratnagar Eye Hospital, Sagaramatha Eye Hospital, Himalaya Eye Hosptial, Geta Eye Hospital, Lumbini Eye Hospital etc. run the best eye care facility in Nepal.
Mass Population seen at one of the Eye Care Centres of Nepal. People came with the news of Free Surgical Camp.
The eye hospitals have been running their branches of Primary Eye Care Centres in the hilly and Himalayan districts where eye care facility was not accessible in the past. The Eye Care Centres are mostly run by smaller Number of Staffs while Ophthalmic Assistant functions as the Incharge for the Primary Eye Care Centre. Eye Centres offer all the basic eye facility for Comprehensive Eye Examination. Troublesome and vision threatening Diseases are Refered to higher centres/ Eye Hospitals so that Ophthalmologist would see the patient and treat them accordingly. Nepal offers all kinds of eye surgery starting from Cosmetics to Surgery needed for Disease Conditions. LASIK Refractive Error Correction surgery is offer by Tilganga Institute of Ophthalmology in the Capital City of Nepal at a very low cost relative to other foreign eye hospitals.
Trachoma Elimination Survey Nepal
Like other Developing Nations, Nepal too has higher prevalance of cataract. The second leading cause of blindness in Nepal as shown by 1981 blindness survey i.e. Trachoma, is eliminated from the country. The declaration for elimination and Validation was made By “World Health Organization” on 21st May, 2018. The Trachoma elimination was only possible due to hard works that every eye care professionals in Nepal do. Other services and surgery offered by Eye Hospitals in Nepal to the eye diseases are Cataract Surgery with Modern Phacoemulsification Techniques, Glaucoma Medication and Surgery, Refractive Errors Identification and Treatment of Amblyopia in Schooling children, Glasses fitting through modern Ophthalmic Machinery, Correction of Presbyopia in Old People, Comprehensive Dilated Eye Exam for Eye diseases like Diabetic Retinopathy and Hypertensive Retinopathy and other retinal Diseases, Treatment of Lacrimal passage system, and Cornea Transplantation, LASIK Surgery, and medication for other multiple types of eye diseases.
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