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2 Visio Idia Visio Istitute will act as a catalyst to help Idia achieve socially resposible, high quality visio care ad a idustry that ca support: excellet eye care available to all state of the art Idia optometry excellet eye care educatio iteratioal leadership i cuttig-edge visio care research ad developmet viable Idia visio ad optical idustry, playig a substatial part i global eye care Aksauhii will trasform how Idia deals with ucorrected refractive error. Millios of Idias will be thakful for beig able to go about their daily life with idepedece ad cofidece. - Viod Daiel, CEO ad Maagig Trustee, Idia Visio Istitute IVI - Iitiative of:

3 TABLE OF CONTENTS Edorsemets 2 Foreword ad ackowledgemets 4 Executive summary 6 Itroductio 13 Situatio assessmet 15 Market research 17 Recommedatios 19 All Idia Strategic Pla - Aksauhii 20 Fudig 21 Iformatio for sposors 22 Goverace ad implemetatio 23 Implemetatio process 25 FAQs 26 Projects - Detailed overview 28

4 A IVI Iitiative Aksauhii is a itegratio of 'aksa' (eyes) ad 'vahii' (stream) - symbolizig the subject of our work ad the dyamic flow with which we approach it. Aksauhii is also a aciet word for a military phalax, cosistig of 21,870 chariots ad elephats, 109,350 ifatry soldiers ad 65,610 horses - the sort of veritable might with which we wat to take visio care i Idia ito a etirely ew realm. The Aksauhii Logo The desig is a ackowledgemet of its Saskrit origis represeted by a stylized Devaagari script The blue colour of the fot embodies traquility, composure ad pays tribute to the skies, the seas ad bodies of water - elemets of beauty for our eyes to behold 1

5 ENDORSEMENTS Reflects pride i where we have come & faith i where we ca reach - Rajesh Wadhwa, Presidet, IOF The Idia Visio Busiess pla is the most awaited documet i the history of optometry i Idia, it will give shape, wigs to most of our dreams for our coutry. Associatio of Schools & Colleges of Optometry - Idia whole heartedly edorses the pla. - Vivek Medosa, Presidet, Associatio Of Schools & Colleges of Optometry This is a excitig roadmap for the developmet of optometry i Idia. Optometry Givig Sight is pleased to have bee part of developmets to date ad looks forward to beig a log term parter i the rollout out of this strategic pla. - Clive Miller, CEO, Optometry Givig Sight Let s joi hads to elimiate blidess caused due to refractive errors ad help everyoe see the beautiful world! - Dr G V Rao, CEO, Visio 2020 Aksauhii is a way of geeratig the resources eeded to achieve state of the art visio care i Idia. I am very proud of the Australia Govermet role i helpig to brig Idia optometry together - Prof. Brie Holde, CEO, Brie Holde Visio Istitute Elimiatig ucorrected refractive error especially i the rural parts of Idia is a huge eed that I have persoally observed travellig the legths ad breadths of Idia over the past twety five years. I am delighted we ow have a atioal road map for this through Aksauhii. - Dr G N Rao, Chairma, LV Prasad Eye Istitute Optometry Coucil of Idia 2

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7 FOREWORD AND ACKNOWLEDGEMENT Aksauhii, the All Idia Strategic Pla for the developmet of visio care i Idia was commissioed by the Brie Holde Visio Istitute (Australia) to assist the Idia Visio Istitute ad other professioal visio care istitutios to develop a framework to sigificatly improve visio care i Idia. The Pla is iteded to assist key stakeholders such as Idia Visio Istitute (IVI), Idia Optometry Federatio (IOF), Associatio of Schools ad Colleges of Optometry Idia (ASCO-Idia), Optometry Coucil of Idia (OCI), Govermet, idustries, visio care professioals, educatioal istitutes, medical research orgaisatios ad the people of Idia i the quest for quality visio care. The Pla is also iteded to act as a suggestio to support resource mobilisatio for fudig bodies. The Pla has bee developed i cosultatio with ASCO - Idia ad IOF. The Pla was developed by Adrew Grat ad Pueet Sahai with fudig from Brie Holde Visio Istitute, i cosultatio with Prof. Brie Holde ad Dr G N Rao. Comprehesive iputs were also provided by Viod Daiel, Lakshmi Shide, Rajesh Wadhwa, Vivek Medosa, Neilse De Souza ad Abhishek Kalbarga. 4

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9 VISION CARE FOCUS FOR THE FUTURE To develop the resources required to eable excellet visio care ad positio Idia as a world leader i visio care withi 20 years. umber of idividuals aged over 50, who typically exhibit age-related complicatios 4 ; ad a epidemic of type 2 diabetes mellitus afflictig more tha 101 millio Idias 5 who i tur are expected to exhibit complicatio rates of diabetic retiopathy betwee 17-37% with risk factors 29 times higher for blidess tha persos without diabetes 6. Yet, the itake of optometry schools is ruig well below capacity ad there is miimal developmet of visio care educatioal faculty to offset the esuig bottleecks i skilled huma resources. EXECUTIVE SUMMARY You must be the chage you wish to see i the world. - Mohadas K. Gadhi CONCERNING TRENDS Excellece i visio care delivery is vital for the future of health care i Idia. Yet to achieve excellece, the private visio care sector must take the lead i implemetig a program over the ext 20 years to eable accessibility, develop skilled resources ad iitiate techological iovatio. Idia has oe of the largest populatio of uecessarily blid ad visio impaired idividuals i the world; totalig millio people. This group is geographically widespread, with a vast majority livig i rural areas. Yet, less tha 3% of Idia s 800,000 2 doctors have completed specialist medical traiig i visio care 3, ad for those that have, relatively few live ad practise outside tier I ad II cities. The impact to the Idia ecoomy of lost potetial productivity due to avoidable causes of blidess is estimated to be INR 187,000 crores or $34 billio per aum (2008), with INR 126,500 crores or $23 billio aloe due to ucorrected refractive error 7. Iroically, the Idia visio care idustry which has bee growig strogly i 2012 is projected to be less tha INR 11,000 crores or $2 billio i total aual sales or less tha 2.5% of the total Idia healthcare sector; ad imports more tha 70% of its spectacle eeds, or more tha 50 millio pairs of spectacles from Chia each year. 1. Iteratioal Cetre for Eye Care Educatio (ICEE), Aual Report, Based o data from McKisey Global Istitute, Idia Pharma 2020, Icludes Ophthalmologists ad 4-year traied optometrists i Idia 4. 65% of all people who are visually impaired are aged 50 ad older, WHO Fact Sheet, Jue Diabetes Health magazie, reportig o Iteratioal Diabetes Federatio data, Jauary Diabetic retiopathy i Asia, Meyer, Wag, Shukla et al, Cataract ad Refractive Surgery Today, October Estimated for 2008, Smith et al, 2009; ICEE, Aual Report, 2010 Prof Brie Holde, February 2012 Idia s visio care eeds are set to explode over the ext 20 years fuelled by a sigificat icrease i the 6

