Annual Report 2009

ANNUAL REPORT 2009

SAVING SIGHT: 195,406 EYE OPERATIONS AND TREATMENTS IN 2009

www.hollows.org.au his age. the sameopportunitiesasotherchildren Kipar cannowattendschoolandhave His familywasdelighted, knowingthat see clearlyfortheﬁ rst time. Nakuru EyeClinicinKenya, Kiparcould atthe Following sightsavingsurgery the nearestwatersupply. things suchaswalktowashhimselfat almost impossibleforhimtodosimple cataracts inbothofhiseyes, makingit Four yearoldKiparwasbornwith NEW HOPEINKENYA

Photo: Hugh Rutherford OUR VISION OUR ORGANISATIONAL GOALS The vision of The Fred Hollows Foundation is for a The Fred Hollows Foundation strives to achieve four world where no one is needlessly blind, and Indigenous key goals: Australians enjoy the same health and life expectancy as other Australians. 1. End avoidable blindness in the communities and countries where we work. 2. Improve the life chances and choices of Indigenous OUR INSPIRATION Australians through improving their health. Our organisation is inspired by Professor Fred Hollows 3. Work through strong partnerships and cross-sector (1929-1993). Fred was an eye doctor, a skilled surgeon collaborations – at local, national and global levels. of international renown and a social justice activist who 4. Build a strong and dynamic organisation, capable championed the right of all people to high quality and of facilitating effective eye and Indigenous health affordable eye care and to good health. programs and having a positive impact on public opinion, policies and practices. WHO WE ARE We are an agent for development in Australia and internationally. We focus on blindness prevention and Australian Indigenous health. We are independent, non- proﬁ t, politically unaligned and secular.

CONTENTS The objective of the Australian Government’s aid Prime Minister’s Message 3 program, delivered by the Australian Agency for International Development (AusAID), is to assist developing countries to reduce poverty and achieve Chair’s Report 4 sustainable development, in line with Australia’s national interest. In 2009, AusAID contributed funding towards CEO’s Report 6 The Fred Hollows Foundation’s programs in Bangladesh, Cambodia, China, Eritrea, Kenya, Nepal, Pakistan, Highlights 7 Rwanda, South Africa, Tanzania and Vietnam. Where We Work 15 The Fred Hollows Foundation is a member of the Australian Council for Our Partners 20 International Development (ACFID) and a signatory to the ACFID Code Thank You 21 of Conduct. The Code requires non-government development organisations, such as The Foundation, Governance 24 to meet high standards of corporate governance, public accountability and ﬁ nancial management. The The Board of Directors 25 Foundation’s adherence to the Code demonstrates our commitment to ethical practice in our operations in Financial Overview 27 Australia and internationally. More information about the Code can be obtained from The Foundation or ACFID. Message from Gabi Hollows 32 Visit www.acﬁ d.asn.au or phone +61 2 6285 1816 for more information.

In 2009 The Foundation was guided by our Reconciliation Action Plan (RAP), representing our ongoing commitment to embrace, respect and promote Australian Indigenous culture, rights and perspectives. Our RAP is available at www.hollows.org.au

Front cover photo: www.fetting.com.au This report is printed by Peachy Print on environmentally friendly paper made using responsible forestry practices.

www.hollows.org.au | ANNUAL REPORT 2009 | The Fred Hollows Foundation 1 GEORGE AND MARGARET’S STORY

George and Margaret are from Elburgon, a small town They began their journey together to the Nakuru clinic about 40 km from Nakuru in the Rift Valley Province which is The Fred Hollows Foundation’s base for of Kenya. They are clearly devoted to each other, outreach operations throughout Kenya. however due to their cataract blindness, it has been years since they’ve seen one another.

George waits anxiously for Margaret to return from her Just prior to their operations, a tennis ball with a piece eye screening. It would be the only time they would be of string through it is used to apply pressure to the eye. apart during the entire sight restoring process. Photos: Hugh Rutherford Following their successful operations, George and George and Margaret cannot contain their joy as Margaret return home and are instantly greeted by the visual world lost to them is opened once more. excited children in their village. For the ﬁ rst time George “Before I could not even see her, but now I can,” said and Margaret can see their smiling faces clearly. George laughing.

2 The Fred Hollows Foundation | ANNUAL REPORT 2009 | www.hollows.org.au PRIME MINISTER’S MESSAGE

It’s little wonder that when The Australian Government is “The Australian Australians are asked to proud to be working side by side nominate their heroes, many with The Fred Hollows Foundation Government is proud to mention the name of Professor both to improve the health of be working side by side Fred Hollows. Indigenous Australians and as part of our international aid and with The Fred Hollows The people who most inspire development program. Foundation both to improve us are so often those who devote their talents, energies In 2009 the Australian Government the health of Indigenous and their lives to helping those commenced a $58 million program Australians and as part of most in need. Fred was one to tackle eye and ear diseases our international aid and such man. A man of passion, among Indigenous Australians. courage and determination, This is part of the Government’s development program.” Fred used his outstanding medical commitment to close the gap skills to reach out to people in real life outcomes between blinded by poverty. For many Indigenous and non-Indigenous decades he worked to improve Australians. The 2009 Annual Report of The the eye health of Indigenous Fred Hollows Foundation is an Australians and people living in This followed the Government’s impressive record of achievement the developing world. commitment of $45 million in of which all Australians can be 2008 to reducing the incidence proud. His methods were often of avoidable blindness and controversial. He was an developing a disability strategy outspoken advocate for justice for Australia’s aid program. The and wasn’t afraid to rufﬂ e a few Avoidable Blindness Initiative feathers if it meant getting his involves a consortium of Australian The Honourable Kevin Rudd MP point across. And he was non-government organisations Prime Minister of Australia committed to results. including The Fred Hollows Foundation, working with other Despite Fred’s death almost regional partners in the ambitious two decades ago, his work lives task of helping rid our region of on through The Fred Hollows avoidable blindness. Foundation which now works in 18 countries and has become The Foundation’s work goes on one of the world’s leading because of the generosity of blindness prevention organisations. tens of thousands of everyday Millions of people throughout the Australians who continue world can now see again because to support the vision of an of its work. outstanding Australian.

www.hollows.org.au | ANNUAL REPORT 2009 | The Fred Hollows Foundation 3 CHAIR’S REPORT Photo: Baycorp Advantage

In 2009, despite challenging fi nancial of our next fi ve year plan, due to agencies, backed by the Australian and security conditions, we made commence in 2010, was moved Government. The Foundation is great strides towards achieving forward and undertaken in 2009. the consortium’s Agent and Prime our goals of eradicating avoidable We revisited Fred’s original Contract Holder, as well as an blindness globally and improving the aspirations for The Foundation, implementing agency in Cambodia health of Indigenous Australians. reviewed the lessons we have and Vietnam. This is an historic learned from our experience, and cooperation between not-for- Fred’s Foundation is in great sought input from our international profi t eye health organisations, condition. We are assisting more program leaders, our sister the ophthalmic profession and people through more programs in Foundations in New Zealand, government which is aimed at more countries than ever before. the UK and South Africa, and key eliminating avoidable blindness in the These strong results refl ect a clear program partners. Asia-Pacifi c region. We are already strategic focus, a highly engaged exploring the potential for applying Board and a talented, united The outcome is a new fi ve-year this collaborative model in other operational team in Australia and Strategic Framework for the period parts of the world. overseas. 2010 – 2014 that reinforces The Foundation’s determination to be: In 2009 The Foundation’s Board Even more importantly, we have the • a key global player and partner also strengthened ties with our strong and continued support of in ending avoidable blindness by sister Foundations which will mean our many members and donors. As 2020 a better coordinated and more the global fi nancial crisis rocked the • an effective contributor to effective global impact. As we world, we needed you more than ever collaborative action to achieve continue to create new structures before – and you did not let us down. measurable improvements in and processes for an international So we offer our heartfelt thanks Indigenous health ‘Fred Hollows’ presence, we will to each and every one of you for • a world class advocate, be guided by a new Corporate ensuring that Fred’s work continues nationally and internationally Governance Charter that sets to expand, bringing sight and hope to • a strong and dynamic out the principles and practices those blinded by poverty alone. organisation with ‘best practice’ necessary to fulfi l the public trust human resource management vested in us to protect and promote In 2009, income from individual and operational systems Fred’s legacy. donors and government and • an international, multi country multi-lateral agencies increased development organisation, Never has The Foundation been substantially. The Foundation’s demonstrating world-class more focused, more connected cautious, conservative investment governance refl ecting our with our founding principles and strategy saw the value of our international character and aims, and more inspired by Fred’s invested funds recover strongly. sector-leading impact in leadership and example. With your By year’s end we were in our achieving our vision. continuing support, our vision of a strongest ever fi nancial position, Some signifi cant steps have already world where no-one is needlessly poised to enter a new and exciting been taken to progress these blind is within reach. phase of our organisational strategic and operational goals. development. In 2009 we were a central player The Foundation’s growth has been in the establishment of the Vision so strong that we have out-paced 2020 Australia Global Consortium Andrew Want our strategic plan! The formulation – a joint venture of nine eye health Chair

