Coping with the e ver-growing patient volume

Coping with the e ver-growing patient volume LRBT Odigram Hospital-Swat: LRBT reached another milest one with the opening of its new Hospital at O digram, Swat. The formal inauguration of LRBT's Odigram Hospital took place on 28th May 2014. The Honorable Governor, Khyber Pakthunkhwa, Sardar Mehtab Ahmad Khan graced the occasion. equipment and a gener ator for the Hospital hav e also been installed. Final touches are presently being given to the separately funded project involving a canteen for the patients, relaying the roof of the male ward and a generator room. A section of the old building is being converted into a doctors' residence to ensure their availability at the premises. This has been done through our own resources. We expect the latter project to complete by mid August 2014. Gambat: Following the successful venture of expansion of the Khanewal Hospital which is now providing quality eye care services to the needy and poor people of the area, our sponsor, a very generous donor based in the U AE offered to fund a lar ge e xpansion programme involving construction of a new OPD C omplex, expansion of wards, external works and residences for doctors. Construction began in Januar y this year and is expected to be completed by July next year. Lahore Thokar Niaz Baig: Mr. Najmus Saquib Hameed, Honorary Vice Chairman and CEO, LRBT and Mr. Umar Ghafoor, COO, LRBT were also present at the occasion. After a tour of the hospital, the Governor shared his views about LRBT: LRBT is a great inspiration for the Society, who is contributing to Free Eye Care for nearly three decades. Inauguration of Swat hospital of LRBT is an honor for me. Wish the trustees and their team the very best wishes and prayers. LRBT has been donated a fully constructed building on the main Multan Road near Thokar Niaz Baig by its loyal and generous donor and a Trustee of the LRBT Board, Mr. Usman Paracha. The plan to alter, remodel and refurbish this ex factory building for conversion into a hospital has been finalized and work is expected to start in mid July 2014. The costs of alterations etc. will be borne by Mr. Paracha. This project is expected to be completed and operational in the first quarter of next year. Korangi: In view of the incr ease in the number of our Hospitals and Community Eye Health Centers over the years, it was felt necessary to construct a main Store at Korangi to provide for the needs of every facility in the network. A plan to construct this block in the hospital is now ready. Construction work was initiated in the third week of June. An optical shop is also being c onstructed in the premises near the new OPD to provide good quality glasses and spectacles at reasonable prices to the visiting patients following examination or surgery. Funding for this facility has been provided by Sightsavers. The Optical Shop is e xpected to commence operation by the end of September 2014 while the Store Facility should be completed by mid January next year. Akora Khattak: Tando Bago: Under an ag reement signed with, The Consulate of Japan at Karachi, the construction of a new surgical complex and its allied services, funded b y w as c ompleted on schedule. M edical Due to substantial increase in the number patients visiting the hospital and limited space available to carry out the r equired activity, there was urgent need for constructing a purpose built OPD complex, expansion of the Operation Theatre and addition of Doctors residences. A generous donor, Mr. Aziz Shariff very kindly offered to fund this project which will start in mid August 2014. This project is e xpected to complete by end D ecember 2015. 02 TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN

