ORBISORBIS AFRICA AFRICA ANNUALANNUAL REPORT REPORT 2014 WHO WE ARE TABLE OF AND WHAT WE DO CONTENTS

Orbis Africa is a South African registered estimated 4.8 million people who are blind non-profit organisation that works in and a further 16.6 million who have severe WELCOME 2 Sub-Saharan Africa to reduce preventable to moderate across Message from CEO: Orbis Africa and Chair: Orbis Africa and treatable blindness and visual Africa. OUR IMPACT 4 impairment. In Programmes supported by Orbis Africa in 2014 With a special interest in children, we are Countries served by Orbis since 1982 Orbis Africa is affiliated to Orbis committed to establishing or strengthening DAVID’S STORY 6 International, a non-profit organisation ten Child Eye Health Tertiary Facilities by HOW WE WORK 8 dedicated to the improvement of eye 2020. Orbis Africa impacts communities by HUMAN RESOURCES FOR EYE HEALTH 10-23 health globally since its inception in 1982. providing the tools, training and technology Flying Eye Hospital necessary for local partners to develop Training Orbis Africa is dedicated to saving sight lasting solutions to avoidable blindness and Volunteer Faculty Ghana in Africa by improving comprehensive visual impairment. When sight is restored Cybersight Cameroon eye health for children and adults. We are to people who are visually impaired, or RESEARCH 24-27 committed to ensuring high quality Human when blindness is prevented, it doesn’t Film & radio Resources for Eye Health throughout Africa just improve the lives of individuals, it ADVOCACY 28 through the use of Orbis teaching and strengthens communities, enables children 2015 AND BEYOND 30 training tools. It is essential that we increase to access schooling, and provides the 2014 CONSOLIDATED FINANCIAL SUMMARY 32 the quality of graduates and the outcomes opportunity for families to build a better LEADERSHIP 34 of eye health training schools across Sub- future for themselves by increasing their DONORS & VOLUNTEER FACULTY 36 Saharan Africa if we are to deal with the economic and social standing.

ORBIS AFRICA ANNUAL REPORT 1 WELCOME

Welcome to Orbis Africa In 2015 we will start working with eye health “ORBIS WILL training schools in five countries in East Many of us take our regular eye check for Africa (Kenya, Uganda, Tanzania, Malawi and BE WORKING granted. For most adults and children in the Rwanda) to support the strengthening of TO SAVE SIGHT countries where Orbis Africa works this is an these institutions by using innovative unknown luxury. Even if they have a phone competency-based training suitable to the IN 10 OF THE 36 they simply have no one to call to set up an local context and health needs of the urban appointment. and rural population. This means that we will MOST UNDER- be working to save sight in 10 out of the 36 This year we are proud to share with you that most under-resourced African countries. RESOURCED in 2014 Orbis Africa trained local health practitioners in South Africa, Zambia, Ghana AFRICAN and Cameroon to serve those who need In 2014 we also contributed to establishing them most. policies on eye health in countries across the COUNTRIES” African continent. We did this through our Every year dedicated medical healthcare involvement and collaboration with the practitioners stand ready to deliver high World Health Organisation and professional quality eye health training on a voluntary eye health organisations. Such high level basis. In 2014, through our training collaboration results in opportunities to programmes, we have made a direct impact speak at forums where decisions about in 5 of the 36 countries in Africa that have a future healthcare investments are taken and severe shortage of human resources in the it allows Orbis Africa to put eye health on the health sector. agenda of leaders in health in every country Our Volunteer Faculty also stands ready to on the continent. receive colleagues from Africa in their home institutions and we are proud that South Join us so that together we can shape the Africa is one of the countries in Africa with future by helping healthcare workers to give the skills and expertise to build future eye the gift of sight every day, in every country health leaders. where we work.

Lene Øverland Robert F. Walters CEO: Orbis Africa Chair: Orbis Africa

2 ORBIS AFRICA ANNUAL REPORT ORBIS AFRICA ANNUAL REPORT 3 OUR IMPACT

25 533 1,574 80,522

DOCTORS SUPPORT STAFF EYE SURGERIES/LASERS MEDICAL AND OPTICAL IN PROGRAMMES WERE TRAINED WERE TRAINED WERE PERFORMED BY TREATMENTS WERE CONDUCTED SUPPORTED BY INCLUDING NURSES, PARTNER INSTITUTIONS BY PARTNER INSTITUTIONS BIOMEDICAL ON ADULTS AND CHILDREN ON ADULTS AND CHILDREN ORBIS AFRICA ENGINEERS, IN 2014: TEACHERS AND OTHER HEALTHCARE PROFESSIONALS AND VOLUNTEERS