10 7 Prof. Brie A. Holde

11 ALL INDIA STRATEGIC PLAN Ideed, these treds have emerged as a cause of major cocer ad were highlighted repeatedly durig the research phase of our project to develop a All Idia Strategic Pla to guide the future developmet of visio care i Idia. Research coducted i early 2012 ivolved gatherig fresh isights by coductig more tha 300 iterviews across the visio care sector icludig: Cliicias Allied health workers Professioal bodies Visio care educators Idustry players The geeral public of Idia Throughout the project we were guided by our log term objective - to develop the resources required to eable excellet visio care ad to positio Idia as a world leader i visio care withi 20 years 8. RECOMMENDATIONS Give the sigificat gap betwee this log term objective ad the results of our market research, we developed a set of five recommedatios. Subsequetly, over a period of four moths, these were fie-tued through a series of cosultatio meetigs with professioal peak bodies ad major idustry players to esure that the pla was made for Idia. Five key recommedatios: 1. Systematically address four fudametal issues: raise public awareess ad build professioal recogitio ramp-up huma resource developmet esure miimum stadards of diagostic ad cliical ifrastructure develop a iovative Idia visio care techology sector 2. Implemet a improvemet program comprisig 16 strategic projects desiged to address the above listed issues over a five year time frame. 3. Establish a goverace structure for facilitatig commuicatio ad co-ordiatio with key stakeholders ad maitai a bias for actio. 4. Raise fudig from cash ad i-kid commitmets from istitutios, corporatios, domestic ad iteratioal doors, ad from the govermet. 5. Cosult idepedet experts to validate the completio of project milestoes ad to assess the quality ad sustaiability of the outcomes delivered. 8. Prof. Brie Holde, February

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13 based o successful achievemet of iterim milestoes, total five year fudig requiremets have bee further estimated to be aroud INR 240 crores ($48 millio), assumig that the govermet will exted support to the tue of INR 60 crores ($12 millio) for upgradig existig schools ad developig ew visio care schools durig years four ad five. SOURCING OF FUNDS AND DEPLOYMENT Four key groups have bee evisaged to guide strategic fud raisig, program goverace, project delivery ad high level coordiatio: The Strategic Fudraisig Group - proposed to assist i fud raisig The Strategic Advisory Committee - proposed to assist Idia Visio Istitute i the assigmet of fudig to delivery orgaisatios ad i admiisterig delivery cotracts ad validatig project outcomes FUNDING REQUIREMENTS The Iitial fudig requiremets have bee estimated at INR 80 crores ($16 millio) for supportig the project implemetatio over the first three years of the pla Accoutable delivery orgaisatios ad their project teams Project Commuicatio ad Facilitatio Group comprisig CEOs ad project maagers 10

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15 14. Stadard educatioal resources for retail ad para - techical 15. Low cost spectacles localisatio 16. Techology developmet ad local commercialisatio Summary To summarize, we look at this All Idia Strategic Pla as a guide to support resource mobilizatio for the fudig bodies. Based o primary research ivolvig more tha 300 iterviews, the pla sets out a comprehesive improvemet program comprisig 16 strategic projects to develop the resources required to eable excellet visio care i Idia, ad to positio Idia as a world leader i visio care withi 20 years. GETTING STARTED Fudig requiremets to support implemetatio over the first three years of the pla are estimated to be INR 80 crores ($16 millio). Give the magitude of the chage maagemet effort required to achieve our log term objective, we have idetified the followig strategic projects: 1. All Idia awareess campaig 2. Campaig to icrease existig school itake 3. Optometry professioal regulatory framework 4. Faculty developmet 5. Higher educatio scholarships 6. Optometry school ifrastructure 7. Visio care educators academy 8. Advocacy withi the professio of optometry 9. High quality educatio materials ad techology 10. Bleded learig ad o-lie platform 11. Cotiuig professioal developmet 12. New optometry schools 13. Represetative body for iovatio i visio care techology 12

16 1. INTRODUCTION 1.1 OPPORTUNITIES FOR VISION CARE IN INDIA There are cosiderable beefits to improvig visio care i Idia People of Idia 41 millio blid / visually impaired due to ucorrected refractive error 91 millio visually impaired due to presbyopia Assistace to elimiate avoidable blidess will eable the majority of Idias to have access to comprehesive, affordable ad quality primary eye care - regardless of their geographical locatio or socio-ecoomic status Health Ecoomics 170,000 crores ($34 billio) i lost potetial productivity ad care (2008) Smith et al 2009) 115,000 crores ($23 billio) i lost productivity due to ucorrected refractive error (ICEE) Visio Care Idustry Develop highly skilled ad competet eye care persoel to support the rapidly growig visio care idustry 11,000 crores (2 billio market size, 15-20% growth per year 9 ) 1.2 Twety YEAR VISION Achievig excellece i visio care will ivolve sigificat chage across awareess ad recogitio, huma resource developmet, ifrastructure, techology developmet ad to the cotributio of visio care to public health i Idia. 10 Year Goals 9. Idia Pla Team Aalysis, April Achieve atioal awareess ad professioal recogitio of visio care 2. Sigificatly icrease the cotributio that visio care makes to public health i Idia 3. Positio Idia s visio care idustry withi the top 10 globally 13

17 FROM Little public awareess o importace of visio care Low recogitio of optometry as a rewardig career optio amog prospective studets ad their parets Limited govermet recogitio of optometrists 9,000 four-year ad 40,000 two-year traied optometrists 1,600 optometry graduates per year Approximately 250 optometric educators available at preset 71 schools providig four-year optometry degrees Limited umber of faculty with Masters or PhD qualificatio 50 millio pairs of spectacles imported from Chia every year 11,000 crores ($2 Billio) local visio care techology 131 millio uecessarily blid or visually impaired, icludig 11 millio childre TO Icreased public awareess o visio care Studets applyig to uiversity excited by optometry as a iterestig ad rewardig career Professioal recogitio of optometrists by the govermet 115,000 traied optometrists 5,000 optometry graduates per year 1,000 optometric educators 100 schools providig four-year optometry degrees 100 Higher educatio scholarships 25 millio pairs of low cost spectacles maufactured locally each year 100,000 crores ($20 billio) local visio care techology idustry Sigificat icrease ad recogitio of cotributio of excellet visio care to public health of Idia 1.3 PRIMARY MARKET RESEARCH Our primary market research comprised over 300 iterviews coducted by third parties ad oversee by the plaig team. Next Ge Market Research Services Report, Assessmet, February 2012 Geeral Cosumers ( =100) Educatio ad Traiig Istitutes ( = 10) Speciality Optometry Cetres ( = 23) Optical Shops ( = 50) Compaies / Maufactures ( = 7) : Johso & Joh so / Bausch & Lomb / Tita Eye / Luxottica / GKB / Zeiss / Essilor Next Ge Market Research Services Report, School Capacity ad Ifrastructure Profilig, April 2012 Optometry Schools / Istitutes ( = 61) Ophthalmology Istitutes ( = 68) Iterviews with visio care sector experts coducted by plaig team members ( = 20) 14

