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August 2009  
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Home - Strategy - Article

Initiative

Through the Looking (eye)Glass

VisionSpring (India) is addressing presbyopia by distributing affordable glasses and also creating employment opportunities at bottom of the pyramid, finds out Rita Dutta

Hailing from a small and non decrepit village called Lalapet village in Mahbubnagar district of Andhra Pradesh (AP), S Srinivas, in his late 30s was a busy tailor for two decades, until his fading eyesight hampered his occupation. His declining eyesight was now unable to spot the eye of the needle of his sewing machine and the fine stitching required for tailoring. His story is shared by the carpenter Bramhaiah Vaddla (45), belonging to the same village. His waning eyesight meant that he could not chisel the woods to carve a crafty piece of furniture. Both of them have fallen prey to presbyopia, an age-related physical condition that sets in between 35 and 40 years. Often for villagers, their failing eyesight spells doom. Presbyopia is more of a problem for rural folks primarily because they have no access to a facility or are simply ignorant about the fact that just a pair of reading glasses, available over the counter, can cure their visual defect. An estimated 25 crore Indians suffer from presbyopia, out of which around 18 crore are from rural India.

Beacon of Hope

Thanks to the sincere efforts of not-for-profit organisations like VisionSpring (India), thousands of weavers, tailors, carpenters, farmers, goldsmiths, and mechanics of various Indian villages with presbyopia have been restored back to their occupation. VisionSpring (India) has accomplished this task by screening and distributing affordable reading glasses. As of beginning of July this year, 10,361 camps have been organised, over 86,000 people have been given reading glasses and over 46,000 people were referred for checkups at other clinics by VisionSpring (India).

Reaching Out

"The 70,000 BRAC workers would help us sell around one crore pairs of glasses in eight years"

- Arunesh Singh
Regional Director Asia
VisionSpring (India)

"VisionSpring empowers entrepreneurs with a opportunity to sell a high-impact and high-margin product"

- Maruti Ram
Vice President
India Sales & Innovation
VisionSpring (India)

"Going all the way to the town to consult a doctor and getting a pair of glasses is an expensive proposition. We lose wages for two days and end up spending as high as Rs 900 inclusive of charges for the glasses, doctor's fee and wages for two days. The cost-effective glasses from VisionSpring at our doorstep is a far more feasible option," says a grateful Srinivas, back on his tailor shop in the village. Thousands of 'Srinivases' across the country is reaping the benefits of this intervention programme. To be precise, villagers in six states—AP, Gujarat, West Bengal, Orissa and Uttar Pradesh and Bihar— have accrued the benefits of this grass root intervention programme by VisionSpring (India).

Modus Operandi

The awareness for the camps is created by door-to-door visits, fliers, posters and announcements with the help of drummers. Explains Arunesh Singh, Regional Director Asia, VisionSpring (India), "Every three months, VisionSpring organises camps in a village for screening. The camps, which are held for three days, are mostly conducted in panchayat offices and schools."

During the camps, villagers are screened for presbyopia and working (reading) glasses are distributed to them on-the-spot. A register is maintained of the people who come for check-ups and a bill is issued when one is given a reading glass. There are no extra costs for consultations. The glasses cost only around Rs 160 as they are imported from China in bulk. Patients requiring further referrals are sent to credible local eye hospitals that offer free or subsidised services.

Vision Entrepreneurs

VisionSpring (India) is not only addressing presbyopia in rural areas. In this endeavour, it has wonderfully interwoven good business practice with social enterprise. It is creating employment opportunities for low-income men and women in villages by training them to gather villagers for camps, screen patients with presbyopia and also sell glasses. These bunch of social entrepreneurs are referred to as Vision Entrepreneurs (VEs). Each VE is in-charge of 20 villages, which covers a population of 50,000. The close proximity of the VEs to villagers also help the latter contact VEs if there is any issue with the glasses.

Explains Maruti Ram, Vice President, India Sales & Innovation, VisionSpring (India), "VisionSpring empowers entrepreneurs with a proven business model and opportunity to sell a high-impact and high-margin product. VisionSpring and its channel partners loan entrepreneurs the business in a bag itself."

A VE is not an employee of VisionSpring, but one who works on commission basis. VEs repay VisionSpring for the glasses once they have been sold. The VEs earn Rs 40 on every pair of eyeglasses sold. Take the case of Sangeetha Chinchatti (31), who works part time as an ASHA worker under the NRHM scheme, and is working as a VE for the last 10 months. Interestingly, many customers have also turned VEs. Srinivas Myadam (42), who was compelled to change his job of book-keeping at the village Self Help Groups due to his failing eyesight, not only had his vision restored with a pair of glasses from VisionSpring but also enrolled himself as a VE. Today, Myadam earns as much as Rs 3,000 as a VE. Today, the network of VEs has expanded to become 518 in rural India.