COUNTRIES 92 served by Orbis since 1982 Afghanistan Dominica Grenada Kazakhstan Mexico Paraguay South Africa Uganda Albania Cambodia Dominican Guatemala Kenya Mongolia Peru Spain United Arab Armenia Cameroon Republic Guinea Kyrgyzstan Morocco Philippines Sri Lanka Emirates Bahrain Chile Ecuador Guyana Laos Myanmar Puerto Rico Sudan United Egypt Haiti Latvia Romania Swaziland Kingdom Bolivia Colombia El Salvador Honduras Libya Nicaragua Russia Syria Uruguay Bosnia & Costa Rica Lithuania Niger Saint Lucia Tanzania Uzbekistan Herzegovina Côte d’Ivoire France Indonesia Malawi Nigeria Senegal Thailand Botswana Croatia Germany Iraq Malaysia Pakistan Serbia & Trinidad & Tobago Zambia Brazil Cuba Ghana Jamaica Mali Panama Montenegro Tunisia Bulgaria Cyprus Greece Jordan Malta Papua New Guinea Turkey

4 ORBIS AFRICA ANNUAL REPORT ORBIS AFRICA ANNUAL REPORT 5 “WE ARE NOT JUST .TREATING # DAVID’S STORY EYES, WE ARE CHANGING .LIVES”

David was 9 when he under I never used to see even when (my brother) went successful cataract Divine called me, I used to bypass him. When going to the market with my mother, surgery. He is back at school I couldn’t walk because I used to fall in repeating grade 3 and spends ditches. every other waking moment I couldn’t see clearly, even at school I used playing soccer. to have problems when writing and seeing things on the black board. I just used to stay He dreams of one day playing home while my friends went to play. My for his favourite football friends used to tell me to stay away from team Chelsea. them because I couldn’t see things clearly.

They first operated on this one eye and when they removed the bandage, my eye started seeing better than the other one which they didn’t operate on. (Weeks later) We never noticed that the child had a then they gave me another injection and problem until after 2 years when he reached operated on the other eye. I felt good when the stage where he wanted to play with his we came back home. Divine lifted me up friends, which is when I noticed that he had and asked if I could see, then immediately a problem with his eyes. I told my husband, he switched on the television and we started who asked me how I knew and I told him watching. I started playing with my friends to observe the child. That was when my any kind of game, soccer or even the game husband took my child to his mother for of hiding. My family was so happy when traditional medicine but nothing helped. they saw me with the glasses for the first I felt very bad and I cried because that’s time. Mom and Dad lifted me and called my not what I wanted, I wanted to take him to friend Clive and said, ‘come and see David is the hospital. I used to cry most of the time putting on glasses’. I can now see clearly. because I could see his friends playing while I’m able to see everything. he cannot. David Mwape, 11 years old, lives in Mfulira, Moria Chishala Mwape, David’s mom Copperbelt province, Zambia

6 ORBIS AFRICA ANNUAL REPORT ORBIS AFRICA ANNUAL REPORT 7 HOW WE WORK

LASTING CHANGE Orbis Africa is committed to solving problems through innovative approaches, working through partners, resulting in systemic changes that last rather than short-lived vertical interventions.

INNOVATIVE TOOLS AND MODELS Orbis Africa has longstanding strength in training and capacity building with innovative and high impact tools at its disposal, including the Flying Eye Hospital and Cybersight which are set to take on new challenges in health system strengthening.

COLLABORATIVE PARTNERSHIPS Orbis Africa is driven by collaboration and partnerships with local and national governments, as well as private sector, community-based and non-governmental organisations.

ADVOCATING FOR POLICY CHANGE Orbis Africa advocates for an increase in public awareness of the importance of eye health and the elevation of eye health within local government agendas. Lasting and sustainable impact is only guaranteed through policy change.

LASTING SOLUTIONS Orbis Africa strengthens health systems as a foundation for eye health services that are affordable, accessible and sustainable.

CAPACITY BUILDING Orbis Africa is increasing the quality, capacity, strengths, standards and outcomes of eye health training schools across Sub-Saharan Africa. This is essential as approximately 4.8 million people are blind and a further 16.6 million have visual impairment across Sub-Saharan Africa.

