I shall pass through this world but once. Any good that I can do or any Visio n for One last help that I can give to my fellow beings, let me do thought it now. Now; for I shall not pass this way again. Stephen Grellet (1773 - 1855) humanity Annual Report 2013 w A public service project: w Sponsored by Getz Pharma (Pvt.) Ltd w

Designed by .

Creative Unit (Pvt.) Ltd l r Photographed by b Jamshyd Masud, Within Design Ltd. t . o The LayTon RahmaTuLLa BenevoLenT TRusT

LRBT House, 37-C, Sunset Lane 4, r Phase-II, Extension, D.H.A P.O. Box 7684, -75500, Pakistan g

Toll free No : 0800-44441 . p Phone : 92 (0) 21 35396600-5 (Lines) Fax : 92 (0) 21 35396606-35396301 E-mail : [email protected] k Website : www.lrbt.org.pk facebook : Lrbt.Pakistan The Layton Rahmatulla Benevolent Trust

ANNUAL REPORT 2013 No man, woman or child should go blind just because they cannot afford the MisOusr i ontreatment. of the world’s % blind live in the 90 Developing world

Visio n for humanity 18.7mn people in Pakistan are either blind or have impaired vision; of these

2.6mn are children It is difficult to believe that not so long ago her future prospects 9 years old Sajida , looked unlikely to amount to more than begging on the street, a resident of Qasba Colony, Sajida can now lead a normal life. I am lost for words to thank the Karachi fell seriously ill at the age doctors & staff of LRBT for their humanity, kindness & generosity.” of six. The child’s illness was Khalil – Father of Sajida ignored until one day upon his return from work Khalil was horrified to find her with very high fever with her eye ball popping out of the socket due to infection. He rushed her to a Visio n government hospital where the child was treated but the long for ignored disease had already badly affected her eyes.

The hospital washing their hands off her referred her to LRBT Korangi where Sajida was given emergency treatment and the doctors had to remove her right eye ball as the infection could have threatened her left eye. Keratoplasty (Corneal transplant) was performed on her left eye & Sajida now has functioning vision.

Not so long ago, Khalil who in desperation had tried to commit h pesuicide is now peacefully earning for the family and is grateful to the Trust for giving the beautiful gift of sight to his daughter. Tragically the % suffering of 80 of them is needless as they suffer from conditions which can be prevented or cured.

However most of them live around the poverty line and simply cannot afford the Visio n treatment. for ompassion The choice for them is stark: Go blind c or Starve Sana Abandoned by her parents Visio n when she was 22 days old and brought up by her old grandmother, Sana for suffered from Corneal disease which remained untreated as they just did not have the money.

In grade 3 she almost turned blind and dropped out. She went into deep depression fearful of her future. However her old grandmother desperate to ignityThe largest single cause of impaired get her grandchild’s vision d restored brought her to vision is refractive error and can be LRBT Free Eye Care corrected with a pair of glasses Hospital at Korangi. Corneal grafting was of the blind suffer from cataract carried out in one eye by % which can be cured by a simple LRBT’s doctors and her 52 operation vision was restored. Sana, now in grade 6 aims to be suffer from corneal problems an Eye Specialist to serve % which require a corneal transplant suffering humanity 14 with donated tissue. Unfortunately inspired by the organ donation is nonexistent in compassionate and totally our country free treatment she received from LRBT that of our population is estimated to gave her a new life. % suffer from diabetes which if 10 uncontrolled and its effect on eyes not treated in time can cause irreversible blindness

suffer from Glaucoma another 5% irreversible blinding disease In this dark scenario the establishment of LRBT 28 28 years on LRBT has: years ago was a beacon of light for the poor. 17 eye hospitals clinics The founders: Graham Layton 52 and Zaka Rahmatulla They are located in envisaged an organisation with such a way that most facilities spread all over the Pakistanis are within a country which would provide hour bus ride of an free quality treatment for those 3 LRBT facility who could not afford it. Visio n for our

natIt was to be a safety inet foro the n poor and the mission was: No man, woman or child should go blind just because they cannot afford the treatment. LRBT through its network of 17 hospitals and 52 clinics treats the entire gamut of eye diseases with major areas

Refractive errors Visio n for Cataract Glaucoma

Medical Retina including Age Related Macular degeneration

Surgical Retina care Corneal Pediatric diseases

All Treatment for the poor and deprived is free of cost. LRBT is the major provider of LRBT is not just eye care in Pakistan about volume. We believe that It treats Charity should never mean 36% of all eye patients second rate requiring Out Patients services, treatment 27% of all eye surgeries and LRBT continually surpasses the 32% of Pediatric eye surgeries World Health Organization & the International Centre for Eye Health standards of good quality Visio n for cataract surgery health &quality Structured Training of our Doctors and midlevel health workers:

