Seeing is believing - visits to LRBThospital• Ms. Kirsten Bailey Asian Program Manager, Fred Hollows

Foundation, Sydney along with FHF Team visited LRBTKorangi hospital on 24th April 2012. Her comments were

“A Very Impressive Hospital + Great partnership”.

• Dr. Iqbal, FRCS (Con. Audiovestibular Physician) Associationof Pakistani Physicians and Surgeons in UK visited LRBTKorangi hospital on 10th April 2012.

Lahore

a. Dr. Jaffar Khan (Head of Inspection team PM&DC): visitedLRBT Lahore Hospital on 2nd April 2012. His observations were:

“I visited the institution LRBT. It is a very popular eye centreand provides postgraduate training. It is doing a very big servicefor human beings and the poor people of Pakistan. I admirethe services of all consultants”.

b. Dr. Mohsin. O. Ali, (Dental Surgeon, The Royal LondonHospital), (Volunteer for the Graham Layton Trust): visitedLRBT Lahore Hospital on 11th April 2012. His comments were:

Dr. Iqbal duringhis visitto Korangihospital

Construction of LRBT HospitalKhanewal

Construction of LRBT HospitalOdigram, Swat

Coping with the ever-growingpatient volumeKhanewalConstruction of the OPD Complex is progressing well and isexpected to complete ahead of schedule before the end ofthe year. With its opening, the patients will benefit immenselyas there will be efficient flow of patients for differentexaminations, comfortable waiting areas in variousdepartments, an additional major and a minor operationtheatre to provide for the increasing number of patients thatvisit the hospital and other examination and treatment rooms.

LarFor quite sometime the need to expand the present operationtheatre was being felt as the waiting period for patientsrequiring surgery was being extended due to lack of capacity.We are grateful to one of our loyal donors Mr. Salman Ahmedbased in Bahrain with whose generous support and assistance,a new operation theatre with a 66% increased capacity ispresently under construction. We expect this project tocomplete by early July.

Odigram , SwatThe pace of work at the Hospital is progressing satisfactorily andis expected to be completed in the third quarter of next yearwhen this purpose built 40 bed hospital will open its doors. Inthe interim period we had to shift our temporary set up fromBarikot, where it was housed in a portion of the TehsilHeadquarters Hospital (THQ) to hired premises in Saidu Sharif asthe THQ required the space that was being used by us. This stepwas taken for continuity of our services to poor patients whocome from long distances in the hope of getting free eye care.

TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN02

“LRBT Lahore Hospital is an incredible institution, flowinggracefully from one area to the next. It was a pleasure tobe shown around the Hospital and visualize the effortsand the difference each and every member of staff makesto each patient seeking help. If only the rest of Pakistancould follow LRBT's example, it too would be a success. Iplan to fundraise continuously for LRBT /GLT and feed backthis experience to the UK community”.

C. Local Rotarians along with two Rotarians from USAvisited LRBT Lahore Hospital on 18th May 2012. The remarksof Mr. Abe Feder, District Governor, RotaryInternational, District 5510, Arizona, USA written in thevisitor's book were-

“To all that work here and for all they do, may God bringall that is needed to continue your work. When my wifeand I get back to USA and my Rotary District, we will have

some fund raising efforts to assist to your work”.

d. A Canadian Rotarian, Ms. Kathryn Mckenzie, along withlocal Rotarians visited LRBT Lahore Hospital on 13.06.2012.Her remarks were -

“LRBT Hospital is inspiring in its commitment to providingexcellent service and giving new life to its patients. Yourperseverance and dedication is admirable and the spiritof giving will encourage all those around you. I look forwardto sharing your story with Canadians and all I encounter”.

The remarks of group Leader Mr. Tauqeer MuhammadNaeem (Civi l Ser vices Academy) are as under :-

“It was an inspiring set up with a lot of motivation. LRBTcan be a source of light for the people who want to dosomething for humanity.”

TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN 03

A veryimpressivehospital+ greatpartnership

Our big hearted supportersName of Donor Amount in Rupees

The I-Care Foundation 26,200,374.00Graham Layton Trust 16,812,398.10CDP P & D Dept. Govt. of Sindh 11,996,000.00