8 ORBIS AFRICA ANNUAL REPORT ORBIS AFRICA ANNUAL REPORT 9 THE TOP LEVEL PRIORITIES FOR EXPECTED THE 5-YEAR HREH EAST IMPACT AFRICA PROJECT HUMAN RESOURCES

FOR EYE HEALTH Training of trainers

Orbis’s Human Resources for Eye Health (HReH) strengthening Ophthalmologists trained initiative, in partnership with the International Agency for the

Prevention of Blindness (IAPB) Africa and the College of Skills of Eastern, Central and Southern Africa million enhancement (COECSA), supports the development of comprehensive 4,8 Estimated patients who had access HReH across Sub-Saharan Africa. to quality eye health services

Sub-specialists trained Ophthalmic education transformed in East Africa

Develop training centres as centres of IN 2014, FIVE PILOT COUNTRIES WERE sub-speciality SELECTED AS PART OF PHASE ONE 25 INITIATION: TANZANIA, KENYA, UGANDA, Ophthalmologic 2014 MALAWI AND RWANDA. faculty trained Engaging government Sub-Saharan Africa is the region Currently struggling with only 1% of Prevention of Blindness (IAPB) with the highest prevalence of the ophthalmologists required and Africa and the College of blindness and visual impairment in less than 50% of the eye health staff Ophthalmology of Eastern Central the world. An estimated 2 million and equipment needed to achieve and Southern Africa (COECSA), people in East Africa are blind and a an acceptable level of eye care, establishing the first multi-partner hospitals in East Africa are especially further 6 million are moderately to and multi-national training and hard hit. Building young severely visually impaired. Sadly, leadership network to create ophthalmic quality eye care remains an In 2014 Orbis partnered with the excellence in ophthalmic education leaders unattainable luxury for most. International Agency for the and quality in care across East Africa.

10 ORBIS AFRICA ANNUAL REPORT ORBIS AFRICA ANNUAL REPORT 11 FLYING EYE HOSPITAL TRAINING

On the outside the DC-10 looks like a typical passenger Orbis Africa is dedicated to capacity building which aeroplane, but inside there’s a state-of-the-art operating room is developing the long-term capabilities of eye health with audio-visual equipment that transmits live surgeries to partners and teams to reach a state where they can students in a 48-seat classroom. provide high quality eye health services which are affordable, accessible and sustainable.

The world’s only flying ophthalmic teaching hospital, the Over the years the Flying Eye Hospital has helped Orbis Orbis Africa’s approach to training is unique: we ensure Orbis Flying Eye Hospital, is one of the Orbis tools that to reach hundreds of communities around the world, a collaborative skills development relationship working will play a significant role in the implementation of Human training doctors and nurses to provide thousands of alongside local counterparts. Through this approach, Resources for Eye Health strengthening across East life-transforming treatments. we enhance skills and build confidence, quality and Africa. The Flying Eye Hospital will be used on an annual competencies in local eye health teams. This empowers basis and will be integrated into institutional, national them to deal with the complex eye health needs of their and regional plans to ensure sustainability and impact. communities and countries.

12 ORBIS AFRICA ANNUAL REPORT ORBIS AFRICA ANNUAL REPORT 13 VOLUNTEER FACULTY CYBERSIGHT

These volunteer medical professionals provide skills exchange Cybersight is an ophthalmic telemedicine website We conducted Technology Assessments at partner offering patient consultation, mentoring, and learning institutions in Cameroon and Zambia, with and training to local partners through Hospital Based resources. This connects medical staff in programme recommendations covering medical records Programmes, Mentorships, Flying Eye Hospital visits, countries with Volunteer Faculty, making it possible management, strengthening referral systems and for ophthalmologists in Sub-Saharan Africa to benefit increasing staff access to internet-based resources. and Cybersight. from the knowledge and experience of Orbis Volunteer Faculty entirely free. We also supplied innovative devices to connect smartphones to slit lamp microscopes in Ghana In 2014, eye health professionals in Sub-Saharan Africa and Ethiopia, enabling production and sharing of submitted 90 cases on Cybersight for advice from digital photos and videos from existing Orbis’s global network of Volunteer Faculty. We analogue equipment. trained a total of 59 professionals in effective use of the newly-revamped Cybersight mentorship platform, through in-person training sessions in Cameroon, One of the most critical eye health deficits Internationally, Orbis maintains an active pool of more Hospital Based Programmes are training programmes Ethiopia and Malawi. is the lack of adequately trained human resources, than 450 volunteer medical faculty with a high level of held at partner hospitals usually lasting 1 to 2 weeks. especially in rural areas. Orbis addresses this acute expertise, many from the world’s most prestigious eye Orbis Volunteer Faculty work intensively with eye health The Malawi session included 25 ophthalmologists from need for trained eye health professionals through health institutions. These volunteer medical professionals in the local hospital settings, training on a variety of countries under the COECSA (College of a variety of settings - in our unique Flying Eye professionals provide skills exchange and training to selected areas of eye health. Ophthalmology of Eastern, Central and Southern Hospital, in a local partner setting, or through local partners. Africa) banner. our initiative, Cybersight.

14 ORBIS AFRICA ANNUAL REPORT ORBIS AFRICA ANNUAL REPORT 15 ZAMBIA

Orbis Africa’s work in North-Western province of Zambia has flourished with a highlight in 2014 being the very successful mass drug administration for trachoma control.

