LRBT SATELLITE CLINICS AT RURAL HEALTH CENTERS

We were able to add six satellite clinics to our network ofcommunity eye health centers during the last three months. Oneclinic was the added to the four that were being serviced earlierby Akora Khattak Hospital. These five clinics are being financiallysupported by Mr. Shan Al Ashary a committed and generousdonor. In addition, five new clinics were opened at the RuralHealth Centers in the periphery of our Mansehra Hospital whichwill go a long way in addressing minor eye ailments includingrefraction of visiting patients from the catchment area near theirplaces of residence. Those patients who require surgery or morecomplex treatment will be referred to our Mansehra Hospital.

SEEING IS BELIEVING

KORANGI KARACHI

• Ms. Sana Mesia (Manager Human Resources) along withMr. Muhammad Afroz Ladha (Assistant General Manager)Corporate Department, Mitsubishi Corporation visited LRBTKorangi Hospital on Tuesday 7th May 2013. Their remarkswere:“I am glad as well as impressed that LRBT is workingcleanly, diligently and productively to contribute for

society with compassion. We want the areas where ourpeople need assistance and that is being given. Ascompared to other hospitals, institution we feel thesystem is running in a systematic manner and been tryingto expand further in a wholesome way. Around 1000patients per day!! And managing all this requiresresources keep it up….. God Bless U.”

TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN02

Coping with the ever growingpatient volume

LRBT Odigram

The project is progressing well with about 75% work completein the main hospital building, doctors' residences and patientscanteen. Presently, plumbing, painting and flooring work is taking

place apart from the external work involving a drainage system,a retaining wall, pavements, boring for a water supply etc. A visitto the construction site was paid by the Director General PaRRSA,Government of Pakhtunkhwa. After a detailed briefing given tohim by the LRBT management team, he expressed full satisfactionwith the quality and pace of work being carried out. The hospitalis expected to complete by the end of the third quarter this year.This Project is being financed by PaRSSA for an amount of Rs. 58million while Mr. Usman Paracha is contributing Rs. 10 millionand Rs. 1 million has been contributed by Infaq Foundation.

• Mr. Faisal Sabzwari (Country Manager, P&G Pakistan Limited)along with his team visited LRBT Korangi Hospital on Friday30th May 2013. His remarks were:

“Thank you for giving us the opportunity to see the work

you are doing to change people lives so meaningfully.

LRBT is an organization of angels working tirelessly to

save millions of people from darkness. We are here for

you.”

TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN 03

Our big hearted supportersOn behalf of LRBT and the poor blind & visually impaired people of Pakistan, we are deeply thankful to all our generous donorsfor their support in our fight against curable blindness. The donors who donated over Rs. 500,000/- during this quarter are:

Name of Donor Amount

Pakistani Italian Debt Swap Agreement (PIDSA) 19,139,989.00

Programme Coordinator CDP, P & D Dept Govt Of Sindh. 16,798,000.00

Pakistan Bait-Ul-Mal 10,452,000.00

HBL Foundation 10,000,000.00

Anonymous Donors - Karachi 8,958,185.33

Graham Layton Trust 6,736,950.00

Sight Savers International 6,158,437.00

Opec Fund For International Development 5,892,000.00

Subhan Food Industries 4,941,339.00

Mr. Nabeel Abdulla Al Mulla 4,907,500.00

Anonymous 4,062,545.55

Trimark 4,044,951.00

Infaq Foundation 4,000,000.00

United Energy Pakistan Limited 3,756,350.00

Mr. Shan Ashary 3,400,000.00

Mr. Mohammed Amin Nathani 3,000,000.00

Shell Pakistan Ltd. 2,000,000.00

Mr. Saleem Paracha 2,000,000.00

Ms. Zavera Lotia 2,000,000.00

Standard Chartered Bank 1,906,967.00

Small Grants & Ambassadors Fund Program (NRSP-SGAFP) 1,755,254.00

Pak-Arab Refinery Ltd 1,500,000.00

TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN04

Mr. Kashif Ali Bhutto 1,500,000.00

The Rotary Club Karachi, Sharqi 1,381,110.00

Mr. Mustafa Kassam 1,309,770.00

Punjab Welfare Trust For The Disabled 1,202,000.00

Health Department, Govt. of the Punjab 1,200,000.00

Burj Bank 1,000,000.00

Professor Abdul Qayyum Qureshi 1,000,000.00

Mr. Atiq Rehman 855,360.00

Hamza Foundation 825,000.00

Donation Boxes 771,212.00

Dubai Islamic Bank 750,000.00

Mr. Azhar Zafar 668,250.00

M.S. Rupak K. Ved & Jayant Ganwani 614,560.00

Mr. Sajjad Ahmad 534,600.00

Mr. Murad Azam 534,600.00

Karachi Electric Supply Company 531,757.00

Mr. Rashid Khan NAZ P/L 509,000.00

Cowasjee Foundation 500,000.00

Waheed Asghari Memorial Trust 500,000.00

Mr. Nasir Ahmed Mehmood 500,000.00

Iftikhar Memorial Trust 500,000.00

Mr. Hasan Irfan Khan 500,000.00

Partnership Agreements

Successful completion of two major Partnershipprojects

1. National Rural Support Programme- Small Grantsa n d Am b a s s a d o r s p ro gra m ( N R S P- S G A F P )

LRBT was required to conduct 11,417 eye sight restoringPhaco emulsification cataract surgeries on poor females atseven of our hospitals. This project was completed withinthe stipulated period. During the course of the project, savingsin budgeted expenditure were achieved and US AID agreedto allow us to carry out an additional 705 surgeries whichwas completed towards the end of May.

TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN 05

2. Sindh GovernmentPrivate -Public PartnershipAgreement Phase III

An agreement was signed in March 2012 with the CommunityDevelopment Program, Planning and DevelopmentDepartment, Government of Sindh under which LRBTconducted cataract surgeries resulting in restoration of visionof 12,381 adults belonging to the Province of Sindh. ThisProject was successfully completed in June.

Launching of a freshPrivate-Public agreement withthe Government of Sindh Phase IV

Following the successful completion of the Private- Publicagreement Phase III conducted at four of our Hospitals inSindh, implementation on a new project began effective 1stJuly 2013 at five hospitals of Sindh under which we are tocarry out sight restoring cataract surgeries on 11, 894 poorblind people of Sindh. We have received the first tranche ofRs. 10.8 million so far. We expect to complete this programon schedule by the 30th April 2014.

Agreement with United Energy Pakistan Limited(UEPL) for provision of Opthalmic equipment forLRBT Hospital at Rashidabad

UEPL graciously agreed to fund the replacement of overageessential equipment at our Rashidabad Hospital at the costof Rs 3.75 million which will help in improving our servicedelivery to the poor people of the area. This is in addition toRs. 5.2 million provided by them for a similar exercise for ourTando Bago Hospital. We are grateful to UEPL for theircontinuous support to LRBT.

CONGRATULATIONS ONCOMPLETING EYE CARE TRAININGPROGRAMS1. HUMAN RESOURCE DEVELOPMENT:

a. DOCTORS QUALIFICATIONS

At present 36 FCPS and 4 MCPS trainees are undergoingpostgraduate training.

b. MICROSURGICAL TRAINING

Following doctors attended the microsurgical training at ourLahore Hospital:

• Dr. Sadiq ullah Khan - PICO, Peshawar• Dr. Waseem Ahmed Khan - DHQ Mirpur, Azad Kashmir

c. CONTINUOUS MEDICAL EDUCATION

Following doctors recently completed training at our KorangiHospital as mentioned against each name:

• Dr. Zahid Mushtaq – Phacoemulsification• Dr. Amber Khalid – Trabulectomy, DCR & SICS• Dr. Shahab ul Hassan – Trabulectomy, DCR & SICS• Dr. Saliha Naz – SICS&DCR• Dr Burhan Abdul Majid Khan – Trabulectomy• Dr. Bhagwanti Kumari – Trabulectomy

The following doctors are undergoing training presently atthe Korangi Hospital:

• Dr. Bashiran Shehzadi – Trabulectomy. SICS• Dr. Shabana Siddiq – SICS & DCR• Dr. S. Farhan Amjad Jafri – SICS & Trabulectomy• Dr. Syeda Aisha Bokhari – SICS & Trabulectomy• Dr. Kanwal Latif – SICS & DCR• Dr. Sana Siddiq Motiyar – SICS & DCR• Dr. Washoo Mal – Trabulectomy• Dr. Narain Das – DCR• Dr. M. Asaad Mahmood – Wet Lab• Dr. Faiza Irfan – Wet Lab

2. TRAINING & DEVELOPMENTLRBT School of Ophthalmic Paramedicine

Enrollment forms along with course fee of students undergoingtraining in Ophthalmic Technician, Ophthalmic OperatingTheatre (OT) Technician & Refractionist Course having domicileof Sindh were submitted to the Sindh Medical Faculty forfurther process.

Previous batches of all the above courses have appeared intheir respective theory and viva examinations. Their resultsare expected soon.Coordination with Jinnah Medical & Dental College (JMDC) isin process for the purpose of enrollment of students havingdomicile of Punjab, KPK and Balochistan provinces in all theabove courses. It is expected that this process will completeshortly.

Refresher Courses

Refresher Courses for our existing staff have been planned innext quarter July-September 2013 at Korangi and MandraHospitals.

Mr. Muhammad Junaid from our Arifwala Hospital isundergoing initial CEHC training whereas Mr. Ijaz Ahmed fromour Mansehra Hospital has completed Satellite Eye Clinicstraining at Mandra Hospital.

Doctors Training Programmes

Dr. Kashif Iqbal of our Lahore Hospital was awarded a fellowshipby the International Council of Ophthalmology (ICO) for athree-month training period in Vitreo-Retinal Surgery at TheLudwig-Boltzmann Institute for Retinology and BiomicroscopicLaser Surgery, Rudolf Foundation Clinic in Vienna, Austria from1st June 2013 to 31st August 2013.

Dr. M. Abdullah Khan and Ms. Sumaiya Hamid of our KorangiHospital attended 5 days training on Retinopathy ofPrematurity (ROP) at PCB Cell, Civil Hospital, Karachi from 15thto 19th April 2013.

3. APPOINTMENTS

Dr. Syed Fawad Rizvi from our Korangi Hospital was appointedas Examiner for Intermediate Module and MCPS(Ophthalmology) TOACS & Clinical Examination Mar-2013 atCPSP Karachi from 20th to 22nd June 2013 and as Assessorfor Theory Assessment FCPS-II (Vitreo Retinal Ophthalmology)Examination Mar-2013 at CPSP Karachi on 9th April 2013.Hewas also appointed as Internal Examiner for 3rd ProfessionalMBBS Annual Examination (Ophthalmology) 2012-13 at JinnahMedical College Hospital (JMCH) Karachi on 1st & 2nd April2013.

Dr. Shakir Zafar from our Korangi Hospital was appointed asExternal Examiner for Eye OSCE Examination at Aga KhanUniversity Hospital 8th June 2013.Earlier he appointed asAssessor for Theory Assessment MCPS (Ophthalmology)Examination Mar-2013 at CPSP Karachi on 16th April 2013.

4. WORKSHOPS

Dr. Syed Fawad Rizvi from our Korangi Hospital was invited asGuest Faculty at ISRA Postgraduate Institute of Ophthalmologyfor talk on “Pupil Examination” on 29th June 2013.