40 doctors were trained every year in the post graduate programme ophthalmology the How do largest in the country. we 37paramedics are trained at our school of deliver paramedicine every year. Continuous medical education through this lectures and refresher courses Regular internal and external surgical audits ualityof our hospitals God in his infinite mercy has given me a new life. If my &Tec hnology friend had not cared about my plight and not directed me to LRBT and if they hadn’t extended free cataract surgery & By acquiring the latest appropriate treatment I would have been reduced to the life of a beggar. Now I’m able to work put food on the table for my family and technology both in terms of will always remain grateful to LRBT for saving my dignity”. procedures and equipment These are the words of Mushtaq who is a daily wage laborer and sole bread winner for his family. years of operation million In our 28 we have treated 25 patients. But there is a lot to be done: there million blind and are still 18.7 impaired vision people. Our future plans in our Strategic Plan include: Expansion of our of 5 existing hospitals:

Additional wards at the existing Lahore hospital A new Operation Theatre Complex and wards at our Tando Bago hospital A new OPD complex , additional wards at our Gambat hospital An additional Operational Theatre at our North Karachi hospital A new OPD Complex at our Akora Hospital

New Hospitals at: Multan Road Lahore to provide for that part of Lahore and the rural areas adjoining it. Dadu in Upper Sind Rahim Yar Khan in Southern Punjab Bannu in Khyber Pakthunkhwa But these plans are dependent on donations from our generous supporters Vision for the future My son would 11 years old Fazlur stay in the house Rehman was in brooding while others the first grade when he were attending school. injured his cornea while Look at him now”. playing and needed a corneal transplant. Ghulam Mustafa However his father, Ghulam father of Fazlur Rehman Mustafa, a factory worker earning just Rs.8000 a month and with five more children to feed was far too poor to afford the Rs. 100,000 demanded by a private doctor. Lost in darkness with no hope Our LRBT turned out to be Fazlur Rehman's salvation. A cornea donated by a kind donor was transplanted successfully without any charge. 25 millio nth Patie nt 24 Achievements 26 Chairman’s Report 28 Review of Operations 34 Workshops/Appointment/Seminars Conferences 38 Visitors 40 Trustees 42 Major Benefactors 43 Donors of LRBT 49 Honorary Consultants 50 Acknowledgements 51 Report of the Trustees of the Graham Layton Trust ont ents 53 LRB Foundation Canada 53 UAE 54 Financial Highlights 56 Donations & Contributions 57 Expenditure c 58 Estimated Receipts and Payments 59 Cumulative OPD Growth 60 Cumulative Surgeries Growth LRBT runs the largest programme for The Pakistan Centre for Over 25 million postgraduate medical training in Philanthropy which is the premier Patients visited our 17 hospitals Milestones crossed. certification agency for NGOs and and 52 CEHC’s for treatment. is a part of the Aga Khan Ophthalmology Development Network after a 25 millionth in the country with 40 doctors patient in June 2013 rigorous evaluation of our Internal undergoing training. Governance, Financial Management and Programme 2.5 million 24 millionth LRBT won the 1ST FPCCI (Federation of Delivery major and minor surgeries patient in January 2013 Pakistan Chambers of Commerce & Industry) have been performed by LRBT in its 27 years. Achievement awarded us 91% marks which are among the Award highest marks awarded. They also Medical for the year 2012. approved certification of LRBT for a retina clinics further period of three years. for the benefit of diabetics our were opened for the first time at 3 Secondary hospitals: Akora Khattak, Mandra and Quetta. In addition photocoagulation is now performed at 12 of our hospitals. achie vements Five new state of the art at a glance: 2012-13 Low vision In a new initiative, LRBT LRBT was awarded the joined hands with the local clinics 37 Ophthalmic Technicians, were opened at Mandra, District Administration to Certificate of Pasrur, Rashidabad, Quetta launch five Ophthalmic Operating Theatre and Mansehra hospitals Technicians and Refractionists were Merit bringing the total to 12. trained through a mix of theory and satellite practical work at LRBT’s by the Committee for the Improvement in Transparency, clinics Accountability and Governance each at Government RHC’s in School of (ITAG) of the South Asian the periphery of our Mandra, Federation of Accountants for Mansehra & Akora Khattak Ophthalmic the best presented Annual Hospitals thus increasing the Report in the Non- Community Eye Health Paramedicine Governmental Organizations Clinics (CEHC) to 52. at our Korangi hospital. (including NPOs) sector. Chairma n’s Report

We reached a major milestone in June 2013 having treated 25 million patients since we began this journey 28 years ago. 25 million lives saved from darkness and despair. 25 million who regained their self respect and became independent income generating individuals. But with 2/3rds of our people living below the poverty line, the growth in population and people living longer the number of blind and impaired vision persons keeps growing. Despite the prevalence of blindness halving in the last 20 odd years, an achievement in which we had a significant role, there are still 18.7 million blind and impaired vision people. With Government spending less than 1 percent of the GDP on health care the burden falls on us in the area of eye care as we are the major provider in the country with more than a third of all eye patients visiting our hospitals/clinics for free treatment.

