Annual Report 2 0 0 9 FREE EYE CARE LRBT Eye care for children because children are our future A public service project printed by Getz Pharma Pakistan (Pvt.) Ltd., designed by Creative Unit (Pvt.) Ltd. and photographed by Jamshyd Masud. LRBT is committed to creating a better Pakistan by preventing the suffering caused by blindness and other eye ailments. To this end, it will provide state-of-the-art comprehensive free eye care in keeping with its tradition of excellence, efficiency and compassion for all. Vision THE LAYTON RAHMATULLA BENEVOLENT TRUST LRBT House, 37-C, Sunset Lane 4, Phase-II, Extension, D.H.A P.O. Box 7684, Karachi-75500, Pakistan Toll free No : 0800-44441 Phone : 92 (0) 21 35396600-5 (Lines) Fax : 92 (0) 21 35396606-7 E-mail : [email protected]Website : www.lrbt.org.pk FREE EYE CARE LRBT
Transcript
Annual Report
2 0 0 9FREE EYE CARELRBT
Eye care for childrenbecause children are our future
Apu
blic
ser
vice
pro
ject
prin
ted
by G
etz
Pha
rma
Pak
ista
n (P
vt.)
Ltd
., de
sign
ed b
y C
reat
ive
Uni
t (P
vt.)
Ltd
. an
d ph
otog
raph
ed b
y Ja
msh
yd M
asud
.
LRBT is committed tocreating a betterPakistan by preventingthe suffering caused byblindness and othereye ailments. To thisend, it will providestate-of-the-artcomprehensive freeeye care in keepingwith its tradition ofexcellence, efficiencyand compassion for all.
Contents3 Life for a blind child is a dreary one and a
nightmare for the patient
4 Our 16 Millionth Patient — Ali Hamza is asuccess story, like many others whichhappen over and over again every day
7 Heartrending facts Globally, a child goes blind nearly every minute.
8 Eradication of Child Blindness — A Leading Issue in Pakistan. Why?
11 Paediatric Clinics and Programmes
12 Our 15 Millionth Patient — Abdur Rahman from Balochistan
14 Balochistan
17 NWFP
18 Punjab
21 Sindh
22 Achievements at a glance 2008/9
23 Chairman's Report
26 Review of Operations
34 Visitors
36 Trustees
37 Major Benefactors
38 Donors of LRBT
41 Honorary Consultants
42 Acknowledgments
43 Report of the Trustees of the Graham Layton Trust, 2008/9
44 LRBT America Inc.
45 LRB Foundation Canada
46 Financial Highlights for 2008/9
48 Donations and Contributions
49 Expenditure
50 Estimated Receipts and Payments from July 2009 to June 2010
51 Map of LRBT Facilities
52 Cumulative OPD and Surgeries
Our4Guiding Principles
FREE EYE CARELRBT
■ All treatment at LRBT istotally free; so that noman, woman or childbecomes blind justbecause they cannotafford the treatment
■ Appropriate state-of-the-art treatment. Charityshould not mean second-rate treatment
■ No discrimination on thebasis of language, sect,or gender
■ Patients are treated withcompassion and dignity.
Life for a blind child is a dreary one and a nightmarefor the parents.
He can feel the warmth and hugs of family membersbut when he steps out into the unfriendly world, themocking laughter, the jokes and puns of childrenunderline his plight. He can feel the joy of a morningbreeze but the blowing wind has no answer to hisquestions of what will become of him when his parentsare gone. It is a tearful condition but happily not now.
Blindness is assuming scary proportions around the
world. In Pakistan, 11% of our population suffers
from blindness or impaired vision.
Since LRBT was conceived as an NGO, in 1984, it hastreated 16.5 million people both young and old inPakistan. Despite that, today, the figure of child blindnessis heartbreaking – 2.6 million children in Pakistan areeither blind or suffer from impaired vision.
Restoring vision in children is our sacred mission.
May God bless the two visionaries, GrahamLayton and Zaka Rahmatulla, whose dreamforesaw the shifting sands of time in Pakistan.
Growing up blind in the slums of Karachi is amiserable existence.
Ali Hamza’s case is a miraculous wonder ofmedical science, and the advancement of highquality eye-care which is available at LRBT,Pakistan.
When Ali was six, he started to lose vision in botheyes. When taken for a checkup to a local doctor,he was advised immediate surgery. Thedesperate father went to a local hospital whereLo and behold!, the cost of surgery wasRs.16,000 (US$200) – three times the salary ofhis father.
Sometimes, fate changes so fast, it isoverwhelming. Ali was brought to LRBT’s KorangiHospital in Karachi where surgery wasperformed in both eyes, one at a time withamazing results. After opening the bandages, Alicould see. For him, a miracle of advancedscience and technology had brought him a freegift of restored eyesight
The tears of happiness of Ali andhis father, who serves as a simplesecurity guard, defy description.
Our 16 millionthpatient - Ali Hamza is a success story, like manyothers, which happen overand over again every day.
Heartrending factsGlobally, a child goes blind nearly every minute.
2.6 million children in Pakistan are either blind or suffer fromimpaired vision. For some, their visual impairmentis so severe that they are unable to do very muchwithout assistance.
Causes of childhood blindness
I Vitamin A* deficiency
I Corneal scarring
I Cataract
I Glaucoma
I Retinopathy of Prematurity (ROP)
I Refractive Errors
I Low Vision, which encompasses visual impairment and blindness from untreatable causes.
*Caused by nutritionaldeficiency in diet, lack ofawareness in parentsand affordablity of cost.
I Children are a nation’s future resource, more so,in underdeveloped countries like Pakistan
I The number of ‘blind years’ in children is muchgreater than blindness occurring in adults
I There is an added level of urgency when dealingwith children as delay or absence of treatment inthe early stages, leads to conditions which arenot treatable or not easily treatable in adults
I The difficulty lies in locating children who haveeye problems and the need to conduct large scale screening to identify those who need help
I Because of the wide range of causes ofchildhood blindness, intervention must bedisease-specific and directed at more than onelevel of the eye-care delivery system
I Treatment requires high level of skills on part ofthe doctor and sophisticated equipment and isexpensive.
Eradication of Child Blindness – A Leading Issue in Pakistan. Why?
Paediatric Clinicsand Programmes
LRBT has established specialized paediatric eye-care clinics in 5 of our hospitals where skilleddoctors and sophisticated equipment is available:
I Korangi (Karachi), Sindh
I Lahore (Punjab)
I Lar (Punjab)
I Mandra (Punajb)
I Quetta (Balochistan)
LRBT is the largest provider of paediatric eye care in the country. According to anindependent estimate, it performs 32% ofpaediatric eye surgeries in Pakistan.
LRBT also runs school-screening programmes inKarachi, Quetta and Lahore to identify childrenwith eye problems and then refer them fortreatment to its nearest hospitals for appropriatetreatment. We have also embarked on our firstrural school-screening programme in Tehsil Sohawa, District Jehlum in northern Punjabwhich will be extended resources permitting.
There was great rejoicing in the Hakeem familywhen Abdul Rehman was born. He was going tobe their support in their old age, their insurancepolicy.
But the joy soon turned to sorrow : AbdulRehman was blind.
Abdul Hakeem took him to a doctor in Quettawho diagnosed congenital cataract andprescribed surgery at the cost of Rs. 20,000.
This was 5 times Abdul Hakeem's salary which heearned working at a shanty hotel in village KillyBadini, District Noshki (Balochistan).
Three years later a visiting friend advisedHakeem to take the child to LRBT's Eye Hospitalin Quetta.
The child was operated in one eye. Uponopening the bandage, Hakeem showed the boy a piece of roti (bread) which he grabbed.
A miracle had happened. Their only sonhad emerged from a life of perpetualdarkness. The sun was shining again.
BalochistanUnderstanding theLanguage of Love
Baloch are rough and tough people. Under the hardyexterior, they are very kind-hearted.
They deeply appreciate the touch of healing hands as thousands of people around them have witnessedand found happiness in what seems to them as miracles.
Heartwarming Facts – 2008/9
I 107,471 patients including 14,614 childrenwere treated in OPD
I 9,464 sight restoration surgeries including 558on children were performed
I 22,273 students were screened under schoolscreening programmes, out of which, 1,615 wererefracted and 1,615 referred for detailedexamination and surgeries.
