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Witnessing Rural Blindness: Standardizing Benchmarks from Eye Camps

  • Logan D. A. WilliamsEmail author
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Abstract

Challengers were embedded in a local community, which helped them to incorporate more high-status actors into supporting the niche, to learn from their work, and to adjust their expectations and vision while further developing the rules of their autonomous network. Community ophthalmologists began their work to create infrastructure to fight avoidable blindness began in South Asia with the creation of motivated truth. The marginalized (a high population density of rural poor South Asian patients) inspired Aravind and Tilganga to focus on a high-volume solution with the help of local philanthropists and volunteers. The rural eye camp serves as a mechanism of decentralizing decisions of the urban eye hospitals and enabling trust over a distance. High volume emerged as a formal rule for ophthalmology organizations attending to the backlog of patients who were blind.

Keywords

Community Ophthalmology Aravind Modest Witness Tilganga Institute Ophthalmic Assistants 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Adams, Vincanne. 1998. Doctors for Democracy: Health Professionals in the Nepal Revolution. Cambridge: Cambridge University Press.Google Scholar
  2. Aravind Eye Care System. 1981. “AEH So That You May Know About Us.” Annual Report. Madurai: Aravind Eye Care System.Google Scholar
  3. ———. 1985. “Aravind Eye Care System Activity Report 1985.” Annual Report. Madurai: Aravind Eye Care System.Google Scholar
  4. ———. 2010. “Evidence Based Management Practices.” Workshop Proceedings. October Summit 2010. Madurai: Lions Aravind Institute of Community Ophthalmology. http://www.aravind.org/os2013/eb.htm.
  5. ———. 2015. “ARAVIND PUBLICATIONS.” http://www.aravind.org/default/publicationscontent/publication.
  6. Bakker, Sjoerd, Pieter Leguijt, and Harro van Lente. 2015. “Niche Accumulation and Standardization—The Case of Electric Vehicle Recharging Plugs.” Journal of Cleaner Production 94 (May): 155–64.Google Scholar
  7. Clarke, James A. 2011. “Reaching The Poorest of the Poor.” Unite For Sight 2011 Global Health & Innovation Conference, Yale University, New Haven, CT. Retrieved January 17, 2013. http://www.uniteforsight.org/conference/speaker-schedule-2011.
  8. Elliot, Robert H. 1917. The Indian Operation of Couching for Cataract. London: H. K. Lewis and Co. Ltd. The Foundation of the American Academy of Ophthalmology Museum of Vision & Ophthalmic Heritage. San Francisco, CA. Google Scholar
  9. Fletcher, Astrid E., Martine Donoghue, John Devavaram, R. D. Thulasiraj, Susana Scott, Mona Abdalla, C. A. K. Shanmugham, and P. Bala Murugan. 1999. “Low Uptake of Eye Services in Rural India: A Challenge for Programs of Blindness Prevention.” Archives of Ophthalmology 117 (10): 1393–99.Google Scholar
  10. Flood, Anne B., W. Richard Scott, and Wayne Ewy. 1984. “Does Practice Make Perfect? Part I: The Relation Between Hospital Volume and Outcomes for Selected Diagnostic Categories.” Medical Care 22 (2): 98–114.Google Scholar
  11. Foster, Allen, and Serge Resnikoff. 2005. “The Impact of Vision 2020 on Global Blindness.” Eye 19 (10): 1133–35.Google Scholar
  12. Geels, Frank W. 2005. “Conceptual Perspective on Sytems Innovations and Technological Transitions.” In Technological Transitions and System Innovations: A Co-evolutionary and Socio-Technical Analysis, 75–102. Cheltenham and Northampton, MA: Edward Elgar.Google Scholar
  13. Harding, Sandra. 1991. Whose Science? Whose Knowledge? Thinking from Women’s Lives. Ithaca, NY: Cornell University Press.Google Scholar
  14. ———. 1992. “After the Neutrality Ideal: Science, Politics, and ‘Strong Objectivity.’” Social Research 59 (3): 567–87.Google Scholar
  15. ———. 2008. Sciences from Below: Feminisms, Postcolonialities and Modernities. Durham, NC: Duke University Press.Google Scholar
  16. ———. 2009. “Postcolonial and Feminist Philosophies of Science and Technology: Convergences and Dissonances.” Postcolonial Studies 12 (4): 401–21.Google Scholar