Ms. Kirsten Bailey

TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN04

Name of Donor Amount in Rupees

Sight Savers International 10,493,461.00

Central Zakat Administration 6,000,000.00

Subhan Food Industries 5,838,249.00

Friends Of LRBT Islamabad 5,277,600.00

Small Grants & Ambassadors Fund Prog (NRSP-SGAFP) 3,796,025.00

Mr. Mohammed Amin Nathani 3,000,000.00

The Fred Hollows Foundation 2,541,000.00

Dubai Islamic Bank 2,000,000.00

Start MOT(Private) Ltd. 2,000,000.00

International Centre for Eye care Education 1,708,187.50

British Petroleum 1,087,170.00

Government Holdings (Private) Limited 1,000,000.00

Al Meezan Investment Management Ltd. 1,000,000.00

Punjab Welfare Trust For The Disabled 986,473.00

Hamza Foundation 825,000.00

Mrs. Jamila Ehsan 800,000.00

Boxes Donations 659,295.00

AES Lal Pir (Private) Limited 641,392.00

Mr. Muhammad Ashraf 600,000.00

Mrs. Ayesha Zaidi 500,000.00

Waheed Asghari Memorial Trust 500,000.00

Pakistan Kuwait Investment Company (Pvt.) Ltd. 500,000.00

Mr. Wahid Yunus Dada 500,000.00

Mr. Asim Zuberi 500,000.00

We are deeply thankful to thousands of our generous donors who donated less than Rs. 500,000/-:

TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN 05

National Rural SupportProgramme

Partnership AgreementsNational Rural Support Programme - Small Grantsand Ambassador's Fund Program (NRSP-SGAFP) /USAID's Small Grants Program:

LRBT recently signed an agreement with National RuralSupport Programme - Small Grants and Ambassador's FundProgram (NRSP-SGAFP). Under this agreement NRSP-SGAFPwill help LRBT in restoring eye sight of 11,417 poor femalepatients in a period of one year beginning May 2012 throughcataract surgery at LRBT hospitals in Mandra, Lar, Khanewal,Rashidabad, Mansehra, Akora Khattak & Quetta. SGAFP hasapproved a grant of Rs. 22.24 million for this project, ofwhich Rs. 3.79 mil l ion have s ince been received.

Sindh Government Private-Public PartnershipAgreement

Under a second partnership agreement, Government ofSindh will be funding 12,381 cataract surgeries at our

hospitals in Gambat, Rashidabad (Tando Allahyar), TandoBago and Korangi (Karachi). They have allocated funds ofRs. 29.99 million for conducting these surgeries in a periodof one year beginning April 2012. LRBT received Rs.11.99

million against this agreement in financial year 2011/12.We have so far performed 4,349 cataract surgeries underthis project.

Pakistani-Italian Debt for Development SwapAgreement (PIDSA) - Partnership Agreement:

LRBT signed a partnership agreement with PIDSA forconstruction of a new secondary hospital at Odigram inSwat. The total cost of construction is Rs. 68 million andunder this agreement PIDSA will provide Rs. 58 million whilethe remaining Rs. 10 million will be funded by Mr. UsmanParacha in 10 equal instalments. We have also received acommitment of Rs. 1 million from Infaq Foundation for theHospital. This new hospital will have capacity of 40 bedsand it should take sixteen months to complete after theconstruction began in early April 2012. Funds of Rs. 14.5m i l l i o n f r o m P I D S A h a v e s i n c e b e e n r e c e i v e d .

International Centre for Eyecare Education:Under an agreement, International Centre for EyecareEducation has agreed to provide infrastructure andequipment support for setting up of state of the art lowvision clinics at LRBT Hospitals in Rashidabad, Tando Bago,Gambat, Quetta, Khanewal, Arifwala, Pasrur and Mansehraand upgrading the clinics at our two Tertiary Hospitals inKarachi and Lahore. For this project they have donatedRs. 1.7 million so far.

Government ofSindh will befunding 12,381cataractsurgeries atLRBT hospitals

Congratulations on completingeye care training programs

1- Human resource development:

• Post graduate qualifications1. Dr. Nida Usman - Lahore Hospital

- Intermediate Module2. Dr. Sara Riaz - Lahore Hospital

- Intermediate Module

At present 31 FCPS and 11 MCPS trainees are undergoingpostgraduate training.

A. Microsurgical training at lahore hospitalFollowing doctor attended the microsurgical training atour Lahore Hospital:

• Dr. Abdul Bari Kakar - Quetta

B. Continuous medical education

Following doctors are undergoing various trainings atour Korangi Hospital as mentioned against each name:

• Dr. Zahid Mushtaq - Phaco Training• Dr. Iftikhar Ahmed - ECCE Training• Dr. Amber Khalid - DCR Training• Dr. Washoo Mal - DCR Training• Dr. Bhagwan Das - Phaco Training• Dr. Imtiaz Munir Arain - DCR Training (completed)

Dr. Hassan Saeed Awan from our Mandra Hospitalattended three months Paeds Clinical and SurgicalTraining four days a week at Al-Shifa Trust Eye Hospital,Rawalpindi from 16th January to 14th April 2012.