This places an intolerable load on our hospitals which we had to expand to cope with the huge influx of patients: 6 hospitals have been expanded and 4 new ones added to the network in the last 5 years. cExpansion of 3 additional hospitals is underway and another new one in Odigram in Swat will open in October 2013. There is however still a need for 4 additional hospitals: a second one in Lahore, new ones in Rahimyar Khan, Dadu & Bannu. But our current level of Donation/Zakat does not permit us to embark on any expansion as we are finding it difficult to fund our existing free services. Whilst our Zakat collections are growing Donations especially from Corporates and International NGOs (INGOs) are declining. Corporates especially multinationals require that their donations must be aligned with their business objectives. They along with INGO »s also want that the NGO »s they support must have a revenue stream independent of donations/Zakat so as to be sustainable.

We are estimating a shortfall of Rs 103 million: 34 million on Operating Expenditure and 67 million on Capital Expenditure in the financial year 2013/14. Whilst we are gearing up our fundraising efforts we are also looking at ways to develop an independent income stream by treating those patients who could afford to pay the cost of surgery without it impacting on the quality and volume of our free services to those living around the poverty line

Finally I would like to thank our donors whose continued support has enabled LRBT to remain the only safety net for the poor and deprived people for quality eyecare services. Special thanks are due L L R R to the Graham Layton Trust, The Shireen Sultan Dossa Foundation, the Sind Government »s B B T T

A A n n Community Development Programme, Sightsavers, Ms Khurshid Bhaimia, PIDSA/PaaRSA, Mr. n n u u a a l l

Farrukh Seer, Subhan Food Industries, USAID »s Small Grants Programme, Fred Hollows Foundation R R e e v v i i e e w w and HBL Foundation. I would also like to thank the media for continuing to provide free space/time

2 2 0 0 1 for our successful Zakat campaign. And last but not the least our staff, who worked untiringly to serve 1 3 3 the poor, who visit our hospitals at considerable personal cost and in some cases danger. May God bless them all.

26 27 ARIFwAlA: Review of O perat ions In order to make this hospital attractive for doctors who are reluctant to proceed for postings to small towns, an additional accommodation was required to be added to the already existing residences as the present accommodation was insufficient. This would OPD VISITS / SURGERIES enable LRBT to optimally utilize their professional services as they would be available in During the year ending June 2013, 2.2 million patients visited our 17 hospitals and the premises of the Hospital. Construction work was completed in February 2013. 52 Community Eye Health Centres, a growth of 2% over the previous year. During the same period 220,300 major & minor surgeries were performed. Growth in major surgeries NEw hOSPITAlS was +1% over last year. Cataract which is the leading cause of curable blindness ODIGRAm (SwAT): constituted 92% of major surgeries. Other surgeries included Vitreo Retina, Trabulectomy The project is progressing well with about 95% work completed in the main hospital (Glaucoma), Cornea transplants, DCR, Squint etc. We remain the biggest provider of building while the doctors » ww residences and canteen are almost 80% complete. Presently, Cataract, Vitreo-retinal surgery and Corneal transplants for the poor people in the country. plumbing, painting and flooring work is taking place apart from the external work involving a drainage system, a retaining wall, pavements, boring for a water supply etc. This Project 191 corneas were transplanted at our Lahore and Korangi Hospitals: 112 in Lahore with is being funded under Pakistan-Italian Debt Swap Agreement (PIDSA) through PaRSSA for corneas being donated by Begum Zahra Manzoor Illahi, President Binai Eye Bank an amount of Rs. 58 million while Subhan Food Industries is contributing Rs. 10 million Pakistan, 79 in Korangi. Corneas were donated by Muhammad Jamal from Karachi and and Rs. 1 million has been contributed by The Infaq Foundation. Equipment and staff rSri Lanka Eye Donation Society. training is being partly funded by the OPEC Fund for International Development. 5,611 patients were treated with Avastin in our Medical Retina clinics for Age Related A visit to the construction site was paid by the Director General Pakistan Rehabilitation and Macular Degeneration Resettlement Authority (PaRRSA), Government of Pakhtunkhwa, the major donor. After a detailed briefing, he expressed full satisfaction with the quality and pace of work. EXPENSES Our operating expenses during the year were Rs. 571 million being 6.8% above last year, The hospital is expected to be completed by the last quarter of this year. mainly due to 18% salary increase over the previous year, full year operation of North Karachi Hospital as compared to six months in previous year, growth of 2% in patient visits SOPhISTICATED EQUIPmENT to OPD and 1% in major surgeries. Capital Expenditure at Rs. 92 million, including the The following state of the art equipment was provided to our various Hospitals to enable capital work in progress at Odigram, was 13% lower than last year mainly due to our doctors to provide quality eye care to those poor people living below the poverty line completion of major expansion project last year at Khanewal Hospital. Our overhead and unable to afford treatment. expenses were 4.5% of operating expenses and are among the lowest in the world. Equipment Quantity EXPANSION OF CAPACITY Phacoemulsifier - Infiniti 1 KhANEwAl Ultrasound B-Scan 1 L L R R A new OPD and Surgical Complex which houses and provides a comfortable waiting B B T T

