LRBT School of Ophthalmic Paramedicine

LRBT recognizes that eye care for our patients begins in the homes, streets, and clinics of our communities. Eye health paramedics are there to provide care to patients without the need to go to hospitals. We believe that good patient care can only come with improving the skill of our workforce.

LRBT strongly believes in training its doctors and paramedics in order to give the best quality care to our patients.

Congratulations on completing eye care

training programs1. HUMAN RESOURCE DEVELOPMENT: a. DOCTORS QUALIFICATIONS1. Dr. Lubna Feroz – Korangi Hospital FCPS2. Dr. Sabeen Abbasi – Korangi Hospital FCPS3. Dr. Syed Abdullah Mazhar – Lahore (Township) Hospital FCPS4. Dr. Hina Munawar – Lahore (Township) Hospital FCPS5. Dr. Maria Usman – Lahore (Township) Hospital FCPS6. Dr. Bhagwanti Kumari – Korangi Hospital MCPS7. Dr. Zeeshan Azhar – Lahore (Township) Hospital IMM Exam8. Dr. Saqlain Sadiq – Lahore (Township) Hospital IMM Exam9. Dr. Muhammad Tahir – Lahore (Township) Hospital IMM Exam

b. CONTINUOUS MEDICAL EDUCATION17 of our doctors at the Tertiary Hospital, Korangi are presently undergoing various types of procedural training.

2. APPOINTMENTSDr. S. Fawad Rizvi from our Korangi Hospital was appointed as Paper Setter for FCPS – II (Vitreo Retinal Ophthalmology) from 7th to 8th June 2017, Examiner for FCPS – II (Ophthalmology) TOACS & Clinical Examination from 1st to 3rd May 2017and Assessor for Theory Assessment FCPS-II (Ophthalmology) Examination on 18th April 2017 at CPSP Karachi. He was also appointed as External Examiner for MBBS (2013) Semester VII Examination on 25th April 2017 at Jinnah Sindh Medical University.

3. WORKSHOPSMr. Umar Ghafoor, CEO (LRBT) participated in CBM’s Country Planning Workshop held on 29th May 2017 at Grand Excelsior Hotel, Dubai.

Dr. Tiabbah Saleem, Dr. Aijaz Hussain, Dr. Hina Loya, Dr. Najia Uzair, Dr. Hunain Razzak Ghoghari, Dr. Muhammad Omer Hassan, Dr. Mehak Aijaz, Dr. Zubaida Sirang and Dr. Mubarak Ali attended skills development workshops at CPSP.

4. RECOGNITIONSpecial Olympics Pakistan organized a Recognition Ceremony on 24th May 2017 at Avari Hotel, Karcahi in which shields were given to LRBT in recognition of Eye Care Services provided to the athletes of Special Olympics Pakistan in the past couple of years. Various other LRBT doctors and staff attended the ceremony.

Session 2017: Enrollment of students under Sindh Medical Faculty/Jinnah Medical & Dental College

(JMDC) for Ophthalmic Technician, Ophthalmic Operating Theatre (OT) Technician & Refractionist Course is in process. At present 55 students are undergoing various paramedical courses at the LRBT School Korangi. Session 2016: Students from Sindh completed their academic session and

appeared in their final examination. Their results are expected soon. Students from Punjab and KPK completed their academic session, appeared in their final tests at the Jinnah Medical Collage Hospital (JMCH) and all 14 students stand qualified.Refresher Coursesa. 8 Ophthalmic / OT Technicians/

Refractionists from our various Hospitals attended Refresher training from 22nd May to 8th July 2017 at Korangi Hospital.

b. 24 Ophthalmic / OT Technicians / Refractionists from our various Hospitals attended Refresher training from 5th June to 8th July 2017 at Mandra Hospital.

Other Training ProgrammesDr. Mubarak Ali from Mansehra Hospital is attending Phaco training at our Korangi Hospital from 21st June to 8th July 2017.

11 years old Saeed, a happy and confident boy is a student of grade 4 and resides in Baldia Town Karachi

along with his parents and siblings. Though poor, their father Asif, dreams of having his children study and live better lives than he did. Asif feels that if he had been educated, their lives would have been much different than what they are today.

Saeed, his youngest, is one of the best students of his grade so the poor parents have high hopes from him. Saeed loves sports and is often found outside on the playing a vigorous game of cricket with the neighborhood boys. He dreams of making it to the national cricket team one day.