18 2. SITUATION ASSESSMENT 2.1 OVERVIEW OF HEALTH AND VISION CARE IN INDIA The size of the overall healthcare sector i Idia is estimated to be INR 395,000 crores ($79 billio), with a historical five year growth rate of 17% (CAGR) 10. The forecast shows a impressive growth i the Idia healthcare sector which is expected to cotiue well ito the future to a impressive INR 14,00,000 crores ($280 billio) by However, while the healthcare sector i Idia has grow from stregth to stregth, wide disparities still exist with respect to access. Some poor ad rural residets have almost o access to qualified medical care, while medical tourists as well as wealthy idividuals are ofte able to receive affordable stadard services provided by the growig corporate chai of hospitals. As a stark example of this disparity, i 2010, early 66% of surgeries took place at the urba facilities ihabited by 30% of the populatio. Uless the healthcare services are made more widely accessible, regioal demad is expected to remai largely ufulfilled. For example, people i rural areas ofte suffer from refractive blidess resultig from the prohibitive travel time ad costs of gettig a pair of glasses 12. The eed to serve low-icome idividuals i challegig coditios has hece spurred iovatios such as mobile camps ad optical shops servicig remote villages so that patiets could be examied i their ow surroudigs. total by Based o WHO reports, per capita healthcare spedig is relatively low i Idia: Total expediture o health as % of GDP 4.1% i Total expediture o health / capita at exchage rate $54 Total expediture o health / capita at Purchasig Power Parity (NCU per US$) $ DEMOGRAPHICS The Idia populatio comprises more tha 1.2 billio people with aroud half of the populatio uder the age of Although idividuals, 60 years of age ad older made up oly 8.2% of the populatio i 2010, they are expected to accout for a icreasig share, outpacig growth i the rest of the populatio 14. More tha 70% of Idia s populatio lives i rural areas. While the growth i the urba populatio is expected to outpace growth i the umber of rural ihabitats, the tred towards urbaizatio is less dramatic compared to Chia ad other major developig coutries. 10. Compoud Aual Growth Rate 11. IBEF Healthcare Market Overview ad Treds, November McKisey Quarterly, Iovatio blowback: Disruptive maagemet practices from Asia, February CIA the World Fact Book, Idia Coutry Profile, Life Sciece Itelligece, Report o Medical Techologies i Idia, May McKisey Global Istitute, July For example, i 1950, 17% of the Idia populatio lived i cities whose populatios will accout for 38% of the

19 2.3 BLINDNESS STATISTICS Idia has oe of the largest populatios of blid people i the world, with cataract beig the mai cause of blidess. Approximately 19 millio people over the age of or 9% of the populatio over 50 are estimated to be blid. A dramatic icrease is projected i type 2 diabetes mellitus which ow afflicts aroud 11% of the populatio ad i some cities as high as 18% of the populatio. Associated complicatios of diabetic retiopathy, with a prevalece rate of aroud 17-35% i Idia populatios ad with risk factors 29 times more likely to become blid tha o-diabetic persos Life Scieces Itelligece, Report o Medical Techologies i Idia, May Diabetic retiopathy i Asia, Hauyu Che PhD et al Cataract ad Refractive Surgery Today, October Life Scieces Itelligece,

20 3. MARKET RESEARCH 3.1 FINDINGS FROM MARKET RESEARCH AND EXPERT INTERVIEWS Our market research coducted i early 2012 gathered fresh isights from a broad spectrum of idividuals ad ivolved coductig more tha 300 iterviews across the visio care sector icludig: Cliicias Allied health workers Professioal bodies Visio care educators Idustry players The geeral public of Idia Fidigs from this research together with data from secodary research sources were grouped ito five key areas to provide roud-out our situatio assessmet: Visio care huma resource gaps Optometry educatio istitutes Optometry as a professio Optical shops ad cliics Visio care idustry VISION CARE HUMAN RESOURCE GAPS Idia has approximately 9,000 four-year traied ad 40,000 two-year traied optometrists ad 12,000 ophthalmologists. Based o WHO guidelies of 1:10,000, Idia will have a cotiuous shortfall of aroud 70,000 traied optometrists through Idia s shortfall i traied optometrists appears to be offset by more tha 60,000 o-qualified optical techicias. 3.3 OPTOMETRY EDUCATIONAL INSTITUTES 125 istitutes providig optometry educatio i Idia with 86 four-year bachelor programs ad 52 two-year diploma programs are maaged by these istitutios (some schools offerig both bachelor ad diploma courses). Optometry schools deliverig four-year Bachelor ad two-year diploma programs have a average studet itake of aroud 63% versus their theoretical teachig capacity. Prelimiary data idicates that 51% of optometry schools surveyed had the miimum required teachig ad cliical ifrastructure versus 64% of ophthalmology istitutes. The Associatio of Schools ad Colleges of Optometry-Idia (ASCO) is takig steps to stadardise a Idia optometry curriculum. While there are curretly o formally agreed policies, stadards for optometry-specific faculty teachig qualificatios required i Idia, ASCO-Idia has recetly drafted faculty guidelies for cosideratio. 3.4 OPTOMETRY AS A PROFESSION Ophthalmologists ad Ophthalmic Assistats are recogised by the govermet of Idia ad are regulated as visio care professioals. Optometrists are ot yet recogised as healthcare professioals by the Govt. of Idia. Optometrists i 47 other coutries are however, recogised as healthcare professioals i accordace with WHO guidelies.

21 3.5 OPTICAL SHOPS AND CLINICS 76% of people seekig primary eye care typically go directly to the retail opticia for their visio care eeds. Aroud 5% of the INR 4500 crores ($900 millio) optical market i Idia is served by fully equipped, orgaised optical outlets; the remaider of the market is served through uorgaised chaels 19. There are more tha 10,000 specialty eye care cetres ad 90,000 retail optical shops estimated across Idia. Specialty eye care cetres are typically oversee by a ophthalmologist i Idia. The majority of optometrist are two-year traied. The failure rate of fittig high-ed progressive leses is aroud 15-20% i Idia. 3.6 VISION CARE INDUSTRY Three o-profit etities have bee established to improve the professioal developmet ad coordiatio of optometry i Idia: Idia Optometry Federatio; Associatio of Schools ad Colleges of Optometry-Idia; Idia Visio Istitute. Startig salaries of INR 10,000 to INR 15,000 ($200 - $300) per moth for Optometry graduates are typical ad ca be doubled by four-year traied graduates workig i private istitutes after oe year. The curret size of the Idia optical market is estimated to be aroud INR 11,000 crores ($2 billio) based o prior reports 20 ad recet feedback o growth i demad from the optical sector. Spectacle frames ad leses Itra-ocular leses Lasik Cotact les market Suglasses Historically, frames ad leses have made up the bulk of the optical idustry i Idia. The vast majority of visio care products ad equipmet used i Idia are imported from US, Italy, Frace, Japa, Chia ad Australia. Local idustry lacks scale ad iovatio. 19. Himalaya Optical, Idia Retailig.com, Jauary 2012 ; Reliace Visio Express, News-Views.i; Times of Idia, Idia Optical Idustry Has a Log Way to Go, October 2011; Tita Idia, Idia Wharto, Wharto School of Busiess Uiversity of Pesylvaia, Optical Sector i Idia 2008, Ace Global, O Behalf of Italia Trade Commissioer,

22 4. RECOMMENDATIONS Five key recommedatios are made based o the sigificat gap which exists betwee the Strategic Pla 20 year visio ad 10 year goals, versus the curret state of visio care i Idia. 1.Systematically address four fudametal issues: raise public awareess ad build professioal recogitio ramp-up huma resource developmet esure that miimum stadards of diagostic equipmet ad cliical ifrastructure are available for schools develop a iovative Idia visio care techology sector 2. Implemet 16 strategic projects desiged to address these issues over a five year time frame. 3. Establish a goverace structure for implemetatio that facilitates commuicatio ad co-ordiatio while at the same time maitais a bias for actio. 4. Raise fudig from cash ad i-kid commitmets from istitutios, corporatios, domestic ad iteratioal doors, ad from the govermet. 5. Seek expert advice to validate the completio of project milestoes ad to assess the quality ad sustaiability of the outcomes delivered. 19