ZITHROMAX WAS DISTRIBUTED TO OVER 73,000 PEOPLE IN ONE 73,000 DISTRICT OF THE PROVINCE IN 2014.

In the Copperbelt province of As part of our investment in the Orbis Africa’s work in North- Zambia, Orbis Africa has continued province, Orbis Africa has made Western province has flourished to support the Kitwe Eye Annexe significant strides in planning for with a highlight in 2014 being the since 2011 when it was established expansion to primary and secondary very successful mass drug as a child eye health facility at Kitwe levels of eye health care, with plans administration for trachoma control. Central Hospital. In 2014 significant to build the capacity of personnel at progress was made in human these levels to increase early Orbis Africa, with its partners, resource development and provision detection of eye health issues to managed to reach a 92% coverage of equipment and consumables. ensure their timely referral to the rate, exceeding the World Health appropriate level of eye health care. Organisation’s target of 80%. The results of a multi-disciplinary Zithromax was distributed to over Additionally, Orbis Africa will invest Hospital Based training Programme 73,000 people in one district of in community-level interventions, conducted at the end of 2014 have the province. aimed to increase education and confirmed Orbis Africa’s impact awareness around eye health issues through capacity building. in order to improve uptake of services and compliance to treatment.

ORBIS AFRICA ANNUAL REPORT 17 SOUTH AFRICA

Several programmes are underway and in development, including training at primary and community levels, engagement with traditional healers, and research which will inform future strategies on eye health in KwaZulu-Natal.

HOSPITAL BASED PROGRAMME TO DATE IN PAEDIATRIC OPHTHALMOLOGY IN KWAZULU-NATAL WAS 5th CONDUCTED WITH ORBIS VOLUNTEER FACULTY.

In 2014 the fifth Hospital Based Resources in Early Education training and awareness of eye health Programme to date in paediatric (TREE) to train Early Childhood to traditional healers to minimise ophthalmology in KwaZulu-Natal Development practitioners and critical delays in receiving was conducted with Orbis Volunteer Community Care Givers to support appropriate treatment. Faculty, confirming that the earlier detection and referral of eye programme is an outstanding health issues to appropriate levels Orbis Africa conducted multi-disciplinary assessments of example of skills transfer. Capacity of care within the province. building at quaternary/tertiary level several secondary-level hospitals was complemented with training at Orbis Africa began preliminary in KwaZulu-Natal in 2014. The primary and community levels of eye work with traditional healers based recommendations from these healthcare. on the 2013 research study in assessments will inform the KwaZulu-Natal which determined development of future strategies Orbis Africa continued to work with that consultation of traditional to deepen Orbis Africa’s continued the Department of Health to train healers could be a barrier to children efforts to strengthen the eye health primary healthcare nurses in basic receiving early treatment for eye system in KwaZulu-Natal. eye health, and formalised a disease. This prompted the partnership with Training & development of a project to provide

18 ORBIS AFRICA ANNUAL REPORT ORBIS AFRICA ANNUAL REPORT 19 GHANA

The main goal of Orbis’s project in Ghana is to contribute to the reduction of childhood blindness and visual impairment in the Ashanti and neighbouring regions.

THE NUMBER OF BLIND CHILDREN IN GHANA IS ESTIMATED TO BE MORE THAN 9,000. BETWEEN 9000 50% TO 70% OF THE CAUSES ARE AVOIDABLE.

Orbis Africa continues its work in ophthalmology with the Moran Eye training course run by the University Ghana with the Komfo Anokye Center in Utah, with Orbis Volunteer of ’s Community Eye “THE PAEDIATRIC Teaching Hospital (KATH) to develop Faculty Dr Robert Hoffman. She then Health Institute on Management OPHTHALMOLOGY quality paediatric services in went on to do a 9-month training Essentials for Success in Vision collaboration with the Himalayan programme in paediatric 2020 Eye Health Training. DEPARTMENT AT Cataract Project, which focuses on ophthalmology at the Red Cross War KATH IS THE ONLY adult services. In 2014, the Hospital Memorial Children’s Hospital in Cape Orbis Volunteer Faculty Leo de benefited from critical training Town. With her newly-acquired Kryger from Canada visited KATH to DEPARTMENT OF provided by Orbis Africa. paediatric experience Dr Frempong conduct biomedical engineering ITS KIND FOR THE will return to Ghana well-placed to The paediatric ophthalmology training and worked closely with the significantly increase the capacity at WHOLE NORTHERN department at KATH is the only biomed team to fix and calibrate all KATH Eye Clinic. This will enable department of its kind for the whole equipment in the eye unit, while SECTOR OF GHANA” more patients to be treated, thereby northern sector of Ghana and training the KATH staff. He also reducing the complications that currently has just one paediatric worked closely with our partner arise from delayed surgery. ophthalmologist. Dr Doreen NGO (Himalayan Cataract Project) Frempong undertook a six-week Child Eye Health Coordinator to ensure continuity in training observership training in paediatric Rebecca Antwi attended a one week approach and handover.