Unfortunately, all of Saeed’s dreams were shattered one day when while playing cricket the ball hit him on his right eye. His friends immediately alerted Saeed’s mother, who assuming it was a normal injury used a homemade remedy to help dull the pain and swelling. Saeed temporarily felt better, but in subsequent days, he found he could not see the blackboard in his classroom clearly and his eyes started to water whenever he concentrated too much while reading.

After a couple of weeks, his teachers noticed that Saeed’s grades were falling; he was not paying attention in class and was often staring into space. Previously a confident and outspoken child, he was now withdrawn and quiet – the playful look in his eyes and ready smile were a thing of the past. He looked down while speaking

to others, avoided crowds and playing with his friends and siblings.

One day they got a call from school – the news was not good. Saeed had started to cry in class, when asked to read from the board, he got up and ran from the room. Upon questioning, Saeed confided in his teacher that he could not see the board properly

and he felt something wrong with him. His teacher told Saeed’s father

to show him immediately to an Opthamologist.

Asif took his son to LRBT Primary Eye Care Center in Baldia Town the very same

day; Saeed was diagnosed with traumatic cataract in his right eye

and was told that he would need immediate surgery. Worried about

the surgery cost, Saeed’s father asked the Ophthalmologist about the expense and in heart could feel the pain of his dreams shattering. To his utmost surprise he was told that treatment at all LRBT facilities is free. Asif took his son to LRBT Korangi where Saeed was given a date for surgery.

Saeed’s surgery was successful and he is able to see clearly once again. He is back in school and working harder than ever before. Smiling from ear to ear, he looks at the camera with great confidence as he shares his dreams of becoming a cricketer.

LRBT recently treated its 36th million patient and impacted the lives of millions more by enabling the treated to become productive members of society again.

Government of SindhA fresh grant of Rs.35 million has been awarded to LRBT for fiscal year 2017-18. We plan to carry out 12,157 cataract surgeries in four

of our Sindh Hospitals over a period of twelve months. This project was especially designed to carry out cataract surgeries on the poor, needy and disadvantaged people in the Province of Sindh.

USAID/SightsaversIn accordance with the MoU signed between

Sightsavers and LRBT in January 2017, we are in the process of carrying out 21,525 cataract surgeries in this calendar year at ten designated Hospitals over a period of twelve months. In the 2nd quarter, we have been able to conduct 3,500 cataract surgeries, according to plan. Cumulatively, we have so far conducted 9500 surgeries. The project is being implemented on schedule.

Despite security concerns, LRBT is also carrying out a comprehensive Childhood Blindness initiative in collaboration with USAID through Sightsavers to address the interlinked problems leading to childhood blindness. In the last three months 13,329 school children and 315 children from the community have been screened under this project.

Another project of Sightsavers in collaboration with Standard Chartered Bank under the Seeing is Believing program requires LRBT to carry out refraction, cataract and minor surgeries over a period of 3½ years beginning July 2016. In order to support this Project, LRBT has also

been provided with ophthalmic equipment for use in this project. In the April- June quarter, we conducted 1466 surgeries.

Brian Holden Vision InstituteLRBT is actively participating in this program with

BHVI for “Our Children’s Vision” campaign which is a global effort emphasizing the need to increase children’s access to eye health on a war footing.

In this quarter we conducted OPD of 59,224 children of which 1,384 were refracted at all our Hospitals. 366 glasses were provided to children requiring them.

CBM International Under the two contracts inked between CBM and LRBT, 22 students are to undergo training for a period of one year

leading to certification and the second one is a program to carry out 2,200 cataract surgeries this calendar year. Implementation of both programs is underway. Students have been enrolled and are undergoing training at the LRBT School of Ophthalmic Para medicine. In the Cataract Program, we have already conducted 1,100 surgeries at four of our facilities.