23 5. ALL INDIA STRATEGIC PLAN - AKSAUHINI The All Idia Strategic Pla is uderpied by a focused improvemet program comprisig 16 strategic projects, majority of which become self-fudig or are completed withi five years. 20

24 6. FUNDING A estimated INR 80 Crores ($15.9 millio) of fudig is required to support the pla over the first three years. 6.1 FUNDRAISING AND PROJECT IMPLEMENTATION A Strategic Fudraisig Group is proposed to assist i fudraisig, while the Strategic Advisory Committee is proposed to assist Idia Visio Istitute i the assigmet of fudig ad admiisterig delivery cotracts with the project implemetatio orgaisatios. 21

25 7. INFORMATION INFORMATION FOR SPONSORS A estimated INR 80 crores ($15.9 millio) of fudig is required to support the pla over the first three years. Iitial fudig requiremets of INR 8 crores ($1.7 millio) for Year 1 ad INR 30 crores ($6.1 millio) for the secod year are estimated. Based o successful achievemet of iterim milestoes, total five year fudig requiremets are estimated to be aroud INR 240 crores ($48 millio), ad assumes govermet support of INR 60 crores ($12 millio) for upgradig / developig ew visio care schools durig pla years four ad five. 22

26 8. GOVERNANCE AND IMPLEMENTATION A goverace structure has bee developed that facilitates commuicatio ad coordiatio while at the same time maitais a bias for actio. Two key goverace groups are proposed 8.1 THE STRATEGIC FUNDRAISING GROUP To coordiate ad assist i strategic fudraisig. Members of the Strategic Fudraisig Group: Dr. G N Rao Prof. Brie Holde Viod Daiel Vivek Medosa Others 8.2 THE STRATEGIC ADVISORY COMMITTEE The legal, techical ad goverace egie A Strategic Advisory Committee for high level stakeholder commuicatios ad coordiatio will advise IVI i admiisterig the Pla i the followig areas: 1. Provide stakeholder iput to IVI regardig : maagemet ad implemetatio of the Pla which projects should be assiged to which delivery orgaisatio or combiatio of delivery orgaisatios defie the approach to be take for cotractig the required deliverables with the selected delivery orgaisatio perform corrective actios for projects that become delayed or otherwise go off-track moitor the performace of accoutable delivery orgaisatios 2. Assist i the validatio of project outcomes as milestoes are completed by accoutable delivery orgaisatios: esure major risks are maaged establish ethical stadards for operatios ad admiistratio 3. Assist i the review of audits coducted by experts ad idepedet third parties: moitor ad assess the progress ad performace of the delivery orgaizatios that are accoutable. esure itegrity of progress reports to stakeholders ad fudig providers. The Strategic Advisory Committee would be ivited from optometry peak bodies ad affiliated orgaisatios. 23

27 8.3 ACCOUNTABILITY OF THE DELIVERY ORGANIsATIONS Each project will be assiged to a accoutable delivery orgaisatio that will be resposible for: Implemetig project delivery cotracts Developig project plas for submissio to the Advisory Committee Assemblig project delivery teams Submittig mothly progress reviews ad reportig Coductig moitorig ad evaluatio of projects A Project Commuicatio ad Facilitatio Group comprisig delivery orgaizatios CEOs ad project maagers will also meet regularly (mothly) to esure efficiet co-ordiatio of resources. 24

28 9. IMPLEMENTATION PROCESS Aksauhii will evolve to accommodate the rapid growth ad chage i the Idia visio care idustry. Reviews of the 16 strategic projects ad additioal market research will be commissioed at regular itervals as recommeded by the Strategic Advisory Committee. 9.1 HOW WILL IMPLEMENTATION AND PROJECT FUNDING WORK? 1. Sposors will be asked to idetify which of the 16 projects match their areas of iterest ad will be ecouraged to provide fiacial cotributios accordigly. Immediate start All Idia awareess campaig Campaig to icrease existig school itake Optometry professioal regulatory framework Faculty developmet Higher educatio scholarships Optometry school ifrastructure Visio care educators academy Phased deploymet Advocacy withi the professio of optometry High quality educatio materials ad techology Bleded learig ad o-lie platform Cotiuig professioal developmet Make ready New optometry schools Represetative body for iovatio i visio care techology Stadard educatioal resources for retail ad paratechical Low cost spectacles localisatio Techology developmet ad local commercialisatio 2. Each project will be broke dow ito stages ad will have a miimum fud raisig requiremet for each stage to be achieved before the project or stage is to commece. The delivery orgaizatio assiged for each project will be resposible for: 1. Developig a detailed project pla, icludig huma resource requiremets, fiacial budget, milestoes, key performace idicators, timelies ad outcomes. 2. Deliverig the project. 3. Distributig Mothly or progress reports versus budget ad timelies. Fuds from sposors will be kept i a All Idia Visio Care Developmet Accout to be admiistered by the Idia Visio Istitute. Detailed budgets will be prepared for deploymet of these fuds i accordace with Sposor istructios to the specified projects with expediture oversee by the Strategic Advisory Committee. 25

29 10. FAQs Will i-kid cotributios be accepted by the Fudraisig committee? I-kid cotributios that are aliged with achievig the goals of the pla will be accepted by agreemet of the fudraisig committee ad the Advisory committee. What recogitio will doors get from their cotributios? As the ature of purpose of each project is differet, the recogitio doors receive for each project will be egotiated with the accoutable delivery orgaisatio i cosultatio with the Advisory committee. How will the progress of key delivery orgaisatios be moitored? Accoutable delivery orgaisatios will submit key performace idicators for cosideratio by the Advisory committee. Oce the committee has reviewed ad approved the performace idicators ad milestoes, the progress of the project will be tracked accordigly. Will the project doors be ivolved i moitorig? No, the Advisory committee will oversee the progress of projects ad report to project doors as requested. Project doors may be ivolved i the implemetatio. Will the help of idepedet exteral agecies be sought i moitorig? Idepedet moitorig will be coducted at the request of doors. Will you evaluate the project after it has fiished to see whether the chages you expected, or others, have happeed? Yes, outcomes for each project will be validated by experts who were ot directly associated with the implemetatio of the project. 26

30 11. GETTING STARTED Give the magitude of the chage maagemet effort required to achieve our log term objective, we have idetified the followig method Immediate start All Idia awareess campaig Campaig to icrease existig school itake Optometry professioal regulatory framework Faculty developmet Higher educatio scholarships Optometry school ifrastructure Visio Care Educators Academy Make ready New optometry schools Represetative body for iovatio i visio care techology Stadard educatioal resources for retail ad para-techical Low cost spectacles localisatio Techology developmet ad local commercialisatio Phased deploymet Advocacy withi the professio of optometry High quality educatio materials ad techology Bleded learig ad o-lie platform Cotiuig professioal developmet 27