4 The Fred Hollows Foundation | ANNUAL REPORT 2009 | www.hollows.org.au FOUR MILLION MIRACLES Photo: www.fetting.com.au

“I think it’s likely that Nepal will be the ﬁ rst Asian country that will achieve the sort of quality and equality of eye care that we have here, and I think Eritrea might be the ﬁ rst African country – those are my hopes.” – Fred Hollows

During 2009 the four millionth Fred Hollows Intraocular Lens was produced from Fred Hollows laboratories operating in Nepal and Eritrea.

An intraocular lens, or IOL, is a small piece of plastic Photo: Anne Crawford inserted into the eye to replace the natural lens that has The ﬁ nished product. A staff member shows a Fred Hollows become cloudy as a result of cataract. intraocular lens at the Fred Hollows Intraocular Lens Laboratory in Kathmandu, Nepal. The laboratories were established by The Foundation in 1994 as a result of the vision of Professor Fred Hollows. He believed that by manufacturing IOLs locally, cataract surgery could be made affordable to those living in poverty.

At the time IOLs could cost as much as $200. Today they sell for as little as $6-$8, one of the reasons the cost of cataract surgery in the developing world can be as little as $25.

Both laboratories use sophisticated clean-room technology and operate to international standards, consistently achieving internationally recognised quality certiﬁ cation.

The Fred Hollows IOL laboratories are located in Photo: Jon Reid/SMH Kathmandu, Nepal and in Asmara, Eritrea. They are Over four million sight saving lenses have been produced at the independently owned and locally operated. Fred Hollows Intraocular Lens Laboratories.

www.hollows.org.au | ANNUAL REPORT 2009 | The Fred Hollows Foundation 5 CEO’S REPORT Photo: Hugh Rutherford

Thank you to those who supported In others, such as Cambodia Initiative which aims to eliminate our work throughout 2009 – and China, what were just a avoidable blindness in our region. through you the work of Fred few years ago small emerging Hollows lives on. programs, are now playing a major The Foundation is in good shape role in the elimination of blindness despite the global fi nancial crisis With pride I report 2009 as another – not only through our own work and security concerns in some year of achievement. In 2009 we: but through wider nationwide areas in which we work. We have • Examined the eyes of 1,765,079 involvement in national blindness raised and spent record amounts. people prevention. And in Eastern Africa, And in 2009 we strengthened our • Performed 195,406 sight and South Africa, big steps are internal management systems to saving, restoring and improving being taken. And we’re pushing on ensure the highest standards of operations and treatments into new areas - Burundi, Rwanda, fi nancial accountability and control. • Trained 5,878 eye health Lao PDR, Bangladesh We are constantly improving the professionals including 85 and Afghanistan. monitoring and evaluation of our surgeons, 826 clinical staff and programs. 3,293 community health workers At home, in Australia, our work • Built or upgraded 19 eye health continues to expand – not only in Thank you to our partners and facilities eye health but also in working to staff throughout the world and • Worked to support Indigenous close the gap in life expectancy here in Australia. The Foundation’s health initiatives in 55 between Indigenous and non- achievements are testament to the communities Indigenous Australians. professionalism and commitment of people following in Fred’s footsteps. That means that every day, The Foundation has an ambitious somewhere in the world, people’s goal – to eliminate avoidable And thank you to our tens of lives are changed because of Fred’s blindness by 2020. To that end we thousands of supporters who inspiration and the work of The are members of the International so generously donate to The Foundation. Every hour of every Agency for the Prevention of Foundation’s work so that Fred’s day we are looking into the eyes of Blindness and signatory to its vision can live on. Without you it just over 200 people – more than three primary objective - to eliminate wouldn’t happen. people every minute. avoidable blindness by 2020. We work side by side with other In 2009 The Foundation worked blindness prevention organisations in 18 countries. In many The to fulfi l this aim – not only through Foundation has well established service delivery but also as Brian Doolan programs which are playing a major advocates to national governments. CEO role in blindness elimination. Some, long established, such as Pakistan, And in 2009 The Australian Vietnam, Nepal and Eritrea, have a Government committed funds for the remarkable history of achievement. fi rst stage of the Avoidable Blindness

6 The Fred Hollows Foundation | ANNUAL REPORT 2009 | www.hollows.org.au 2009 HIGHLIGHTS Record results: Saving sight

In 2009, with your help, The Foundation assisted a record number of people. Over 1.7 million people came to us for care – that’s more than three people every minute. And there is still much more to be done. Eliminating avoidable blindness is an achievable goal and we are getting on with the job.

Training Eye operations & treatments

6,000 200,000

5,000 “It is remarkable to 5,878

150,000 reﬂ ect upon the fact195,406 5,217 4,000 that The Fred176,472 Hollows Foundation has restored 3,000 100,000 the143,759 sight of more than 3,284 2,000 one million people 50,000 during those 15 years” 1,000

0 0 2007 2008 2009 2007 2008 2009

Equipment Screening

$3,000,000 2,000,000

$2,500,000 1,500,000 $2,000,000 $2,543,003 $1,500,000 1,000,000 1,765,079 1,309,564 $1,000,000

500,000 1,076,185 $1,559,818 $500,000 $1,373,943

0 0 2007 2008 2009 2007 2008 2009

www.hollows.org.au | ANNUAL REPORT 2009 | The Fred Hollows Foundation 7 2009 HIGHLIGHTS Delivering new skills: Training Photo: Hugh Rutherford Dr Desbele Ghebreghergis trained with Fred Hollows in the late 1980s and is now the Director of Berhan Eyni, Eritrea’s national eye hospital.

“Fred was my friend, he was my teacher and he was even my father.” Top: – Dr Desbele Ghebreghergis Dr Smallcombe looks on as Professor Fred Hollows said the Dr Sanduk Ruit conducts surgery most important thing he ever did was in Nepal train eye health professionals. And not just surgeons but vital nurses Bottom: Dr Smallcombe and community health workers inspects the eyes who help ensure that blindness is of a local villager identiﬁ ed and treated. in Nepal.

It’s a commitment The Foundation has maintained – taking new skills into the developing world – so that Fred’s work continues to live on. In 2009 The Foundation trained 5,878 people – a record – including 85 The Fred Hollows Foundation Fellowship surgeons, 826 clinical staff and 3,293 – Dr Katherine Smallcombe community health workers. The Fred Hollows Foundation Fellowship is continuing the commitment of Fred Hollows to That brings to 22,867 the number train eye specialists and encourage them to actively participate in ophthalmology outside trained since 2005. And we’re academic institutions. reaching into new areas – running programs for the fi rst time ever in Lao Conducted in conjunction with the Royal Australian and New Zealand College of PDR and Burundi, supporting new Ophthalmologists (RANZCO), the fellowship engages junior ophthalmologists in the work of The Foundation by offering a six month period of work rotating to programs in Nepal, Fiji and skills in Afghanistan and completing Central Australia. surgical workshops in Bangladesh. And of course The Foundation’s In 2009, Queensland’s Dr Katherine Smallcombe was the inaugural recipient. Dr Smallcombe partner in Nepal, the Tilganga spent the fi rst 10 weeks of her fellowship working in Alice Springs under the supervision Institute of Ophthalmology, has of Dr Tim Henderson. She then travelled to the Pacifi c Eye Institute in Fiji for eight weeks to become a major ophthalmic centre work with Dr John Szetu. Her fi nal 10 weeks were spent in Nepal at the Tilganga Institute of of excellence – training surgeons and Ophthalmology, where she was supervised by Dr Reeta Gurung and Dr Sanduk Ruit. nurses from all over the world.