Seeing is believingvisits to LRBT hospitals Hospital on 22nd M ay 2014. Her c omments were: Very insightful presentation & visit to hospital impressed by quality & professionalism of LRBT! Move on like this. KARACHI Mr. Naseer Hasan Salar Khan - Managing Director, Standard Chartered Bank, Farhan Ahmed (Head of Corporate affairs), Muhammad Umar ( Head of Human Resources) along with 25 members of Standard Chartered Bank visited LRBT Korangi Hospital on 3rd April 2014. Dr. Luigi Bilotto - Director Human Resource, Brien Holden Vision Institute along with Mr. Hassan Minto & Ms. Sumrana Yasmin visit ed LRB T Kor angi on 12th June 2014. H is Comments were: Inspiring! Thanks for the opportunity. SCB Team visit and EV at LRBT Korangi Mr. Zubair Channa - Deputy Commissioner Korangi, Karachi, visited LRBT Korangi on 29th April 2014. His remarks were: It is a wonderful hospital with state of art facilities. 1200 out patients per day with zero cost to patient is great service to nation at large. I place myself at the disposal of LRBT for any service any time. MANDRA Ms Marium Soomro - Head of Sustainability and Community Engagement and Ms Khadija Hashimi - Head of Corporate Affairs, Standard Chartered Bank visited LRBT Mandra on 17th June 2014. Ms Marium Soomro said, My first visit to the Mandra premises & I am delighted to meet the team. The hospital functions at par & the dedication of the team is commendable. Ms. Andrea Adler - I nternational F unding M anager, Sightsavers International along with Ms. Munazza Gillani - Program Manger, Sightsavers & Mr. Bilal - Senior Program Officer, Sightsavers Pakistan Country Office visited Korangi Ms Khadija Hashimi said, First visit to Mandra LRBTabsolutely impressed by what's happening here and the support being extended to the community. Dr. Khalid is very passionate. I wish LRBT Mandra all the best. Thank you for hosting our visit. TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN 03

Our big hearted supporters On behalf of LRBT and the poor who are blind and visually impaired people of Pakistan, we are deeply thankful to all our generous donors for their support in our fight against curable blindness. The donors who donated over Rs. 500,000/- during this quarter are: Name of Donor Amount The Shirin Sultan Dossa Foundation Endowment Fund 19,540,000.00 Graham Layton Trust 14,534,967.82 ANONYMOUS DONORS - KARACHI 6,929,177.63 Programme Co-ordinator CDP P & DD 5,400,000.00 Infaq Foundation 5,000,000.00 Trimark 5,000,000.00 Siddique Corporation 5,000,000.00 Mrs. Salwat Ali 5,000,000.00 Opec Fund for International Development 4,925,000.00 Human Concern International 4,868,306.00 Sight Savers International 3,818,278.00 Mr. Amjad Ali Khan 3,800,740.00 Mr. Mohammed Amin Nathani 3,425,810.00 Mr. Sajjad Ahmad 3,000,000.00 The Fred Hollows Foundation 2,950,000.00 Subhan Food Industries 2,512,135.00 Cowasjee Foundation 2,000,000.00 Mr. Farukh Shahab 1,500,000.00 Punjab Welfare Trust For The Disabled 1,202,000.00 PAK-ARAB REFINERY LTD 1,000,000.00 Mr. Faisal Qadeer 1,000,000.00 Dr. Akhtar Hasan Khan 1,000,000.00 Mr. Mumtaz Hasan Khan 1,000,000.00 HASCOL PETROLEUM LIMITED 1,000,000.00 04 TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN

Partnership agreements Fred Hollows Foundation Support for Cataract surgeries for year 2014 LRBT and Fred Hollows Foundation entered into an agreement in January this year wherein we are required to conduct 10,000 cataract surgeries in this calendar year. The project was launched in January 2014 and till last mon th 6000 surgeries have been conducted. We expect to complete this project by October 2014. Sightsavers International and LRBT for a period of seven months commencing from June, we will be carrying out cataract surgeries on 24000 poor, needy and marginalized people at fifteen designated LRBT Hospitals. In the first month, 3432 surgeries were conducted. We expect to complete this project according to plan. Human Concern International sponsored cataract surgeries Human Concern International Serving Humanity Since This project was started on 1st A pril 2014 and is pr ogressing successfully according to its schedule. This project is expected to complete in September 2014. We are thankful for HCI for their continued support in our mission. 