House Job RecognitionThe LRBT Lahore Hospital initiated a case with PakistanMedical & Dental Council for recognition of House Job in1991 which was pending till date. The Management LRBTLahore Hospital followed the case once again and fulfilledall the formalities. In this regard an inspection team fromPM&DC visited LRBT Lahore Hospital on 2nd April 2012.The inspection team in its report appreciated the workof LRBT and it is expected that the LRBT Lahore will berecognized by the PM&DC in near future for House Jobpurpose.

c. Training & Development - Mid Level HealthWorkers

B.Sc (Vision Science)Mr. Muhammad Idrees from our Korangi Hospital hasqualified in the B.Sc. Vision Science Course whereas Mr.Arshad Ali Bhatti is undergoing it at the Allama Iqbal OpenUniversity.

O. T. Technician CourseMr. Imran Ahmed from Korangi Hospital has completedacademic session of one year O. T. Technician Course atSindh Government Hospital, Liaquatabad, Karachi.

Ophthalmic Technician CourseMs. Mudassra Samiullah from CEHC Karachi has qualifiedin the one year Ophthalmic Technician Course Session 2011from PCB Cell, Civil Hospital, Karachi.

Initial CEHC TrainingMr. Awais Kashif, Mr. Zia-ur-Rehman and Mr. MuhammadYasir from CEHC Garhi Habibullah, CEHC KBDO Mansehraand CEHC Samundari respectively have completed initialCEHC training at our Mandra Hospital.

Refresher CoursesRefresher Courses for our existing staff are planned atKorangi and Mandra Hospitals. Preparatory work withregard to accommodation, class rooms, equipment, booksetc is underway.

Refresher courses during the holy month of Ramzan havebeen planned. Doctors and paramedical staff from varioushospitals will be trained at our Korangi and MandraHospitals.

d. ASP-LUMS TrainingMr. Zubair R. Khan, HR Officer of our Central Office attended5 days training on “HR Management & Administration”under Assessment and Strengthening Programme (ASP)sponsored by US AID at Lahore University of ManagementScience (LUMS) f rom 25th to 29th June 2012.

e. Web Based inventory moduleLRBT implemented a web based inventory module formedicines and hospital supplies and trained all computeroperators and dispensers to operate this module. Thesystem is functioning well.

2- Appointments / workshopsMs. Yasmin Parveen, Optometrist of our Korangi Hospitalwas appointed as External Examiner for B.Sc. (VisionScience) Viva/Practical Exam at ISRA School of Optometry,Karachi on 20th June 2012.

TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN06

Dr. Munira Shakir from our Korangi Hospital wasappointed as Examiner for MCPS (Ophthalmology) TOACS& Clinical Examination Mar-2012 at CPSP Karachi on 25thMay 2012. She was also appointed as Paper Setter forFCPS-I (Ophthalmology) Examination at CPSP Karachi on4th & 5th June 2012.Both Dr. Shakir Zafar and Dr. MuniraShakir were appointed as External Examiners for Eye OSCEExamination at Aga Khan University, Karachi on 16th June2012.

Dr. Zeeshan Kamil of our Korangi Hospital was appointedas Clinical Coordinator for FCPS-II ( Vitreo RetinalOphthalmology), MCPS and Intermediate ModuleOphthalmology, Examination Mar-2012 at CPSP Karachion 25th & 26th May 2012.

Dr. Syed Fawad Rizvi from our Korangi Hospital appointedas External Examiner for (Vitreo Retinal Ophthalmology)Oral and Clinical Practical Examination Mar-2012 at CPSPKarachi from 15th to 16th May 2012. He also attended aworkshop at Bahria University on 4th June 2012.

A Memorandum of Understanding (MoU) was signedbetween LRBT and the Special Olympics Pakistan (SOP)to screen the Special Athletes. In order to familiarize staffabout the project, a two day training workshop wasarranged at our Korangi Hospital on 7th & 8th May 2012.One doctor and one paramedic staff from our Korangi,Lahore, Tando Bago, Rashidabad, Gambat, Quetta andMandra Hospitals attended the workshop. Dr. Stephenfrom Singapore and Dr. Jabir from Lebanon of SpecialOlympics were the facilitators.

Dr. Nadia Kamil, Saif ur Rehman and Ghulam Mustafaattended skil ls development workshops at CPSP.

3- Conferences/seminarsDr. Faisal Murtaza Qureshi from our Korangi Hospital,Dr. Khalid Masood Ashraf from our Mandra Hospital andDr. Khalid Bashir, Dr. Kashif Iqbal & Dr. Gul Rukh from ourLahore Hospital attended 15th Annual Congress ofOphthalmology, organized by Ophthalmological Societyof Pakistan (OSP) at PC Bhurban from 4th to 6th May 2012.Dr. Faisal, Dr. Khalid and Dr. Kashif also presented theirpapers.