8 The Fred Hollows Foundation | ANNUAL REPORT 2009 | www.hollows.org.au 2009 HIGHLIGHTS Building the future: Facilities and equipment Photo: Hugh Rutherford The Fred Hollows Foundation supplies surgeons and support staff with the tools of the trade, to ensure they can deliver high quality care in some of the world’s most difﬁ cult to reach regions.

Whether it’s a new set of • In Nepal, The Foundation helped “Don’t ever ‘half do’ a job – don’t instruments for a recently graduated construct the new Tilganga surgeon or building a new operating Institute of Ophthalmology – ever compromise – slog away until theatre in a remote eye hospital, restoring sight to thousands you get the job done.” The Foundation is ensuring that each month and training – Fred Hollows eye health professionals have the surgeons from throughout the tools and equipment they need to developing world eliminate avoidable blindness. • In Pakistan, working with the National Programme for Highlights include: Prevention of Blindness, The • In Lao PDR, we constructed Foundation upgraded eight health a new Eye Unit at Oudomxay facilities for eye care in remote Provincial Hospital. The Unit districts. Since 1998, the program will act as a regional centre for has upgraded 44 eye units and eye care services in four remote three rural health centres northern provinces – serving • In Vietnam, The Foundation a population of over 700,000 upgraded eye facilities in four people and helping train eye hospitals – helping ensure health professionals improved eye care and training

www.hollows.org.au | ANNUAL REPORT 2009 | The Fred Hollows Foundation 9 2009 HIGHLIGHTS Childhood blindness

More than 100 children received eye operations at Binh Dinh eye hospital as part of a special one week surgery campaign run in Vietnam in 2009.

In some developing countries, up to a major paediatric eye health • Supported 163 children’s 60% of children die within one year program in Pakistan. This surgeries at the Nakuru Eye Unit, of going blind. included upgrading facilities and Kenya providing training in specialised • Ran school eye health programs Most of the world’s blind children paediatric ophthalmology at Alder in Vietnam – training 412 live in Asia and Africa. In addition, Hey NHS Hospital, Liverpool, UK school teachers in eye health the eye health situation of • Partnership established with and screening 231,693 school Indigenous children in remote Sightsavers International to children and expanded the Sight locations of Australia is more like work on Bangladesh Childhood for Children Program which that of developing countries – for Cataract Campaign, which aims provides vital surgery for the instance in north Western Australia to eliminate childhood cataract blind and visually impaired trachoma rates are still far too high. backlog • Assisted in the upgrading • Supported four blind schools of paediatric facilities at In 2009 The Foundation continued in Cambodia including provision the Tilganga Institute of to develop its work amongst of vision assessments and Ophthalmology children, including: visual aids • As part of The Australian • Trained local nurses and Government’s Avoidable teachers to screen school Blindness Initiative, commenced children for visual impairment

10 The Fred Hollows Foundation | ANNUAL REPORT 2009 | www.hollows.org.au 2009 HIGHLIGHTS Working together Photo: Hugh Rutherford The Foundation’s Cambodia Country Manager, Sith Sam Ath, examines the eyes of an elderly villager.

Eliminating Blindness Development Assistance, Bob Partners in the Consortium are: by 2020: The Avoidable McMullan, with a commitment of The Fred Hollows Foundation, Blindness Initiative/Vision $45 million from the Australian CBM Australia, ICEE, The Royal 2020 Australia Global Government for phase one. Australian and New Zealand College of Ophthalmologists, Royal Consortium As a result as many as 100 million Australasian College of Surgeons, people in South East Asia and the Foresight Australia, Royal Institute The Fred Hollows Foundation has Pacifi c will have their vision restored for Deaf and Blind Children, Vision come together with the Australian or improved. Australia, Centre for Eye Research Government and eight other Australia. Australian vision organisations – The Consortium’s activities over The Vision 2020 Australia Global the next two years are the fi rst Consortium – as part of a ground step in implementing Vision 2020 breaking plan to eliminate avoidable Australia’s 10 year Regional Plan, blindness in the Asia Pacifi c region which aims to eliminate avoidable by 2020. blindness in the Asia Pacifi c region. Australia is a leader in blindness The plan was kicked off in prevention – setting an example for November by Parliamentary the rest of the world. Secretary for International

www.hollows.org.au | ANNUAL REPORT 2009 | The Fred Hollows Foundation 11 2009 HIGHLIGHTS Working with Indigenous Australians

When it came to the health and rights of Indigenous Australians Professor Fred Hollows never shirked a challenge.

He took eye care to some of Australia’s most remote Indigenous communities, was at the forefront of the establishment of Aboriginal controlled medical centres and never hesitated to tell Australia it needed to do better.

That’s why The Foundation’s work amongst 55 Indigenous communities goes beyond eye care, helping build strong and sustainable health systems. And we’re working to ensure that the gap in life expectancy between Indigenous and non-Indigenous Australians is closed within a generation.

Achievements Eye health • Two surgery intensive weeks in Alice Springs carried out 80 cataract operations and 21 other eye procedures for patients from Central Australia and the Barkly • Committed to new eye clinic at Alice Springs Hospital as part of the Central Australian and Barkly Integrated Eye Health Service • Supported eye health coordinators in remote regions of the Northern Territory – helping build eye health systems and ensuring Indigenous Australians have access to quality ophthalmology • Optometry services and affordable spectacles provided through our optometry programs

Speaking out • New policy and advocacy

partnership formed with the Photo: Sasha Woolley Aboriginal Medical Services Alliance of the Northern Territory The Foundation is helping to improve the lives of young Indigenous Australians.

12 The Fred Hollows Foundation | ANNUAL REPORT 2009 | www.hollows.org.au 2009 HIGHLIGHTS Working with Indigenous Australians Photo: Stephen Ellison/Outline Fred Hollows had a passionate commitment to improving Indigenous health.

• Supported the Close the Literacy Culture Gap coalition – bringing • Indigenous Literacy Project • Supported four Black Arm Band public attention to the health distributed 15,000 books concerts in remote and regional issues facing Indigenous to 261 communities and centres Australians organisations. 3,000 of these • Provided event management • Worked with Charles Darwin books went to schools – helping training programs for six remote University to improve Australia’s Indigenous kids improve their trainees attached to two cultural knowledge of the social literacy skills festivals – Barunga and Walking determinants of Indigenous with Spirits health – making sure we know Women’s development what is and isn’t working • Development and launch of • Provided training to Indigenous Kukumbat Gudwan Daga (Really groups so they can better speak Cooking Good Food) written by out on their rights the Women’s Centre staff in the Jawoyn and Bulman communities Nutrition • Banatjarl Women’s Talkfest – a • Anaemia prevention trial gathering of women from ﬁ ve commenced – the project Jawoyn communities to discuss aims to tackle high levels of issues of concern to women anaemia in remote communities and develop a way forward for – improving the health of the formation of the Banatjarl thousands of children Women’s Council

www.hollows.org.au | ANNUAL REPORT 2009 | The Fred Hollows Foundation 13 YIM’S STORY Yim Noang from Prey Veng province in Cambodia had been blind for ﬁ ve years. She could no longer see the faces of her grandchildren, who would need to take their grandmother’s hand and lead her around the village. She had lost her independence and felt as though she was a burden for her family.