A A Operation Microscope, OMS-90 7 n n area for patients with proper facilities, screening, refraction, consultant rooms, a new n n u u a a Slit Lamp, SL-3G 7 l l

major and minor operation theatre, biometry and a dispensary has been completed. New R R e e v v i i Auto Refractometer RM-800 3 e e w w residences have also been built for both married and unmarried doctors to ensure their

2 2 0 Pneumotonometers 1 0 1 availability in the premises of the hospital. This project has been possible through 1 3 3 generous funding by a donor in UAE. In addition to this project, Punjab Welfare Trust for Lensmeter - Computerized & Manual 3 the Disabled (PWTD) part funded the construction of an additional residence which is Pachymeter - Hand Held 1 also ready. A canteen has also been added for the comfort of the patients who previously had to go outside the hospital in order to have meals.

28 29 1

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LRBT Annual Review 2013 6 3 Visitors

The following visited our tertiary and secondary hospitals during the period under review:

Name Designation hospital visited Name Designation hospital visited Ms. Catherine Pierce Grant Administrator, U.S Agency for Korangi, Ms. Sylvia Countway Alton New Hampshire Lahore InternationalDevelopment (USAID) Lahore and Mandra Ms. Rebecca Semmes USAID - Lahore Lahore

Ms. Sarah Chowdhury Senior Programme Manager Korangi, Mr. Robyn Vanden Broek Rotary Club of Cranbook, Canada Lahore √ Graham Layton Trust - UK Rashidabad, Lar, Shahpur, Kristie Ehman Rotary Club of Golden Canada Lahore Mansehra and Mandra Michelle Lee /Dirk Boswell District Governor, Rotary International District - USA Lahore vMr. Steve Atkinson Group Head of Corporate Affairs √ Standard Chartered Bank Korangi John Stairs PDG, 7080, Rotary Club, Toronto - Canada Lahore Mr. Richard Bowcott Regional Head of Brand Management & Sustainability, MENAP, Korangi Mr. Hyder Hassan Rotaract Milton, Ontario Canada Lahore Standard Chartered Bank, Dubai Ms. Sally Crook Project Manager, ≈Seeing is Believin g∆ - IAPB Lahore Ms. Farida Saeed Treasurer, Saving Sight LRBT Foundation, USA Korangi Dr. Imam Yar Baig Country Director, Pakistan Country Office - Sightsavers Lahore Mr. Haroon Saeed Prudential Insurance Company - USA Korangi Ms. Munazza Gillani Programme Manager, Pakistan Country Office - Sightsavers Lahore Ms. Hannah Saeed Student √ Boston University Korangi Mr. Itfaq Khaliq Khan Programme Officer, Pakistan Country Office - Sightsavers Lahore Ms. Kirsty Collier Business & Project Support Corporate Affairs, MENAP Korangi √ Standard Chartered Bank, Pakistan

Ms. Reena Ebrahim Learning & Development Manager Learning and Talent Development Korangi √ Standard Chartered Bank, Pakistan

Ms. Sana Mesia Manager Human Resources √ Corporate Department, Mitsubishi Korangi

Mr. Muhammad Afroz Ladha Assistant General Manager √ Corporate Department, Mitsubishi Korangi L L R R B B T T Mr. Faisal Sabzwari Country Manager √ P&G Pakistan Limited Korangi

A A n n n n u u a a l l

R R Mr. Shujaat Wasty RS Foundation, Canada Lahore e e v v i i e e w w

2 2 0 0 Mr. Charles R.A. Lyddane Rotary West Chester PA - Rotary Club - USA Lahore 1 1 3 3 Mr. George R. Camp Past District Governer, Rotary District 7230-USA-N.Y Lahore

David S. Countway Assistant Governor, Rotary International District 7870, USA Lahore

38 39 1

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LRBT Annual Review 2013 0

4 t Major Benefactors Donors of LRBT During the Year Ended 30th June, 2013 During the Year Ended 30th June, 2013

