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.
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Williams, L.D.A. (2019). Witnessing Rural Blindness: Standardizing Benchmarks from Eye Camps. In: Eradicating Blindness. Palgrave Macmillan, Singapore. https://doi.org/10.1007/978-981-13-1625-8_4
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