NWFPAppreciating Kindnessand Loving Care
Who does not wish to see their loved ones?
A life of shades, shadows and darkness is not whatthey live for. Sometimes patience wears out too.
LRBT gives them all hope, and fulfills their life-longdreams. Can you visualize the joy and prayers asbandages are opened. Even we are human. We getemotional at such moments.
Heartbreaking Scenes – 2008/9
I Our 3rd free eye hospital at Mansehra opened in
March 2009
I 190,344 patients including
16,934 children were treated in OPD
I 19,475 sight restoration surgeries
including 15 on children were performed.
PunjabWilling to be Led
When LRBT see children, women and men groping inthe dark, we want to give them back God’s greatestgift: Sight. We want to give them a life of dignity,independence and the ability to be a productiveindividual
Our human touch, reassures these people that with our help they will be able to emerge from darkness intosunlight. You should see how they cling to us as welead them to the operation theatres. Nervous yes butalso a little confident.
Whole-hearted Support – 2008/9
I Our 7th free eye hospital at Arifwala (Pakpattan)opened in December 2008
I 887,822 patients including
67,885 children were treated in OPD at our 7hospitals in the province
I 90,695 sight restoration surgeries
including 2,197 on children were performed
I One New Primary Eye-care Centre was establishedat Toba Tek Singh (Multan).
SindhDignity to Move Unhindered
Our reputation has brought vast multitudes ofpeople young and old. The logistics of handling,diagnosing, treating and providing medicines tothem is very impressive by any standards.
A kind word, sentences of comfort comespontaneously. They are not rehearsed becausethey come straight from the heart. Such is thedegree of care.
Heartening Statistics – 2008/9
I 573,461 patients including
52,975 children were treated in OPD
I 65,997 sight restoration surgeries including
2,220 on children were performed
I 31,354 students were screened under school-screening programmes, out of which,1,173 were refracted and 1,681 referred for detailed examination/surgeries.
Achievementsat a glance: 2008/9
I We crossed 2 milestones in this year treating our:
● 15th millionth patient Abdul Rahman, a small child from aremote village in Balochistan in September 2008
● 16 millionth patient: Ali Hamza, a young boy from theslums of Karachi in April 2009.
I 1.75 million Patients were treated in the Out PatientsDepartments (OPD) of our 16 hospitals and 39 clinics; agrowth of 11 % over last year. This is 36% or more than 1 out of every 3 eye patients visiting OPD in Pakistan
I 185,631 major and minor eye surgeries were performed, agrowth of 4% over last year. This is 27.4 % or more than 1out of every 4 eye surgeries in Pakistan
I 134 corneas were transplanted.
I LRBT continued to surpass the WHO/ICEH standards forgood quality cataract surgery
I Two new Secondary hospitals at Arifwala (Pakpattan) in thePunjab and Mansehra (NWFP) were established.
I 2 new Primary Eyecare Centers (PECs) in Punjab and AzadKashmir were opened.
I The capacity of Tando Bago (Sindh) hospital has beendoubled...
I Khanewal (Punjab) & Korangi (Sindh) hospital are underexpansion which is expected to be completed by December2010 & June 2010 respectively.
I LRBT was invited to participate in the Clinton Global Initiative(CGI) Asia meeting held at Hong Kong in December 2008.
I LRBT was nominated for 2009 Antonio Champalimaud award.The Champalimaud Foundation, based in Lisbon, Portugal,was created at the bequest of the late Portugueseindustrialist and entrepreneur, António de SommerChampalimaud. Leonor Beleza, a former Portuguese Ministerof Health, is the Foundation's President
I LRBT was also nominated for 2009 Gates Award for GlobalHealth. The Global Health Council is the world's largestmembership alliance dedicated to saving lives by improvinghealth throughout the world
I LRBT has been certified by Pakistan Centre for Philanthropy(PCP) for the period ending 30th October 2011. We havebeen awarded 892 marks (89.2%) as compared to 843(84.3%) in 2003. PCP is a body notified by Government ofPakistan to certify NPOs to be eligible for tax exemption.
I Obsolete and irreparable equipment was replaced in somehospitals. More sophisticated equipment was provided tosome. Equipment was also provided to our new hospitals.
LRB
T Annual R
eview 2
00
9
25
LRB
T Annual R
eview 2
00
9
24
Chairman’s Report We are very grateful to our aforementioned donors who have made this unprecedentedexpansion possible and which has now enabled virtually every Pakistani to be within a 3hour bus ride of an LRBT facility.
Sight Savers International (SSI) who have been our partners since we began our missionto eradicate curable blindness in Pakistan 24 years ago were our largest donor followedby the Graham Layton Trust in the UK and LRBT America. Punjab Welfare Trust Boardapart from contributing to the operating expenses of our hospitals located in Punjab havealso given us a grant for new equipment and expansion.
Standard Chartered Bank (SCB) continued their donation of US $ 100,000 as a part oftheir global ≈Seeing is Believing∆ campaign. They have also raised donations for us fromtheir customers in Pakistan..
Pakistan Bait-ul- Mal's (PBM) grants in aid declined to less than half over the previousyear. Central Zakat Administration (CZA) & Infaq Foundation maintained their donations atlast year's level. Infaq also donated an additional Rs 500,000 for our work amongst theIDP's. CZA have advised us that they will double their donation to Rs 12 million next year
The creative brilliance of Saadia Rauf, Imran Khan and Irfan Aamir at O2 Communications wasonce again on display in our highly acclaimed integrated Zakat campaign and we must thankthe various TV channels and print media on running our campaign free. Tannaz Minwala,Mannan Hatim Ali and Azhar Ahmad Khan at Creative Unit have with the help of JamshydMasud's insightful photography once again designed and produced this very impactful Review.All of them have given us their valuable time and creative flair gratis because of their belief inour mission. We owe them a debt of gratitude as we do to all our donors.
We are grateful to Mr Khalid Mahmood of Getz Pharma for once again sponsoringthis Review
Finally I would like to thank our doctors, paramedics and other staff who have performedover and above the call of duty. This has made it possible to treat 1.76 million patientsthis year. I would like in particular to thank Doctor Afzal Khattak and his team at Kalakalay/Barikot hospital and Dr Saeed Khan and his team at Quetta hospital who have maintainedour patient services under very difficult conditions
The next year will be extremely challenging. The 4 new hospitals we have opened inthe past 18 months as well as the 2 expansions will result in a significant increase inpatients. We expect 18.2 million patients to visit our facilities and need to raise Rs326 million to be able to deliver quality eye care to them. In addition we require Rs25 million for Capital expenditure. We hope that donors will recognize the criticalityof our services to the poor people of Pakistan and help us to meet these targets.
Sight is God's greatest gift to Man. Help us give back this gift to those who cannotafford the treatment.
With patients visiting our hospitals in ever increasing numbers we treated our 15thmillion patient in September 2008 and our 16th million patient in April 2009. Both werechildren: Abdul Rehman from a village in Balochistan and Ali Hamza from the slums ofKarachi. Abdul Rehman was blind from birth whilst Ali Hamza began losing his visionfrom age 6. Both were operated for cataract and with their vision restored can look moreconfidently at the future.
LRBT is the largest provider of eye care in Pakistan treating 36 % of patients visiting OPD,27 % of eye surgeries and 32 % of Paedratic cataract surgeries and it is totally free. Wehave been described by Sight Savers International as ≈the one national safety net that theunderprivileged have to access equitable and quality eye care in Pakistan∆.
TTHHEE IINNCCRREEAASSIINNGG VVOOLLUUMMEE OOFF PPAATTIIEENNTTSS HHAASS LLEEDD UUSS TTOOEEXXPPAANNDD OOUURR NNEETTWWOORRKK:: I Arifwala hospital which opened in December 2008 will serve the eye care needs of
approximately 8 million people of Pakpattan, Sahiwal, Vehari, Okara and BahawalnagarDistricts. The land and major part of construction cost was funded by Mr & Mrs. RajaAftab Saeed. Other key donors were Mrs Fayeeza Naqvi from Dubai and Munir Gondalfrom Saudi Arabia. The equipment and furniture was funded by LRBT America who hasalso agreed to fund the operating expenditure of the hospital.