1 Graham Layton Trust 30 PAK-ARAB Refinery Ltd We gratefully acknowledge donations from the following: 2 The Shirin Sultan Dossa Foundation 31 Mr. Saleem Paracha Endowment Fund 32 Hundal Foundation Mr. Nauman Ahmed Mr. S.M.Tariq 3 Government of - Planning & 33 Asiatics Group PAPCO Mr. Arif Hashwani Development Department 34 Crescent Foundation Mr. Abid Hussain Mr. Altaf Hussain 4 Sight Savers International 35 The British Asian Trust LRBT America Inc. Mr. Wahid Yunus Dada Mr. Atiq Rehman Al Meezan Investment Management Ltd. 5 Ms. Khurshid Bhaimia 36 Mr. Mohammad Abdul Aleem Mr. Muhammad Ziaullah Siddiqui Mr. Kashif Aftab 6 Mr. Mohammed Amin Nathani 37 Ms. Tahira Sayed Mr. Mohammad Nasir Zaman Khan Hascol Petroleum Limited 7 Pakistani Italian Debt Swap Agreement 38 Health Department, Govt. of the Punjab Mr. Badar Shafoon Hayaat Trust UK (PIDSA) 39 Ms. Zavera Lotia Karachi Electric Supply Company Chaudhry Zulfiqar & Sons Iftikhar Memorial Trust Alsaa Petroleum & Shipping FZC 8 Mr. Farrukh Seer m40 Premier Dairies Pvt. Limited Mr. & Mrs. Mahmood Hussain Mrs. Aziz Jehan 9 Subhan Food Industries 41 Mr. Azhar Zafar Mr. Javed Ahmed Mr. Zia Zuberi 10 Small Grants & Ambassadors Fund Prog. 42 Standard Chartered Bank Dr. Salim P. Shaikh Mr. Fazal Jilani Khan (NRSP-SGAFP) 43 Dubai Islamic Bank Dr. Muhammad Aamer Zaman Khan Mr. Haji Nazir Ahmed 11 The Fred Hollows Foundation M.S. Rupak K. Ved & Jayant Ganwani Begum Saeed Ahmed Hashmi 44 Mr. Khawar Masood Butt English Biscuit Manufactures (Pvt) Ltd. Mrs. Akhtar Anwaar ul Haq 12 Provincial Zakat Fund - Government of 45 Mr. Kashif Ali Bhutto dMr. Qasim Kazmi Mr. Hasan Irfan Khan Sindh 46 Mr. Maaz Ali Pakland Private Trust Mr. Mahmood Yusuf 13 Pakistan Bait-ul-Mal 47 Shalimar Resin Industries (Pvt.) Ltd. Mr. Syed Najam Ahmed Shah Mr. Naveed Kamal 14 HBL Foundation Mr. Sheikh Fasih uddin Ms. Sahia Ahmad 48 Mr. Mustafa Kassam Pakistan State Oil Company Ltd International Industries Limited 15 United Energy Pakistan Limited 49 Mr. Salman Ahmed (Bahrain) Global Giving Dr. Farrukh Shah 16 Punjab Welfare Trust For The Disabled 50 Mr. M. J. Chaudhry Dr. Muhammad Zaeem Nawaz MD, PA, (USA) Ms. Aparna Verma 17 Human Concern International 51 Mr. & Mrs Shaheen Amin Mrs. Dure-Shahwar Aslam Mr. Feroze Verani Surraiya Khanam Trust Mr. Abdus Samad 18 INFAQ Foundation 52 Mr. Sheikh Muhammad Masood Aqil and Sadia EFU Life Assurance Ltd. 19 OPEC Fund for International Development 53 Professor Abdul Qayyum Qureshi Mr. Murad Azam Bilqees Sultan Medical Centre 20 Mr. Sajjad Ahmad 54 Mrs. Jamila Rauf Mr. Rashid Khan NAZ P/L Justice (R) Munib Ahmed L L R R B B Cowasjee Foundation Mr. Qaiser Saleem Rafique T T 21 Mr. Nabeel Abdulla Almulla

55 The Hub Power Company Limited

A A n n n n Mr. Sultan Nadir Ali Pasha Mrs. Maryam Sarim u u 22 Brien Holden Vision Institute a a 56 Mr. Riyaz Ali Towfiq Chinoy l l

R R Richa Leathers Mrs. Ayesha Zahid e e v v i i e e 23 Trimark 57 Government Holdings (Private) Limited w w Waheed Asghari Memorial Trust Mr. & Mrs. Khurshid M. Kasuri

2 2 0 0 1 24 Shell Pakistan Ltd. Mr. Abdul Kadir Adam Mr. Syed Atif Nadeem Mustafa 1 3 58 Mr. Tahir Mehmood Khan 3 25 The Rotary Club Karachi Sharqi 59 Liberty Mills Limited Miss Kausar Rauf Mr. Mobin Aslam 26 Mr. Shan Ashary 60 ARY Communications Limited Mr. Nasir Ahmed Mehmood Mr. Mohammad Abdullah Ahmed Ms. Zeenat Towfiq Chinoy HECO 27 Hamza Foundation 61 Burj Bank Haji Abdul Hameed Khokar Mr. Jaliluddin Ahmad Zuberi 28 Begum Khalida Shah 62 Sheikh Mahmood Ahmed Mr. Nouman Farrukh Mr. Jawaid Iqbal 42 29 Mr. Amjad Ali Khan Mr. S.M.Pervez Unilever Pakistan Limited 43 5