Twenty-four hours after her operation, Yim’s eye patches were removed. “Everything is different,” she cried. “I can see. I am very happy. I have been re-born. The happiest thing is that I can see my grandchildren’s faces. This is what I have been looking forward to, so my dream comes true today.” Photo: Hugh Rutherford

14 The Fred Hollows Foundation | ANNUAL REPORT 2009 | www.hollows.org.au WHERE WE WORK

DPR Korea Afghanistan TAR, China China Pakistan Nepal Bangladesh Lao PDR India Vietnam Eritrea Cambodia

Rwanda Kenya Burundi Tanzania Timor-Leste

Australia and the South Africa Paciﬁc Region

Afghanistan Bangladesh • Trained 862 eye health • Continued to push ahead despite • Just under 34,000 eye patients workers including six surgeons the diffi cult security environment were seen in Brahmanbaria and and 357 community health workers • Committed to establishing a Satkhira District hospitals community vision centre in Kunar. • Supported 2,583 sight restoring • Constructed new secondary When operational will provide eye interventions – including 1,871 eye care unit in Kampong care to the people of Kunar and cataract surgeries Chhnang Province with Nooristan provinces Foundation and AusAID • Partnership established with funding, part of the Avoidable • Ran a school screening project in Sightsavers International to work Blindness Initiative – supporting Nangarhar Province – targeting on the Bangladesh Childhood eye care services for over boys and girls – training teachers to Cataract Campaign, which aims 470,000 people identify eye disease and refer to the to eliminate childhood cataract local eye clinics backlog in Bangladesh • Supported four blind schools in Cambodia • Assisted local ophthalmologist to • Trained over 500 community commence a one year diploma health workers • Trained local nurses and teachers in clinical ophthalmology at the to screen school children for visual • Launched a diploma program impairment Pakistan Institute of Community to train government staff Ophthalmology as Mid Level Eye Care • Continued to support the • Screened 13,981 people Personnel. Six trainees have fi rst Cambodian ophthalmology residency program which • Performed 782 cataract operations completed the one year course, with another fi ve partially will double the number of and 1,092 other sight saving or ophthalmologists by 2012 improving interventions through their studies Cambodia • Awarded National Development • Ran eye camps in Nangarhar Medal from the King of Province • Screened 48,169 people Cambodia for achievements • Newly upgraded eye theatre in the • Provided 11,300 sight restoring or in the development of Ministry of Public Health Hospital in improving interventions – including Cambodia Jalalabad opened 4,470 cataract surgeries

www.hollows.org.au | ANNUAL REPORT 2009 | The Fred Hollows Foundation 15 WHERE WE WORK Photo: Hugh Rutherford China: As another patient boards the bus to the hospital Lan (left) asks “Who are you – I remember your voice, I remember you!” Despite the fact he is blinded by cataract he recognises his friend Tu (right), who he has not met for many years. “I cannot wait to see you again,” he says.

China Democratic People’s Republic of • Performed 2,543 sight restoring • Trained 1,075 health personnel Korea (DPRK) surgeries and interventions in eye health – including 19 • For ﬁ ve years The Foundation has • Supported Kenya’s National surgeons, 601 clinical support supported the Tilganga Institute of Trachoma Program by training staff and 296 community health Ophthalmology, Nepal, in its work 15 surgeons to perform workers in DPRK lid surgery • Screened 53,998 people for • Conducted a two week intensive • Three nurses completed a three causes of avoidable blindness surgical program, screening month training course in eye care • Performed 53,118 sight saving 950 people and performing 384 theatre nursing interventions including 28,471 surgeries • Supported the Kenya National cataract surgeries • Trained two surgeons and Ophthalmic Workshop – boosting • Foundation trained surgeons two nurses for six weeks skills of 70 ophthalmic workers and staff supported the Jiangxi on Small Incision Cataract from all over Kenya Provincial Cataract Free Surgery in Nepal • Supported the Ophthalmic Society Province Initiative – the largest of Eastern Africa conference of its kind in China, aiming Eastern Africa and journal – helping lift skills to eliminate 80% of all throughout the region cataracts in the Province Includes Burundi, Kenya, Rwanda and Tanzania • Supported 163 children’s by mid 2010 surgeries at the Nakuru Eye Unit Burundi • Continued support for the largest • Rolled out a new health information screening program for Diabetic • As part of pilot activity in Burundi, management system to 11 Retinopathy in China 183 people received eye surgery eye units – improving the data • Provided $82,589 in in a Foundation supported eye collection and management of equipment and infrastructure camp and 25 people received Government eye care services to support training and laser treatment for Diabetic Retinopathy • Supported technicians servicing disease control Government eye care equipment – • Strengthened relationship with Kenya vital ophthalmic equipment is well National Ministry of Health • Screened 27,987 people maintained and functioning

16 The Fred Hollows Foundation | ANNUAL REPORT 2009 | www.hollows.org.au WHERE WE WORK

Rwanda: Isabell, 87, can tend to her vegetables now that she has had her sight restored. By her side is The Foundation’s program coordinator, Janvier.

Rwanda Eritrea • Screened 5,505 people in four • Screened 15,220 people • Fred Hollows IOL Laboratory provinces during mobile surgery activities • Trained 128 staff in the Western operating as independent Province of Rwanda in primary and commercially successful • Performed 573 cataract and 121 eye care business other eye surgeries • Performed 407 cataract surgeries • Trained 208 health workers • Prescribed 1,239 spectacles at Foundation supported Gisenyi including general health workers • Held Inaugural Eye Health Eye Unit and 62 ophthalmic staff Professionals Workshop in • Opened new optical workshop at • Helped implement major trachoma Oudomxay Province Gisenyi Eye Unit prevention and treatment program • Medical Director, Dr Richard Le – includes training and health Mesurier, provided on the ground • Constructed an eye unit at education Muhororo Hospital in Ngororero training to 15 ophthalmologists District • Supported outreach clinics and Nepal two expatriate ophthalmologists to Tanzania strengthen remote service delivery • Dr Sanduk Ruit continues to • Screened 13,489 people be recognised as one of the • Provided equipment for referral giants of world ophthalmology – • Performed 551 sight restoring hospital in Ghinda, North Red Sea having restored sight to around surgeries and interventions Zone 100,000 people alone and training • Supported the training • Supported national planning to thousands of eye health workers of ﬁ ve surgeons in cataract eliminate blindness in Eritrea by 2015 from around the world surgery India • Over 10,600 cataract surgeries • Helped train 18 eye care • Supported 4,410 sight restoring were conducted at Tilganga professionals from across Africa at surgeries and interventions Institute of Ophthalmology and Kilimanjaro Centre for Community through outreach mobile eye clinics Ophthalmology Lao PDR – operating in some of the world’s most remote regions • Provided equipment for • Oudomxay Provincial Hospital Eye ophthalmic graduates Unit built and equipped • This year 152,268 patients walked

www.hollows.org.au | ANNUAL REPORT 2009 | The Fred Hollows Foundation 17 WHERE WE WORK

Pakistan: Twelve year old Shazia is overjoyed following her mother’s sight restoring cataract operation. Shazia had been deeply upset by her mother’s blindness and often cried for her.

