REACHING THE UNREACHED ANNUAL REPORT 2017 Graham Layton and Zaka Rahmatulla established the Layton rahmatulla Benevolent trust in 1984, laying down an inspiring vision, an audacious mission and 4 founding values. our foundinG 01 PrinCiPLes all treatment at LrBt should be totally free Vision for the poor so that no man, 02 LrBt is committed to woman or creating a better Pakistan child becomes treatment by preventing the blind just should be suffering caused by because they appropriate, state-of-the- blindness and other eye cannot afford art. Charity ailments. to this end it the treatment. should not will provide state of the mean second- art comprehensive free rate eye-care for the poor treatment. across Pakistan, in keeping with its tradition 04 of excellence, efficiency Patients and compassion for all. should be treated with 03 compassion and dignity. there should be no mission discrimination “no man/woman or child due to gender, should go blind just caste, because they cannot ethnicity, afford the treatment”. language, religion or sect. reaChinG the UNREACHED Government spends 0.45% of the GdP on health versus the Who benchmark of at least 6% 45% of the population has no access to Government health care facilities the 55% who do, face poor service delivery – absent staff, out of order equipment, out of stock or expired & counterfeit medicines 11% of our population (23 million) are either blind or visually impaired, most of them are from the poorest section of society in either small towns or rural areas where facilities are unavailable the prevalence of total blindness is in this context more than our 2 founders three times Graham Layton higher in poor & Zaka areas than in rahmatulla affluent areas decided to focus and within the LrBt’s efforts on poor areas it is reaching and treating the unreached. 14 of LRBT’s 30% 19 eye higher in hospitals, women than 4 of its in males Outreach Centres and 39 out of 52 Community eyecare Centres are located in either small towns or villages. the rest are located in the poorest sections of the cities LrBtfree eyehospitals in Pakistan LrBt free LrBt free LrBt free LrBt free secondary eye secondary eye secondary secondary eye hospital, hospital, eye hospital, hospital Tando Lar Khanewal Odigram Bago multan est. in est. in swat est. in est. in 1999 2006 2012 1985 LrBt free LrBt free LrBt free LrBt free tertiary eye secondary eye secondary secondary eye hospital, hospital, eye hospital, hospital, Karachi Quetta Pasrur Kalakalay est. in est. in sialkot est. in est. in 1986 2000 2008 1993 LrBt free LrBt free LrBt free secondary LrBt free tertiary Care secondary eye eye hospital, secondary eye eye hospital, hospital, Rashidabad hospital, Lahore Shahpur tando allayaar Chiniot est. in est. in est. in est. in 1987 2004 2008 2015 LrBt free LrBt free LrBt free LrBt free secondary eye secondary eye secondary eye secondary eye hospital, hospital, hospital, hospital, Gambat Mandra Arifwala Thokar est. in est. in near sahiwal Niaz Baig 1988 2005 est. in Lahore, est in 2008 2015 LrBt free LrBt free LrBt free secondary eye secondary eye secondary eye hospital, hospital, hospital, Akora Mansehra North Khattak est. in est. in Karachi 2005 est. in 1990 2012 Mir Islam is a vendor earning his living by selling vegetables at the wholesale market. ne day as per routine he offloaded the vegetables from the truck, with the heavy sack on his shoulder he odid not see the child running towards him, Mir swerved to avoid the child crashing into him and he tripped and fell. Mir tried to get up but found he could not due to a pounding headache and felt something warm trickle down his face, he was bleeding from his left eye having hit his head on a protruding rock in the ground. The pain was unlike he had ever experienced before. He was immediately rushed to the hospital by other sellers who had witnessed the accident. The emergency doctor used an ice pack to stop the flow of blood and prescribed painkillers to soothe the pain. The bleeding eventually stopped and Mir’s eye looked visibly better. Weeks passed and Mir felt that his vision was getting hazy; he ignored it hoping it would get better on its own. The family was already under debt and they had no one left to turn to for more financial help. Miraculously a detergent brand was carrying a survey in the neighborhood and when they knocked on Mir’s door and asked his wife about her husband’s profession his wife said he was lying in bed since his freak accident. Upon finding out about Mir’s condition the interviewer informed her about LRBT Odigram and its free services for the poor. Mir’s wife and her Matta, Swat: brother took him to LRBT Odigram where the doctors advised immediate surgery which was performed the very next day. Mir Islam Today Mir Islam is back to work. He is thankful to God and LRBT for giving him another chance and aims to give a better future to his A Vegetable seller son by making him a doctor as there are hardly any in his community. 