20 ORBIS AFRICA ANNUAL REPORT CAMEROON

The Prime Ministry is very supportive of the work that Orbis is conducting in Cameroon. In 2011 His Excellency the Prime Minister of Cameroon Philémon Yunji Yang invited Orbis’s Flying Eye Hospital to Yaoundé with a shared vision to improve eye health in Cameroon. We continue to support Orbis and the work it is doing with hospitals in Yaoundé to strengthen eye health. Orbis is doing excellent work in Cameroon in the fight to restore sight and it is highly appreciated. I hope that nothing will stop Orbis from continuing this wonderful work.

Kong Sakeo, Chargé de Mission, Prime Minister’s Cabinet, Yaoundé Cameroon

The Ministry of Public Health in Dr Ted Grimbert receiving training to Modifications to the floor plan of Cameroon signed a Convention strengthen critical skills such as the ophthalmology department, formalising the partnership between paediatric cataract surgery, probing developed by Orbis International’s Orbis Africa and the government. and injury care with children, the Global Medical Director, began in A national work group, recognised management of oculoplastics and the latter part of 2014 and by the Cameroon Ministry of Public various other eye diseases. The equipment valued at R1.8-million Health, was developed to ensure the institute has started recruiting for was delivered and installed. In 2014 integration of eye health into the critical staffing positions. the human resource capacity was national human resources for greatly increased with the allocation health strategy. DEVELOPING A COMPREHENSIVE of four nurses and three additional EYE HEALTH PROGRAMME AT ophthalmologists. YAOUNDÉ CENTRAL HOSPITAL DEVELOPING A PAEDIATRIC (YCH), CAMEROON EYE CARE CENTRE AT THE In an effort to strengthen the MAGRABI ICO CAMEROON VISION ophthalmology human resources, INSTITUTE (YAOUNDÉ VISION A formal agreement was signed several Hospital Based Programmes INSTITUTE), CAMEROON between Orbis Africa and Yaoundé were employed during the year

Central Hospital to develop a targeting nurses and biomedical Significant progress has been comprehensive eye health technicians. made towards the construction of programme at the facility. the Paediatric Eye Care Centre at The ophthalmology unit has begun the Magrabi ICO Cameroon Vision A multi-disciplinary, comprehensive to collect surgical information to Institute in Yaoundé, with the assessment conducted early in the understand the patient flow and building exterior nearly complete year, revealed a number of areas in needs of the hospital. An IT and work on the interior underway. which Orbis Africa could offer assessment was also conducted, The opening is scheduled to take support such as the provision of from which various place in the last quarter of 2015. equipment, development of human recommendations were made to improve record-keeping. The provision of equipment and the resources and the strengthening of development of human resources data collection and procurement have continued with ophthalmologist systems.

22 ORBIS AFRICA ANNUAL REPORT ORBIS AFRICA ANNUAL REPORT 23 RESEARCH

Orbis Africa works in partnership with others to create meaningful research that informs global blindness prevention for adults and children where we work.

IN 2014 A RESEARCH PAPER BY ACCLAIMED UNIVERSITY OF CAPE TOWN ANTHROPOLOGIST, DR SUSAN LEVINE, SIGNIFICANTLY IMPACTED THE PREVENTION AND TREATMENT MODELS FOR AVOIDABLE CHILDHOOD 2014 BLINDNESS ON THE AFRICAN CONTINENT.

In 2014 a research paper by acclaimed University of Orbis Africa joined forces with the Brien Holden Vision Cape Town anthropologist, Dr Susan Levine, significantly Institute and African Vision Research Institute around impacted the prevention and treatment models for the issue of eye health and poverty in South Africa. avoidable childhood blindness on the African continent. The Poverty and Eye Health Study will lay the foundation The research study was spearheaded by Orbis Africa and for service delivery mechanisms providing access for funded by a research grant provided by the Paediatric poor to life transforming eye health services in South Cataract Initiative, a partnership effort of Bausch + Lomb Africa. The review article of the Poverty and Eye Health and Lions Clubs International Foundation. Levine’s paper Study has been published in Scientific Research The Miracle Workers: obstacles and opportunities for Publishing (Health). restoring sight to children in KwaZulu-Natal was In 2014, Orbis supported an important research study in published in the journal Anthropology Southern Africa Ghana which aims to assess the feasibility of integrating and revealed a series of barriers and obstacles that are Primary Eye Care into existing Primary Health Care preventing children from accessing vital medical services, namely Community-based Health Planning and intervention which could prevent childhood blindness. Services. In Ghana, serious human resource shortages The research study was the first of its kind in Africa and coupled with deteriorating infrastructure and lack of the data generated during the research process has equipment are the major contributory factors to the significantly enhanced Orbis’s programme design. challenges of eye health in the country. The findings from Findings of the research have pointed out very clearly this study will inform Orbis Africa’s work in Ghana as we that in order to eliminate avoidable blindness on the look to expand into strengthening the community and continent eye health needs to be supported by primary levels of the health system for eye health. partnerships outside of eye health and outside of the formal health care system.