  17. ———. 2015. Objectivity and Diversity: Another Logic of Scientific Research. University of Chicago Press.Google Scholar
  18. Hess, David J., Sulfikar Amir, Scott Frickel, Daniel Lee Kleinman, Kelly Moore, and Logan D. A. Williams. 2016. “Structural Inequality and the Politics of Science and Technology.” In The Handbook of Science and Technology Studies, edited by Clark Miller, Laurel Smith-Doerr, Ulrike Felt, and Rayvon Fouché, 4th ed. Society for Social Studies of Science. Cambridge, MA: The MIT Press.Google Scholar
  19. Johnson, Gordon J. 2000. “Improving Outcome of Cataract Surgery in Developing Countries.” Lancet 355 (9199): 158–59.Google Scholar
  20. Jose, R., A. S. Rathore, and Sandeep Sachdeva. 2010. “Community Ophthalmology: Revisited.” Indian Journal of Community Medicine: Official Publication of Indian Association of Preventive & Social Medicine 35 (2): 356–58.Google Scholar
  21. Kleinman, Daniel Lee. 1998. “Untangling Context: Understanding a University Laboratory in the Commercial World.” Science, Technology, & Human Values 23 (3): 285–314.Google Scholar
  22. Krishnan, Pavithra. 2004. Infinite Vision: Dr. Govindappa Venkataswamy. Aravind Eye Care System.Google Scholar
  23. Luft, Harold S., John P. Bunker, and Alain C. Enthoven. 1979. “Should Operations Be Regionalized?” New England Journal of Medicine 301 (25): 1364–69.Google Scholar
  24. Mahajan, Manjari. 2008. “Designing Epidemics: Models, Policy-Making, and Global Foreknowledge in India’s AIDS Epidemic.” Science and Public Policy 35 (8): 585–96.Google Scholar
  25. Mani, M. K. 2013. “Letter from Chennai.” The National Medical Journal of India, On the Frontline of Indian medicine 26 (4): 241–42.Google Scholar
  26. Mason, Margie. 2010. “Nepalese Doc Is God of Sight to Poor.” The San Diego Union-Tribune, March 20. http://www.sandiegouniontribune.com/news/2010/mar/20/nepalese-doc-is-god-of-sight-to-poor/.
  27. McGoey, Linsey. 2014. “The Philanthropic State: Market–State Hybrids in the Philanthrocapitalist Turn.” Third World Quarterly 35 (1): 109–25.Google Scholar
  28. Merton, Robert K. 1973. “The Normative Structure of Science.” In The Sociology of Science: Theoretical and Empirical Investigations. Chicago: University of Chicago Press.Google Scholar
  29. Ministry of Health and Family Welfare. 2000. “Major Schemes and Programmes.” New Delhi: Government of India. http://mohfw.nic.in/WriteReadData/l892s/8565929279Major%20Schemes%20&%20Programmes.pdf.
  30. Mulkay, Michael J. 1976. “Norms and Ideology in Science.” Social Science Information 15 (4–5): 637–56.Google Scholar
  31. Namperumalsamy, Perumalsamy, Praveen K. Nirmalan, and Kim Ramasamy. 2003. “Developing a Screening Program to Detect Sight-Threatening Diabetic Retinopathy in South India.” Diabetes Care 26 (6): 1831–35.Google Scholar
  32. Natchiar, G., A. L. Robin, R. D. Thulasiraj, and S. Krishnaswamy. 1994. “Attacking the Backlog of India’s Curable Blind. The Aravind Eye Hospital Model.” Archives of Ophthalmology 112 (7): 987–93.Google Scholar
  33. Ocular Surgery News Asia Pacific Edition. 2002. “India’s Government Tackles Challenges of Eye Care.” Ocular Surgery News Asia Pacific Edition, March. http://www.healio.com/news/print/ocular-surgery-news-europe-asia-edition/%7B718ad951-a6e3-403d-9f92-9c34e8c06c72%7D/indias-government-tackles-challenges-of-eye-care.
  34. Official Website of the President. 2018. “First Lady Applauds Lions Eye Hospital for Excellent Services—Presidency.” Official Website of the President > Briefing Room > Latest News. February 26, 2018. http://www.president.go.ke/2018/02/26/first-lady-applauds-lions-eye-hospital-for-excellent-services/.
  35. Pascolini, Donatella, and Silvio Paolo Mariotti. 2012. “Global Estimates of Visual Impairment: 2010.” British Journal of Ophthalmology 96 (5): 614–18.Google Scholar
  36. Planning Commission. 2002. “Annual Plan 2003–2004: Chapter 4 Human and Social Development.” Annual Five Year Plans. New Delhi, India: Government of India. http://planningcommission.nic.in/plans/annualplan/ap0304pdf/ap0304_ch4.pdf.
  37. Pokhrel, Ram Prasad. 2003. Reaching the Unreached: Three Decades of Struggle in Nepal. Kathmandu, Nepal: International Forum. Retrieved April 30, 2009. http://www.rppokhrel.com/index.php?pageid=pub.