31 SIXTEEN STRATEGIC PROJECTS - DETAILED OVERVIEWS Budget INR 10 crores over four years Roadmap Work with a specialist media cosultat Determie the medium ad the importace of message of quality professioal visio care ad beefits of optometry as a career Idetify optios for a brad ambassador Test market the campaig ad work o the atioal roll out Measure results ad expad the reach Secure fudig PROJECT 1 PUBLIC AWARENESS CAMPAIGN Overview Market research shows sigificat mismatch betwee the public perceptio of optometrists versus World Health Orgaisatio guidelies ad professioal recogitio iteratioally The optometrist is see as a optical techicia or sales perso i the optical shop, ot as a visio care professioal Low level of awareess about the prospects of a career i optometry FUNDING CONSIDERATIONS Brad ambassador costs Awareess campaigs across Idia icludig prit & electroic media campaigs Surveys / Iterviews to assess the campaig ef fectiveess Legal costs Admiistrative ad operatioal costs Assessmet Idepedet cosumer surveys for: U-aided ad aided recall Accuracy of message received Awareess of early sigs ad symptoms of visio care problems Awareess of optometry as a career Icrease i optometry school erolmets i test markets Objectives To icrease public awareess of visio care; improve professioal stadig of Idia optometrist ad associated career prospects. Time frame Pre work first year; mai activity to begi secod year 28

32 PROJECT 2 Campaig to INCREASE EXISTING optometry SCHOOL INTAKE Overview Market research idicates optometry classes are aroud 60% occupied for four-year bachelor programs, ad 73% for two-year diploma courses Objectives Reduce the curret level of vacacies by 50% i the first year, 75% i the secod year ad aim for 100% erollmet i the third year Commuicate the prospects of optometry as a rewardig professio to prospective studets, their parets ad teachers Time frame Pre work first year; mai activity to begi secod year. Budget INR 2 crores over four years. Roadmap Idetify five specific test markets (oe per geographic regio) Idetify cities based o existig schools ad potetial to drive sigificat icreases Coduct awareess campaigs i the test markets usig two proged approach - oe with studets ad aother with studets ad parets Promote optometry as a career i coachig istitutes ad amog fial year high school studets Assess optometry awareess ad decide o a commo fee structure FUNDING CONSIDERATIONS Campaigs across Idia icludig prit & electroic media campaigs Surveys / iterviews to assess effectiveess Travel costs for guest speakers, academic optometrists Staff & related operatioal costs Roadmap Determie the first five test markets (first year) Decide o the messagig to be used for juior colleges ad coachig istitutes (first year) Coduct campaigs (first year) Measure results (first year) Modify ad roll-out improved campaig for test markets (secod year) ad expad thereafter o aual basis util 2016 Assessmet Use school survey i test markets o aual basis Icrease umber of applicats to optometry schools (reduce empty seats by 50% i test markets) Icrease quality of applicats (based o average etrace exam scores) Icrease approved umber of seats 29

33 Roadmap Desig messagig for aual caledar Advocacy campaig for optometrists across the broader visio idustry Developmet of eye health promotio tools for use by optometrists Commuicate ad cofirm objectives ad messagig of advocacy campaig with represetative bodies Update messagig as required Fialize target audiece(s) for advocacy pilot program Idetify key optometry activists to assist with champioig advocacy Develop associated fudraisig activities ivolvig activists to esure ogoig fiacial support of campaig Decide geographical locatio for Pilot PROJECT 3 Advocacy withi the professio of optometry Overview The All-Idia Visio Care Strategy has a comprehesive five year, 16 project implemetatio pla desiged i part to establish the professioal recogitio of optometrists either via govermet or self-regulatory mechaisms Market research has also showed sigificat cofusio withi the raks of practicig optometrists aroud the perceived requiremet of havig a registered optometrist prior to opeig a optical shop (which is ot yet formally required by the govermet) Objective A cosistet advocacy campaig targeted at both existig optometrists ad the broader visio care idustry is required as part of the all-idia strategy commuicatios ad chage maagemet process. Time frame Pre work first year; mai activity to begi secod year Budget INR 3 crores over three to four years FUNDING CONSIDERATIONS Hirig costs - Dedicated Project / Campaig Maager Marketig campaigs for professio of optometry withi the idustry via prit & electroic media, website, mail-outs Surveys / iterviews to assess effectiveess of the campaigs Regular semiars / cofereces / workshops Staff & related operatioal costs Methodology Idetify messagig to be used for iteral advocacy (first year) Roll-out advocacy commuicatio s to professioal body members as part of mothly commuicatio (mid first year) Broader visio idustry (ed of first year) Measure results of advocacy messagig (early secod year) Modify ad roll-out improved campaig for practicig optometrists i five major test markets (ed of secod year) ad expad thereafter o aul basis util ed of fourth year Assessmet Survey 1,000 optometrists o aual basis Assess reach ad accuracy of advocacy messagig 30

34 PROJECT 4 Regulatory Framework for professioal optometry Overview Optometry i Idia is ot curretly recogised as a medical professio by the govermet Market research idicates a large variability i the traiig ad skills of curretly practicig optometrist Objectives To create a self-regulatory body to drive improvemet of quality stadards ad esure idepedet registratio of optometrists ad optometry schools To establish ad moitor the cotious professioal developmet (CPD) requiremets Time frame Oe year Budget INR 7.5 crores over four years Roadmap Establish the Optometry Coucil of Idia (OCI) as a self-regulatory professioal body for optometrists i Idia Establish OCI offices to eable effective govermet iteractio, local registratio ad CPD certificatio Develop, pilot ad deploy the project Eable registerig facilities for optometrists Establish uiform optometry curriculum ad idetify authorised delivery orgaisatios Develop a accreditatio system for schools Resources Hire a team comprisig of a CEO, regulatory support, regioal office maagers, data etry admiistrators Establish the OCI legal etity FUNDING CONSIDERATIONS Staff & related operatioal costs Methodology Establish OCI as a legal etity (first year) Desig ad develop the requiremets, IT systems ad support processes for optometrist accreditatio (secod year) Begi accreditatio of optometrists (ed of secod year) Desig ad develop the requiremets, IT systems ad support processes for optometrist CPD (ed of secod year Begi optometrist CPD program (third year) Pilot schools accreditatio (fourth year) Report Card Use timelie process targets Achieve a target of 5,000 optometrists accredited by mid third year; additioal 15,000 by ed of fourth year Assessmet Process outcomes - timelie completio as above 31 Operate four regioal offices to support the optometrists i each zoe Develop IT platforms for registerig of optometrists Develop systems for CPD programs ad programs accreditatio

35 Roadmap Traiig courses to improve the quality of faculty for schools Mid-career workshops with trai-the-traier model For example: EyeTeach Faculty exchage programs Leadership forums Studet research semiars Idetify visitig faculty for each regio Explore the possibilities of post graduate studets pursuig their Masters as tutors Project 5 Faculty Developmet for Optometry Overview The school audit compiled by ASCO - Idia / feedback from IVI ad results of recet market research, idicated a clear eed to icrease the skill level ad umber of faculty staff i optometry. Salaries as low as INR 15,000 per moth were ot eough to retai talet The faculty lacks kowledge o latest techology advaces ad best practice approaches i teachig The ratio of faculty / studet is 1:80 compared to iteratioal stadard of 1:20 ratio There is o stadard qualificatio requiremet to become a faculty of optometry Objective To implemet a comprehesive program to ehace the skill level ad improve the faculty / studet ratio Time frame Oe year Budget INR 13 crores over five years Resources Recruit people - Project Maager, Logistics Coordiator, visitig faculty ad tutors for the EyeTeach programs Icorporate iteratioal traiig programs FUNDING CONSIDERATIONS O-site corporate traiig costs Faculty exchage program costs Staff & related operatioal costs Methodology Ramp-up the umbers ad the reach of EyeTeach workshops (first year) Begi iteratioal faculty exchage programs (secod year) Begi faculty exchage programs betwee Idia schools (secod year) Start leadership forums (secod year) Iteratioal visitig faculty to begi assigmets at schools i Idia (third Year) Report Card Timelie process targets Target 20% additioal faculty by ed of third year; ad additioal 20% by ed of fourth year Assessmet Process outcomes - timelie completio as above 32