through the doors of Tilganga Blindness, The Foundation the Avoidable Blindness Initiative, Institute of Ophthalmology to upgraded eight health facilities for it will establish eight centres of receive eye care the provision of eye care in remote excellence and four teaching • Prime Minister of Nepal opened districts. Since 1998, the program hospitals for the prevention and new Tilganga Institute of has upgraded 44 eye units and control of childhood blindness Ophthalmology three rural health centres • Launched diabetic retinopathy • Over 48,200 patients from rural • Performed 31,964 cataract prevention pilot project areas of Nepal received eye care at operations and sight restoring • Supported Dr Khabir Ahmad, Community Eye Centres supported interventions ﬁ rst recipient of The Fred Hollows by The Foundation • Trained 140 eye health workers Foundation Postgraduate • New Community Eye Centre including 15 surgeons Research Scholarship, to study opened in Dhading District • Supported female counsellors in the provision of eye care services from a human rights and gender • More than 120 personnel received remote districts to assist female perspective training in eye care, including patients access eye treatment surgeons, nurses and community • During 2009, the Government • Boosted paediatric ophthalmology health workers of Pakistan incorporated the training Pakistan training of Lady Health Workers in South Africa districts for primary eye care into its • Continued to expand our work • Ophthalmic nursing curriculum National Programme for Prevention despite difﬁ cult security situation approved by the SA Nursing of Blindness. This is a major step Council – course is set to • Pakistan blindness rate has fallen towards the sustainability of eye commence in March 2010 with an from 1.9% of population to around care programs and will assist more intake of 10 candidates 1% since The Foundation and our women to see again partners commenced scale up of • Screened 17,023 people ophthalmology • The Pakistan-Australia Subspeciality Eye Care Project • Performed 5,459 sight restoring • Screened 406,230 people was launched by the Foreign or improving operations and • Working with The National Minister, Mr Stephen Smith at interventions Programme for Prevention of a ceremony in Pakistan. Part of • Trained 295 eye health staff

18 The Fred Hollows Foundation | ANNUAL REPORT 2009 | www.hollows.org.au WHERE WE WORK Photo: Jon Reid/SMH Nepal: Local school children assist at an outreach screening clinic. They help elderly villagers to undergo vision testing.

• Opened new 24 bed Sabona Eye • Performed 27,331 sight restoring New Zealand and the Pacifi c Centre in Queenstown or improving interventions The Foundation works with The Fred • Equipped a further fi ve eye units – including 11,383 cataract Hollows Foundation New Zealand at partner hospitals, opened surgeries on a joint program in Timor-Leste. In new eye care outpatients unit • Screened 810,148 people addition, The Fred Hollows Foundation at St Elizabeth’s Hospital and • Trained 2,193 eye health New Zealand: new patient accommodation at workers including 17 • Delivered training and workforce Butterworth Hospital ophthalmologists and 1,600 support to 11 Pacifi c countries • Completed a Rapid Assessment community health workers • Welcomed the largest intake of of Avoidable Blindness for Eastern • Placed a major focus on nurses at Pacifi c training centre Cape Province strengthening primary eye in Suva Vietnam care at a village level through • Is building new eye health • Since Professor Fred Hollows training of community health workers, local doctors and facilities in Papua New Guinea, fi rst introduced modern cataract Fiji and Timor-Leste surgery into Vietnam the number other support staff-improving of cataract operations has access to basic treatment and • Conducted surgical outreach increased from below 1,000 to referral visits to remote and under-served 160,000 per year • Provided a small level of support to communities in Fiji, the Solomon Islands, Vanuatu and Papua • Provincial Eye Care facility in Quang emergency relief efforts in response New Guinea Ngai Province began construction to impact of typhoon Mirinae in and will be completed in January October 2009 • Is establishing and training the 2010 • Strengthened relationship with fi rst permanent eye surgical • Renovated four district eye care Vietnam National Institute of services team in Timor-Leste, facilities Ophthalmology aiming to at least triple cataract surgeries by 2010 • Conducted school eye health • Major support from the Australian programs – training 412 school Government through the Avoidable teachers in eye health and Blindness Initiative screening 231,693 school children

www.hollows.org.au | ANNUAL REPORT 2009 | The Fred Hollows Foundation 19 OUR PARTNERS

Afghanistan Tibet Autonomous Region South Africa HealthNet TPO; Human Concern Lhasa Institute of Eye Care; Eastern Cape Department of Health; International; Ministry of Public Health Himalayan Cataract Project, USA; International Centre for Eyecare Education Afghanistan; SERVE PBL Afghanistan. Tilganga Institute of Ophthalmology. (ICEE); PRASHASA Health Consultants; Regional Hospitals: Frontier (Sabona Australia DPR Korea Eye Centre) and St Elizabeth’s; and Aboriginal Medical Services Alliance Himalayan Cataract Project, USA; District hospitals: Empilisweni, Midlands, of the Northern Territory; Alice Springs Ministry of Public Health; Butterworth and St Patrick’s. Hospital; Anyinginyi Aboriginal Health Tilganga Institute of Ophthalmology. Board; Australian Government; Australian Vietnam Indigenous Doctors Association; Black Eastern Africa Ministry of Health; PACCOM (People’s Arm Band; Central Australian Aboriginal Kenya: Aid Coordination Committee); Provincial Congress; Centre for Aboriginal Economic Division of Ophthalmic Services; Ministry of People’s Committee and Department of Policy Research, Australian National Health; Nakuru Eye Unit Department; Rift Health in all Provinces in which we work; University; Charles Darwin University; Valley Provincial General Hospital. Vietnam National Institute of Ophthalmology Diplomacy Training Program UNSW; Guide Rwanda: (VNIO). Dogs SA NT; ICEE; Indigenous Literacy Gisenyi District Hospital; Ministry of Health; Project Committee – Australian Booksellers Muhororo District Hospital; Ngororero The Fred Hollows Foundation NZ Assoc and Australian Publishers Assoc; District Offi ce; Rubavu District Offi ce. Jawoyn Association; Jimmy Little Tanzania: Pacifi c Foundation; Katherine Region Aboriginal Kilimanjaro Centre for Community AusAID; Colonial War Memorial Hospital; Fiji Health and Related Services; Maari Ma Ophthalmology; Ministry of Health; Muhimbili Ministry of Health; Fiji School of Medicine; Health Aboriginal Corporation; Northern University of Health Allied Sciences. NZAID; University of the South Pacifi c. Territory Government; NT Writers Centre; Eritrea RANZCO; Roper Gulf Shire Council; Sunrise Ministry of Health. Papua New Guinea Health Service; Vision 2020 Australia; World Callan Services; Catholic Health Services; Expeditions. Lao PDR CBM; Divine Word University; Kimbe Ministry of Health of Lao PDR; General Hospital; Lutheran School of Bangladesh Provincial Departments of Health Nursing; Modilon General Hospital; National Child Sight Foundation; Chittagong Eye and hospitals in Oudomxay, Luang Department of Health; New Britain Palm Infi rmary and Training Complex; Government Namtha, Phongsaly and Bokeo. Oil Limited; Port Moresby General Hospital; of Bangladesh; National Institute of Save the Children; University of Papua New Ophthalmology; Sightsavers International. Nepal Guinea; West New Britain Provincial Health Himalayan Cataract Project, USA; Authority. Cambodia Tilganga Institute of Ophthalmology. Eye Care Foundation, The Netherlands; International Centre for Eyecare Education, Pakistan Timor-Leste Australia; Krousar Thmey Blind Schools Abbas Institute of Medical Sciences, CBM; Dili Central Community Health Ministry of Health; National Program for Muzzaffarabad; Al-Ibrahim Eye Hospital; Centre; Fo Naroman Timor-Leste (FNTL); Eye Health; Provincial Departments of College of Ophthalmology and Allied Vision Guido Valadares National Hospital; National Health and Hospitals in: Kandal, Kampong Sciences; Comprehensive Eye Care Cells Institute of Health Sciences; The Fred Chhnang, Prey Veng, Kampong Thom, in Punjab, Balochistan, Sindh and NWFP; Hollows Foundation; Ministry of Health. Siem Reap and Kampong Speu; Royal Khyber Eye Foundation, Peshawar; Leyton Australian and New Zealand College of Rahmatullah Benevolent Trust; Ministry of Ophthalmologists; University of Health Health; Pakistan Institute of Community Sciences of Cambodia. Ophthalmology; Provincial Departments of Health in Punjab, Balochistan, Sindh and China NWFP; Singapore National Eye Center; Aier Ophthalmology Hospital Group; The Alder Hey Children’s NHS Foundation Jiangxi Provincial Bureau of Health. Trust, UK.

20 The Fred Hollows Foundation | ANNUAL REPORT 2009 | www.hollows.org.au THANK YOU Photo: Hugh Rutherford South Africa: Nokhariyoti Siko, 85, is comforted by a nurse who assisted her journey to and from the hospital for cataract surgery. “Now that I can see again I realise my house is untidy. I must clean it,” she laughs.