Dr. Khurram Azam Mirza from our Lahore Hospital participatedin the ESASO (European School for Advanced Studies inOphthalmology) Asia Post Graduate Programme-MedicalRetina Module on 20th & 21st May 2013 in Singapore.

Mr. M. Tahir Munawar and Dr. Mahwash Akhtar Khan from ourCentral Office and Korangi Hospital respectively attendedworkshop on “Quality Assurance of Key PerformanceIndicators” organized by Sightsavers on 21st May 2013 inIslamabad.

Dr. Saima Amin and Dr. Syed Asaad Mahmood attended skillsdevelopment workshops at CPSP.

5. CONFERENCES

Dr. Tariq Mehmood Qureshi and Dr. Jawad Bin Yamin Butt ofour Lahore Hospital were invited to participate as a facultymember in a meeting to advance the new treatment paradigmwith a focus on therapeutic success held in Singapore on 3rdMay 2013. A large number of Ophthalmologists and specialistswere also in attendance to explore the evolving therapeuticoptions to effectively control surgical complications and post-op visual acuity problems.

Dr. Mahwash Akhtar Khan from our Korangi Hospitalrepresented LRBT in a Program Review Meeting 2013 for“Health System Strengthening by Integrating Primary Eye Careinto PHC Reforms 2011-13” organized by PCB Cell, Civil Hospital,Karachi at Hotel Regent Plaza on 26th April 2013.

Dr. Kashif Iqbal of our Lahore Hospital was invited as Guest Speaker by Ophthalmological Society of Pakistan (OSP) SahiwalBranch at its annual congress on 12th April 2013.

TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN06

The Layton Rahmatulla Benevolent Trust (LRBT)37-C, Sunset Lane No. 4, Phase II Extension, DHA, Karachi-75500Phones: 021-35396600-5 (6 lines) Fax: 021-35396606 Email: lrbt@cyber.net.pk Website: www.lrbt.org.pkwww.facebook.com/Lrbt.Pakistan

CHANGING LIVESRESTORING SIGHT• Rs. 2,878 is the cost of 1 Sight Restoration Cataract Surgery with Intra-Ocular Lens Implant

• Rs. 28,710 is the cost of a Vitero Retinal Surgery

• Rs. 7,769 is the cost of 1 child’s Sight Restoration Surgery

6. SEMINARS

Dr. Kashif Iqbal from our Lahore Hospital attended a symposium on “Imaging and Management Advances in Retinal Diseases” on11th May 2013 in Singapore.

7. RECOGNITION

• Government of Pakistan conferred the award of Tamgha-i-Imtiaz for Dr. Zaheer uddin Aqil Qazi of our Lahore Hospital in recognitionand acknowledgement of his services in the field of Health Services on 14th August 2012. Formal ceremony was held in GovernorHouse Punjab on 23rd March 2013. Honourable Governor of Punjab Makhdum Syed Ahmed Mahmud presented the award.

• LRBT wins the 1st FPCCI Achievement Award for the year 2012

In recognition of the outstanding services provided by LRBT in Pharmaceutical, medical and

health care facilities, it was awarded the 1st Achievement Award in an impressive and befitting

ceremony held in Karachi on the 22nd June 2013 under the auspices of The Federation of

Pakistan Chambers of Commerce and Industry.

Name:Profession:Address:

Telephone: Fax:Email:Amount Donated:Zakat / Fitrah / Sadqah etc.

Pakistan:• The Layton Rahmatulla Benevolent Trust (LRBT)

37-C, Sunset Lane No. 4, Phase II Extension, DHA, Karachi-75500Phones: 021-35396600-5 (6 lines) Fax: 021-35396606 Email: lrbt@cyber.net.pkWebsite: www.lrbt.org.pk (Exempt under Section 61 of IT Ordinance 2001)

United Kingdom:• Graham Layton Trust

24 Bedford Row, London WC1R 4TQ, UK.Tel: 44 (0) 30 3040 1688Email: enquiries@glt.org.uk Website: www.glt.org.uk(Registered Charity No. 290464).