LRBT Annual Review 2013 4 d e m h A

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LRBT Annual Review 2013 4 4 Haji Ismail Fudda Memorial Trust Ms. Rehana & Ahmed Moinuddin Mrs. Amber Haroon Saigol Mr. Muhammad Farooq Deewan Mr. M Irshad Butt Mr. Asad Sabih Toor Dr. Mrs Azmat Yar Mr. Omar Yaqoob Shah Mr. Rizwan ul Haq Dr. S. Fawad Rizvi Mr. Faisal Maqbool Shaikh Mr. M Altaf Kausar Ghee Mills (Pvt) Limited Mr. Imam Baksh Shaikh Mr. Farhan Siddiqi Mr. Farhan-ul-Karim Kausar Rice & General Mills Mr. M Amin Dosani Mr. Syed Imran Ali Mrs. Hajra Kausar Feed Mills (Pvt) Ltd. Mr. Bashir Makki Mr. Mahboob Hasan Mrs. Zainab Lahaute Foundation Inc Ambience Films Mr. Kashif Ahmed Sheikh Mrs. Bushra Mehreen Morshed Mr. Tahir Mr. Abdul Hameed Chaudhri Mr. Khawaja Khalid Iqbal Consolidated Engineering Services (Pvt) Ltd Mr. Muhammad Saeed Akhtar Mr. Muhammad Yousuf Tinwala Mr. Khawaja Sarwar Ahmed Mr. Abdul Ghaffar Bhadelia Mrs. Abida Mustafa Engr. Abdul Jalil Mr. Anwaar Ahmed Khan Mr. Zaffar A Khan Karachi Grains Al Fuad Trading Est. Mr. M Mobin Khan Syed Wajahat Ali Mr. Manzoor Ahmed Mr. M. Habib ur Rehman Mr. Khalid Mehmood Mr. Abdullah Mr. Ali Muhammad Mrs. Baig Syed Imtiaz Ali Mr. Ahsan Mashkoor Mrs. Saima Riaz Mr. M. M. Khan Mr. Nadeem Rehmani Mr. M.A. Nasir Mrs. Usman Siddiqui Riaz H. Waraich Charity Trust Ali Hussain Rajab Ali Ltd Mrs. Zahida National Welfare Organization Mr. Mosharraf Hussain Mrs. Fabiha Haq Ms. Mehak Iftikhar Mrs. Waseem Khalida Khanum Sheikh Saleem Akbar Mr. M.A Lodhi Hussaina Khatoon Ray Pharma (Pvt) Ltd Mr. Zia ullah Khan Arfeen International (Pvt) Limited Zubaida Bibi Mr. Ziaullah Sheikh Mr. S.M. Nadim Shafiqullah Syed Aijaz Ali Abbasi Sabra Khatoon Mr. Waseem Akhtar Khan Mr. Nafees Khan Mr. Adeel Ahmed & Riffat Adeel Mr. Nadeem Shafiqulla Mr. Rizwan ul Haq Toor Mrs. Nighat Abbasi Zahra Industries (Pvt) Ltd Mr. Abdul Majeed Chaudhri (Late) & Mobeen Mr. Shahzad C/O Mr Tahir Saleem Haji Ali Muhammad Abdullah Mr. IkramulHaq Majeed Chaudh Madam Naheed Shahid Mr. Muhammad Zaman Khan Omaima Zaman & Fayaz Laghari Dr. Shamim Ahmed Mr. Zarak Mooraj Mr. Abbas Hussain Malik Salamat School System (Pvt) Limited Mr. Mustafa Lotia Mr. Muhammad Hanif Mrs. Akhter Khalid Waheed Mr. Saeed Ahmed Miss Wajeeha Mohsin Gillani Dr. Nadeem Ahmed Chaudhary Mr. Shuja-ul-Hassan Khan The General Tyre & Rubber Company of Pakistan Ltd Mr. Siddiq Gul Aga Mr. Sheikh M. Aslam Mr. Asad Ali Asghar Mr. Naseer Ahmed NBP Fullerton Asset Management Ltd (NAFA) Mr. Iqbal Bari Mr. Abdul Hafeez Lt Cdr (Rtd) M Murtaza (Late) Ms. Yasmine Jaffer Mr. Ahmed Umair Khalid Capt. Munir Sadiq Mr. Fiyaz Ahmad Pakistan Reinsurance Company Limited Mr. Zahid Jehanzeb Khan Burki Khas Industries (Pvt) Limited. Khalifa Abdul Raheem Cpt. Ghulam Mustafa Mrs. Zakia Aslam Mr. Osman Hameed Chaudhri Javed Akber Associates (Pvt) Ltd Mr. Muhammad Amin Abdul Shakoor Mr. Rashid M. Khan Mr. Syed Mohammad Asghar Ali Mr. Samiullah Mr. Rehan Furqan Shaikh Zaheer Ahmed S/O Shaikh M Saleem (Late) Mr. Farooq Bin Habib Mr. Murtaza Hassan Ali Mr. Abdullah Mr. Iqbal Ibrahim Maladwala Mr. Fakhruddin Mandviwalla Qureshi Flour Mills Family of Late Dr. Cassim Haji Dr. Fateima Shaikh Mrs. Asma Kamal Mr. Asher Noor Mrs. Shahida Zulfikar Mr. Haroon Rasheed Magoon Ms. Abidah Ziauddin Miss Saba Nagi Mr. Shoaib Iqbal L L R R B B T T Mr. Abdul Hameed Piracha Haji Khadim Hussain Mr. Javed Rashid Mr. Sheikh Fakhruddin

