Community-Eye-Care---Karnataka-Internet-Assisted-Diagnosis-of-Retinopathy-of-Prematurity-(KIDROP)

What is KIDROP ?

The Karnataka Internet Assisted Diagnosis of Retinopathy of Prematurity (KIDROP) is Narayana Nethralaya Postgraduate Institute’s flagship Tele-Ophthalmology Program initiated in 2008 to provide Retinopathy of Prematurity screening for rural and semi-urban infants in hitherto unscreened centres using the backbone of Tele-Opthalmology and Wide-Field-Digital Imaging devices.

KIDROP tenets

It is based on the “Triple T” philosophy: Tele-ROP, Training of peripheral Ophthalmologists and Ophthalmic Assistants, and Talking to Neonatologists, Pediatricians and Gynecologists. “Indian Institute of Management, Ahmedabad, calls the KIDROP project a ” A Precious Gift to A Premature Child”

How does it work?

KIDROP has trained technicians to screen infants in the peripheral centres (where no specialists exist) using the Retcam Shuttle (Clarity MSI, USA) and store, read, analyse, grade and upload these images from the rural centre itself using an indigenously developed internet based PACS system which also delivers these images live to the remote expert on his or her iPhone or PC or iPad and receives live reports delivered through the internet based server for the technician to read and provide.

Community-Eye-Care---Karnataka-Internet-Assisted-Diagnosis-of-Retinopathy-of-Prematurity-(KIDROP)1
Community-Eye-Care---Karnataka-Internet-Assisted-Diagnosis-of-Retinopathy-of-Prematurity-(KIDROP)2

What is the intervention area ?

Community-Eye-Care---Karnataka-Internet-Assisted-Diagnosis-of-Retinopathy-of-Prematurity-(KIDROP)3The pilot project initiated in 2008 started with 5 centres. In the first quarter of 2011, KIDROP has grown to screen in 25 centres spread across the southern 6 districts of Karnataka State in Southern India. Most of these are in the rural or semi-urban centres. All of them did not have ROP screening prior to being included. Since 2010, the project has partnered with the Min. of Health and Family Welfare to include 36 more centres which will be operational by 2012.

Who Funds KIDROP ?

Narayana Nethralaya Foundation funds KIDROP as a part of her social responsibility. In keeping with NN’s principle that “no child must go blind for want of financial resources”. Since 2009, KIDROP entered into India’s first public private partnership in infant blindness prevention with the National Rural Health Mission, Ministry of Health and Family Welfare, Govt. of Karnataka, India. The Govt has pledged funding until 2012 to expand the coverage to 13 more districts to cover over 35 new centres. These would be divided into 2 zones – North Karnataka and Central Karnataka.
To understand more about the funding process or to make a donation CONTACT HERE.

What is the technology that drives KIDROP?

Narayana Nethralaya has non-commercial collaborations with i2i Telesolutions, Bangalore. who have developed a internet based hardware-software platform using a patented compression technology that allows live uploading, viewing and reporting of images from any part of the globe directly accessed by the KIDROP doctors on their PC’s and smart phones. This technology was adjudged the ” Top Ten Medical Innovations ” in 2009.

What has been accomplished thus far?

KIDROP in October 2010 has been named a largest single hospital ROP network in the world. The Harvard Business review has cited KIDROP and its technology as an example of “reverse innovation” for the more developed world to emulate. India Today, the nation’s leading newsmagazine has cited KIDROP’s technology in the Top Ten Medical Innovations and lauded its social contribution. Fortune India, Retina Today, Ophthalmic Surgery News, Ophthalmology Times Europe and Economic Times have lauded different aspects of the KIDROP program. The Min. of External Affairs, Govt. of India has named it a “unique initiative to reach the rural underserved”.
The research outcomes thus far have been the new method of non-physicians grading for ROP in peripheral centres, a report of a new reversible neonatal risk factor and a new technique of imaging neonates on OCT. Several other research projects are underway including collaboration with International groups in multi-centre trials.

What lies ahead?

Community-Eye-Care---Karnataka-Internet-Assisted-Diagnosis-of-Retinopathy-of-Prematurity-(KIDROP)4KIDROP has initiated partnerships with other states in India and the Govt of India to expand the reach of this initiative so that more infants in rural areas would benefit. The Pan-Karnataka State initiative under the public-private partnership is underway. Other countries including Thailand, Mexico, Indonesia, Qatar, Ghana, Pakistan and Kenya are at various stages of collaboration with the KIDROP team to initiate and support a similar program in their respective countries.

The KIDROP team

Dr. Anand Vinekar (Prinicipal Co-ordinator)
Dr. Sherine Braganza
Mr. Praveen Sharma (Project Manager)
Mr. Sivakumar (Chief Ophthalmic Photographer)
Mr. Krishnan A.N (Ophthalmic Photographer)
Mr. Srinivas (Project Pilot)
Ms Tanuja Bai (Patient Care Coordinator)

NRHM Outreach Teams (Trained by KIDROP – under the aegis of the Public Private Partnership)

North Karnataka A Team

Raichur

Prinicipal Project Co-ordinator Dr.Anand Vinekar
North karnataka Project Co-ordinator Dr.Siddesh Kumar
Project Manager Mr.Muralidhar Gayakwad
Project Technician Mr.Ravishankar Kandgal
Project Technician Mr.T.R.Nadaf

North Karnataka B Team

Gulbarga Dr.Venkatesh kalapur
Mr.Shankar Kumbar
Bidar Dr.Dilip Dongre
Mr.Anna Rao
Bijapur Dr.Malejan
Mr.Hanjagi
Bagalkote Dr.Poornima Halkatti
Mr.Basavarj Gudoormath
Koppal Dr.Nagendrappa
Mr.Murthuza Sab

Central Karnataka B Team

Davangere Dr.Salauddin Ahmed
Mr.S.K.Ranganath
Chitradurga Dr.Krishnamurthy
Mr.Ramu
Bellary Dr.Anjineya Prasad
Mr.Manjunath
Haveri Dr.Shivayogi Gadad
Mr.Sharanraj Choudari
Gadag Dr.B.G.Hiremath
Mr.Mohammed Idris
Dharwad Dr.B.B.Oni
Mr.R.M.Saleem
Total Cases Screened Lasers
44982 (As on December 31st , 2013) 982 (As on December 31st , 2013)

For further details contact Dr. Anand Vinekar – anandvinekar@yahoo.com