Canada:• International Development and Relief Foundation (Account LRBT)

2 Berekely St., Suite 210 Toronto, ON M5A 4J5 Canada.(All donations are tax exempt)

USA:• LRBT Foundation:

4 Schindler Court, Boonton Township, NJ 07005Tel: 973-335-2275, 917-453-8884Email: fsanyc@gmail.com

CUMULATIVE SUMMARY SINCE INCEPTION TO 30 June 2013

MANDRA MANSEHRA KHANEWAL PASRUR ARIFWALA SIBI KHEWRA(ICI)

QUETTA GAWADAR(MALC)

TURBAT(MALC)

NORTHKARACHI

2 Jan 2012

Total OPD Patients

Total Surgeries

Total

4,766,314

570,202

5,336,516

5,290,280

456,180

5,746,460

1,318,468

191,111

1,509,579

1,570,723

150,883

1,721,606

1,338,349

208,299

1,546,648

1,269,094

158,455

1,427,549

1,445,431

158,574

1,604,005

1,151,938

165,477

1,317,415

945,421

82,694

1,028,115

773,915

116,675

890,590

592,132

96,956

689,088

423,620

44,694

468,314

507,063

58,451

565,514

353,657

49,124

402,781

387,555

38,259

425,814

98,528

8,131

106,659

109,713

7,450

117,163

30,935

3,403

34,338

15,032

1,426

16,458

140,837

13,821

154,658

22,529,005

2,580,265

25,109,270310

TOTALHOSPITAL KORANGI LAHORE GAMBAT LAR

Rashidabad(Tando Adam

01/02/87 to01/06/08)

TANDOBAGO

AKORAKHATTAK

SAIDUSHARIF

(Kala Kalay25/05/93

SHAHPURSADDAR

ENTSURGERIES

Commencement Date 26 Oct 1986 14 May 1987 2 June 2008 15 Nov 1985 20 Mar 1988 15 Feb 1999 20 Oct 1990 6 June 2012 23 Oct 2000 5 Nov 2004 15 Mar 2005 8 Nov 2005 2 Jan 2006 17 Mar 2008 15 Dec 2008 1 Jul 2003 May 1991 15 Nov 1985 15 Nov 1985

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

90,000

100,000

Major Surgeries

Last Year 31,401

Current Year 34,117

July to Sep 12 Oct to Dec 12 Jan to Mar 13 Apr to Jun 13 YTD

110,000

119,642

121,077

42,466

42,575

45,775

44,385

46,480

45,171

Performance data

0

100,000

200,000

300,000

400,000

500,000

600,000

700,000

800,000

900,000

1,000,000

1,100,000

1,200,000

1,300,000

1,400,000

1,500,000OPD Visits

Last Year

Current Year

July to Sep 12

444,600

488,501

Oct to Dec 12

528,304

542,906

Jan to Mar 13

610,997

599,061

Apr to Jun 13

632,226

635,732

YTD

1,600,000

1,583,901

1,630,468

-

10,000

20,000

30,000

40,000

50,000

60,000

Minor Surgeries

Last Year 11,791

Current Year 118,21

July to Sep 12 Oct to Dec 12 Jan to Mar 13 Apr to Jun 13 YTD

70,000

40,448

39,043

13,400

12,796

15,257

14,426

15,190

15,009

Major Surgeries April 13 to June 2013Total Major Surgeries 45,171

Total Cataract Surgeries 41,256 (91.33 of Total Major Surgeries)

Cataract Surgeries with IOLs 40,498 (98.16% of Total Cataract Surgeries)

SICS with IOL13,968, 30.92%

Secondary IOL,151, 0.33%

Others3,915 , 8.67%

Cataract without IOL, 652, 1.44%

ECCE/ICCE with IOL,7,886 , 17.46%

Cataract Phaco with IOL18,493 , 40.94%

Cataract Phaco withoutIOL

106, 0.23%