Subsequent to 15th Islamabad Congress, a live glaucomasurgery was arranged by the Ophthalmological Societyof Pakistan (OSP) at LRBT Lahore Hospital on 7th May2012. Dr. Nittin Anand (UK) performed live surgery.

During the Golden Jubilee Celebrations, The PakistanSociety for Welfare of Mentally Retarded Children (AminMaktab) organized a Symposium on “Challenges andOpportunities for Children with Intellectual Impairment”at University of Central Punjab on 21.04.2012. Mr.Muhammad Safdar (Social Organizer) LRBT LahoreHospital attended the Symposium on behalf of LRBT.

Dr. S. Fawad Rizvi from our Korangi Hospital and Dr.Zaheer uddin Aqil Qazi & Dr. Muhammad Tariq Khanattended APAO annual conference from 13th to 16th April2012 at Busan, Korea. Dr. Zaheer uddin Aqil Qazi won“Susruta Lecture Award”. The Susruta Lecture recognizesextraordinary contributions to cataract surgery. He alsopresented the “Award Lecture” during the conference.

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.pk

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

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).

U.S.A:• LRBT – America

66 Charles St. #445, Boston, MA 02114, USA.Website: www.lrbtamerica.org(Exempt under Section 501 (c) (3) of Internal Revenue Code).

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

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

Major Surgeries April 12 to June 2012Total Major Surgeries 46,480

Total Cataract Surgeries 43,000 (93.94 of Total Major Surgeries)

Cataract Surgeries with IOLs 42,228 (98.20% of Total Cataract Surgeries)

Performance data

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 27,626 148,709Current Year 31,401 166,122

July to Sep 11 Oct to Dec 11 Jan to Mar 12 Apr to Jun 12 YTD

Hospital KORANGI LAHORERashidabad(Tando Adam

01/02/87 to01/06/08)

TANDOBAGO GAMBAT LAR AKORA

KHATTAK

Bari Kot(Kala Kalay25/05/93 to28/07/08)

ShahpurSaddar

ENTSurgeries

Commencement Date 26 Oct 1986 14 May 1987 02 June 2008 15 Nov 1985 20 Mar 1988 15 Feb 1999 20 Oct 1990 15-Dec-08 23 Oct 2000 5 Nov 2004 15 Mar 2005 8 Nov 2005 2 Jan 2006 17-Mar-08 15-Dec-08 1 Jul 2003 May 1991 15 Nov 1985 15 Nov 1985

TOTAL

CUMULATIVE SUMMARY SINCE INCEPTION TO 30 JUNE 2012

MANDRA MANSEHRA KHANEWAL Pasrur Arifwala SIBI KHEWRA(ICI)

QUETTA

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 492,950 2,208,171

Current Year 444,600 2,216,127

July to Sep 11 Oct to Dec 11 Jan to Mar 12 Apr to Jun 12 YTD

1,600,000 110,000

-

10,000

20,000

30,000

40,000

50,000

60,000

Minor Surgeries

Last Year 14,070 60,087Current Year 11,791 55,638

July to Sep 11 Oct to Dec 11 Jan to Mar 12 Apr to Jun 12 YTD

70,000

GAWADAR(MALC)

TURBAT(MALC)

563,750528,304

37,28942,466

13,67613,400

551,853610,997

37,97145,775

15,80115,257

NorthKaarchi

2 Jan 2012

599,618632,226

45,82346,480

16,54015,190

Cataract without IOL, 629, 1.37%

Secondary IOL,153 , 0.33%

SICS with IOL 15,050, 32.88%

Others3,480 , 7.60%

7,115 , 15.54%ECCE with IOL,

Cataract Phaco withoutIOL

143 , 0.31%

Cataract Phaco with IOL19,910 , 43.50%

Total OPD Patients 4,365,177 1,295,062 1,439,331 1,226,027 1,115,299 1,326,146 1,043,916 893,369 432,774 281,234 293,764 26,022 104,121 30,509 14,892 136,300

Total Surgeries 534,656 181,750 141,778 190,103 142,944 146,533 157,021 78,941 48,531 39,374 28,346 1,878 7,217 3,368 1,400 13,186

Total 4,787,080 1,447,227 1,556,785 1,384,147 1,213,337 1,430,088 1,159,262 945,453 458,139 296,036 298,100 11,295 108,976 33,673 15,714 147,949 307

4,911,120

418,433

5,216,349

696,130

104,556

776,772

501,004

81,962

555,841

357,298

38,142

375,165

20,489,495

2,360,119

22,849,921