I The new Mansehra hospital will serve a population of approximately 4 million residing inMansehra, Batgram, Muzzafarabad (Azad Jammu & Kashmir), Abbotabad, Daggar andHaripur areas. The land for this building was donated by Mian Usman Paracha. Majordonors for construction of building were Shell and SSI. Other donors were Deutsche BankSiftung, our Riyadh supporters including Mr Shaheen Amin, Friends of LRBT Islamabad,President of Pakistan PTCL, Uch Power and Mobilink. Major donor for equipment andfurniture was OPEC Fund for International Development (OFID) based in Austria.
IINN AADDDDIITTIIOONN TTOO TTHHEE AABBOOVVEE::I We have doubled the size of our Tando Bago hospital with the help of an anonymous
donor in the UK.
I The first phase of the expansion of Khanewal hospital was completed in January 2009funded mainly by Shell, Dr Fawad Zafar USA and an anonymous donor. The secondphase being funded by Mr Nasir Mehmood in Dubai commenced in February 2009and is expected to be completed by end 2010.
I Construction of the OPD complex at Korangi commenced in June 2009 and will becompleted in 1 year. It will cost Rs 17.54 million and is being funded by Ms. KhurshidBhaimia & her brothers.
OOPPDD VVIISSIITTSS // SSUURRGGEERRIIEESSDuring the year ending June 2009, 1,759,098 patients visited the Out Patient Departments(OPD) in our 16 hospitals and 39 primary eyecare / outreach clinics, a growth of 11%over the previous year.
During the same period 185,631 major & minor Surgeries were performed, an increase of4%. The overwhelming bulk of the major surgery was cataract as this is the biggest cause ofcurable blindness .Other surgeries such as Vitreo Retina, Glaucoma, DCR, Squint etc werealso conducted. We tripled our capacity for Vitreo-Retina for which there is a long waitinglist. We are the biggest provider of vitreo-retinal surgery for the poor people in the country.
134 Corneas were transplanted at Lahore and Korangi. In Lahore 91 corneas were donatedby Begum Zahra Manzoor Ilahi, President, Binai Eye Bank Pakistan, who obtained themfrom Sri Lanka. In Korangi 43 corneas were donated mainly by the Lions ClubInternational District 305 (S1 & S3) as well as the Ontario Eye Bank in Canada - courtesyof Syed Muslim Hasany
AAVVAASSTTIINN:: A number of elderly people (over 70 years of age) experience loss of central vision due toAge Related Macular Degeneration (ARMD) resulting in difficulty in daily activities likereading or driving. ARMD is the second most common cause of legal blindness in thewest and the incidence is increasing in this part of the world. ARMD occurs in two formsDry form which accounts for 90% of the cases and is less vision threatening and Wet formwhich is present in 10% of the cases but accounts for 90% of the severe visual loss.
At present there is no cure for ARMD however the more vision devastating wet form canbe treated up to some extent with in two different ways:
a. Laser therapy (PDT- Photodynamic Therapy) is a method by which an injectable Dye isused in conjunction with laser application. Usually a minimum of three sessions arerequired and a single session costs around Rs. 100,000/- Due to its higher cost PDT isnow being used less frequently. LRBT did not offer this treatment.
b. Use of Intravitreal Injection of Anti - VEGF (Vascular Endothelial Growth Factor) hasnow replaced PDT. Two types of Drugs are presently used for this purpose. Lucentis(Novartis Pharma) an FDA approved drug which costs Rs. 50,000/- per session.(minimum of 3 sessions is recommended). Avastin (Roche Pharma) a drug used in cancer 27
LRB
T Annual R
eview 2
00
8
Review of Operations
LRB
T Annual R
eview 2
00
8
26
of the large intestine, not yet FDA approved for use in eye, is also currently being usedand costs around Rs. 400/- per dose and is equally effective.
LRBT started the Avastin therapy 2 years ago in our Korangi and Lahore Tertiary hospitalswith very good results. In 2008/9 we treated 585 patients.All treatment and surgery was absolutely free
EEXXPPEENNSSEESSOur Operating Expenses during the year were Rs 341 million being 25% above last yeardue to two additional hospitals and a growth of 11 % in patient visits to OPD and 6% inmajor surgeries. Capital Expenditure including Work in Progress and equipment in transitat Rs 135 million was 0.3% lower than last year. Our overhead expenses were 5.2 % ofOperating Expenditure and are among the lowest in the world.
EEXXPPAANNSSIIOONN OOFF CCAAPPAACCIITTYYNEW HOSPITAL AT ARIFWALA (PAKPATTAN):Construction of this 40 bed Secondary hospital which started on 7th July 2007 wascompleted in November 2008. The hospital started functioning in December 2008 but wasformally inaugurated on 18th January 2009 by Mrs. Ismat Aftab. Each day an average ofover 280 outpatients visited our OPD and over 22 major and minor surgeries wereperformed free of cost.
NEW HOSPITAL AT MANSEHRA (NWFP): Construction of LRBT's Secondary eye hospital at Mansehra (40 beds) which started on10th August 2007 was completed in February 2009. We began operating from the newpremises from 2nd March 2009 when the temporary hospital set up after the earthquake inNovember 2005 was closed. The new hospital building was formally inaugurated by MianMuhammad Usman Paracha on 21st April 2009. Each day on an average over 190 patientsvisited our OPD and over 25 major and minor surgeries were performed free of cost.
NEW PRIMARY EYECARE CENTER :Two new Primary Eye Care Centers (PEC) one at Toba Tek Singh District Faialabad and theother at Dadyal (Kashmir) were established in association with Mariyam Eye Hospital andIftikhar Memorial Trust respectively.
PROGRESS - NEW OPD COMPLEX KORANGI (KARACHI) :Construction of OPD wing and patients waiting area on the adjacent vacant plot, owned byus, was started in mid June 2009. The construction cost, estimated to be Rs.17.54 millionis being funded by Ms. Khurshid Bhaimia and her brothers. The OPD complex is expectedto be completed by end June 2010.The Korangi hospital serves a population of approximately 13 million residing in thedistricts of Karachi East, Karachi West, Karachi South, Karachi Central & Malir. Each day
LRB
T Annual R
eview 2
00
9
29
LRB
T Annual R
eview 2
00
9
28
on an average over 830 outpatients visited our OPD and over 135 major and minor surgerieswere performed free of cost.
EXPANSION OF CENTRAL OFFICEConstruction of second and third floor of Central Office, which started on 14th December2007, was completed in March 2009. Whilst the second floor is required for increased staffneeded to manage our expanded operations, the third floor will be leased.
EXPANSION OF KHANEWAL HOSPITAL:Work on the 1st phase of expansion, which included a larger waiting shed, two screeningrooms, larger operation theatre (to accommodate 4 operation tables) and sterilization roomstarted on 1st February 2008 was completed in January 2009.
Work on 2nd phase of expansion which includes male and female wards of 20 beds each isexpected to be completed by the end of 2010.
This hospital is providing services to a population of approximately 3 million residing in theareas of Khanewal, Vehari and Jhang. Each day on an average over 295 outpatients visited ourOPD and over 40 major and minor surgeries were performed free of cost.
EXPANSION OF TANDO BAGO: Construction started on 31st March 2008 and the work on the major project, which includesexpansion of Operation Theatre, Waiting Area with Screening and Consultants rooms, a wardand residence for a married doctor has been completed. This project, including additionalequipment and furniture, has been funded by an Anonymous donor.
This hospital serves a population of approximately 4 million residing in districts of Badin,Tharparkar & Thatta. Each day on an average over 225 outpatients visited our OPD and over40 major and minor surgeries were performed free of cost.
SSWWAATT::We had to close down our Kalakalay hospital in Swat on 28th July 2008 due to the securitysituation. We then opened a temporary facility in Barikot at the Government Tehsil HeadQuarter hospital in December 2008 but had to close it down in early May 2009 when the armyoperation was launched.
Consequent to the army Operation upto 3 million persons were displaced out of which about 15% were lodged in camps. We formed a team comprising two doctors, paramedics and driver.This team visited various camps in rotation, carried out examination, medicated, refracted andissued glasses. Patients requiring more complex treatment or surgery were transported to ourAkora Khattak hospital where they were provided boarding/lodging and the requisite treatmentby LRBT. 8,864 patients were treated, 1,633 glasses were provided and 85 surgeries wereperformed. All absolutely free of cost to the patients.
With most of the IDPs returning home and the security situation improving, we have reopenedthe Barikot facility on 3rd August 2009.