The Training Module

A four-day training programme has been designed for VEs, whereby training on technical expertise is imparted as per the training module designed by Hyderbad's LV Prasad Eye Institute and business skills by VisionSpring. And how are these VEs chosen? "A 10th standard qualification, with good communication skills having a good network within the community is selected to become a VE," says Maruti.

Unique Channels


A village drummer creates awareness about VisionSpring screening camps

One of the screening camps

Vision Entrepreneurs (in blue) making rounds in villages to check effectiveness of the reading glasses

VisionSpring (India) has spread its robust network in six states through three different types of channels.

Direct Sales: "The first is direct sales channel which trains and supports own network of entrepreneurs or VEs," informs Singh. This is being tried in Andhra Pradesh, where it operates in the districts of Mahbubnagar, Prakasam, East Godavari and West Godavari, by creating a posse of 518 VEs.

Franchise: The second channel is through franchise partners or channel partners with local organisations. This is mainly to foray into new areas. "The motive is to use their networking to penetrate our target populace," says Maruti.

It has tied with up 20 various franchisee partners. For instance, it has tied up with Self Employees Women`s Association (SEWA) in Gujarat, World Health Partners in UP, NIDAN in Bihar, Village Welfare Society in West Bengal, Gram Vikas in Orissa, Ambuja Cement Foundation in Maharashtra and Care Foundation in Maharashtra.

In February, this year it inked a 10-year contract with Bangladesh Rural Advancement Committee (BRAC), whereby BRAC will replicate the model of VisionSpring. "The 70,000 workers of BRAC would help us sell around one crore pairs of glasses over a period of eight years," says Singh.

The franchisees are selected after due diligence and only if there is synergy between both the organisations. "The tie-up with franchisees begin with a pilot study for a span of six months and is extended further, only if the pilot study is a success," informs Singh.

Retail partners: The third model is partnering with retail organisations to distribute low-cost glasses to urban and semi-urban communities. VisionSpring has tied up with Apollo Pharmacies to make available Vision Spring glasses to urban populace in all its outlets in AP.

The Parameters

The selection of the states to foray into are based on lower levels of access to eye care services, higher population density and presence of organisations with large rural networks.

The Genesis
US-based Dr Jordan Kassalow, a practicing eye doctor, founded VisionSpring (formerly Scojo Foundation) in 2001 to correct an unmet need for working eyeglasses in the developing world, which was preventing millions of people from living full and productive lives. He believed that no one should lose their livelihoods because of a lack of working eyeglasses, a simple, inexpensive product that is widely available in the US, Europe and Japan.

In 2001, Scojo Foundation partnered with George Soros' Open Society Institute, LV Prasad Eye Institute and SHARE Microfin Limited to undertake the first pilot project in AP. Sixteen women micro-entrepreneurs were trained to responsibly screen customers and distribute near-vision glasses. The women received micro-credit loans to purchase a varied inventory of near vision glasses and start eyeglasses business in their communities. With support from dedicated field staff of the partner organisations the 16 women earned decent profits and the goodwill of their community and repaid their loan which is a testimony of the success of the pilot. With the help of the lessons learned from the pilot, VisionSpring has set up its operation in Latin America and simultaneously worked toward setting up a legal entity in India. In 2005, VisionSpring had set up its office in Hyderabad.

The funding for VisionSpring comes from USAID, Acumen Fund, Rockfeller Foundation and various family foundations. The cost of operation is Rs 18 million per year, out of which only 25 per cent is recovered so far.

Challenges in the Path

It is an arduous task to reach out to the target population of 250 million. "Distribution of the glasses is the biggest challenge. Here, our channel network is of help," says Singh. Recruiting professionals to work in such a set-up of social enterprise, whose scope of work is mainly in villages, is another challenge. The early success of the organisation has, however, helped it get fresh talent from the Institute of Rural Management, Anand. But the biggest hurdle is to train low income group to become VEs in a span of four days. "We have to constantly guide them. We have District Co-ordinators who constantly provide support to VEs and have monthly meetings with them," says Singh.

What's Next?

The immediate target is to reach out to over a lakh customers by the end of this year. And it would not digress its focus from eye care. It would also work on improving its networks by tying up with more channel partners.

In the pipeline is scaling up of operations in AP through the franchise channel. It is in discussions for tying up with LEPRA and PSI as channel partners.

VisionSpring (India) is working with a company in Denmark who are developing new distant sight glasses. VisionSpring had conducted a pilot test of this product in Gautemala. Currently, the experts in the field of eye care are evaluating the results of this pilot.

On the anvil is introduction of photo-chromic lenses with UV protection in the price range of Rs 225 to Rs 300. "Photo-chromic glasses have the property of forming a shade on the lens in sunlight. These glasses double up as sunglasses for those who have to wear their glasses constantly. However, it is also important to provide UV coating to these lenses, without which they might damage the eye," signs off Maruti.

VisionSpring is indeed doing a commendable job by catering to the needs of thousands for whom losing their eye-sight is synonymous with losing their livelihood. Now, it all depends on their leadership skills and networking to make their presence felt across the country.

rita.dutta@expressindia.com

 


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