  38. Porter, Theodore M. 1992. “Quantification and the Accounting Ideal in Science.” Social Studies of Science 22 (4): 633–51.Google Scholar
  39. Prentice, Rachel. 2018. “How Surgery Became a Global Public Health Issue.” Technology in Society, Technology and the Good Society, 52 (February): 17–23.Google Scholar
  40. Redfield, Peter. 2005. “Doctors, Borders, and Life in Crisis.” Cultural Anthropology 20: 328–61.Google Scholar
  41. ———. 2006. “A Less Modest Witness: Collective Advocacy and Motivated Truth in a Medical Humanitarian Movement.” American Ethnologist 33: 3–26.Google Scholar
  42. Scott, Pam. 1991. “Levers and Counterweights: A Laboratory That Failed to Raise the World.” Social Studies of Science 21 (1): 7–35.Google Scholar
  43. Seelos, Christian, Johanna Mair, Julie Battilana, and M. Tina Dacin. 2011. “The Embeddedness of Social Entrepreneurship: Understanding Variation across Local Communities.” In Communities and Organizations, edited by Christopher Marquis, Michael Lounsbury, and Royston Greenwood, 333–63. Research in the Sociology of Organizations 33. Bingley: Emerald Group Publishing Limited.Google Scholar
  44. Shapin, Steven. 1984. “Pump and Circumstance: Robert Boyle’s Literary Technology.” Social Studies of Science 14 (4): 481–520.Google Scholar
  45. ———. 1985. Leviathan and the Air-Pump: Hobbes, Boyle, and the Experimental Life: Including a translation of Thomas Hobbes, Dialogus Physicus de Natura Aeris by Simon Schaffer. Princeton, NJ: Princeton University Press.Google Scholar
  46. Singh, Aj, Paul Garner, and Katherine Floyd. 2000. “Cost-Effectiveness of Public-Funded Options for Cataract Surgery in Mysore, India.” The Lancet 355 (9199): 180–84.Google Scholar
  47. Staples-Clark, Jennifer. 2011. “Innovation & Outcomes: Understanding and Maximizing Real Impact.” Unite For Sight 2011 Global Health & Innovation Conference, Yale University, New Haven, CT. Retrieved January 17, 2013. http://www.uniteforsight.org/conference/speaker-schedule-2011.
  48. TedIndia. 2009. Thulasiraj Ravilla: How Low-Cost Eye Care Can Be World-Class. | Video on TED.Com. India: TED Conferences LLC. Retrieved November 2, 2012. http://www.ted.com/talks/thulasiraj_ravilla_how_low_cost_eye_care_can_be_wowor_class.html.
  49. Timmermans, Stefan, and Marc Berg. 1997. “Standardization in Action: Achieving Local Universality Through Medical Protocols.” Social Studies of Science 27 (2): 273–305.Google Scholar
  50. ———. 2003. The Gold Standard: The Challenge of Evidence-Based Medicine and Standardization in Health Care. Temple University Press.Google Scholar
  51. Timmermans, Stefan, and Steven Epstein. 2010. “A World of Standards but Not a Standard World: Toward a Sociology of Standards and Standardization.” Annual Review of Sociology 36: 69–89.Google Scholar
  52. Valdiya, Shailaja. 2010. “Neoliberal Reform and Biomedical Research in India: A Story of Globalization, Industrial Change, and Science.” PhD, Rensselaer Polytechnic Institute, Department of Science and Technology Studies, Troy, NY.Google Scholar
  53. Williams, Logan D. A. 2008. “Medical Technology Transfer for Sustainable Development: A Case Study of Intraocular Lens Replacement to Correct Cataracts.” Technology in Society 30 (2):170–83.Google Scholar
  54. ———. 2011, September 12. Direct Observation Fieldnotes. Eye Camp. Presbyterian Church, Rironi, Kenya.Google Scholar
  55. ———. 2012, March 19. Direct Observation Fieldnotes. Weekly Outreach Camp Meeting, Aravind Eye Hospital–Madurai.Google Scholar
  56. ———. 2012, May 9. Fieldnotes. Outreach Camp Notes. Notebook No. 7 (April 2012).Google Scholar
  57. ———. 2017. “Getting Undone Technology Done: Global Techno-Assemblage and the Value Chain of Invention.” Science, Technology and Society 22 (1): 38–58.Google Scholar
  58. Wilson, John. 1988. “Preventing Blindness, A Retrospective.” In World Blindness and Its Prevention: Volume 3, edited by the International Agency for the Prevention of Blindness and Carl Kupfer. New York: Oxford University Press.Google Scholar

Copyright information

© The Author(s) 2019

Authors and Affiliations

  1. 1.Logan Williams Consultancy Services, LLCCumberlandUSA

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