1980 Under the project funding agreement inked between Sightsavers CONGRATULATIONS ON COMPLETING EYE CARE TRAINING PROGRAMS 1. HUMAN RESOURCE DEVELOPMENT: a. DOCTORS QUALIFICATIONS Dr. Muhammad Aamir Shahzad - Lar Hospital - FRCS Dr. Faisal Mehmood - Lahore Hospital - Intermediate Module Dr. Ali Akbar Ahsan - Lahore Hospital - Intermediate Module At present 33 FCPS and 4 MCPS tr ainees are undergoing postgraduate training. b. ON GOING MEDICAL EDUCATION 24 of our doctors at the Tertiary Hospital, Korangi are presently undergoing various types of procedures training at the Korangi Hospital. 2. TRAINING & DEVELOPMENT LRBT School of Ophthalmic Paramedicine Session 2014: Process for enrollment of students under Sindh Medical Faculty for Oph thalmic Technician, Oph thalmic Operating Theatre (OT) Technician & Refractionist Course has been completed whereas the enrollment for Punjab and KPK students under Jinnah M edical & Dental Collage (JMDC) is expected soon. Session 2013: Theory and viv a e xaminations for studen ts of all abo ve paramedical courses having domicile of Sindh have been held in April 2014 by the Sindh Medical Faculty. Their results are awaited. Refresher Courses: Mr. Shauk at A li fr om our S atellite Clinics M ansehra has completed initial orientation training at Mandra Hospital. Other Training Programmes Dr. Mahwash Akhtar Khan from our Korangi Hospital attended Regional Clinical Advisor training (Opening Eyes) on 2nd & 3rd April 2014 or ganized by Special Olympics at M anila, Phillipines. TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN 05

3. APPOINTMENTS Dr. Shakir Zafar from our Korangi Hospital was appointed as Examiner for OSPE (S tructured Viva) of F ourth Year MBBS Semester-VIII Examination 2014 at Dow International Medical College-Ojha Campus from 12th to 14th June 2014 and as an Examiner for (Ophthalmology) MCPS / IMM TOACS & MCPS Clinical Examinations April 2014 at CPSP Karachi from 6th to 7th June 2014. Dr. Syed Fawad Rizvi from our Korangi Hospital was appointed as Assessor for Theory Assessment FCPS-II ( Vitreo Retinal Ophthalmology) on 5th May 2014, Examiner for Vitreo Retinal Ophthalmology Examination on 29th & 30th M ay 2014 at CPSP Karachi and Internal Examiner for 3rd Professional MBBS Examination 2014 in Ophthalmology at Jinnah Medical College Hospital, Karachi on 2nd & 3rd May 2014. Dr. Mahwash Akhtar Khan from our Kor angi Hospital w as appointed as Ex ternal Examiner for Viva Voce Ophthalmic Technician, Ophthalmic OT Technician and Refractionist Course, Sindh Medical Faculty Annual Examination at PCB Cell, Civil Hospital, K arachi fr om 28th t o 30th A pril 2014. 4. WORKSHOPS Dr. Burhan Abdul Majid K han from our Kor angi Hospital attended workshop on Research Methodology, Biostatistics & Medical Writing (for Supervisors) at CPSP Karachi from 28th to 31st May 2014. The Govt. Training College for the Teachers of Blind requested LRBT to conduct an Orientation Workshop in their College for the Teachers of Blind. Students of M.Ed (Visual Impairment) and B.Ed (Special Needs) from 26 May thru 30 M ay 2014. A practical training of Low Vision assessment was conducted by our Optometrists, Ms Samaha Naeem and Ms. Aliza Firdous at LRBT Lahore Hospital. Mr. Noor Ali from our Korangi Hospital attended workshops on Data Analysis using SPSS and Community & S ocial Mobilization for Sustainable Development at Rangoonwala Community Centre, Dhoraji Society Karachi and Sustainable Development Policy Institute (SDPI), Islamabad from 7th to 8th June 2014 and 12th to 14th May 2014 respectively. Mr. Abdul Shakoor G. M. Administration and Mr. Tariq Ali Khan G. M. Oper ations att ended ASP -USAID w orkshop on Monitoring & Evaluation from 2nd