36 PROJECT 6 Scholarships for higher educatio ad scietific output Overview Curretly there are very few optometrists with a post graduate qualificatio ad cosequetly the Idia research output is limited Idia does ot have a iteratioal presece i research ad developmet of global sigificace Time frame Oe year Budget INR 10 crores over five years Roadmap Desig ad implemet a all-idia scholarship program for higher educatio Develop mechaism for the best of the studets to pursue post graduatio Create a database of studets pursuig / completed their Masters ad Doctorate degrees Ecourage premier Idia uiversities to develop optometry related research programs Develop a six moth course i eye care research methodology Icrease the research capacity of curret optometry schools Resources Dedicated Project Maager Iteratioal Research Guides Implemet the scholarship program for Masters cadidates (secod year) Develop ad deploy six moth course i eye research methodology (secod year) Report Card 100 post graduate scholarships over five years 100 academic staff developed over five years Research capacity icreased from 9 to 20 plus schools Assessmet Process outcomes - timelie completio as above FUNDING CONSIDERATIONS PhD full-time, PhD part-time & Masters scholarships Academic staff developmet costs Eye care research methodology developmet costs Research capacity developmet costs Staff & related operatioal costs 33 Methodology Assig the first batch of 20 higher educatio scholarships (first year)

37 Idetify skilled curriculum developers, writers, illustrators, desigers Develop three educatio packages to be distributed per year based o demad from schools, icludig the developmet of: support materials & multi-media educatioal tools licese of cliical ad diagostic software simulators legal aspects pertaiig to copyright ad usage permissios with respect to the cotet beig distributed esurig that the cotet is available at all schools across the coutry Project 7 Qualitative educatioal iputs ad delivery platforms Overview The ASCO - Idia market research idicated that majority of the optometry schools did ot have a established curriculum ad educatio cotet i place. Objective To create a bechmark for the educatioal cotet used i the optometry schools ad to eable exchage of kowledge across educatioal istitutios. Time frame Pre-work i first year; mai activity to begi secod year. Budget INR 3 crores over five years Roadmap Prescribe the goals ad objectives aroud outcomes to be achieved by the improved educatioal cotet supplied to schools Coduct eeds assessmet of schools ad address issues such as curriculum ad cotet developmet, delivery method, teacher traiig, examiatio requiremets, studet affordability, ad ogoig sustaiability of updatig ad distributig cotet Resources Project Maager; Educatio Curriculum ad Cotet Developmet Maager FUNDING CONSIDERATIONS Three educatioal packages per year - developmet costs Multimedia ad computer simulatio licese or developmet Desig & prit costs Staff & related operatioal costs Methodology Assessmet of cotet ad documet (early first year) Develop three educatio packages for distributio (by ed of first year) Distribute educatioal material packages to schools (early secod year) Report Card Timeframe measures - as per milestoes above Outcomes measures - uptake by at least 30% of schools to request / adopt ad use materials i a meaigful way by ed of secod year / 50% of school uptake by ed of the fourth year Assessmet Process outcomes - timelie completio as above 34

38 Project 8 Cotiued professioal DEVELOPMENT Overview Address the lack of a formalised methodology for cotiuous professioal erichmet of practitioers ad studets Acquire curriculum accreditatio from the Optometry Coucil of Idia (OCI) with CPD poits ad to work o a defiite framework for the same Desig courses for practitioers - two years & four years traied Desig courses for fial year studets Objective To desig a quick-start CPD program to be champioed by ASCO, IOF ad IVI ad haded over to OCI for further developmet after two years Time frame Project to breakeve withi two years Implemetatio of the project to start i early 2013 ad ru for two years util further istructios from OCI (self-regulatory body) Budget Subsidy assumed for budgetig purposes approx $1,000 per CPD give durig scale up ad util course fees pay off admistrative ad faculty costs Oe crore over two years Roadmap Roll out rapid improvemet program : 1 CPD program per moth for each of the five geographical regios idetified geographical locatios idetified - (N,S,E,W,C) Resources Admi capability to book participats ad orgaise the faculty ad course materials ad CPDs ad to keep track of poits FUNDING CONSIDERATIONS Course developmet costs Course accreditatio costs Academicia costs Educator costs Staff & related operatioal costs Methodology Prepare CPD program (late 2012) Roll-out CPDs program o a oce-a-moth basis i each of the 5 regios (first year) Had over details of Quick Start Program icludig participat ames, courses atteded, syllabus of courses ad suggested accreditatio poits register for OCI (secod year) Report Card Timeframe measures - as per milestoes above Outcomes measures - coduct 50 CPD sessios per year for first ad secod years Assessmet Process outcomes - timelie completio as above 35

39 Project 9 Optometry School Ifrastructure Overview Accordig to the market research ad feedback from ASCO - Idia, over half of the optometry schools require ecessary miimum diagostic ad cliical equipmet Existig equipmet i most school is outdated The ratio of studets to equipmet is skewed With schools lackig studet stregth, more ad more schools share their ifrastructure across learig disciplies to justify ivestmets Objectives To work towards a cosolidated etwork or share a set of teachig labs to assess ROI To work towards a appropriate co-paymet fiacial cotributio o equipmet To validate the equipmet used for optometry ad esure that the studets use it as opposed to its re-deploymet for patiets / cliical practice Time frame Four years Budget INR 30 crores over four years Roadmap Complete a audit of diagostic, cliical ad other lab equipmet requiremets for all optometry schools i Idia Stadardise equipmet requiremet for the optometry schools Esure proper workig of the equipmet ad iitiate traiig for their use ad maiteace Procure, distribute ad istall the maitaied equipmets i the selected schools Resources Project Maager, Purchase Maager, Logistics Maager ad Assets Audit Maager FUNDING CONSIDERATIONS Diagostic, cliical ad other lab equipmet costs for schools Travel costs for assessors & experts Traiig costs Audit costs Staff & related operatioal costs Methodology Complete audit of school ifrastructure (year 2012) Develop a pla for prioritised ad phased deploymet of ifrastructure eeded to create hub-ad-spoke shared labs ad idividual schools o 50% plus co-pay basis (first year) Start ifrastructure deploymet (secod year) Follow-up audit o equipmet utilizatio ad retur o ivestmet, icludig validatig equipmet usage (ed of secod year) Complete phased roll-out to remaiig schools (fourth year) Report Card Process targets use timelies as above Outcomes target: 50% of schools to have miimum equipmet by ed secod year; ad 70% of schools by ed of third year Assessmet Process outcomes - timelie completio as above 36