24 ORBIS AFRICA ANNUAL REPORT ORBIS AFRICA ANNUAL REPORT 25 FILM & RADIO

FILM disease. The short documentary film, RADIO Tell me and I will forget; show me and I may remember; Ngiyakubona (I See You) was In 2014 Orbis Africa partnered with screened at the Inkosi Albert Luthuli In partnership with Orbis Africa, involve me and I will understand. STEPS (Social Transformation and Central Hospital in Durban as part the Children’s Radio Foundation built Unknown Empowerment Projects) to produce of a critical eye health training the capacity of their youth reporters Africa’s first documentary film on programme on World Sight Day in to report on eye care issues affecting eye health. The decision to use film October. A group of trainees children and youth, with the goal of was based on Dr Susan Levine’s including Community Care Givers, amplifying community-based study which revealed a series of Early Childhood Development conversations around eye care as a barriers and obstacles that are facilitators, task team members, whole. The pilot was successfully preventing children from accessing district managers and other primary run in KwaZulu-Natal province with NGIYAKUBONA THE SHORT DOCUMENTARY FILM, NGIYAKUBONA the eye healthcare they require. healthcare professionals were campaigns run with Newcastle (I SEE YOU) WAS SCREENED AT THE INKOSI equipped to take the film into their Community Radio and Vibe FM. ALBERT LUTHULI CENTRAL HOSPITAL IN DURBAN STEPS, who pioneered the AS PART OF A CRITICAL EYE HEALTH TRAINING facilitated film screening communities to bring about social PROGRAMME ON WORLD SIGHT DAY IN OCTOBER. methodology, produced the change and awareness around I see you documentary to initiate social eye health. change and raise awareness of eye

26 ORBIS AFRICA ANNUAL REPORT ORBIS AFRICA ANNUAL REPORT 27 ADVOCACY

Orbis Africa uses advocacy to improve the understanding of the social and economic burden of visual impairment and blindness, advocating for more efficient and effective eye health services across Sub-Saharan Africa.

It is unacceptable that most blind children in Africa “have lost their sight due to preventable causes. Many of the visually impaired children that live in Africa today need not have lost their sight if they had been diagnosed early and had had access to quality treatment and

follow-up. In collaboration with the International universal eye health by helping to the educational, screening and Council of Ophthalmology (ICO) in raise awareness of the causes of referral roles played by Primary I take my role as Ambassador very seriously and am Africa and the Ophthalmological avoidable blindness and the solutions healthcare workers, convene a Society of South Africa, Orbis Africa available. meeting between the Non- committed to partnering with eye health stakeholders hosted a high-level advocacy event in communicable Diseases and the Orbis Africa, in partnership with Johannesburg to inaugurate His Maternal and Child Health to achieve VISION 2020 and see a continent where no Advocacy Aid, also developed a policy Excellency Kgalema Motlanthe, directorates to plan a coordinated review that highlighted the need for a one is needlessly blind. former president of South Africa, as response to strengthening the National Integrated Child Eye Health the new ICO ambassador for VISION prevention of blindness role of Programme that will provide guidance 2020: Sub-Saharan Africa. primary healthcare workers, and at a provincial level. Orbis Africa has finally develop a dedicated holistic His Excellency Mr Kgalema Motlanthe, former president of The significance of the appointment proposed to work with the national child eye health strategy. South Africa and new ICO ambassador for VISION 2020: is that within his role as Ambassador, Department of Health to achieve Sub-Saharan Africa. Mr Motlanthe will contribute towards three primary outcomes: Strengthen

28 ORBIS AFRICA ANNUAL REPORT ORBIS AFRICA ANNUAL REPORT 29 “OUR OVERALL GOAL IS THAT BY 2020 2015 AND BEYOND CHILDREN AND ADULTS LIVING IN THE REGION COVERED BY ORBIS AFRICA WILL BE ABLE TO UTILISE EYE HEALTH SERVICES WHEN THEY NEED THEM, IN FACILITIES WITH THE APPROPRIATE HUMAN RESOURCES, INFRASTRUCTURE AND SYSTEMS.”