EEAARRTTHHQQUUAAKKEE IINN BBAALLOOCCHHIISSTTAANNOn the morning of 29th October 8 an earthquake measuring 6.2 on the Richter scale hit Ziarat(60 Km northeast of Quetta) and its surroundings. A number of precious lives were lost,considerably more injured and scores rendered homeless.
LRBT formed 2 mobile medical emergency teams who concentrated on the worst affectedarea. These teams provided general treatment and relief material.
SSOOPPHHIISSTTIICCAATTEEDD EEQQUUIIPPMMEENNTTTo fulfill our promise to deliver appropriate state of the art treatment to those living below thepoverty line the following equipment was provided to our hospitals as a part of a continuousprogramme:
RREEAACCHHIINNGG OOUUTTEye Screening Camps were carried out by our teams of doctors and paramedics at thefollowing locations:
S.N0. Name of Equipment Quantity
1 Operating Microscope 18
2 Applanation Tonometer 12
3 Non-Contact Tonometer 3
4 Yag Laser 4
5 Photocoagulator 1
6 Accurus System 1
7 OCT 3-D Daignostic Unit 1
8 Lenstar 1
9 Slit Lamp 14
10 A- Scan 2
11 B- Scan 1
12 Keratometer 4
13 Phacoemulsifier 2
S.N0. Name of Equipment Quantity
14 Pulse Oximeter 3
15 Anaesthesia Machine 1
16 Vital Sign Monitor 1
17 Defibrillator Monitor 1
18 Smart Chart -Opto 1
19 Synoptophore 1
20 Hess Screen 1
21 Hot Air Oven - Binder 2
22 Indiect Ophthalmoscope 2
23 Wall Mouted Transformer 4
24 Handheld Ophthalmoscope Set 3
25 Nikon 20-D Lens 1
LRB
T Annual R
eview 2
00
9
31
LRB
T Annual R
eview 2
00
9
30
Location LRBT Hospital Collaboration Sheikhpura Lahore Shell PakistanKeamari Korangi Shell PakistanKarachi Airport Korangi Shell PakistanSukkur Airport Gambat Shell PakistanHazar Ganji Quetta Shell PakistanFaisalabad Bottling Shahpur Shell PakistanMehmood Kot Lar-Multan Shell PakistanClifton, Karachi Korangi Muller & Phips (Pvt.) LimitedIbrahim Haydri Korangi Karachi Electric Supply Corporation Pano Akil Gambat John Social Welfare AssociationJot Diji Gambat D.D.O KhairpurDera Murad Jamali Gambat UCH Power (Pvt.) Limited Toba Tek Singh Lar-Multan Mariyam Eye ClinicLal Pir Lar-Multan AES Lal PirJhanda Swabi Akora KhattakJehangira; Distt: Nowshera Akora KhattakMuslam Abad Sabzal Road Quetta Ministry of Social Welfare & Special
EducationPECH' Society KorangiSargodha Shahpur
A total 7,202 patients were examined, refracted and medicated at eye screening camps. 1,408were referred to our hospitals for surgery / detailed examination.
Training & DevelopmentOur doctors acquired the following post graduate qualificationsFRCS/FCPS : 10MCPS : 2DOMS : 28 have passed the Optics & Refraction Module examination of FCPS and 9 have passed theIntermediate Module examination
Microsurgical Training11 doctors have been trained in Microsurgery by our Lahore hospital.
Dr. Fawad Rizvi and Dr. Munira Shakir of our Korangi Hospital were appointed to conductpostgraduate examination in College of Physician and Surgeon of Pakistan (CPSP). Both arealso accredited Supervisors of CPSP. Dr Aqil Kazi, Dr Khalid Mahmood, Dr Khurram and DrTariq Khan of our Lahore hospital are also accredited Supervisors of CPSP.
Training Courses :● As a consequence of the decision to start Refresher Courses for all paramedic staff
to improve their skills, 37 paramedics of different trades have been given refreshertraining of one month at Korangi hospital in 6 batches. This will be a continuingprocess.
● Mr. Muhammad Asif Sheikh from Korangi and Mr. Parkash Kumar from GambatHospital are pursuing the four years B.Sc. Vision Science programme with AllamaIqbal Open University.
● Mr. Shabbir Hussain from Rashidabad Hospital has completed one year OphthalmicTechnician Course with ISRA University.
● Mr.Sharafat Hussain (Senior Bio-medical Tech) of Korangi hospital attended BasicDigital Electronic course of 6 weeks duration at PCSIR Laboratories Pakistan.
Organisational Development● Role Profiles/Job descriptions of all the Medics, Paramedics and Support staff at our
secondary hospitals were completed during the year 2008/09.
● A more objective, simple and transparent Performance Appraisal system has been put in place.
Research / Survey / Conference / SeminarsAbroad:● Dr. Zaheer Uddin Aqil Qazi, Chief Consultant Ophthalmologist Lahore Hospital along
with a team of 3 doctors participated in World Ophthalmology Congress held in HongKong from 27th June to 5th July 2008.
● Mr. Najmus Saquib Hameed, CEO LRBT attended the Eighth General Assembly ofInternational Agency for the Prevention of Blindness (IAPB) at Buenos Aires (Argentina)from 25th to 28th August 2008.
● Dr. Zaheer Uddin Aqil Qazi and Dr. Khalid Mehmood from Lahore hospital attended theEuropean Cataract and Refractive Surgery Conference held in Germany (Berlin) from11th to 18th September 2008.
● Dr. Zaheer Uddin Aqil Qazi and Dr. Khurram Mirza from our Lahore Hospital attended theRegional Vision 2020 Follow-up Planning workshop at EMRO Cairo from 23-26November 2008.
● Dr. Zaheer Uddin Aqil Qazi, Chief Consultant Ophthalmologist Lahore Hospital attendedthe meeting of Asia's leading Eye Surgeons in Hanoi, Vietnam from 6th to 8th March2009 arranged by Alcon.
LRB
T Annual R
eview 2
00
9
33
LRB
T Annual R
eview 2
00
9
32
● Dr. Fawad Rizvi of Korangi hospital, Dr. M. Tariq Khan and Dr. Khalid Mehmood from LahoreHospital attended APAO-AAO joint Ophthalmologists Conference at Bali, Indonesia from 14to 20 May 09.
Local:● Dr. Fawad Rizvi from our Korangi hospital was awarded Gold Medal for presenting best
paper on Micro Incision Vitrectomy Surgery -MIVS (Sutureless Vitrectomy Surgery) at 15thAnnual Ophthalmic Conference held at Hyderabad from 1st to 3rd November 2008 organizedby Ophthalmologists Society of Pakistan, Hyderabad Branch
● Dr. Munira Shakir from our Korangi Hospital attended a mini workshop on ≈Limbal StemCell Regeneration Therapy∆ at National Center of Excellence in Molecular Biology Lahore on5th November 2008.
● Doctors from our Lahore and Korangi Hospitals attended Lahore Ophthalmo held in Lahorefrom 12th to 16th January 2009.
● Dr. Muhammad Siddique & Dr. Yasir Arfat from our Lar Hospital attended an OphthalmologyConference on 16th & 17th January 2009 held at Lahore.
● Dr. Fawad Rizvi, Dr. Shakir Zafar, Dr. Munira Shakir and Dr. Mubashir from LRBT Korangihospital attended the Ophthalmologists Society of Pakistan KAROPHTH 2009 conferenceheld on 7th February 2009.
● Dr. Zaheer Uddin Aqil Qazi, Dr. M. Tariq Khan, Dr. Norin Bano and Dr. Amjad Sahi & Dr. M.Saeed Khan attended 12th Islamabad Congress of Ophthalmology held in Murree from 1stto 3rd May 2009
● 9 of our doctors attended various workshops at College of Physicians and SurgeonsPakistan (CPSP).
RREECCOOGGNNIITTIIOONN
2008 Conrad N. Hilton Humanitarian Award Although we had been nominated for the $ 1.5 million Humanitarian Prize, the largest in theworld it was awarded to BRAC.
Clinton Global InitiativeLRBT participated in the Clinton Global Initiative (CGI) Asia meeting held at Hong Kong inDecember 2008. Participation in this meeting was by invitation only and limited to headsof states, CEOs, academics, NGO leaders, philanthropists and other prominent individuals.This was an acknowledgement of LRBT`s work in the area of preventing curable blindnessin Pakistan. We are featured on their website as a partner.