A A n n n n Mr. Mahmood Ahmed Shaikh Mrs. Naima Akhtar Siddiqi Mr. Waseem Chughtai Mr. Chaudhry Ghullam Mohiuddin u u a a l l

R R Muller & Phipps Pakistan (Pvt) Limited Mr. Mehboob Hussain Khan Adil Enterprises Mr. Asim Rafiq Malik e e v v i i e e w w Najma Anwarul Haq Memorial Welfare Society Haji Muhammad Benevolent Trust Mr. Shaukat Tarin S.I Mr. Muhammad Mudassir

2 2 0 0 1 1 3 Mr. M Asif Khan Mr. Malik Shafqat Ali, Mr. Munawar, Saleh Cpt. (R) Aftab Nadeem Haji Hassan Din 3 Begum Jamila Latif Muhammad Mr. Raisuddin Mr. Muhammad Nadeem Mr. Ijaz Ahmed Sheikh Hajra Bi & Muhammad Ilyas Mr. Hasan Ali Asghar Mr. Abdullah Mahser Mrs. Almas Hameed Haji Muhammad Memorial Trust Miss Farida Ali Asghar Ms. Manzar Fatima Prof. Muslim Ali Cassim Investments (Private) Limited Mr. Ghulam Arif Khan Dr. Asuhar Fatima AMN Trust Miss Romana Aziz Khan Mr. Muhammad Masood Mr. Muhammad Aslam 46 Kassim Dada Educational & Welfare Foundation Capt. Asad Sarfaraz 47 9

LRBT Annual Review 2013 4

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LRBT Annual Review 2013 8 4 Acknowledgements Report of the Trustees of the Graham Layton Trust, Prestige Communications (Pvt.) Ltd. 1 Hascol Petroleum Ltd. The C.A.S. School PTV Network Sign Source Limited June 2012/13 Creative Unit (Private) Ltd. ARY Digital Prime Site Pakistan (Pvt.) Ltd Etihad Airways Jang Unilever Ms. Beenish Irshad The News International McDonald »s Patron: The Rt. Hon. the Viscount Slim OBE DL Mr. Faisal Sabzwari Balochistan Times Ikebana Int. Karachi Chapter Board of Advisors: Mr. Khalid Aziz, LVO, DL, The Most Hon. the Marquis of Salisbury, Samaa Daily Express Pakistan Tobacco Company DL, Sir Sherard Cowper-Coles KCMG LVO, Miss Susan Farrington, Mr Ram Gidoomal Express News Daily Zamana Proactiv Solution CBE, Lord Hannay of Chiswick, GCMG, Sir Christopher MacRae, KCMG & Lady MacRae, Hum TV Vatan Gujrati Standard Chartered Bank The Rt. Re v»d. Michael Nazir Ali, former Bishop of Rochester, The Rt. Hon. Sir Malcolm Masala TV Business Recorder A.F. Ferguson & Co Rifkind KCMG QC, Lord Michael Sandberg, AAJ TV Express Tribune KPMG Taseer Hadi & Co. Trustees (at 30 June 2012): Mian Zaheen (Chairman), Vica Irani, Hutoxi Kandawalla, aCNBC Pakistan Daily Times Vellani & Vellani Vaiz Karamatullah, David Kotler, Jehangir Mehta (Hon. Treasurer), Michael Pelham, Yasmin Express 24/7 Women »s Own Dr. Amjad Waheed Riaz, Stuart Sinclair (Hon. Secretary) and John Walker. Dhoom Television Network The Cricketer Khawar Mann was offered the job of running the largest healthcare business in Russia and TV One Vatan magazine relocated there during October 2012. It became increasingly obvious to him that he could Metro 1 News News Line not properly assist the Trust as Managing Trustee in addition to his business responsibilities. News One SHE Magazine He concluded, therefore, that he should stand down as a Trustee in February 2013; his Business Plus The Friday Times fellow Trustees understood his reasoning but only accepted his resignation with great unhappiness. They are extremely grateful for Khawar »s considerable contributions to the Waseb Engineering Review Charity,especially noting his energetic fundraising run in a NY Marathon and, later as Zaiqa TV FM 107, FM 106.2, FM 99, FM 91, Managing Trustee for his leadership, organisation and corporate fundraising activities, FM 96, FM 107, FM 103, FM 101 KTN and Awaz particularly contributing to the financial success of several GLT Balls. Kashish Procter & Gamble Capital TV Staff: During the 12 months under review, Trustees decided that the arrangement whereby Pakistan State Oil Knighton White provided campaign management, strategic development and administrative KTN News L L Engro Corporation support was not as beneficial as had been anticipated and hoped, and the contract between R R B B T T Oxygene