Everything The Fred Hollows Thank you to: thank you. For more information Foundation achieves is made possible • Aaron Davey – AFL Player visit www.hollows.org.au or phone by the generosity of our supporters – • Adam Harvey – Musician 1800 352 352. those who give of themselves so that • Adam Spencer – TV and Radio others may have a better life. personality • Donnie Maclurcan Whether they be individuals, – Ultramarathoner volunteers, corporations, families, • Ernie Dingo – Media personality workplaces or service clubs – every • Jessica McNamee – Actress The Australian Government’s strategy dollar donated is making a difference • Jimmy Little – Musician Development for All: Towards a disability- inclusive Australian aid program 2009-2014 to someone’s life. That’s because for • Julie McCrossin – Media is designed to ensure that people with as little as $25 sight can be restored personality disability are comprehensively included in some countries in which we work. • Linley Frame – Olympic and supported in improving their quality of Swimmer life through all aspects of the aid program. More than three out of every four • Shellie Morris – Singer/ As part of this new strategy, the Avoidable Blindness Initiative (ABI) aims to reduce dollars raised by The Foundation songwriter the incidence of preventable blindness and comes from individual Australians – • Susie O’Neill – Olympic swimmer improve the quality of life for people with inspired by Fred’s vision of a better low vision and blindness. As the ﬁ rst step in world and determined to see his A Living Memorial developing strategic partnerships for the ABI, work live on. During 2009 many people AusAID established an Avoidable Blindness Fund (ABF). The Fred Hollows Foundation remembered The Fred Hollows received funding through the ABF in 2009 To all those who have supported us Foundation through their will. to support our work to contribute to the in 2009 - your generosity is making While often being unable to thank reduction of avoidable blindness in Kampong a difference. Thank you. the giver personally, we believe Chhnang Province, Cambodia. that the use of their gift is a living Ambassadors memorial through the renewal of The Foundation is lucky to have a so many lives. If you are a friend or group of committed Ambassadors family member of someone who who give of their time to promote gave such an important gift, The The Foundation and its work. Foundation wishes to say a heartfelt

www.hollows.org.au | ANNUAL REPORT 2009 | The Fred Hollows Foundation 21 THE MIRACLE CLUB

Miracle Club Ambassador and Australian actor Jessica McNamee and 86 year old Pham Thi Thong in Vietnam.

“It was one of the privileges of my The Fred Hollows Foundation By joining the Miracle Club you help life following this beautiful lady Miracle Club is one way thousands us do more of Fred’s work – each of Australians make a difference and every month. through her journey from complete to the lives of those who are blindness to sight.” needlessly blind. Thank you to all members of the – Jess McNamee Miracle Club – you have made For many of us, the ability to see is a powerful commitment that’s something we take for granted. But changing lives, opening the eyes of for millions of people in developing the blind and offering opportunity in countries and remote Indigenous Australia’s outback communities. communities in Australia, sight is often an elusive dream. For more information about how to become a Miracle Club member These people suffer from visit www.hollows.org.au or ring preventable forms of blindness 1800 352 352. such as cataract or trachoma. The tragedy is it doesn’t have to be that way. More than 75% of blindness can be treated.

Members of the Miracle Club make a regular monthly donation – as little as $25 can restore sight to someone in countries in which we work.

22 The Fred Hollows Foundation | ANNUAL REPORT 2009 | www.hollows.org.au THANK YOU

www.hollows.org.au | ANNUAL REPORT 2009 | The Fred Hollows Foundation 23 GOVERNANCE

The Board of Directors regulations staff and 19 regular volunteers based The Fred Hollows Foundation is • Provides accountability in Australia’s six offi ces – Sydney, a not-for-profi t company limited to members and other Melbourne, Brisbane, Darwin, by guarantee and governed by a stakeholders Katherine, and Alice Springs. There (9-15 member) Board of voluntary • Appoints, supports and were also 75 staff and 2 volunteers Directors. Most (including the four monitors the performance of the based in countries where The Offi ce Bearers) are directly elected CEO who is charged with the Foundation has programs. from and by the members at the executive management of The Annual General Meeting which is Foundation. As of December 2009, the held in May each year. Up to three Management Team was comprised Directors may be appointed from Committees of the following people: ‘Fred Hollows’ entities based in other The Board has established four • Brian Doolan, CEO countries when there is a formal committees which report directly to it. • Betty Hounslow, Deputy CEO agreement for reciprocal Board • Two of these committees • David Britton, Director of Public membership. During 2009 there support certain elements Affairs were two Appointed Directors – one of the Board’s governance • Virginia Sarah, Director of from The Fred Hollows Foundation responsibilities – the Finance and International Programs New Zealand and one from The Governance Committee and the • Ram Neupane, Director of Fred Hollows Foundation UK. With Nominations Committee Business Operations the exception of Gabi Hollows who • Two provide strategic advice • Veronica Bell, International occupies a special position as the to the Board on program Programs Manager ‘Founding Director’ and has the development – the Medical • Joe Boughton-Dent, right to lifetime membership, Offi ce Advisory Committee and the Communications and Bearers and Directors are elected or Program Advisory Committee. Community Education Manager appointed for three year terms and In addition, there are fundraising • Candy Huang, Administration the Constitution sets limits on the committees in Melbourne Manager maximum period that people may and Brisbane which assist • Ronak Kumarage, Finance serve on the Board. with community promotion of Manager The Foundation and resource • Vicki Lipa, Human Resources The Role of the Board mobilisation. These committees Manager The Board acts as the trustee of report to Management. • Joy McLaughlin, Indigenous the founding spirit and vision of The Program Manager Foundation, and is responsible for Members • Anna-Bella Silva, Information its good governance and effective The Foundation is a membership- Services Manager performance. It meets quarterly and: based organisation and all Directors • Nicola Stewart, Marketing and • Sets broad strategic directions are committed to being accountable Fundraising Manager and policies to achieve agreed to those members. The goal is objectives to have a diverse membership to Representation/Links with • Approves and monitors budgets, refl ect the democratic spirit of Fred Other Bodies and ensures appropriate fi nancial who attracted support from people The Board appoints a formal and risk management strategies in all walks of life. Our members are representative to the governing and transparency in reporting generous in sharing their wide range bodies of its sister Fred Hollows • Builds and protects the of skills and experience with the Foundations in New Zealand and broader resource base of the Board and staff. They form the inner the United Kingdom. organisation circle of The Foundation’s family. • Ensures compliance with The Foundation is also: relevant standards and Management and Staff • A member of the Board of In 2009 The Foundation had 79 paid Trustees of the International