• GENERATING REVENUE OF R85-MILLION BY 2020 • OPTIMISING ORGANISATIONAL CAPACITY TO DELIVER QUALITY ON TIME • BUILDING CAPACITY IN PARTNERS TO DELIVER 3 goals HIGH QUALITY EYE HEALTH SERVICES

At Orbis Africa, we utilise our expertise to strengthen Our overall goal is that by 2020 children and adults organisations, people and systems by leveraging our living in the region covered by Orbis Africa will be able global experience and adding value through partnerships to utilise eye health services when they need them, in and advocacy. We also aim to influence others, and act as facilities with the appropriate human resources, a thought and practice leader in our field. We approach infrastructure and systems. In order to achieve our our work through strategic partnerships, a systems- primary objective, Orbis Africa will focus on three approach, innovation, evidence-based work and learning. goals over the next five years: generating revenue of R85-million by 2020, optimising organisational capacity Between 2015 and 2020, Orbis Africa seeks an increase to deliver quality on time, and building capacity in in the use of eye health services in a select number of partners to deliver high quality eye health services. countries in Africa, with a focus on South Africa, Zambia, Cameroon, Ghana, Tanzania, Kenya, Uganda, Malawi and Rwanda.

30 ORBIS AFRICA ANNUAL REPORT w

2014 CONSOLIDATED 2014 AT A GLANCE FINANCIAL SUMMARY

This report illustrates an overview of the consolidated TOTAL REVENUE statement of comprehensive income for Orbis Africa 7% NPC and Project Orbis International Inc*. 7% R41.95m

EXPENDITURE RATIOS TOTAL EXPENSES 86% R40.48m

DIRECT PROGRAMME COSTS A total income of R41.95-million was generated in A consolidated financial performance for revenue and support, which emanated mainly from, but the period recorded a net surplus of R34.94m not limited to, Orbis International, Orbis Charitable Trust and other donors. PROGRAMME & R1.48-million and these residual funds PROGRAMME SUPPORT COORDINATION COSTS 96% or R40.48-million of income was invested in will be utilised in the delivery of implementing our projects in blindness prevention training, screening, treatments and surgeries. programme work as per approved plans FUNDRAISING & R2.89m 86% or R34.94-million was a direct investment into for 2015. In addition to these residual COMMUNICATIONS programme delivery costs. funds, Orbis International, Orbis UK FUNDRAISING & 7% or R2.89-million was used to support programme and Orbis Africa have a funding COMMUNICATION COSTS delivery and includes coordination costs. FINANCE & commitment to fully cover the 2015 ADMINISTRATION 7% or R2.65-million was used for fundraising and communication costs. budget plans. R2.65m

*Project Orbis International Inc. is in the final stages of being deregistered. All of its operations have been transferred Contact Orbis Africa to, and will continue under, Orbis Africa NPC. for a copy of the audited financial statement or visit www.orbis.org.za

32 ORBIS AFRICA ANNUAL REPORT ORBIS AFRICA ANNUAL REPORT 33 LEADERSHIP

Orbis Africa is fortunate to be governed by a highly experienced and skilled Board of Directors whose members contribute far more than guidance, governance and strategic direction; they lead the organisation with passion and commitment.