to 3rd April 2014 at Mehran Hotel, Karachi. Dr. Lubna Feroz, Dr. Saima Amin, Dr. Asaad Mahmood, Dr. Dileep Kumar, Dr. Asad Khan and Dr. Asmat Jehan attended skills development workshops at CPSP. 5. CONFERENCES Dr. Khalid Masood Ashraf from our Mandra Hospital, Dr. Amjad Saleem Sahi and Dr. Khalid Bashir from our Lahore Hospital attended 17th Annual Congress of Ophthalmology organized by Ophthalmological Society of Pakistan (OSP) at Bhurban from 2nd to 4th May 2014. World Oph thalmology C onference ( WOC) and AP AO Conference was held in Tokyo, Japan from 31st March to 7th April 2014. Dr. Syed Fawad Rizvi from our Korangi Hospital, Dr. Zaheer uddin Aqil Qazi, Dr. Muhammad Tariq Khan and Dr. Jawad Bin Yamin Butt from our Lahore Hospital attended the conference. During the conference Dr. Jawad Bin Yamin Butt was awarded US$ 1,000/- grant as a prize for the following E- Posters and Video Presentation prepared by him. 6. RESEARCH WORK 23-Gauge Sutureless Vitreo-Retinal Surgery for Superior Rhegmatogenous Retinal Detachment Shakir Zafar, Washoo Mal, Munira Shakir, Zeeshan Kamil, Syeda Aisha Bokhari, Syed Fawad Rizvi Journal of the College of Physicians and Surgeons Pakistan 2014, Vol. 24(5): 327-330 Outcomes of Congenital Cataract Surgery in a Tertiary Care Hospital Kanwal Latif, Munira Shakir, Shakir Zafar, Syed Fawad Rizvi, Saliha Naz Pak J Ophthalmol 2014, Vol. 30 No. 1 Management of Macular Pre-Retinal Subhyaloid hemorrhage by Nd:Yag laser hyaloidotomy Faisal Murtaza, Syed Fawad Rizvi, Syeda Aisha Bokhari, Zeeshan Kamil Pak J Med Sci 2014; 30(2):339-342. 06 TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN

Eye Camp: An eye screening camp under supervision of LRBT, sponsored by Karachi Golf Club w as conducted in K arachi. Total no of 255 patients were examined, out of which 201 w ere medicated, 81 were refracted and 19 were referred for further examination and surgeries. Just In: Fundraising Initiatives: LRBT Scarves: Pakistan's top fashion brands Deepak Perwani and Gul Ahmed have joined together to support LRBT's mission to eradicate curable blindness fr om P akistan. D eepak P erwani in collaboration with Gul Ahmed has put together four exquisite silk scarves that a must for every wardrobe. This year's scar f campaign is c oined The Story of LRB T dedicated to the people whose lives have been touched over the span of 28 years of LRBT's existence. The most common eye disease in P akistan is catar act which then leads t o blindness. Millions in Pakistan are suffering from it and wait for a miracle, as they cannot afford a surgery. LRBT is fighting against curable blindness in Pakistan and so far treated more than 27 million patients absolutely FREE. Adult cataract surgery costs around Rs. 3000 at LRBT which is only possible through your zakat and donations. Buy a scarf at Rs. 3000 from our limited edition collection by Deepak Perwani and Gul A hmed and sponsor a catar act surgery at LRBT. You can choose from one of the four funky, bold and exquisite designs: the colors of joy, a journey through Pakistan, the global scar f and the clock work orange. Sales started during last week of Ramzan and will end till stock lasts. LRBT sincerely thanks the management of Deepak Perwani and Gul Ahmed for their utmost dedication shown to LRBT. LRBT Kurtas: The coveted House of Sania Maskatiya reunites with Gul Ahmed to reveal a capsule collection of Kurtas designed specifically for retail in partnership, in honour and support of Pakistan's pioneering an ti-blindness NGO, the Layt on R ahmatulla Benevolent Trust [LRBT], heralded for its tireless contribution to fighting blindness in the country through its nationwide network of 17 purpose-built hospitals and 54 clinics in all the 4 provinces. Indeed the entire proceeds from every kurta sold will be donated to the LRBT and the collection will be available nationwide at both Sania Maskatiya and specific Gul Ahmed