40 Project 10 Visio Care Educators Academy of Learig Overview Sigificat issues were idetified durig the situatio assessmet aroud the lack of traiig available for educators ivolved i visio care such as the shortfalls i a stadardised educator curriculum, lack of iteratioal faculty, low awareess levels with respect to the best practices i educator traiig, ad miimal usage of bleded learig ad olie webiars, traiig ad assessmet techologies. Objective To create a world-class academy for visio care educator traiig ad developmet with traiig modules that emphasise o optometry, ophthalmology, ursig ad other allied health care streams ivolved i visio care educatio. Time frame Five years Budget INR 30 crores over five years Roadmap Coduct feasibility study for employig a dedicated facility As a iterim measure, IVI to post the academy with its activities held across Idia Cavas for private doors ad corporate sposorships for reamig rights / sigage for buildigs / class rooms ad laboratories Work towards securig lad for a dedicated campus facility, costructio of school buildigs ad develop a maagemet team Fit-out class rooms ad istall IT ifrastructure Methodology Start educators academy o a virtual basis usig IVI or other outsourced facility (2012) Fialise lad (first year) Begi costructio of academy buildigs (secod year) Resources Project Maager, Visitig faculty, Admiistratio Maager, Facility Costructio Maager. Locatio Hyderabad Report Card Process outcomes - as per timelies above Huma resource developmet capacity outcomes - 20 educators to be traied i year oe, icreasig to 100 per year by 2016 Assessmet Process outcomes - timelie completio as above 37 FUNDING CONSIDERATIONS Lad Desig, build & fit-out IT ifrastructure & istallatio costs Domestic & iteratioal faculty Ruig costs of academy Staff & related operatioal costs

41 e-learig orieted syllabus, assessmet methodologies ad materials Establish user ad IT requiremets; put platform out to teder to three e-learig platform providers (1 major well established Idia provider, 1 major well established iteratioal provider, ad oe other platform provider) Select the platform provider for proof of cocept testig i a school; take feedback ad improve; chage vedors if required Locatio Pa Idia Resources A dedicated Project Maager ad Director of Studies for e-learig PROJECT 11 Learig the Virtual way Overview Curretly a majority of the private teachig facilities ad faculties are available i the physical space - the classroom, lab ad the cliic. There is a pressig eed to build e-teachig techiques that ca help optometry professioals to impart lessos usig the latest techology i the virtual area, bledig it with regular classroom educatio. Objectives To establish a commo e-learig platform ad associated cotet that ca be leveraged by a variety of optometry schools ad associatios to coduct bleded olie learig based educatio for optometry. Time frame Four years Budget INR 2.5 crores over four years FUNDING CONSIDERATIONS Developmet costs of olie educatioal platform Hirig iteratioal educators System testig costs pre ad post deploymet Advisory Committee costs Staff & related operatioal costs Methodology Form olie learig Advisory Committee (first year) Devise tailored olie curriculum ad cotet (secod year) Select platform provider through teder process (third year) Make bleded learig ad olie platform available to optometry schools (ed of third year) Assessmet Process outcomes - timelie completio as above Capacity outcomes - olie bleded learig platform adopted by 60% of optometry schools by 2016 Roadmap Set up a core advisory committee represetig a variety of stakeholders to devise the optometry e-learig platform Devise a tailored olie curriculum with the help of iteratioal educators skilled i developig 38

42 39 Project 12A Govermet ru OPTOMETRY Schools Overview The Strategic Pla situatio assessmet idetified a shortfall of 100,000 plus traied optometrists i Idia for the foreseeable future based o WHO guidelies. The existig visio care schools i Idia are ot proportioate to the regioal populatio eeds of Idia. Objective To egage with the govermet to gai their support ad fudig for buildig ew visio care schools ad to support visio care for their regioal costituets. Time frame 5 plus years Budget Iitial discussios by IVI with the govermet idicated their willigess to sactio fudig for 20 ew schools - approximately 6.20 crores per school towards capital cost ad 1.2 crores as operatios cost The budget was estimated at INR 60 crores over year four ad year five Roadmap Develop a strog database supportig the beefits of quality visio care ad the eed to address shortage i traied persoel to covice the govermet authorities Develop a project report eumeratig the savigs i the workig ma days of the Idia work force ad productivity ehacemet due to improved visio care Prioritise geographical locatios most i eed of ew govermet schools FUNDING CONSIDERATIONS Lad costs Desig, build & fit-out costs Furiture, office equipmet costs IT ifrastructure istallatio costs Faculty costs Staff & related operatioal costs Methodology Update database for use i govermet submissios for ew visio care schools (2012) Prioritise geographical locatios most i eed of ew govermet schools (2013) Report Card Process outcomes - make at least oe submissio to govermet startig i 2012 o a aual basis proposig support ad fudig for ew visio care schools Publish a report o the geographical areas most i eed of govermet support for ew visio care schools by ed 2013 Assessmet Process outcomes - timelie completio as above

43 Roadmap Policy desig by ASCO, IOF ad IVI to guide ad assist private idividuals, istitutios ad corporates settig up ew schools Report ways i which private optometry schools address HR shortage i Idia visio care ad outlie costs / beefits of settig up a typical school, icludig time to break eve Prioritize geographical locatios most i eed of ew private optometry schools Develop stadardized start-up packages of curriculum, admiistratio ad fiacial plaig materials for ew schools durig feasibility assessmet Project 12B Private Optometry Schools Overview The Strategic Pla situatio assessmet idetified a gap of over 100,000 plus traied optometrists i Idia for the foreseeable future based o WHO guidelies. May private idividuals ad corporatios frequetly approach ASCO ad IVI to get support for startig ew optometry schools. While these approaches are welcome, they ca sometimes be resource-iefficiet due to duplicatio of effort ad competitio for school ifrastructure. Objectives To close the resource gap through guided developmet of ew optometry schools supported by private idividuals, istitutios ad corporate doors To develop ad itroduce optometry degree courses i the existig private colleges Budget INR 12 crores over years four ad five FUNDING CONSIDERATIONS Lad costs Desig, build & fit-out costs Furiture, office equipmet costs IT ifrastructure istallatio costs Faculty costs Staff & related operatioal costs Geographical Locatio Pa Idia RoadMap Framework from ASCO to prioritise the pa Idia geographical locatios most i eed of ew private optometry schools (2012) Best practice policies from ASCO, IOF ad IVI to respod to ad guide requests for assistace i settig up ew schools (Mid 2013) Report Card Publish joitly agreed policy guidelies o assistig ad guide ew schools Track umber of stadardised curriculum start-up packages provided to ew schools o a aual basis Assessmet Process outcomes - timelie completio as above 40

44 Project 13 Represetative body for Idia visio care techology developmet Overview Market research idicates a huge market for locally made frames ad glasses i Idia. However, i the last few years Chiese imports of frames ad glasses have icreased The Idia Visio Istitute was formed i part as a catalyst to assist i developig the techological advaces required to eable Idia to provide quality visio care ad excellet eye health to the overall populatio of Idia, ad to develop a visio idustry of global sigificace ad impact Objective To create a represetative body to chart the future of Idia visio care techology developmet ad iovatio Time frame Two years Budget INR 2.5 crores over three years Roadmap Plaig sessios with key members of Idia s visio care techology providers Idetify eeds for ad purpose of a represetative body to promote developmet ad iovatio of Idia visio care techology Orgaise braistormig sessios o a aual basis as a catalyst for cuttig edge debates ad discussios i Idia optometry techology developmet Ivestigate opportuity for Public Private Partership for low cost frames ad leses maufacturer to support regioal visio care eeds RoadMap Hold plaig sessios with key members of Idia s visio care techology providers (first year) Form a Idia visio care techology developmet ad iovatio associatio (secod year) Facilitate iovatio i low cost diagostic devices ad spectacles maufacturig (secod year) Achieve breakeve / self-fudig (third year) Assessmet Process outcomes - as per timelies above. Mr. Viod Daiel 41 FUNDING CONSIDERATIONS Establishmet of body represetig visio care idustry Regular semiar costs Guest speakers costs Market research costs Staff & related operatioal costs