The Orbis Africa Board of Directors Orbis Africa Ambassador

Mr. Robert F Walters Dr Michael Mol FRCS, FRCS (Ed), FRCOphth, DO Chair

Professor Emeritus Anthony Murray Director

Professor Shirley Zinn Director

Professor Emeritus Shirley Pendlebury Director

Ms. Lene Øverland Director

Mr Nigel Young Director

Ms. Rebecca Cronin Director

Mr Adrian J. Paull Director

34 ORBIS AFRICA ANNUAL REPORT DONORS VOLUNTEER FACULTY

Ann-Marie Ablett (UK) Parikshit Gogate (India) Mary O’Hara (USA) GIFTS IN KIND GRANTS INDIVIDUALS Isabel Aguilera (UK) Karl Golnik (USA) Scott Olitsky (USA) Brewers Logic R 1,000,000+ Ms Samantha Bacon Mr Daemon McClunan Wallace Lee Alward (USA) Artem Grush (USA) Carlos Omphroy (USA) Bazil Ateleanu (UK ) Sin Yee Ho () Ernesto Otero ( Colombia) DSTV Media Sales Standard Chartered Bank Mr Faried Bassier Ms Mirriam Mogotsi Lawrence Azavedo (UK) Angela James (New Zealand) Susanna Park (USA) ISEBOX Embassy of Japan Ms Nicole Bruckner Ms Mary Montgomery Mediaweb Online (South Africa) Ms Diza Burnett Ms Eileen Monti Bhupesh Bagga (India) Sandra Johnson (USA) Chee Soon Phaik (Singapore) Ministry of Health, Mr Russell Burnett Mr Andrew Neely Pamela Bailey (South Africa) Karyn Elizabeth Jonas (USA) Ronald Pelton (USA) Zambia R 200 000+ Mr Tudor Caradoc-Davies Dr Daniel Neely Samar Basak (India) Amy Jost (USA) Susan Pepin (USA) Discovery Fund Pick n Pay Ms Cheryl Carolus Mr Jerry Neely Larry Benjamin (UK) Yasser Khan (Canada) Toni Pilcher (Australia) Tsunami Foundation Premium Brand Ms Carole Ellis Ms Lucille Neely James Brandt (USA) Robert Kersten (USA) Donna Punch (Canada) Victor Daitz Foundation Distributors Ms Suraya Farren Mr Justin Newdigate Stephen Brodovsky (Canada) Peter Kertes (Canada) Danilo Ramos (USA) Print & Signage R 50 000+ Dr Geoff Foat Mr Hugh Newman Donal Brosnahan (Ireland) Milind Killedar ( India) Manish Raval (UK) Solutions Sandra Burnett (USA) Hari Kumar (India) Manolito Reyes ( Philippines) Bausch & Lomb Ms Lynn Geater Ms Tracey O’Brien SSEM Mthembu Dr Theshentree Govender Ms Catherine Parker John Carter (USA) Wai-Ching Lam (Canada) Sanjay Saikia (UK) Medical The Allergan Foundation David Celaschi (UK) David Laws (UK) Ahmed Sallam (UK) Capital Equipment Group Ms Catherine Grant Mr Pilla Marc Cepela (USA) Alice Lee (Canada) Arif Samad (Canada) Truworths Community Mr Petr Havlik Dr Indren Pillay Foundation Ms Beverly Hosket Mr Anton Potgieter Kakarla V. Chalam (USA) Vincent Lee (Hong Kong) Thomas Samuelson (USA) Mr Bradley Hosket Ms Louise Renton Radhika Chalwa (Canada) Wen Yuan Princton Lee (UK) Natalio Schwartz (USA) R 5 000+ Ms Susan Hosket Ms Joanne Rowland R. V. Paul Chan (USA) James Lehman (USA) Benjamin Shalev (Israel) Embassy of the Ms Jennifer Hull Dr Yaadia Seevnarayan Gabriela Chong (Hong Kong) Richard Gary Lane (USA) Craig Simms (Canada) United States Ms Judy Kneppers Ms Carla Sher Victor Chong (UK) Alex Levin (USA) Noreen Smith (USA) Truworths Chairman’s Mr Andries Krause Mr Mark Sher Peng Peng Chuah (Malaysia) Mark Mannis (USA) Vijayaraghavan Srinivasan (India) Foundation Ms Maria Kruger Mr Casper Steenkamp Simon Courtman (UK) Janet Marsden (UK) Rosalind Stevens (USA) Foundation for Human Maria Rosa Cueva ( Peru) Anthony McAleer (Ireland) Sukumar Sudheer (UK) Rights Mr Gary Kruser Mr Alberto Struck Elethia Dean (USA) Timothy McCulley (USA) Donny Suh (USA) Illovo Sugar Limited Mr Ryan Larkan Mr Andre Swart Fiona Dean ( UK) Kimberly McQuaid (USA) Grace Sun (USA) Buffelsdale Primary School Mr Christopher Lenferna Ms June Teare Leo de Kryger (Canada) Ron Meidan (Israel) Poornachandran Sundaram (India) Avnet Kopp Mr Ian Logan Ms Camilla Thorogood Ms Esther Lungren Mr Johan Uys Hardeep Dhindsa (USA) Elkin Mejia (USA) Rishi Swarup (India) R 1 000+ Mr Joe Lungren Sr. Mr Harvey Trent Michael Eckstein (UK) Alfonso Mendoza-Alvarado (Colombia) Luu Tong ( Vietnam) DH Mossa Willowton Mr Rodney Maharage Mr Jef van Rooyen Sherif El-Defrawy (Canada) David Miller (USA) Jay Vicencio (Philippines) Oil Foundation Mr Manuel Jose Maia Ms Nina van Zyl Mairead English (Ireland) Eydie Miller-Ellis (USA) Rudolph Wagner (USA) Methodist WCF Mr Wicus Malherbe Ms Jane Venter Ian Fleming (UK) Anne Moore (USA) James Whelan (Canada) Mr Lucien Manga Mr Rob Walters Douglas Fredrick (USA) Peter Moore (USA) M. Edward Wilson (USA) Prof Angela Mathee Mr Stuart Watson Robyn Frick (USA) Carrie Muntz (USA) Mitchell Wolf (USA) Antonia Gerber-Setz ( New Zealand) Somashelia Murthy (India) Xiangwei Zhang (USA) Ruchi Goel (India) Daniel Neely (USA) Yuan Zhang (USA)

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