Partnership AgreementsLRBT gives credit to its partners for its success and is proud to work with them in ongoing projects:

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FREE EYE CARE FOR THE POOR

Treating 36% of all eye patients in Pakistan

36th million patient –Muhammad Saeed

Tip for healthy eyes:‘The best way to maintain healthy eyes is to adopt a healthy lifestyle. Never self treat any eye ailment, it is best to get it examined from an ophthalmologist.’– Dr. Syeda Aisha BukhariConsultant Opthalmologist – LRBT

Support us to enable them become productive members of society

LRBT Pakistan Bank Details:Please deposit your Zakat at any of the following banks:

Faysal Bank

Swift CodeFAYSPKKA

Account No0330000131981129

IBAN No.PK89FAYS0330000131981129

Branch Code330

Account TitleThe Layton Rahmatulla Benevolent Trust

Standard Chartered Bank LimitedAccount No01-6556450-01-00

IBAN NoPK02SCBL0000001655645001

Account TitleThe Layton Rahmatulla Benevolent Trust

United Bank Limited (UBL)Account No010-4241-4

Branch Code0949 – online

IBAN NoPK84UNIL0112094901042414

Account TitleThe Layton Rahmatulla Benevolent Trust

(Exem

pt under Section 61 of IT

Ordinance 2001)

Cost Treatment

Rs. 2,879 Sight Restoration Cataract Surgery with an Intra-Ocular Lens Implant

Rs. 28,710 Vitreo Retinal Surgery

Rs. 8,289 1 child’s Sight Restoration Surgery

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Giving sight Transforming Lives

Name of Donor Amount

ANONYMOUS DONORS - KARACHI 88,718,690.25Health Department, Government Of Sindh 35,000,000.00Graham Layton Trust 27,810,527.05Sight Savers International 17,900,000.00Mr. Amjad Ali Khan 12,214,000.00Punjab Welfare Trust For The Disabled 8,324,519.00Mr. Muhammad Usman Peracha 7,500,000.00Bestway Foundation 5,000,000.00Hamid D. Habib Memorial Trust 5,000,000.00Human Concern International 4,834,014.30Mr. Sajjad Ahmad 4,000,000.00Pakistan Bait-ul-Mal 3,448,000.00CBM International 3,002,249.32Mr. Shafiq ur Rehman 3,000,000.00Parents of Dr. Z. Aqil Qazi & Dr. Saadia Moin 2,590,000.00Muhammad Shafi Trust 2,500,000.00Mrs. Samina Ibrahim 2,500,000.00Khaadi (SMC-Pvt) Ltd 2,500,000.00Convenience Food Industries (Pvt) Ltd 2,500,000.00Subhan Food Industries 2,099,139.00PAK-ARAB REFINERY LTD 2,000,000.00International Steels Ltd 2,000,000.00Chiniot Anjuman Islamia 1,624,607.00Anonymous Donor 1,501,000.00Health Department, Govt. of the Punjab 1,500,000.00Mr. Salman Ahmed (Bahrain) 1,500,000.00Mr. Mustafa Kassam 1,500,000.00K-Electric 1,480,216.00Orix Leasing Pakistan Limited 1,279,788.00Global Giving 1,095,282.27Mr. Shahid Hamid 1,048,200.00Cowasjee Foundation 1,000,000.00Ms. Khurshid Bhaimia 1,000,000.00Mr. Khawar Masood Butt 1,000,000.00Jaag Broad Casting Systems (Pvt) Ltd 1,000,000.00Liberty Mills Limited 1,000,000.00Mr. & Mrs Shaheen Amin 1,000,000.00International Industries Limited 1,000,000.00Mr. Fazal Jilani Khan 1,000,000.00Premier Dairies Pvt. Limited 1,000,000.00Mr. M. J. Chaudhry 1,000,000.00A. Q. Enterprises 1,000,000.00North Star Textiles Mills Ltd. 1,000,000.00Kohat Cement Company Limited 1,000,000.00Total 269,970,232.19

On behalf of LRBT and the needy patients with impaired vision, we are deeply thankful to all our generous donors for their support in our fight against curable blindness. The donors who donated Rs. 1 million and above during the quarter are:

Our big hearted supportersCoping with the ever-growing patient volume

ArifwalaThe new operation theatre has become operational which would provide the required increased capacity as there was paucity of space and dire need to expand. In order to also comply with the requirements of the Punjab Healthcare Commission, separate entry and exit gates at the Hospital have also been constructed. Paint work of the Hospital will soon begin which should be completed by end August.