Gates and the Champalimaud Awards● LRBT has been nominated for 2009 Antonio Champalimaud award. The Champalimaud
Foundation, based in Lisbon, Portugal, was created at the bequest of the late Portugueseindustrialist and entrepreneur, António de Sommer Champalimaud. Leonor Beleza,former Portuguese Minister of Health, is the Foundation's President
● Although LRBT was nominated for 2009 Gates Award for Global Health it was given tothe London School for Tropical Hygeine
Pakistan Centre for Philantropy (PCP) CertificationLRBT has been certified by PCP for the period ending 30th October 2011. We have beenawarded 892 marks (89.2%) as compared to 843 (84.3%) in 2003.
LRB
T Annual R
eview 2
00
9
35
VisitorsThe following visited our Tertiary and Secondary Hospitals during the period under review:
Name Designation Hospital visited
Dr. Azhar Salahuddin SEE International USA Korangi (Karachi)
Justice (R) Fakhurddin G. Ebrahim. Infaq Foundation
Mr. Nazim Haji.
Rear Admiral (R) S.A. Baqar ≈
Dr. Afzal Ahmad Ophthalmologist from USA ≈
Mr. Justice M. Javed Buttar Judge Supreme Court of Pakistan and Chairman, Central Zakat Council ≈
Mr. Khalid Latif Chairman City District Government Zakat & Usher Committee ≈
Justice (R) Zahid Qurban Alavi Chairman Provincial Zakat Council Sindh ≈
Mr. Zamurrud Khan Managing Director Pakistan Bait-ul-Mal ≈
Ms. Afshan Khan Social Investment Manager -Shell Pakistan ≈
Dr Jawed Iqbal Health Manager - Shell Pakistan Limited ≈
Ms. Rosie Pannell CSR Consultant - Getz Pharma ≈
Mr Khalid Nasir Manager HR Development - Getz Pharma ≈
Barclays Bank Team ≈
Ms. Rabia Nusrat Manager - British Asian Trust ≈
M/s Ruhail Mohammed & Mohsin Nathani Group of IBA Graduate ≈
Rtn. M. Saeed Shamsi District Governor Rotary InternationalD3270 Lahore Hospital
Rtn. Lawrence & Helen Penna Rotarians, Glenville, Rotary International Distt. 7190, New York ≈
Rtn. Shahzad Ahmad District Grant Sub-committee Chair,Rotary Club ≈
Name Designation Hospital visited
Rtn. Bashir Ahmed President Brighton & Hove, Sussex,Rotary Club Lahore Hospital
Rtn. Perter Orpen International Chairman, Brighton & Hove, Sussex, Rotary Club ≈
M/s. Phil Coopen & Keaneth Nibble Charity Commission for England & Wales ≈
Mr. Nasir Mehmood Social Welfare Department, Islamabad ≈
Mr. Arif Shamim Social Welfare Department, Islamabad ≈
Mr. Malik Irshad DMS Mayo & Jinnah Hospitals ≈
Mrs. Asma Khan Executive Director, LRBT America ≈
Sheikh M. Abid - Chairman Hamza Foundation ≈
Dr. Moazzam Baig Mirza FRCP (Lond, Edin, Galsg), FACP,FACE, FCCP. Consultant Opthalmologist ≈
Mr. M. Anwar-ul-Haq RCPS Glasgow UK ≈
Mr. Atif Ali CV Bosters UK ≈
Dr. Abdul Wadood Church World Service P/A Kabul, Afghanistan ≈
Mr. Nick Bell Trust Fund Raising Manager,Sight Savers International, UK ≈
Dr. Caroline Harper CEO, Sight Savers International UK Mandra Hospital
LRB
T Annual R
eview 2
00
9
34
LRB
T Annual R
eview 2
00
9
37
LRB
T Annual R
eview 2
00
9
36
Major Benefactors
1 Graham Layton Trust
2 Sight Savers International
3 LRBT America Inc.
4 Standard Chartered Bank
5 Punjab Welfare Trust For The Disabled
6 OPEC Fund for International Development(OFID)
7 Rotary Club, Lahore Cantt & Karachi South
8 Central Zakat Administration
9 Subhan Food Industries
10 Mr. Ishrat Siddiqui
11 Infaq Foundation
12 Pakistan Bait-ul-Mal
13 Miss Sameera Rehman
14 Mr. Nasir Ahmed Mehmood
15 Shell Pakistan Limited
16 Mr. Aamer Bashir
17 Ms. Shabnam Ali Khan
18 Ms. Khurshid Bhaimia & family
19 Mr. Sajjad Ahmad
20 Pakistan State Oil Company Limited
21 Health Department, Govt. of the Punjab
22 Unilever Pakistan Limited
23 Hamza Foundation
24 Dr. & Mrs. Moazzam Baig Mirza
25 Mr. Azhar Zafar
26 Mr. Mohsin Nathani
27 Mr. Nazir Ali Raja
28 Optical Palace
29 Siddique Corporation
30 Ms. Hajra Bibi & Mr. Muhammad Ilyas
31 International Development & ReliefFoundation
32 Association For The Development of Pakistan
33 Deutsche Bank
34 Mr. Ruhail Mohammad
35 Abbott, Global Citizenship & Policy
36 Mr. Alam Najiullah
37 Pakistan Tobacco Company Limited
38 Mr. Sultan Nadir Ali Pasha
39 Hub Power Company Limited
40 State Life Insurance Corporation of Pakistan
41 Presidents Secretariat (Public)
42 Raja Izhar Mehdi
43 Mr. S. M. Pervez
44 Mrs. Ghazala Pervez
45 Mrs. S. A. Raja
46 Mrs. Fahmeeda Zafar
TrusteesMr. K. Z. Hassan (Retired Company Chairman)
Mr. Najmus Saquib Hameed (Retired Company Chairman)
Mr. Yacoobali G. Zamindar (Chartered Accountant)
Mr. Justice (Retd) Aamer Raza A. Khan (Retired Judge, Lahore High Court & Advocate)
Mr. Khursheed K Marker (Company Chairman)
Syed Babar Ali (Company Chairman)
Mr. N.K. Shahani (Chartered Accountant)
Mr. Amir Ali Tapal (Company Director)
Mr. K.M. Aminullah (Chartered Accountant)
Prof. Muhammad Daud Khan (Professor of Ophthalmology, Vice Chancellor)
Mr. Farrokh K. Captain (Company Chairman)
Mr. Ahsan Raza (Retired Chartered Accountant)
Mr. Naseem S. Mirza (Retired Company Chairman)
Mr. John Cowasjee (Company Chairman)
Dr. Muhammad Mukhtar Ahmed (Ophthalmic Surgeon)
Mr. Azizul Haq (Architect)
Mr. Atizaz Shahbaz (Company Chairman)
Mrs. Spenta D. Kandawalla (Company Director)
Mrs. Marriana Karim (Social Worker)
Mian Ershad Zaheen (Investment Banker)
Pir Ali Gohar (Company Chairman)
Syed Fakhar Imam (Former Speaker, National Assembly of Pakistan)
Mr. Zain K. Anjarwala (Consultant Engineer)
Mr. Zaiviji Ismail Bin Abdullah (Company Chairman)
OFFICE BEARERS
Mr. K.Z. Hassan Honorary Chairman
Mr. Najmus Saquib Hameed Honorary Vice Chairman & CEO
Mr. N. K. Shahani Honorary Treasurer
Mr. Justice (Retd.) Aamer Raza A. Khan Honorary Legal Advisor