45 Budget INR 1 crore over two years Roadmap Approach polytechics to develop ad ru educatio courses for retail trade persoel based o the demad ad eeds of the retail optometry idustry Trai retail optometrists to coduct promotios to effectively meet the local commuity eeds for visio care services, ad to better foster public awareess of the eed for visio care Address the failure rate of fittig progressive leses Project 14 Educatioal resources ad retailig Overview The market research idetified the retail treds i visio care which idicated that: - The agig populatio ad the complicatios of chroic diseases are icreasig the demad for optical shop eye examiatio ad glasses - This has lead to a rapid growth i the umber of optical outlets beig opeed ~ 4,500 ew outlets per aum - There has bee a rise i cosumer awareess with respect to refractive surgical optios such as LASIK, PRK, RK - Cosmetic visio care optios like daily, weekly ad mothly disposable coloured cotacts, tited spectacle les, ad photo chromatic leses has raised doubts o the quality of visio care - Failure rate of fittig progressive leses which is almost 15-20% i Idia Objective Stadardised educatioal resources for retail to address retailig issues ad to improve quality ad limit sigificat errors that occur i fittig ad service. Resources Project Maager to work with polytechics ad to pull together stadardised educatioal resources. FUNDING CONSIDERATIONS Retail optometrists traiig costs Developmet costs of course for retail persoel Domestic & iteratioal educators costs Simulatio costs Staff & related operatioal costs Geographical Locatio Pa Idia Roadmap Approach polytechics to develop ad ru visio care retail educatio courses (first year) Implemet polytechic traiig courses for retail (secod year) Address the failure rate of fittig progressive leses (secod year) Report Card Sigificat (30% plus) reductio i the failure rate of fittig progressive leses - measured by aual survey. Assessmet Process outcomes - timelie completio as above Time frame Two years 42

46 Project 15 Low Cost Spectacle maufacturig Overview The Idia Visio Istitute was formed i part as a catalyst to assist i developig the techological advaces required to eable Idia to provide quality visio care ad excellet eye health to the overall populatio of Idia, besides developig a visio idustry of global sigificace ad impact. However as show i the market research, 70-80% (or approx 50 millio pairs) of low cost spectacles i Idia today are imported from Chia ad are ofte of poor quality, lack durability ad are used primarily i regioal commuities. Objectives Deliver a sigificat icrease i the cotributio by visio care to public health of Idia ad to positio it amog the top te i the visio care idustry Ad to achieve this te year goal, iitiate local maufacturig of good quality low cost spectacles usig latest techologies Time frame Four years Budget INR 7.5 crores over four years Roadmap Coduct market research to determie specific eeds of people i regioal commuities for low cost spectacles, icludig price poits ad features most valued Specify user / customer / product marketig requiremets Set maufacturig costs of goods target based o price poits ad give sustaiable profit margi for sales ad distributio Assess if uit cost maufacturig targets ca be achieved usig ew techologies for plastic mouldig Prepare busiess pla / arrage seed fudig ad pilot maufacturig Expad maufacturig operatios FUNDING CONSIDERATIONS Market research ad feasibility studies Low cost spectacles research & desig costs Potetial for Public Private Partership set-up costs Busiess pla developmet costs Factory set-up costs Staff & related operatioal costs Resources Project Maager with maufacturig backgroud Product Maager with related backgroud Commercial Maager with fiace & distributio skills RoadMap Coduct market research (first year) Specify product iitial user ad uit cost requiremets (first year) Iitial feasibility study (first year) Assessmet of ew techology readiess (first year) Draft busiess pla (first year) Seed capital ivestmet ad pilot maufacturig plat (secod year) Assess potetial for expasio of private equity fudig (secod year) Assess potetial for PPP arragemet (secod year) Start scale maufacturig (third year) Assessmet Process outcomes - as per timelies above 43

47 Roadmap Sca Idia visio care techology ladscape for commercialisatio of ideas Ivestigate desig ad maufacture three low cost devices for Idia use (for example ophthalmoscope, retioscope, pupillometer) Assess developmet of Idia diabetes screeig machies Sposor local eye care iovatios i pilot phase commercialisatio projects Raise a veture capital fud i collaboratio with local ad iteratioal visio care parters to support commercialisatio / developmets Project 16 TechNOLOGY developmet ad commercializatio of the project at the local levels Overview The Idia Visio Istitute was formed i part as a catalyst to assist i developig the techological advaces required to eable Idia to provide quality visio care ad excellet eye health to the overall populatio of Idia, ad to develop a visio idustry of global sigificace ad impact. However, today Idia techology idustry accouts for less tha $3 millio of the global eye care sector. FUNDING CONSIDERATIONS Outreach visio care va costs Local eye-care iovatio costs Busiess pla developmet costs Staff ad related operatioal costs Roadmap Sca Idia visio care techology ladscape for commercialisatio opportuities (first year) Form a veture capital fud for co-fudig ivestmets (secod year) Make ivestmets i cuttig-edge techologies ad busiess models (third year) Assessmet Process outcomes - as per timelies above Objective To obtai resources i order to promote Idia research, developmet, etrepreeurship, techological achievemet ad commercialisatio to a premier level of basic ad advaced products. Time frame Four years Budget INR 25 crores over four years Resources Project Maager with veture capital backgroud 44

48 COPYRIGHT AND DISCLAIMER COPYRIGHT 2012 Brie Holde Visio Istitute. All rights reserved This publicatio is protected by laws relatig to copyright. Except as permitted uder applicable legislatio, o part of this publicatio may be adapted, modified, stored i a retrieval system, trasmitted or reproduced i ay form or by ay process, electroic or otherwise, without Brie Holde Visio Istitute s explicit prior writte permissio Logos ad images used i this publicatio are the property of their respective owers Disclaimer The fidigs detailed i this Pla have bee based o primary market research coducted by third parties, iterviews with visio care experts, secodary market research sources, ad iteral fiacial aalyses Iformatio provided through market research ad expert iterviews has ot bee idepedetly verified Brie Holde Visio Istitute makes o represetatio or warraty that the iformatio cotaied i this publicatio is complete or free of omissios or errors. To the extet permitted by law, Brie Holde Visio Istitute ad all of its related etities exclude all implied warraties (icludig regardig merchatability ad fitess for purpose) ad disclaim ay ad all liability for ay loss or damage icurred as a result of the reliace o ad/or use of the iformatio cotaied i this publicatio The scope of this Pla was determied by Brie Holde Visio Istitute. The Pla does ot address all material aspects of the visio care idustry i Idia, or does the Pla purport to address all risks ad challeges facig the developmet of visio care i Idia The metio of specific compaies or certai maufacturers products or services does ot imply that those compaies, products or services are edorsed or recommeded by Brie Holde Visio Istitute i preferece to others of a similar ature that are ot metioed To request copies of this documet ad for related queries please cotact: Mr Abhishek Kalbarga, Seior Program Maager Idia Visio Istitute 737 Road 37 Jubilee Hills Hyderabad , Adhra Pradesh, Idia Phoe: Idia Visio Istitute 737 Road 37 Jubilee Hills Hyderabad Adhra Pradesh Idia Phoe: IVI - Iitiative of:

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