24 The Fred Hollows Foundation | ANNUAL REPORT 2009 | www.hollows.org.au THE BOARD OF DIRECTORS

Agency for the Prevention of of the Financial Services Institute Victorian Fundraising Committee. Blindness (IAPB) of Australasia and a Member of the Bob has over 30 years experience • A partner in ‘VISION 2020: Australian Institute of Management. in retail, logistics, travel, marketing, The Right to Sight’ – a global First elected to the Board in 2003, telecommunications and the health partnership between the Andrew became Chair in May 2007 care industry. He is Chairman of IAPB and the World Health and is Chair of the Nominations The Colorado Group Ltd, Loscam Organization with the goal of Committee and a member of Limited and The PAS Group and also eradicating all forms of avoidable the Finance and Governance a Director of the Melbourne Rebels blindness by the year 2020 Committee. Rugby Union Super 15 franchise. • A member of Vision 2020 Australia Michael Brent Impey • A member of the Australian Johnson Brent Impey is Chair Council for International (Deputy Chair) of The Fred Hollows Development, the national Michael has been a Foundation New peak body of international member of the Board Zealand. A leading development NGOs, and a since it was established in 1995 media executive in New Zealand for signatory to its Code of Conduct with the exception of one year, many years, Brent was most recently • A member of the Vision 2020 and is a member of the Finance CEO of MediaWorks NZ Ltd. Prior to Australia Global Consortium, an and Governance Committee and this Brent practiced as a lawyer for unincorporated joint venture of the Nominations Committee. 15 years, specialising in media law. nine Australian vision agencies Michael is an Associate Professor • A signatory and supporter of in the School of Social Science Gabi Hollows the ‘Make Poverty History’ and International Studies at the Gabi is the Founding Campaign which aims to achieve University of NSW, specialising in Director and has the United Nation’s Millennium development studies. served on the Development Goals by 2015 Board since its • A member of the Steering Howard Davies establishment. She graduated as Committee of the ‘Close the (Treasurer) an Orthoptist in 1972 and travelled Gap’ Campaign which aims to Howard has served with Fred Hollows for three overcome the difference in life on the Board since years on the National Trachoma expectancy between Indigenous 1998. He is Chair and Eye Health Program. Gabi and non-Indigenous Australians. of the Finance and Governance married Fred in 1980 and together Committee, a member of the they had fi ve children. Gabi has Board of Directors Nominations Committee, a Trustee been declared one of Australia’s (as at 31 December 2009) of The Fred Hollows Foundation UK “100 Living National Treasures” and The Foundation’s representative and has an Advance Australia Andrew Want on the FHF New Zealand board. Award (Community Service) and (Chair) Howard has had a 40 year career a Centenary Award from the Andrew is a Principal in business, specialising in the Australian Government. Gabi is of Rounding Mark insurance brokerage industry. the Patron of The Foundation’s Pty Ltd, a private Miracle Club and undertakes consultancy and investment fi rm Robert Dalziel extensive speaking engagements specialising in sustainable business (Honorary for the organisation. and investment. He was previously Secretary) the Managing Director of Veda Bob was fi rst Advantage and of Travelex Australia, elected to the Board New Zealand and Japan Group. in 2004. He is a member of the Andrew is a lawyer, a Senior Fellow Nominations Committee and the

www.hollows.org.au | ANNUAL REPORT 2009 | The Fred Hollows Foundation 25 THE BOARD OF DIRECTORS

David Moran of the Finance and Governance David has served Committee. Sarah previously on the Board since worked at The Foundation in the 2005 and is the International Programs team and is Chair of the Medical now a Principal Policy Analyst with Advisory Committee. David is an the Department of Human Services, Ophthalmologist in private practice Housing NSW. She holds a Masters with a long association with Fred of Social Work and Social Policy. and The Foundation. Stephanie Mary Kostakidis Young Mary joined the Stephanie joined Board in 2008 and the Board in 2006. is a member of She is a member of the Nominations the Medical Advisory Committee Committee. A household face as and the Nominations Committee. the former presenter of SBS World Stephanie is an Ophthalmologist News, she was a member of the and Medical Ofﬁ cer at the Concord management team that originally set Repatriation General Hospital. up SBS Television in 1980. Mary’s past and present participation on The Directors would also particularly many boards and committees like to thank a number of non- reﬂ ects her commitment to social Directors who served on Board justice, good corporate governance Committees during the year: and active citizenship. • Graham Skeates Finance and Governance Romlie Mokak Committee Romlie also joined • Rhonda Chapman and Lilon the Board in 2008 Bandler and is a member of Program Advisory Committee the Program Advisory • Paul Torzillo, Sanduk Ruit and Committee. Rom is the CEO of Mark Gillies the Australian Indigenous Doctors’ Medical Advisory Committee Association, a leading advocate for health equality for Aboriginal and The full Directors’ Report for 2009 Torres Strait Islander people. He is available on The Foundation’s has extensive experience working at website www.hollows.org.au community, state and federal levels or upon request to and currently serves on national [email protected] bodies concerned with Indigenous or 1800 352 352. policy and programs.

Sarah Elliott Sarah has served on the Board since 2005. She is Chair of the Program Advisory Committee and a member

26 The Fred Hollows Foundation | ANNUAL REPORT 2009 | www.hollows.org.au FINANCIAL OVERVIEW

An independent audit of The Fred Hollows Foundation’s ﬁ nancial accounts for 2009 was conducted by:

Sean Van Gorp (Partner) Ernst and Young 680 George Street Sydney NSW 2000 + 61 2 9248 5555

www.hollows.org.au | TheANNUAL Fred REPORT Hollows 2009 | FoundationThe Fred Hollows | ANNUAL Foundation REPORT 2009 27 FINANCIAL OVERVIEW

For The Year Ended 31 December 2009 (All ﬁ gures in Australian dollars)

Where the Money Comes From Community and Corporate Support 23,827,548 Income received from the Australian public and corporations, in the 0.4% USAID form of public donations, project grants, fundraising and bequests. 5% International Corporations and Trusts AusAID 3,180,198 2% Other Australian Grants received from the Australian Government’s Government Departments overseas aid program. 2% Net Gains / (Losses) on investments & Agencies Other Australian Govt Depts and Agencies 577,533 at fair value 11% AusAID Grants received from other Government Departments for Indigenous programs. USAID 128,946 Grants received from the US Governments overseas aid program International Corporations and Trusts 1,642,753 Grants received from Trusts & Foundations for International & Indigenous programs. Net Gains/(losses) on investments at fair value 557,817 Other Income (23,110) 80% Community and Corporate Support TOTAL 29,891,685

How the Money is Spent 74% Programs Programs 17,706,196

Africa 3,278,102 19% Fundraising South East Asia 5,527,886 Expenses South Asia 3,894,335 Timor Leste 128,147 Indigenous Australia 4,877,727 Community Education 1,431,907 Fundraising Expenses 5,021,975 Public & Government/Multilateral fundraising 7% Operating Expenses Operating Expenses 1,837,618 Administration and ﬁ nance costs TOTAL 25,997,696

“Programs” includes expenditure on our development work across both international and Indigenous programs and Community Education, which includes staff time and outlays involved in providing community information and raising awareness around eye and Indigenous health issues as well as international development issues. ‘“Fundraising expenses” are the costs associated with attracting more support through donations and sponsorships, and includes items such as advertising, mail-outs, the toll-free phone line and processing of donations. ‘“Operating expenses” covers the administrative and other costs inherent in running an organisation, including staff time in areas such as ﬁ nance, human resources and administration, insurance premiums, legal and professional fees, and ofﬁ ce supplies and other running costs.

26% Indigenous 19% Africa Where the Program Money is Spent Australia Africa 3,278,102 South East Asia 5,527,886 South Asia 3,894,335 1% Timor-Leste Timor-Leste 128,147 Indigenous Australia 4,877,727 TOTAL 17,706,196

22% South Asia 32% South East Asia

28 The Fred Hollows Foundation | ANNUAL REPORT 2009 | www.hollows.org.au FINANCIAL OVERVIEW

Income Statement* For The Year Ended 31 December 2009

DEC 2009 DEC 2008 $ $

REVENUE

Donations & Gifts - Monetary 16,448,088 13,948,349 - Non-Monetary - -

Bequests & Legacies 7,379,460 5,195,900

Grants - AusAID 3,180,198 1,494,545 - Other Australian Government Departments 577,533 382,888 - Other Overseas 128,946 150,650 - Corporate 1,642,753 1,305,570

Net Gains/(losses) on investments at fair value 557,817 (2,052,237)

Other Income (23,110) 360,155

Revenue for international political or religious proselytisation programs - -

Total Revenue 29,891,685 20,785,820

EXPENDITURE

Program Costs International - Funds to overseas projects 9,842,250 8,507,352 - Other project costs 2,986,219 1,978,115 Domestic - Domestic projects 4,877,727 3,802,949

Community Education 1,431,907 1,383,255

Fundraising Costs - Public 4,944,788 4,107,563 - Government, multilateral and private 77,187 62,896

Accountability and Administration 1,813,174 1,504,530

Finance Costs 24,444 -

Expenditure for international political or religious proselytisation programs - -

Total Expenditure 25,997,696 21,346,660 Net surplus/(deﬁ cit) of income over expenditure 3,893,989 (560,840 ) Other comprehensive income - - Total comprehensive income(deﬁ cit) for the period 3,893,989 (560,840)

* Income Statement refers to the “Statement of Comprehensive Income” in the full Financial Statements.