Mr. Amir Ali Tapal Honorary Secretary
39
LRB
T Annual R
eview 2
00
9
38
Mr. Imran AghaMr. Suresh KanjiMr. Syed Ashfaq HusainPremier Dairies Pvt. LimitedMst. Sahia AhmadMr. SalahuddinMr. Aamir SagheerMr. M. R. MonemTrakker (Pvt) Ltd.Mr. Abdus SamadMr. Ali A. KarimjeeDr. Muhammad SharifPak Grease Mrg. Company (Pvt) LtdMr. Justice (R) S. Ahmed SarwanaBegum Khalida ShahMr. Humayun Saeed ShiekhBBJ Pipe Industries (Pvt) LimitedSecurity Papers LimitedAl - Bader Welfare TrustMr. Najmuddin Adam AliKhas Industries (Pvt) Limited.Mrs. Khurram Wadood KhanMrs. Mehrun Nisa Younus TaiMr. Mumtaz Hasan KhanMr. Ahmed RazaRoyal TradersHaji Sikandar KhanMrs. Shireen JamilKausar Ghee Mills (Pvt) LimitedOn behalf of Ch. Zafar Ali (late) & Sardar Begum (late)Mr. MasoodMr. Jahangir Anwar ShaikhMr. Ashar Hassan KhanInnerwheel Club of Lahore GarrisonMr. M. J. ChaudhryMr. & Mrs. Khalid AwanMr. Nabeel WaheedMr. Misbah AhmedMr. Amjad Ali KhanSyed Mumtaz Hassan PashaAta Brothers Co.Arif Habib Invesment Management LimitedIslamic Centre General Secretary (Masjid Abu BakarMr. Ahmed Kamal MalikMuhammad Ramzan & CompanyMr. Muhammad Ramzan (Madina Foundation)Mrs. Saeed
Mr. Muhammad Iqbal & Mr. M. HussainEvacuee Trust Property BoardShabbir Tiles & Ceramics Limited.New Zealand High Commission To PakistanMr. Saleem JangdaMr. Mehr Muhammad SiddiqueMr. Sabir SamiAmbience FilmsMs. Farkhanda SattarENI Pakistan LimitedMr. Ali Ahmed KhanMr. Raees ParachaMr. Tanveer Ahmed KhanMr. Sarim ShujaVectra ComMr. Rashid Ali KhanMr. Shehzad LaeeqMr. Malik Muhammad HanifDr. Fazal Rahim, Dr. Shahzad Ahmed & Fayaz AhmedMr. M. Aslam BajwaMr. Asim ShahMiss Raana NaveedMr. Muhammad Sharif KhanMrs. Fatma BegumMr. Hamad Raza JamshedMr. Naveed Ahmed JeddyMr. Asif DarMrs. BaigMr. Salman RashidMr. Khalid Aziz MirzaMr. Muhammad KhalidMir Riaz MahmudKRKA-PAK Pharmaceutical & Chemical WorksMr. Waseem-ullah AnjumMr. Ismet Amin KhawjaMr. Mian Iqbal SalahuddinMs. Abidah ZiauddinMr. Najmus Saquib HameedHommie & Jamshed Nusserwanjee Charitable TrustMuller & Phipps Pakistan (Pvt) LimitedPakistan Cables LimitedMr. Sheikh Shakeel AhmedManzur Ahmed Sarwar Bano Benvolent TrustMr. S. Anwar ZaidiAloo & Minocher Dinshaw Charitable TrustBegum Jamila LatifBhandara Foundation
We gratefully acknowledge donations from the following:
Donors of LRBTDuring the Year Ended 30th June 2009
EFU Life Assurance Ltd.Mr. Mohammad Nasir Zaman KhanMr. Qaisar Zaman & Mrs. Fauzia HalimKarachi Chamber of Hospital AssociationHaji Muhammad Welfare TrustMrs. Farhat AfzaDr. Zahida DurraniMr. Javed AhmedCaptain - PQ Chemical Industries Ltd.Mr. Fazal Jilani KhanMrs. Inkisar Amir NawazMr. Meraj AhmedAdamjee FoundationMr. Khawar Masood ButtMr. Khawaja Sharif GhafoorHabib Metropolitan Bank LimitedMr. Khalid MajidMr. Abdul Hameed ChaudhriPakarab Fertilizers (Pvt) Ltd.Waheed Asghari Memorial TrustMian Iftikhar AhmadHub Leather (Pvt) Ltd.Ms. Zeenat Towfiq ChinoyMr. Zia Ashraf ZubairiShaikh Mohammad TariqHaji Abdul Hameed KhokarMr. Nouman MazharMr. Masood Mohsin GilaniMrs. Nasreen Mahmood QasooriMrs. Aino KhalidPakistan Cycle Industries Co-op. Society LtdPakland Private TrustMr. Ahraf BavaMr. S. H. JafareyMr. Muhammad Azam (Madina Foundation)Mr. Feroze VeraniMr. Abid HussainMr. Ehsan Ali MalikICI Foundation Ltd.
Alcon Scientific ServiceRicha LeathersProf Dr.S.M.SharifGetz Pharma (Pvt) LimitedMrs. Rehana Zaman KhanSurraiya Khanam TrustCherat Cement Company LimitedMr. Asad Aziz AhmedCowasjee FoundationRaaziq International (Pvt.) LimitedMr. Amin Essa TaiHaji S. Ameer Din & SonsMr. Malik Sarfraz AhmedMr. Saghir Azar & Mrs. Azra SaghirMr. Mohammad Abdul AleemMr. Iqbal AhmedMr. Rana Hamayun AzizDubai Islamic BankKhatija Adamjee FoundationMiss Raheela DurraniMr. Inayat ullah ChaudhryMr. Imran ButtMr. Irfan MustafaMr. Qasim KazmiMr. Arif SyedAllied Bank LimitedDr. Faiz Ehsan NiazMr. Pervaiz Iqbal SheikhThe Tauheed TrustMr. Adnan MalikMr. Aazar KhwajaMr. Shaikh Muhammad AshfaqMr. Khalid AzizMr. Showkat AliPAPCOMr. Sanwal HussainMr. N. AnwarMr. Shaheen AminMr. Tariq Barlas
LRB
T Annual R
eview 2
00
9
LRB
T Annual R
eview 2
00
9
41
Honorary ConsultantsKARACHI
1. Dr. M. Mukhtar Ahmed Honorary Medical Director, LRBTDO; FRCS; FC(Ophth.) Director Institute of Clinical Ophthalmology
Karachi.
2. Prof. Ziauddin Shaikh Provincial Coordinator (Sindh)MBBS; FRCS Professor of Ophthalmology,
Dow University of Health Sciences.Head Department of Ophthalmology Civil Hospital, Karachi.
3. Dr. S. M.M. Sheriff Retired Consultant Ophthalmic SurgeonRoyal Preston Hospital, Preston (UK)
4. Dr. Sohail Ahmed Consultant Ophthalmologist, MBBS (Dow); DO; FRCS; Pilgrim Hospital, Boston, FRC Ophth. Lincolnshire U.K.
5. Dr. M. Hanif Peracha Eye Surgeons Associates, USA
6. Dr. Afzal Ahmad Chairman-Hundal Foundation & Ophthalmologist, USA
7. Mr. Mansoor H. Hamdani Honorary SecretaryLRBT Audit Committee
LAHORE
8. Prof. Raja Mumtaz Honorary Medical Director, LRBT. DO; FCPS; FRCS Retired Professor of Ophthalmology & RetiredFRC (Ophth.) London Director of the Institute of Ophthalmology,
King Edward Medical College, Lahore.
9. Prof. Muhammad Munir-ul-Haq Visiting Eye Consultant (Orbital)MS; FCPS; FICS Retired Professor of Ophthalmology & RetiredFRCS (Ophth.) London Director of the Institute of Ophthalmology,
King Edward Medical College, Lahore.
10.Prof. Dr. Syed Abbas Askari Visiting Consultant Cancer UnitMBBS; FRCS Retired Professor of surgery (Oncology)
Allama Iqbal Medical College, Lahore.
11.Col. (Retd) Dr. Hamid Ali Consultant Pathologist, LRBTConsultant PathologistRoyal Army Medical Corps (U.K.), Lahore.