the parties was terminated by mutual agreement at the end of January 2013. Trustees A A n n n n u u a a acknowledge the input of and initiatives by Sarah Chowdhury, Senior Programme Manager. l l

R R e e v v Ms. Lina Alousta was recruited to take over the day to day management of the Trust and i i e e w w

2 2 0 0 commenced her duties as General Manager on the 8th April, 2013. 1 1 3 3

Volunteers: Akram Arshad, Anju Chowdhury, Art Malik, Atif Ali, Barik Chowdhury, Ben Hutchings, Fatemah Ashfaq, Hassan Raza, Ifrana Zaffar, Maulana Yazdani, Mishal Husain, Murshed Anwar, Myong Hun Oh, Poorna Harjani, Rizwan Saeed, Sara Zafar, Sasheen Abbasi, Shabana Zaffar, Will Hambling. 50 51 3

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LRBT Annual Review 2013 5

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LRBT Annual Review 2013 4 5 Donations & Contributions 2012 – 13 Expenditure 2012 – 13

Rupees in Thousand Rupees in Thousand Operating Expenditure 2012-13 Rs. 672 Million Rs. 571 Million

n Graham Layton Trust, UK 49,028 7.3% n Tertiary Hospital - Korangi 115,665 20.3% n Pakistani Italian Debt Swap n Tertiary Hospital - Lahore 114,637 20.1% Agreement (PIDSA) 19,429 2.9% n Secondary Hospitals 276,142 48.3% n Sight Savers International, UK (SSI) 25,105 3.7% n Community Eye Health Clinics 20,692 3.6% n The Shirin Sultan Dossa Foundation 33,180 4.9% n School of Paramedicine 4,606 0.8% n Govt of Sindh - P & D Department 28,794 4.3% n Establishment & Other Overheads 25,664 4.5% n Central Zakat Administration 12,000 1.8% n Fund Raising Activities & Others 13,773 2.4% n LRBT- America 885 0.1% 571,179 100.0% n The Fred Hollows Foundation 14,969 2.2% n Punjab Welfare Trust for Disabled 6,746 1.0% n Pakistan Bait-ul-Mal 10,952 1.6% Operating Expenditure 2012-13 n INFAQ Foundation 6,300 0.9% Rs. 571 Million n Other Organisations 137,662 20.5% n Individuals 326,931 48.7% n Salaries & Wages 276,618 48.4% 671,981 100.0% n Medicines, Medical Supplies & IOLs 137,103 24.0% n Depreciation 70,005 12.3% n Repair & Maintenance 24,849 4.4% n Other Operating Expenses 19,605 3.4% n Utilities 29,226 5.1% n Fund Raising Activities 13,773 2.4% Rs. 672 Million 571,179 100.0%

n From Pakistan 440,251 65.5% Capital Expenditure 2012-13 n Outside Pakistan 231,730 34.5% 671,981 100.0% Rs. 54 Million L L R R B B T T

A A n n n Buildings 24,251 44.7% n n u u a a l l

R R n Medical Equipment 24,059 44.3% e e v v i i e e w w n Office Equipment 1,438 2.6%

2 2 0 0 1 1 3 n Generators 1,100 2.0% 3 n Air Conditioners & Water Coolers 829 1.5% n Furniture & Fixtures 648 1.2% n Vehicles 1,968 3.6% 54,293 100.0%

56 57 9

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LRBT Annual Review 2013 0 6 I shall pass through this world but once. Any good that I can do or any Visio n for One last help that I can give to my fellow beings, let me do thought it now. Now; for I shall not pass this way again. Stephen Grellet (1773 - 1855) humanity Annual Report 2013 w A public service project: w Sponsored by Getz Pharma Pakistan (Pvt.) Ltd w

Designed by .

Creative Unit (Pvt.) Ltd l r Photographed by b Jamshyd Masud, Within Design Ltd. t . o The LayTon RahmaTuLLa BenevoLenT TRusT

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