This is an extract from the full audited ﬁ nancial statements which, together with the Directors’ Report, are available on The Foundation’s website www.hollows.org.au or call 1800 352 352

www.hollows.org.au | ANNUAL REPORT 2009 | The Fred Hollows Foundation 29 FINANCIAL OVERVIEW

Balance Sheet * As At 31 December 2009

DEC 2009 DEC 2008 1 JAN 2008 $ $ $

CURRENT ASSETS Cash and cash equivalents 7,910,869 3,541,639 2,032,591 Other ﬁ nancial assets at amortised cost 340,249 313,756 293,673 Trade and other receivables 1,940,621 1,647,712 1,183,851 Assets held for sale - - - Inventories - 15,282 16,965 Prepayments 173,547 29,477 87,217

Total Current Assets 10,365,286 5,547,866 3,614,297

NON CURRENT ASSETS Trade and other receivables - - - Financial assets at fair value 5,960,400 5,164,158 8,509,611 Property, plant and equipment 1,464,206 528,147 407,001 Investment property - - - Intangibles - - - Other non-current assets - - -

Total Non Current Assets 7,424,606 5,692,305 8,916,612

TOTAL ASSETS 17,789,893 11,240,171 12,530,909

CURRENT LIABILITIES** Trade and other payables 3,229,808 1,642,283 2,471,309 Borrowings 456,429 - - Provisions 444,243 272,619 199,363 Other ﬁ nancial liabilities - - - Other - - -

Total Current Liabilities 4,130,480 1,914,902 2,670,672

NON CURRENT LIABILITIES Borrowings 281,581 - - Provisions 75,360 71,239 45,367 Deferred liability 154,452 - - Other ﬁ nancial liabilities - - - Other - - -

Total Non Current Liabilities 511,393 71,239 45,367

TOTAL LIABILITIES 4,641,873 1,986,141 2,716,039 NET ASSETS 13,148,020 9,254,030 9,814,870

EQUITY Accumulated funds 13,148,019 6,418,981 6,871,178 Future projects reserve - 2,835,049 2,835,049 Tied funds reserve - - 108,643

TOTAL EQUITY 13,148,019 9,254,030 9,814,870

* Balance Sheet refers to the “Statement of Financial Position” in the full Financial Statements. ** There were no net tax liabilities at 31 December.

This is an extract from the full audited ﬁ nancial statements which, together with the Directors’ Report, are available on The Foundation’s website www.hollows.org.au or call 1800 352 352

30 The Fred Hollows Foundation | ANNUAL REPORT 2009 | www.hollows.org.au FINANCIAL OVERVIEW

Statement of Changes in Equity – For The Year Ended 31 December 2009

Accumulated Future Investment Tied TOTAL Funds Project Reserve Funds Reserve Reserve $ $ $ $ $

Balance at 1 Jan 2009 6,418,981 2,835,049 - - 9,254,030

Surplus for the year 3,893,989 - - - 3,893,989 Other comprehensive income - - - - - Total comprehensive income for the period 3,893,989 - - - 3,893,989

Transfer from reserve 2,835,049 - - - 2,835,049 Transfer to accumulated funds* - (2,835,049) - - (2,835,049)

As at 31 December 2009 13,148,019 - - - 13,148,019

Accumulated Future Investment Tied TOTAL Funds Project Reserve Funds Reserve Reserve $ $ $ $ $

Balance at 1 Jan 2008, original 6,736,655 2,835,049 134,523 108,643 9,814,870 Early adoption of AASB 9 “Financial Instrument” 134,523 - (134,523) - -

Balance at 1 Jan 2008, restated 6,871,178 2,835,049 - 108,643 9,814,870

Surplus (deﬁ cit) for the year (560,840) - - - (560,840) Other comprehensive income - - - - - Total comprehensive income (loss) for the period (560,840) - - - (560,840)

Transfer from reserve 108,643 - - 108,643 Transfer to accumulated funds - - - (108,643) (108,643)

As at 31 December 2008 6,418,981 2,835,049 - - 9,254,030

* The Foundation does not separately manage the Accumulated funds and Future project reserve and has therefore transferred the balance held in the Future project reserve to Accumulated funds

Table of Cash Movements for Designated Purpose No single appeal or other form of fundraising for a designated purpose generated 10% or more of total income for the year ended 31st December 2009.

This is an extract from the full audited ﬁ nancial statements which, together with the Directors’ Report, are available on The Foundation’s website www.hollows.org.au or call 1800 352 352

www.hollows.org.au | ANNUAL REPORT 2009 | The Fred Hollows Foundation 31 A SPECIAL MESSAGE FROM GABI HOLLOWS

For instance we: • Performed 195,406 sight operations and treatments • Screened 1,765,079 people • Trained 5,878 eye health professional including 85 surgeons, 826 clinical staff and 3,293 Community Health workers, and • Built or upgraded 19 eye health facilities • Helped create new programs for Indigenous Australians

These are not just numbers, they’re practical results – lives changed and health systems built – achievements that will go on making a difference long after The Fred Hollows Foundation has moved on to new challenges and opportunities.

The Foundation is in very good shape, is well governed and has a

Photo: Ian Waldie CI Studio Photo: Ian Waldie clear vision of where it’s headed.

My late husband, Professor Fred Because Fred knew that by And, as always, what’s been done Hollows, was a man who inspired restoring sight he was restoring wouldn’t be possible without the thousands throughout the world to lives – giving new hope and ﬁ nancial and moral support of do great things. By sheer energy opportunity to those who, through tens of thousands of everyday and determination he strove to the circumstance of poverty, were Australians without who none of this restore sight and improve lives – missing out on the right to see. would happen. and he never took no for an answer. That’s why I’m so proud of what To each and every one of our Fred saw every obstacle as a The Fred Hollows Foundation has magniﬁ cent supporters, on behalf of challenge, every problem as an been able to achieve in the 17 years Fred and me: thank you. opportunity and every new patient since we started it at our home in as an individual – ready, perhaps, to Randwick, Sydney. once again enjoy the miracle of sight. And 2009 was again a year He knew he could only achieve so of great achievement – building much by himself – but by training, on the hard work done by inspiring and building he could get Fred Hollows’ people throughout Gabi Hollows much more done. the world. Founding Director

32 The Fred Hollows Foundation | ANNUAL REPORT 2009 | www.hollows.org.au GIAP’S STORY Eighteen years after meeting Fred, Tran Van Giap has also begun helping others – as a teacher. Giap is the young Vietnamese boy captured so famously in an image with Fred by photographer Michael Amendolia. As a seven-year-old Giap pushed his way to the front of a queue of people to have his vision checked by Fred. The young boy was suffering from a traumatic cataract and meeting Fred would change Giap’s life forever.

Now, the ﬁ rst in his family to graduate from university, Giap is teaching mathematics at Hai Ha High School in Quang Ninh Province near the border with China. “I always wanted to become a teacher, and I am proud of what I am doing,” Giap said. “Now I am able to help other people, just like Fred had helped me. I also keep telling my students about the meaning of giving – and how a simple gift of giving could completely change the life of a person.”

www.hollows.org.au | ANNUAL REPORT 2009 | The Fred Hollows Foundation 33 Photo: Colin Townsend/Fairfax Photos Photo: Colin Townsend/Fairfax

From left, Professor Fred Hollows, patients Teklu Tesfamichael and Ahmed Umer and Eritrean doctor Desbele Ghebreghergis at the Prince of Wales Hospital, Sydney, in the 1980s.

Record Results for 2009: • Saving sight: 195,406 eye operations and treatments • Screened 1,765,079 people • Trained 5,878 eye health workers • Provided $2,543,003 of vital medical equipment

The Fred Hollows Foundation ABN 46070 556 642 Locked Bag 5021 Alexandria NSW 2015 Australia Donation line 1800 352 352 Telephone +61 2 8741 1900 www.hollows.org.au