Annual review 2012 Contents President’s welcome 3 Our mission, our methods 4 How we measure our progress 5 How we prevent and cure blindness 7 We invest in training eye health workers and volunteers, in-country 8 We aim to eliminate blinding trachoma from 24 countries 11 We plan on eliminating river blindness from 14 countries 12 We work for long-term change 14 We work to make education accessible to blind children 16 We work towards social inclusion 18 Where we work 20 Bereket and Besufigad Funding innovation 21 Sisay, from Booddachi town in the Oromia Raising our international profile 23 region of Ethiopia both What our supporters say about us 24 suffer from trachoma. Without vital antibiotic Income and expenditure 25 treatment they would both face a future of blindness. A word from our Chief Executive 26 Thank you 27 © Dominic Nahr / Magnum / Sightsavers 2 Annual review 2012 Sightsavers President HRH Princess Alexandra © Dominic Nahr / Magnum / Sightsavers 3 © Zul Mukhida / Sightsavers © Zul The Sightsavers SIM Card Our mission, (Strategy Implementation and Monitoring Card) our methods Sightsavers’ strategy map Our vision: No one is blind from avoidable causes; visually impaired people participate equally in society Sightsavers’ vision is of a Our focus isn’t just on short-term goals – we Our mission: To eliminate avoidable blindness and promote equality of opportunity for disabled people are looking to make long-term change in the world where no one is blind countries where we work. Sightsavers is working with the Kamuli Visually impaired people are People actively seek eye care from avoidable causes and District Local Government in Eastern Governments ensure quality Governments ensure all equal members of society and services and enjoy a change What we’ve achieved, and how we do it Ultimate eye care is universally available disabled children receive a governments implement in quality of life through Uganda to provide everyone in the rural as an integral part of wider quality education within the where visually impaired people The pages of this review will cover our village of Kasuleta with Zithromax as obligations under international community development aims health systems wider education system conventions for disabled people programmes participate equally in society. achievements in the areas in which we seek preventative treatment against trachoma. We aim to achieve our vision change: eye health, education, community Sightsavers provides ophthalmic clinical 1 2 3 4 development and social inclusion, and stories officers (OCOs) with motorbikes, fuel and Benefi ciaries Demonstrate scalable Demonstrate scalable cost- Enable effective advocacy Ensure all eye care from just a few of the people whose lives we’ve lunch and they travel the area looking for cost-effective approaches to effective approaches to the for the rights of people with and social inclusion by working with a huge range (What must we disabilities (PWDs) of partner organisations, helped to transform. people with eye problems. achieve for our eye care which strengthen education of visually impaired and demonstrate effective programmes are rooted in benefi ciaries?) health systems children in their local context approaches to social inclusion community development non-governmental organisations They will also explore the methods we use to In one family alone, two generations, (NGOs), governments and protect and restore sight – and change lives – including small children, have been 5 6 7 8 in the most cost-effective and sustainable way. diagnosed with trachoma. The village Capacities health authorities. (What do we need to Develop effective Ensure high quality Develop effective and Establish strong strategic We train; we demonstrate; we advocate; and, only has two pit latrines and swarms of partnerships programmes joined-up advocacy networks and alliances flies spread trachoma throughout the excel at to deliver for most importantly, we collaborate. our benefi ciaries?) How we work community. The local government is We’ve rooted our strategy in a culture of learning, opening more community clinics and 9 10 11 12 measurement and accountability in order to work treatment camps but local myths, such as Learning and growth as effectively as we can – and help the most ‘your eyeball will be removed’, can hinder (Where do we need Develop country/area level Ensure adequate specialist/ Gather and disseminate Establish effective information people. We measure and report progress based uptake of treatment. So radio is being used to invest in order to teams technical expertise sound research and evidence sharing systems on the aims and objectives shown in our strategy to educate people about the facts and the excel?) map on the page opposite. importance of getting early treatment to save their sight. 13 14 Resources Fund our work through Use resources strategically (How do we ensure growth and diversifi cation and effi ciently we are resourced of income adequately?) 4 Our mission, our methods The Sightsavers SIM Card How we measure(Strategy our Implementationprogress and Monitoring Card) – Sightsavers’ strategySightsavers’ map strategy map Our vision: No one is blind from avoidable causes; visually impaired people participate equally in society Our mission: To eliminate avoidable blindness and promote equality of opportunity for disabled people Visually impaired people are People actively seek eye care Governments ensure quality Governments ensure all equal members of society and services and enjoy a change Ultimate eye care is universally available disabled children receive a governments implement in quality of life through as an integral part of wider quality education within the obligations under international community development aims health systems wider education system conventions for disabled people programmes 1 2 3 4 Benefi ciaries Demonstrate scalable Demonstrate scalable cost- Enable effective advocacy Ensure all eye care cost-effective approaches to effective approaches to the for the rights of people with and social inclusion (What must we disabilities (PWDs) achieve for our eye care which strengthen education of visually impaired and demonstrate effective programmes are rooted in benefi ciaries?) health systems children in their local context approaches to social inclusion community development 5 6 7 8 Capacities (What do we need to Develop effective Ensure high quality Develop effective and Establish strong strategic excel at to deliver for partnerships programmes joined-up advocacy networks and alliances our benefi ciaries?) 9 10 11 12 Learning and growth (Where do we need Develop country/area level Ensure adequate specialist/ Gather and disseminate Establish effective information to invest in order to teams technical expertise sound research and evidence sharing systems excel?) 13 14 Resources Fund our work through Use resources strategically (How do we ensure growth and diversifi cation and effi ciently we are resourced of income adequately?) How we measure our progress 5 When her sight began to fail, grandmother Rosamond Taylor wasn’t prepared to give up. She has spent her life producing and selling food to support her four children and seven grandchildren. So she was distressed when she began to lose her sight. “I couldn’t see clearly. Things looked foggy. I could only recognise people by their voice. And if I fried a fish, I would see something in the pot but didn’t know if it had turned brown,” she says. “It made it hard to earn a living. I was becoming a burden to my family. I asked everyone what to do and heard about the Sightsavers clinic.” Rosamond was diagnosed with cataract – a common problem for older people, but treatable with a straightforward operation. She is delighted with the results, especially when she thinks about life without the operation. Back at home she can cook for her family and enjoy playing with her grandchildren again. © Charly Cox Communications / Sightsavers 6 Annual review 2012 How we prevent and cure blindness Sightsavers works to protect We collaborate, we demonstrate Funding operations is important but we need to “ It made it hard to and restore sight to people in go further as this only has a short term impact. the developing world, and the We work in partnership with local organisations earn a living. I was and governments to demonstrate how eye health results change lives. The effect systems can be strengthened and to encourage becoming a burden of vision loss on individuals, replication. Our ultimate goal for a project is to hand it over to national or local health authorities to my family. I asked families and communities in to scale up our work. the developing world can be everyone what to do devastating. Breadwinners find Operations supported and heard about the themselves unable to provide We directly supported 284,332 operations in 2012, 42,158 fewer than in 2011. There were Sightsavers clinic.” for their families, children with a number of factors behind this. sight loss are less likely to get We are pleased to see national and local an education than their sighted governments incorporating eye care into their health programmes and funding them. We have peers; younger family members been able to reduce directly funded operations are often held back from school in India as a result, although some of this is due or work in order to act as carers to a delay in starting some new projects. for blind relatives. All in all, this has allowed us to focus our funding on countries where we’d like to see similar change