2015 ANNUAL REPORT ASIACONTENTS Nepalletter to Our Friends 1 Who We Help 2 Highlights from 2015 3
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2015 ANNUAL REPORT ASIACONTENTS NEPALLetter to Our Friends 1 Who We Help 2 Highlights from 2015 3 Programs ASIA Nepal 4 Myanmar 6 Bhutan 7 India 8 AFRICA Ghana 10 Ethiopia 12 OCEANIA NOW AVAILABLE IN PAPERBACK Papua New Guinea 15 Second Suns is the unforgettable story of how two men with a shared dream Technology & Procurement 16 are changing the world, one pair of eyes at a time. In this transporting book, Training 17 David Oliver Relin shines a light on the work of Himalayan Cataract In The News 22 Project Co-Founders Drs. Sanduk Ruit and Geoff Tabin who have dedicated their lives to eradicating preventable blindness through the Financials 23 Himalayan Cataract Project. Relin takes us from impoverished plywood In-Kind Support 26 operating tables in the farthest reaches of Nepal to state-of-the-art surgical Support 27 centers to village hospitals in Africa where these driven men are restoring Affiliations 42 sight – and hope – to patients around the world. — RANDOM HOUSE Leadership 43 “ A compelling and inspiring book . Second Suns portrays heroic health care delivered under harrowing On the cover: Post-operative cataract patients conditions.” — WASHINGTON POST in Hetauda, Nepal HIMALAYAN CATARACT PROJECT Dear Friends, It is with great excitement that we share this 2015 Annual Report with you. With your assistance and together with our partners, we reached a record number of people—over 940,000—and provided a record number of surgeries—over 83,000, in addition to training 79 eye care providers. The year 2015 will be forever remembered as the year that two major earthquakes struck Nepal, leaving thousands dead and tens of thousands without food and shelter. In the face of almost overwhelming suffering and need, the Tilganga Institute of Ophthalmology pivoted overnight into a national relief center, taking in trauma patients and using its full network to deliver emergency medicines and supplies to thousands of people in devastated outlying areas. This response was in no small way fueled by your generous support. Job Heintz and Geoffrey Tabin The tragedy of the earthquakes is a strong reminder of the importance of partnerships in forging a more connected world that is responsive to local challenges and opportunities. The efforts highlighted in this report have come about through strong partnerships. In Nepal, in addition to the earthquake response, Tilganga was able to grow its network of community eye centers as well as continue to expand its efforts outside of Nepal, in Myanmar and Indonesia, for example. In Ethiopia, we are working with partners in five different regions to improve systems of eye health with support from the Conrad N. Hilton Foundation. In Ghana, we are expanding partnerships to reach more patients. Leveraging the strength of our growing network, we believe that together we can eliminate avoidable blindness and that we can do it within our lifetime. We cannot thank you enough for the support you have provided to make our work possible. On behalf of all of our Staff, Board and program partners, thank you. With gratitude, Geoffrey Tabin Job C. Heintz Chairman & Co-Founder Chief Executive Officer 2015 ANNUAL REPORT 1 WHO WE HELP Himalayan Cataract Project: Restoring Sight, Changing Lives More than 39 million people worldwide suffer from blindness – but most don’t have to. More than half are blind due to cataracts, a completely curable condition. Close to 90% of blind people live in developing countries where access to eye care is severely limited. The Himalayan Cataract Project (HCP) brings low-cost life-changing care to people in underserved areas of the world and trains local personnel to build sustainable eye care systems for the future. NEPAL BHUTAN • • • • MYANMAR INDIA • • PAPUA NEW GUINEA ETHIOPIA • GHANA INDONESIA • In 2015, HCP and its partners provided screenings for more than 940,000 individuals and performed more than 83,000 surgeries throughout seven countries in Asia and Sub-Saharan Africa. We also directly supported the training of 79 ophthalmic personnel – an increase of 88% over 2014. 2 HIMALAYAN CATARACT PROJECT HIGHLIGHTS OF 2015 Relief in the Aftermath On April 25, 2015, a devastating 7.8 magnitude earthquake rocked Nepal, leaving more than 8,000 dead, many thousands injured, and widespread devastation. HCP co-founder and Tilganga Medical Director Dr. Sanduk Ruit immediately mobilized relief efforts while HCP donors responded with an outpouring of support that eventually totaled more $400,000. With this support, Tilganga provided urgent food and medical relief. Its hub- and-spoke network helped distribute more than 172,000 lbs. of food and desperately needed tarps, medicine, oral rehydration solution, soap, and flashlights, along with providing critical care to the injured. A second earthquake on May 12 devastated the Dolakha region. Tilganga expanded its relief and eye care work in addition building 400 temporary shelters for earthquake victims in the Dolakha and Sidhupalchowk regions just