outlets from 8th August 2014. The Kurtas collection includes four designs in two colour-ways; with each Kurta priced at PKR 3,950. F eaturing vibrant and colourful hues, the collection will be available at all three Sania Maskatiya stores between Karachi and Lahore and selected Gul Ahmed stores. LRBT sincerely thanks the management and teams at Sania Maskatiya and Gul A hmed for their tireless efforts and the support always shown to LRBT. RESTORING SIGHT CHANGING LIVES Rs. 2,878 is the c ost of 1 Sigh t Restoration Cataract Surgery with I ntra-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 The Layton Rahmatulla Benevolent Trust (LRBT) 37-C, Sunset Lane No. 4, Phase II Extension, DHA, Karachi-75500 Phones: 021-35396600-5 (6 lines) Fax: 021-35396606 Email: lrbt@cyber.net.pk Website: www.lrbt.org.pk www.facebook.com/lrbt.pakistan

Performance data 3,000,000 2,500,000 2,000,000 OPD Visits 180,000 160,000 140,000 120,000 Major Surgeries 1,500,000 1,000,000 500,000 100,000 80,000 60,000 40,000 20,000 Last Year 0 Current Year July to Sep 13 488,501 550,268 Oct to Dec 13 542,906 591,202 Jan to Mar 14 599,375 651,673 Apr to Jun 14 635,732 715,058 YTD 2,266,514 2,508,201 0 Last Year Current Year July to Sep 13 34,117 36,374 Oct to Dec 13 42,575 44,465 Jan to Mar 14 44,385 47,138 Apr to Jun 14 45,171 50,573 YTD 166,248 178,550 70,000 60,000 50,000 Minor Surgeries Major Surgeries April 14 to June 2014 Total Major Surgeries 50,573 Total Cataract Surgeries 45,207 (89.39% of Total Major Surgeries) Cataract Surgeries with IOLs 44,498 (98.43% of Total Cataract Surgeries) 40,000 Cataract Phaco with IOL 18,971, 37.51% SICS with IOL 18,565, 36.71% 30,000 20,000 Secondary IOL, 139, 0.27% 10,000 - Last Year Current Year July to Sep 13 11,821 13,581 Oct to Dec 13 12,796 13,624 Jan to Mar 14 14,426 14,387 Apr to Jun 14 15,009 15,154 YTD 54,052 56,746 Cataract Phaco without IOL 115, 0.23% Others 5,366, 10,61% Cataract without IOL, 594, 1.17% ECCE/ICCE with IOL, 6,823, 13.49% CUMULATIVE SUMMARY SINCE INCEPTION TO 30th JUNE 2014 HOSPITAL KORANGI LAHORE AKORA KHATTAK ARIFWALA ODIGRAM GAMBAT KHANEWAL LAR MANDRA MANSEHRA PASRUR QUETTA Rashidabad (Tando Adam 01/02/87 to 01/06/08) SHAHPUR SADDAR TANDO BAGO NORTH KARACHI SIBI TURBAT (MALC) GAWADAR (MALC) KHEWRA (ICI) ENT SURGERIES TOTAL Commencement Date 26 Oct 1986 14 May 1987 20 Oct 1990 15 Dec 2008 26 Sep 2013 20 Mar 1988 2 Jan 2006 15 Feb 1999 15 Mar 2005 8 Nov 2005 17 Mar 2008 23 Oct 2000 2 June 2008 4 Nov 2004 15 Nov 1985 2 Jan 2012 1 Jul 2003 15 Nov 1985 15 Nov 1985 May 1991 Total OPD Patients 5,197,823 5,668,158 1,586,869 491,644 1,278,918 1,473,381 588,099 1,437,702 698,141 498,305 424,856 1,023,195 1,423,731 862,327 1,646,863 191,164 118,683 15,032 30,935 146,084 24,801,910 Total Surgeries 607,621 496,491 172,608 49,280 174,986 228,219 67,112 175,187 111,493 51,803 57,632 88,411 201,869 130,542 160,952 14,171 7,945 1,426 3,403 14,410 2,815,561 Total 5,805,444 6,164,649 1,759,477 540,924 1,453,904 1,701,600 655,211 1,612,889 809,634 550,108 482,488 1,111,606 1,625,600 992,869 1,807,815 205,335 126,628 16,458 34,338 160,494 329 27,617,471 Name: Profession: Address: Telephone: Email: Amount Donated: Zakat / Fitrah / Sadqah etc. Fax: Pakistan: The Layton Rahmatulla Benevolent Trust (LRBT) 37-C, Sunset Lane No. 4, Phase II Extension, DHA, Karachi-75500 Phones: 021-35396600-5 (6 lines) Fax: 021-35396606 Email: lrbt@cyber.net.pk Website: www.lrbt.org.pk (Exempt under Section 61 of IT Ordinance 2001) United Kingdom: Graham Layton Trust (GLT) - a sister charity to Layton Rahmatulla Benevolent Trust (LRBT). Tel: 44 (0) 203 397 1433 Email: enquiries@glt.org.uk Website: www.glt.org.uk USA: Humanity Without Borders Tel: 315-779-8044, Fax: 315-779-8044 Email: humanitywb@gmail.com Website: www.humanitywb.com Canada: LRBF Cell: 289-217-1186 Email: info@lrtbfoundation.ca Website: www.lrbtfoundation.ca (All donations are Tax Exempt).