36th million patient in June 2017 milestones saeed –a student of grade 4 lost his sight due to an accident at home. along with his sight saeed also lost his 34th million 2016/17 dream of joining the national cricket team one day. saeed who had always patient in been a confident, happy child had now become withdrawn and lonely - an october 2016 outcast at school. ali – at the age of 14 had to saeed’s surgery was successful and he drop out of school when his is able to see clearly once again. having father lost his job due to been so close to living in darkness, he poor eyesight. to help truly appreciates the gift of sight and is support his family of 6 he thankful to LrBt for restoring it.he started selling samosas 35th million wants to help others, the way that LrBt from a small kiosk, till as has helped him. luck would have it he too patient in feb 2017 developed an eye ailment causing loss of vision which forced him to quit work. mashtashma – a beautiful 8 year old girl from Quetta was hardly 5 today ali is back to when her teachers and parents supporting his family, realized that she suffered from grateful to LrBt for corneal opacity and the only restoring his sight enabling possible cure was a corneal him to support his family transplant. Procuring a cornea again. he sells biryani along could take years and her parents with the samosas to could not afford the cost. increase their income. ali’s father too was treated at today, after a successful surgery, LrBt and is now looking for mashtashma has once again a job once again. become a bubbly cheerful girl who loves preening before a mirror.. the highlight of her day is going to school and playing with her friends & siblings. Contents 28 Achievements 30 Chairman’s Report 31 Review of Operations 36 Appointments/Workshops/ Seminars/Conferences 38 Visitors 40 Trustees 42 Major Benefactors 43 Donors of LRBT 51 Honorary Consultants 52 Acknowledgements 53 Report of the Trustees of the Graham Layton Trust 55 LRBT USA 55 LRB Foundation Canada 56 Financial Highlights 58 Donations & Contributions 59 Expenditure 60 Estimated Receipts and Payments 61 Cumulative OPD Growth 62 Cumulative Surgeries Growth 63 Best Corrected Visual Acuity achievements 2016/17 MAP awarded 98 55 Certificate of 14,033 million refractionists, GLA excellence 2.9 ophthalmic awarded the for the third million retinal rupees was and operation procedures invested in Golisano year running 281 theatre Leadership by the Patients were performed the latest technicians visited our Corneal 53 award for management a growth of 8 % 31,469 equipment to are 75 facilities 267,027 over last transplants deliver state doctors are outstanding association – a growth major & minor Laser were undergoing enrolled in the leadership of Pakistan in year.this of the art training at of 1 % over surgeries were included 12,165 procedures conducted treatment to LrBt’s post and ongoing the the performed. major were carried - a growth LrBt’s school graduate commitment nPo/nGo patients who our patients of previous surgeries grew by were treated out – a of 39%. most of training to advancing category. year. 3% over the growth of 6%. ophthalmic programme in inclusive with avastin for whom live Paramedicine. previous year. age related below the ophthalmology health to macular poverty line. which is the people with degeneration largest intellectual and diabetic programme in disabilities. retinopathy. the country. Chairman’s Report Review of Operations 2016/17 was a year of consolidation. We are in the last phase of completing OPD VISITS / SURGERIES the expansion of our existing hospitals. Lar, Khanewal and North Karachi’s During the year ending June 2017, 2.9 million patients visited our 19 hospitals and 56 expansion will end in December 2017 and all our hospitals now have capacity Community Eye Health Centers, a growth of 1% over the previous year. During the same to cater for the anticipated growth of patient volume for the foreseeable future. period 267,027 major & minor surgeries were performed. Growth in major surgeries was 3% over last year. Cataract, which is the leading cause of curable blindness constituted 90% of major surgeries.Other surgeries included vitreo-retinal procedures, Trabulectomy, Cornea Two major gaps in our coverage of Pakistan will be filled when the purpose transplants, DCR, Squint etc. built Chiniot Hospital opens in July 2018 and we start work on the construction 14,033 retinal procedures were performed - a growth of 8% over last year.This included of another hospital near Sadiqabad in South Punjab in the first quarter of 2018.