KhanewalFollowing completion of the Primary waiting areas, screening rooms and a minor operation theatre after commencement of the project in January 2017, a new additional operation theatre with all allied services is being constructed. Additionally, doctors’ accommodation also needed to be refurbished and expanded. This entire project is expected to complete by the middle of September 2017.For the benefit of the poor patients, it has been ensured that OPD and surgery will continue to take place despite ongoing construction and make shift arrangements have been made for that purpose. This project is being sponsored by the same generous donor who had financially supported its earlier major expansion and new ophthalmic equipment.Lar (Multan)

Civil work of the new Surgical Complex in Phase II of the Project is presently underway which will provide the increased capacity so that patients requiring surgery do not have to wait for an extended period for surgery. This surgical complex will have a comfortable waiting area, a number of Operation Theatres and allied services. It is expected to complete and be fully operational by the end of September this year.

The entire project which is being funded by a UAE based donor who had earlier also sponsored the renovation and expansion of Gambat and Khanewal Hospitals.

LRBT started off as a small mobile unit in Tando Bago over 32 years ago. Over the years, it has spread throughout the country with 19 hospitals and 56 eye care centers. The journey of growth and expansion continues.

Seeing is Believing Visits to LRBTWe welcome people from all walks of life, specially our donors, to come and experience the difference that we are able to create in lives of the poor with their help. Mr. Drew Keys, Project Manager Papua New Guinea & Pacific

& Mr. Khalid SaifUllah, Program Manager Pakistan BHVI, visited LRBT Mandra Hospital on 3rd April 2017. Mr. Drew Keys recorded in the comment book, “An Excellent Facility. Very Impressive. Thankful to the Unit”.

Olga Arara Kimani, Regional Head Corporate Affairs & Brand & Marketing for Africa and Middle East, Standard Chartered Bank visited LRBT Korangi Hospital on 22nd June 2017. Her remarks about the visit were, “Extremely proud of the work you are doing here to support the community. Pleased to be a partner”

Mr. Asad Aamir Ansari, Volunteering for GLT (Graham Layton Trust), visited LRBT Korangi Hospital on 23rd June 2017. His observations were, “Amazing visit to LRBT in Korangi, Karachi. On part of GLT I really enjoyed the hospitality of the heads of the hospital. Great work. Great people.”

Syed Fakhar Imam, Former Speaker, National Assembly of Pakistan and Trustee, LRBT visited LRBT Quetta Hospital on 14thApril 2017. His comments about the visit were, “It was a pleasure to visit the LRBT in Quetta. The commitment, dedication and devotion shown by Dr Saeed and his colleagues is exemplary, the hygiene and cleanliness was outstanding. This faculty needs more doctors to meet the demand of the people and the area. I spoke to the Chief Secretary of Baluchistan Government and he said he would facilitate LRBT Quetta in whatever way possible”.

OPD VISITS

Performance Data

Cataract Phaco without IOL: 103 (0.18%)

Secondary IOL: 158 (0.27%)

ECCE/ICCE with IOL: 3,608 (6%)Other Cataract without: 621 (1%)

Others Major: 1,761 (3%)

Cataract Phaco with IOL: 22,620 (47%)SICS with IOL: 15,442 (27%)

MAJOR SURGERIESJan 17 to Mar 17

Total Major Surgeries: 48,540Total Cataract Surgeries: 42,729 (88% of Total Major Surgeries)Cataract Surgeries with IOLs: 42,005 (87% of Total Cataract Surgeries)

3,000,000

2,500,000

2,000,000

1,500,000

1,000,000

500,000

0 Jul to Sep 16 Oct to Dec 16 Jan to Mar 17 Apr to Jun 17 YTD

Last Year 600,888 752,834 792,127 745,659 2,891,508

Current Year 644,814 797,689 793,817 690,506 2,926,826

MINOR SURGERIES

60,000

50,000

40,000

30,000

20,000

10,000

0 Jul to Sep 16 Oct to Dec 16 Jan to Mar 17 Apr to Jun 17 YTD

Last Year 11,771 15,763 14,945 14,087 56,566

Current Year 12,618 15,944 15,625 13,965 58,152

MAJOR SURGERIES

250,000

200,000

150,000

100,000

50,000

0 Jul to Sep 16 Oct to Dec 16 Jan to Mar 17 Apr to Jun 17 YTD

Last Year 38,594 57,946 56,057 50,923 203,520

Current Year 41,548 61,353 57,598 48,540 209,039

Quality Of Surgery: Visual Outcomes

Note: WHO/ICEH Benchmark for good quality Cataract surgery is 90 % should have visual acuity of 6/18 or better. Ours are 7 percentage points higher.