12.Dr. Muhammad Yaqeen Retired Medical SuperintendentMC (Ophth.) Data Darbar Eye Hospital, Lahore
Fellow American Academy of Ophthalmology
LRB
T Annual R
eview 2
00
9
40
Mr. Farid Ejaz KhawajaAtlas Islamic FundMaryam & Bilal PatelMr. Mirza Iqbal BaigMr. Sheikh Farooq JamilMr. Farid ViraniAMN TrustMr. S. M. MasoodEngro Polymer & Chemicals LtdMrs. Aqila HassanBegum Almas A. ChinoyMr. Bashir MakkiSattar ElectronicsDr. M. Hanfi Qureshi & Dr. M. YousafMr. ShamimuddinMr. Muhammad Saeed KhanDr. Mohammad AnwarMr. Imam Baksh ShaikhMr. Husamul Haq AghaMr. Saeed AhmedMr. M. M. KhanMr. Muhammad Rizwan AltafDr. Mumtaz IqbalMr. Zarak MoorajMr. AbdullahDr. Muazzam Baig MirzaQazi Abdul AliMrs. Akhter Khalid WaheedKhalid Anwer & Co.Mr. Imran Ali GheewalaMr. Hasan Ali AsgharMr. Zahid Hamid AdamjeeInternational Watch CompanyMrs. Amber Haroon SaigalAbdul Razzak AssociatesKhawaja Munir MashooqullahBegum Aisha Bawany Educational & Welfare WakfMr. Navid FazilMr. Muhammad Sohail ShamsiMr. Samee - ul - HasanMrs. Saeeda ChowdharyMr. Manazir Ali NasirMr. Azam FaruqueMr. Rana Khalid MahmoodMian Saleem SaigalMr. Mohammad AsgharMrs. Amina Faruque
Mian Muhammad Anees KhokharHaji Zafar AliMr. Waheed AliMr. Izzat Ullah KhanMr. Mehboob Hussain KhanGroup Capt. ShartarMr. Hassan DinHaji Muhammad Benevolent TrustMrs. Jamshaid MalikMr. Abdul WahidMs. Zakira MumtazMr. Farookh Anwar KhanMr. Malik Shafqat Ali, Mr. Munawar & Mr. Saleh MuhammadMr. Ghulam JilaniMr. Abid HussainMrs. Nadira Sohail / Omar H. SohailMr. Mohammad Abdullah AhmedMr. Shams-ul- Arfeen QureshiDr. S.M.SaleemSister of Mr. Jawaid MianMrs. Dure-Shahwar AslamMr. Sheikh M. AslamMrs. Tazeen FazalMr. Nazzir Hussain SabriHaji Muhammad Memorial TrustMrs. Usman SiddiquiDr. Muhammad TahirMr. Muhammad BasharullahMr. Shahzada Ellahi ShaikhDr. Asad MunirMr. Muhammad Hussain S/o Muhammad RamzanMr. S. M. Asghar AliMr. Sheikh Muhammad IqbalMr. Abid HussainMs. AaminaMr. Farhan ul KarimMr. Muhammad WaseemHaji Khadim HussainMrs. Razia QayyumMr. Aslam SirajuddinMr. Chaudhary Muhammad HamidMs. Imrana AhmedMr. Bilal Ahmad AminAbbasi Securities (Pvt) Ltd.Col. (Retd) Muhammad NazirA. MuslimMr. Sheikh Fasih uddin
and other donors who gave less than Rs.100,000/-
LRB
T Annual R
eview 2
00
9
43
LRB
T Annual R
eview 2
00
9
42
Report of the Trustees of theGraham Layton Trust,2008/9
Patrons: The Rt. Hon. the Viscount Slim OBE DL
Board of Advisors: Lord Nazir Ahmed, JP, Mr Khalid Aziz, LVO, DL, The Most Hon.the Marquis of Salisbury, DL, Miss Susan Farrington, Mr Ram Gidoomal CBE, LordHannay of Chiswick, GCMG, Sir Christopher MacRae, KCMG & Lady MacRae, The Rt.Rev'd. Michael Nazir Ali, Bishop of Rochester, The Rt. Hon. Sir Malcolm Rifkind KCMGQC, Lord Michael Sandberg
Trustees (at 30th June 2009): Mian Zaheen (Chairman), Neelum Amin, Miss SarahBrown, Mrs. Hutoxi Kandawalla (Events), Vaiz Karamatullah, David Kotler, Khawar Mann(Managing Trustee), Jehangir Mehta (Hon. Treasurer), Michael Pelham, Dr. Yasmin Riaz(Chair, Ball Committee), Stuart Sinclair (Hon. Secretary), Alison Wiltshire.
Volunteers: Lalarukh Ahmed, Atif Ali, Khalid and Sadia Awan, Anoushka Caro, FreedaChaudri, Richard Girling, Mishal Husain, Lisa Hooker, Nigel Jones, Rani Jowell, SuraiyaKarimjee, Caroline Oliphant, Neil McNichol, Tariq Mumtaz, Ian Notley, Neil O'Brien,Ashar & Mahreen Qureshi, Derek Quinlan, James Parry, Asif Rangoonwala, BilquisSalaam, Zoya Saddiqui, Nick Simmons, Ylva Taseer, Diana Vass (database), John Walker(administration), Adiba Zaheen, Anwar Zaidi and Rashid Zuberi.
During the 12 months under review, the board of the Trust has been pleased to welcomeKhawar Mann & Miss Sarah Brown as Trustees upon election on19th September. Khawaris a partner at Apax Partners, the international private equity firm, specialising inhealthcare investments and Sarah, who is the grand-daughter of the late Edna Padmore,is a Solicitor and a lecturer at The College of Law.
During the same period, Yaseen Anwar, Dr Yasmine Hilton, Samina Hand and SuneelShivDasani have resigned from the board of the Trust. All four Trustees have taken thisstep reluctantly but have needed to devote more time to their careers and/or professionalactivities. The Graham Layton Trust has been greatly indebted to the contributions madeby each of these four persons during the time that they were on the board and lookforward to their ongoing support as 'Friends of GLT'.
Michael Pelham has been Managing Trustee of the Trust since May 2004; however
AcknowledgementsA. F. Ferguson & Co
Aaj TV
Aab Pharma
Agha's Super Market
Akbar Mahmud QaizarAssociates
ARY Digital Network
ARY One World
ARY Zauq
Balochistan Times
Begum Zahra Manzoor IIahi
Bilal Engineering
BHP Petroleum (Pakistan) PVT LTD
Business Plus
Business Recorder
CNBC Pakistan
Creative Unit
Daily Vatan (Gujrati & Urdu)
Dawn TV News
Dr. Afzal Ahmed, M.D. - USA
Dr. Baber Qureshi - CBM & CHEF
Dr. Hasan Minto
Dr. Iftikhar Salahuddin
Dr. M. Hanif Peracha - USA
Dr. S. M. M. Sheriff
Dunya - News
Engineering Review
Express News
FM 107, FM 101, FM 96 , FM 91
Geo TV
Hum TV / Masala TV
Jang Group
Karachi District CityGovernment (KDCG)
Kashish TV
KTN Network
KPMG Taseer Hadi & Company
Lions Club International District 305 (S-3)
Lions Club International District305 (S-I)
Mian Hizran Badshah
Mobilink Pakistan
Mr. & Mrs. Shaheen Amin,Saudi Arabia
Mr. Ashfaq Azad, UAE
Mr. Amjad Khan, UAE
Mr. Azhar Zafar, UAE
Mr Iqbal Maladwala
Mr. Samee-ul-Hasan
News One
NEWSLINE
O2 Communication
Oxygen
Optical Palace
Pakistan State Oil (PSO)
Print Media Consultants (PMC)
Prizm Magazine
Procter & Gamble Pakistan
Punjab TV
QTV
Raaziq International (Pvt.)Limited
Rana Khalid Mehmood
Rana Shahid Iqbal
Rao Mumtaz Ahmad ,
Advocate High Court Arifwala
Rashid Memorial WelfareOrganisation
Ravi TV
Rizvi, Isa, Afridi& Angell,Advocates CorporateCounselors
S. R. Design Works
Samaa TV
Server Moosavee & SeemiIslam
Shahid and Tariq Rana -Arifwala
Shakir & Company
SHE Magazine
Sidat Hyder MorshedAssociates (Pvt) Ltd
Sign Source
Sind Club
Sindh TV
Soil Mechanics (Pvt.) Limited
Spectrum Communication
Standard Chartered Bank
Shell Pakistan
Sun TV
Syed Abdul Bari Gilani ,Advocate High Court Khanewal
Syed Muslim Hasany - EyeBank Canada,
Toronto Division
The Friday Times
The News International
Town Committee, Tando Adam
Town Committee, Tando Bago
TV One
Vellani & Vellani Associates
LRB
T Annual R
eview 2
00
9
45
LRBT America has had a very active 2009. We have organized and hosted a range of fund-raising activities thisyear to broaden our donor base.