as the monsoon “ This is one of the worst natural disasters in my lifetime. There are season was approaching. The rebuilding of eye care thousands who have been left homeless in many parts of Nepal where infrastructure commenced soon after. life is much more difficult… We at Tilganga and the Nepalese people are moved by your generosity, faith and love for the work we are doing.” — HCP CO-FOUNDER DR. SANDUK RUIT 3 ASIA NEPAL Tilganga Institute of Ophthalmology Despite two massive earthquakes, Tilgnaga continued to provide quality eye care at its main facility in Kathmandu and throughout the growing network of community eye centers and hospitals. In 2015, Tilganga added two more eye centers in remote locations in Manang and Mustang, supported by the Lavelle Fund for the Blind. 4 HIMALAYAN CATARACT PROJECT NEPAL 2015 Tilganga Patient Care Tilganga continues to build capacity in the sub-specialty of Cornea, the second-largest cause of blindness worldwide. SCREENING In 2015, 506 corneas were retrieved at Tilganga — 81% of the target — despite delays caused by the earthquakes. Hospital Based Screenings . 215,569 Shankha Twyana, Tilganga’s Eye Bank Manager, was Outreach Screenings recognized for his contributions to this success by Hetauda Community Eye Hospital . 61,743 receiving the Outstanding Service in Prevention of Blindness Award, given by the Asian-Pacific Academy Outreach Microsurgical Eye Clinics (OMECs) . 25,689 of Ophthalmology Conference. Two new Eye Donation Community Eye Centers (13 CECs) . 110,191 Counselors were posted to Patan Hospital to increase the Outreach Total . 188,119 capacity of collected cornea tissue. HCP has partnered with SightLife since 2011 to strengthen the Nepal Eye Total Screenings . 413,219 Bank, implemented by Tilganga. Corneas Retrieved SURGERY Tilganga Hospital Based Surgeries . 17,714 600 576 506* Outreach Surgeries 500 462 Hetauda Community Eye Hospital . 3,048 400 Outreach Microsurgical Eye Clinics (OMECs) . 5,868 300 CEC Minor Surgeries . 120 224 200 163 Outreach Totals . 6,835 100 * Total affected by Total Surgeries . 26,750 spring earthquakes. 0 2011 2012 2013 2014 2015 2015 ANNUAL REPORT 5 ASIA MYANMAR Expanding Care & Training Together with Tilganga, HCP continued work with its main partner in Myanmar, the Yangon Eye Hospital (YEH). HCP supports sub-specialty fellowships for YEH staff; conducts cataract and cornea workshops that provide on-the-ground training and critical care; and provides sub-specialty equipment for YEH through its partnership with Myanmar residents watch Dr. Ruit operate on the screen. USAID’s American Schools and Hospitals Abroad (ASHA) program. 2015 Highlights include: • Cornea Sub-specialist Dr. Aye Chan completed his one-year fellowship with an observership with Dr. Geoff Tabin at the Moran Eye Center, University of Utah, and also participated in the American Academy of • In February, HCP co-founders Drs. Geoffrey Ophthalmology’s Annual Meeting in Las Vegas. Tabin and Sanduk Ruit led Cornea and Cataract workshops at YEH and in Taunggyi. A total of • Sub-specialist Dr. Wah Wah Lwin completed a one-year Retina fellowship at Tilganga. Dr. Lwin is one of only 706 cataracts and 11 cornea transplants were three retina specialists for roughly 54 million people living in Myranmar. completed. Drs. Ruit and Tabin assisted with • In July, HCP participated in a national eye health planning workshop organized by the World Health skills transfer along with an outreach team from Organization, the International Agency for the Prevention of Blindness, and The Fred Hollows Foundation. Tilganga. These workshops were attended by 30 The workshop was attended by representatives from Myanmar’s Ministry of Health, public health sector, and ophthalmologists and 20 ophthalmology residents. international NGOs. 6 HIMALAYAN CATARACT PROJECT INDIA ASIA BHUTAN Royal Partnership Extended HCP and the Royal Government of Bhutan’s Ministry of Health signed its 4th five-year agreement to continue supporting the development of Bhutan’s eye care service. The agreement focuses on expanding Bhutan’s first residency program while continuing to expand access to both primary and sub-specialty eye care across the kingdom. HCP has been providing Dr. Bob Hoffman examining a patient with Dr. Dechen Wangmo and an ophthalmology resident. support for outreach, training, and the provision of ophthalmic equipment for Bhutan’s three hospitals 2015 Highlights with ophthalmology departments since 2001. • HCP co-founder Dr. Sanduk Ruit received the National Order of Merit by the King of Bhutan, Jigme Khesar Namgyel Wangchuck. Dr. Ruit was awarded for his contributions toward eye care development in Bhutan. He is the first Nepali to receive such an award. BHUTAN HOSPITAL-BASED OUTREACH TOTAL • HCP affiliated pediatric ophthalmologist Dr. Robert Hoffman returned to Bhutan to work with Dr. Screenings 132,495 16,520 149,015 Dechen Wangmo, Bhutan’s only pediatric ophthalmologist. Dr. Hoffman mentored Dr. Dechen in clinic and the operating room, delivered equipment, and gave lectures and training to Bhutan’s new Surgeries 1,726 408 2,134 ophthalmology residency program.