Eye Screening Camps16 Eye Screening Camps were conducted at Akora Khattak, Khanewal, Korangi, Lar Multan, Mandra, Mansehra, Pasrur and Rashidabad in collaboration with APPNA, Shell Pakistan, Lotte Chemical Pak. Ltd, Parco Pearl Gas Company,A total of 2,087 patients were examined, out of which 1,095 were medicated, 986 refracted and 286 were referred to LRBT hospitals for detailed examination and surgery.

Cumulative Summary since Inception to 30th June 2017

North KarachiIn order to alleviate the difficulty being faced due to limited space availability, remodeling and expansion was planned to enable us to accommodate the growing number of patients coming to this facility which will give additional space in the operation theatre, screening rooms and waiting areas too. Work at the facility is progressing smoothly and is planned to be completed by end December this year.

6/6 - 6/18 (97%)

6/18 - 6/60 (2%)

6/60 or Below (1%)

Hospital Commencement Total OPD Total Total Date Patients Surgeries

Korangi 26-Oct-86 6,599,292 719,305 7,318,597

Lahore (Kot Lakhpat) 14-May-87 6,820,718 621,504 7,442,222

Akora Khattak 20-Oct-90 2,034,267 213,258 2,247,525

Arifwala 15-Dec-08 834,375 81,227 915,602

Odigram 26-Sep-13 1,650,599 210,766 1,861,365

Gambat 20-Mar-88 1,908,253 291,821 2,200,074

Khanewal 02-Jan-06 854,155 96,268 950,423

Lar 15-Feb-99 1,991,818 235,224 2,227,042

Mandra 15-Mar-05 1,020,713 152,379 1,173,092

Mansehra 08-Nov-05 744,015 72,811 816,826

Pasrur 17-Mar-08 650,740 84,552 735,292

Quetta 23-Oct-00 1,328,165 107,639 1,435,804

Rashidabad(Tando Adam 01/02/87 to 01/06/08) 02-Jun-08 1,796,018 239,908 2,035,926

Shahpur Saddar 04-Nov-04 1,128,944 169,766 1,298,710

Tando Bago 15-Nov-85 1,928,034 192,490 2,120,524

North Karachi 02-Jan-12 516,357 42,082 558,439

Sibi 01-Jul-15 146,061 10,108 156,169

Kalakalay 01-Jul-15 150,412 7,214 157,626

Chiniot 01-Jan-15 86,775 7,956 94,731

Lahore (Multan Road) Aug-15 137,012 12,160 149,172

Turbat (Malc) 15-Nov-85 21,491 2,037 23,528

Gawadar (Malc) 15-Nov-85 35,307 3,800 39,107

Khewra (ICI) May-91 159,046 16,598 175,644

Ent Surgeries 333

Total 32,542,567 3,590,873 36,133,440

LRBT WORLDWIDE

PakistanThe Layton Rahmatulla Benevolent Trust (LRBT)37-c, Sunset Lane No. 4, Phase II Extension, DHA, Karachi-75500Tel: 021-35396600-5(6 lines) Fax: 021-35396606Email: lrbt@cyber.net.pkWebsite: www.lrbt.org.pkFb: Lrbt.Pakistan(Exempt under Section 61 of IT Ordinance 2001)

United KingdomGraham Layton Trust (GLT) – a sister charity to Layton Rahmatulla Benevolent Trust (LRBT).Tel: 44 (0) 203 397 1433Email: enquiries@glt.org.ukWebsite: www.glt.org.uk/donateHSBC Bank: Graham Layton TrustSort code: 40-05-18Account Number: 72684977Foundation (Account LRBT)Send a cheque to: GLT, 24 Bedford Row, London WC1R, 4TQ(GLT – UK registered charity no. 290464)

CanadaOnline Donation: www.lrbfoundation.caCheques in favour of: Layton Rehmatullah Benevolent Foundation C/O Human Concern International and mailed to:Mr. Ashfaque AzadLRBF80 Charles Street East, Unit 401Toronto ON M4Y2W6CanadaPhone: 1-289-217-1186E-mail: info@lrbfoundation.ca

USALRBT USAWatertown Savings BankRouting: 221371356Account: 0212086999Website: www.lrbtusa.comEmail: info@lrbtusa.comTel: 315-779-8044

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