LRBT America hosted its 11th Annual Gala at the Plaza Hotel, New York on April 25, 2009. With over 300 peoplein attendance, the event was a sold out success
Continuing their spirit of volunteerism and dedication, the LRBT America team held a fundraising event for theSwat IDPs in July at Pacha NYC. The event targeted at a younger audience attracted and added a whole newdemographic, adding over 300 donors to our base of support.
Our 4th Annual Iftar was held at the Residence of Ambassador Hussain Haroon, Pakistan's PermanentRepresentative to the United Nations. Ambassador Haroon generously opened his residence for us and made itpossible to minimize our cost. The Iftar venue was a major hit with the 200 plus attendees who thoroughlyenjoyed the evening and helped raise substantial funds for our Ramadan campaign.
In addition, we are actively working to broaden sources of contributions for LRBT. We attended an Augustinformational session for Pakistani-American NGOs hosted by USAID in Washington, DC. We will also bepresenting LRBT's activities to a broad audience on October 20th at a Capitol Hill event organized by Pakistani-American political advocacy groups.
LRBT America would like to thank all their generous donors and volunteers who have contributed so generouslyand given their time in making this another successful fundraising year. In particular, we thank the volunteer NewYork Committee, each of whom have dedicated countless hours to event organization, fundraising, spreadingawareness of LRBT's activities, and other activities. This year's Committee members include: Ayesha Ahmad,Naushab Ahmad, Noni Durrani, Shama Haider, Sara Haq, Subika Jafri, Shaan Kandawalla, Sehr Karim, Aliya Khan,Asma Khan, Aasim Khawaja, Christine McGinnis, John McIntyre, Lubna Qureshi, Rebecca Ramsey, Kashif Riaz,and Nasreen Rizvi.
LRB Foundation CanadaThis is the second year of our establishment. Our tax exempt application is in process awaiting approval.
In order to raise awareness of LRBT's activities we organized a fashion show in Toronto by a leading Pakistanifashion designer which was covered by the ethnic mainstream media.
A second cataract surgery project has been approved for C$ 25,062 by International Development & ReliefFoundation (IDRF). This is being funded by donations raised by us supplemented by financial support from IDRF.
because he was very unwell during the early months of 2008, he felt unable tocontinue with the increasing workload of this post. All Trustees recognized and havethanked him for the very considerable contribution that he had made over the pastfour years, which has been exemplified by the very considerable increase inincoming resources that has been achieved under his stewardship. Khawar Manntook over the position of Managing Trustee from Michael Pelham as from 19thFebruary 2009.
During these twelve month, Trustees have considered how best to meet the challengeof meeting the ever increasing commitment to LRBT to fund, on a best endeavoursbasis, the requirement for inter ocular lens (IOL) at all of LRBT hospitals. It wasagreed that the method used to operate the day to day governance of the Trust which,until this time, had relied exclusively on volunteer input, was no longer be adequate.Accordingly the Trust appointed Ms Vivienne Hahn as a salaried Project Co-ordinatorof the Trust with effect from 17th November 2008, and has become responsible foradministration and co-ordinating fund-raising activities.
The Trust donated a total of $ 646,794 to LRBT including $ 339,009 from ananonymous corporate donor for specific projects at the LRBT Quetta and Tando BagoHospitals. This pleasing outcome was the result of a wide range of generousdonations and an increasing number of fund raising events, notably the 'A VenetianMasquerade' Dinner Dance held at the Dorchester Hotel, a Spring Appeal to previousdonors, a film show in Edinburgh, and a Sponsored London marathon run by HelenHayward. The success of these fund raising activities is due entirely to the unstintingeffort and work of the Trustees and all of the volunteers who give their time sogenerously and without question, particularly the energetic and enthusiastic Ballcommittee, who raised nearly £90,000. Generous Donors and Sponsors haveprovided continued support from the UK, Saudi Arabia and Bahrain. GLT and itsbeneficiaries are deeply grateful to them all.
As a consequence GLT was able to meet its commitment in respect of funding (on a best endeavours basis) the supply of 'free' IOL's to LRBT's hospitals in 2008/9.The £226,155 cost of this commitment was in line with expectations, in spite of thedeterioration of the sterling/US dollar exchange rate during and after the internationalfinancial crisis in September 2008. It is likely that financial constraints caused bythis crisis will continue in 2009/10, during which period it seems probable that thesterling/US dollar exchange rate will deteriorate further whilst the year on yeardemand by LRBT for 'free' IOL's has been forecast to increase by 14%. Thereforecost of this commitment next year is likely to rise to approximately £300,000. Raisingthis sum will prove to be a significant challenge for GLT.
Finally, the Trustees would like to record their thanks to all of the many donors andvolunteers who have, according to their means and time available, contributed sogenerously to GLT and to its performance in this period.
LRBT America Inc.
LRB
T Annual R
eview 2
00
9
47
LRB
T Annual R
eview 2
00
9
46
Financial Highlights for 2008 – 2009
Income - Current & Fixed Assets Funds June 30, 2009 June 30, 2008
Donations & ContributionsSight Savers International, UK ** 57,563 42,489 Graham Layton Trust, UK 24,094 40,256 INFAQ Foundation 4,500 4,000 Pakistan Bait - ul - Mal 4,321 9,650 LRBT - America 6,492 7,803 Central Zakat Administration 6,000 6,000 Punjab Welfare Trust For Disabled 10,079 3,947 Organisations & Individuals 194,556 185,294 Donations in Kind:- Graham Layton Trust, UK 26,943 15,102 - LRBT America 13,161 1,569 - Organisations & Individuals 17,740 32,380
57,844 49,051 365,449 348,490
Investment Income 8,992 6,024 Other Income 5,636 2,028
380,077 356,542
Earmarked toCurrent Fund 277,240 224,346 Fixed Assets Funds 102,837 132,196
380,077 356,542
INCOME - Endowment FundInvestment Income 75,473 67,308
OPERATING EXPENDITURE
Tertiary and secondary Hospitals 311,495 246,670 Primary Eye Care / Outreach Clinics 5,617 4,016 Establishment and other overheads 17,697 14,753 Fund Raising Activities 4,123 4,750 Training, Seminars, etc. 1,901 1,335
135,579 123,018 Work in Progress / Medical Equipment in transit 68,895 69,068
204,474 192,086
** Includes donation of Rs. 15.025 million from Standard Chartered Bank Ltd, received through S.S.IThe figures have been extracted from financial statements of the Trust, audited by an independent firm of auditors Messrs KPMG Taseer Hadi & Co., amember firm of KPMG International. In case detailed information is desired, copy of the audited financial statements can be obtained from LRBT's office.
Rupees in thousand
Financial Highlights for 2008 – 2009Rupees in thousand
Operating Expenditure for 2008 √ 2009 – Tertiary and Secondary Hospitals
Tertiary Hospital Tertiary Hospital All Secondary TotalKorangi Lahore Hospitals
Salaries & Wages 30,485 32,286 56,733 119,504Medicine and Medical Supplies 25,230 15,228 54,000 94,458Hospital running expenses 7,485 10,100 26,151 43,736Sub Total (Current Fund) 63,200 57,614 136,884 257,698Depreciation (Fixed Assets Fund) 13,292 14,555 25,950 53,79730th June 2009 Total Rs. 76,492 72,169 162,834 311,49530th June 2008 Total Rs. 63,562 60,570 122,538 246,670
Capital Expenditure for 2008 √ 2009 – Hospitals & PECs
Land and Building 29,702 39,337 224,029 293,068 Medical Equipment 93,042 167,332 146,601 406,975 Mobile Units 299 299 Furniture & Fixtures 1,356 2,635 4,525 8,516 Generators 2,058 1,861 7,418 11,337 Vehicles 1,605 3,754 10,534 15,893 Air Conditioners 2,035 831 2,723 5,589 Office Equipment 2,119 2,527 386 5,032 Water Coolers 266 536 1,198 2,000 At Cost to date 132,183 218,813 397,713 748,709 Less: accumulated depreciation 78,461 129,770 113,841 322,072 Written down value at 30th June 2009 Total Rs. 53,722 89,043 283,872 426,637
Excess / (Deficit) of Receipts over Payments - (25,136) (25,136)
Rupees in thousand
LRB
T Annual R
eview 2
00
9
51
One Last ThoughtI shall pass through thisworld but once. Anygood that I can do or anyhelp that I can give to myfellow beings, let me do itnow. Now; for I shall notpass this way again.Stephen Grellet (1773 - 1885)
