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My PresentationIssue at handOur IntroductionBlindness in PakistanOur AchievementsOur Immediate PlansOur Long Term Future Plan
• Despite tremendous developments in ophthalmology, access of the poor, here in Pakistan, to Quality Eye Care remains a far cry in this day and age.
Woes of middle classThey can not stand in long hallway queuesAre educated and quality consciousNo employer support and no health insuranceCan’t afford private and decent health care facilityCan’t spread handsWoes of those living at or below poverty line is
actually slightly better as all Gov. Hospitals and NGO’s are focused for them
Not quality conscious and have no other choice.
• No body likes to pay Taxes so Limited resources
• Defense expenditure• Debt servicing• Little substantial will or means to address
this primary issue• Claims are grossly inadequate to meet
requirements of masses in terms of health care, what to talk of quality.
• It was felt by the Trustees, to try and help bridge this gap, on the basis of self help, with a primary focus on woes of middle class with reference to quality eye care.
• Filter benefits to those requiring free of cost treatments.
• The Trust would strive to make quality eye care accessible to all sections of the society, starting from middle class of urban populace extending down to the less fortunate.
• Task is big, and resources limited, yet we feel our direction is right.
• اكبر ا
Dr. Muhammad Mazhar Awan
Graduate of 1982 MCPS 1990JPMC, Akhtar’s Eye Hospital, AKUH 20 + yearsDanishsra Welfare Association: 9 yearsVision Trust: 2 years visiontrust.pkdanishsra-welfare.org
Syed Abu Ahmad Akif
Member, Pakistan Federal Civil Service,
Director General (Hajj), Ministry of Religious AffairsGovernment of Pakistan.
Consulate General of Pakistan, Jeddah, Saudi Arabia
Treatable Blindness
• Global data on visual impairment in the year 2002
• Bulletin of the World Health Organization November 2004;82:844-851
• The Pakistan National Blindness and Visual Impairment Survey
• British Journal of Ophthalmology, published online 17th Jan 2007 doi;10.1136/bjo.2006.108035
• 161 MILLION VISUALLY IMPAIRED• 37 MILLION LEGALLY BLINDS• 17 Regions• SEAR-D (Bangladesh, India, Nepal, Pakistan)
o Population 1394.045 Millions (1.4 Billion )o 36.782 Million Visually Impaired ( 2.6 % )o 8.344 Million Legally Blind (0.6 %)o 4,255,440 Cataracts.
• Cataract is the most common cause of blindness
• 904,000 adults ( < 30 ) in Pakistan have operable cataracts
• This figure will increase to 1,860,000 by year 2020
• Cataract accounts for over half of the blindness in Pakistan
• Cataract is a treatable cause of blindness
• Refractive Errors 30.6 %• Cataract 45.0 %• Glaucoma 3.0 %• Diabetic Retinopathy 0.4 %• All Others 12.3 %• TOTAL 91.3 %
• Est. population of Pakistan 139 Million• Est. population of Karachi 15 Million• Proportion of Karachi 10.8 %• Cataracts now 97,632• Cataracts By 2020 200,880
• Now • 5 % 4,881• 55 % 53,698• 40 % 39,053• Total 97,632
• Year 2020 • 5 % 10,044• 55 % 110,484• 40 % 80,352• Total 200,880
• Charitable label• Permanent Begging Bowl• Compromises in Quality• Generally life of organization equals
life of Prime Mover• Permanent Liability for left behind
• Investment and returns• Bank Loans and Interests• Unjust Profiteering• Increased cost of Service• Service in-accessible to Majority
Sheikh Aziz-ur-Rehman Memorial Eye Clinic
danishsra-welfare.org
Since 2001 - 8th year of operation21,557 out patients, as of 9th March, 20112,987 State of the art cataract surgeries294 Argon laser Treatments656 YAG Laser TreatmentsDispensed Glasses worth Rs. 3,622,914.Dispensed Medicines worth Rs. 3,176,705And counting….
Vision Trust Funding of Free of Cost Services as of February-2011
Our Next ProjectGazdar Eye Clinic
For this project we needFurnishing Rs. 2.5 MEquipment Rs. 5.0 MFundingRs. 2.5 MTotal Rs. 10 M
• Self Sustainable work model• Focused for the Middle Class• Cheaper Rates• Compete by Volume• Competitive World Class Service• Efficient Marketing of Services• ISO Certification Global Recognition• PMDC and CPSP Recognition
• Cataract Market
o Affluent (minority) Class 4,882 X 30,000 = Rs. 146,460,000o Working (majority) Class 53,698 X 7,000 = Rs. 375,886,000o TOTAL Rs. 522,346,000
• This is A Dynamic Figure• Needs continued efforts• By Year 2020 Rs. 1,074,708,000
• To setup and run an Eye Hospital• Where I should be comfortable to get my
self treated• Where we would be comfortable to go for
advice and treatment and refer our loved ones – irrespective of class
• World class facility at affordable price.• No body shall be denied service or
turned back
• State of the art complex• One stop assessment and treatment facility, all
under one roof• A teaching institute for medical and allied
paramedical staff.• Rehabilitation Programs for Blind• A learning resource center for general public,
under and postgraduates medical students.• A center for acquisition and dissemination of
knowledge, technology and services.• A beacon house of Ophthlmology
98,280,0008,190,000390,000TOTALS
945,00078,7503,75015250Canteen
7,560,000630,00030,000120250Optical Aids
25,200,0002,100,000100,000400250Sales
5,040,000420,00020,0002,00010Out Sourcing
2,835,000236,25011,25045250Special Procedures
44,100,0003,675,000175,0007,00025Surgeries
12,600,0001,050,00050,000200250Out Patient
YEARMONTHDAYRATEQTY
REVENUE IN RUPEESREVENUE ESTIMATES
18,900,0001,575,00075,000Total Surgeon's share
12,600,0001,050,00050,0002,00025Surgeries
6,300,000525,00025,000100250Out Patient
YEARMONTHDAYRATEQTY
SURGEON'S SHARE ESTIMATES
18,900,0001,575,000935,00015GRAND TOTAL
2,100,000175,00035,0005House Surgeons
1,800,000150,00050,0003Residents
3,600,000300,000100,0003Senior Residents
4,800,000400,000200,0002Assistant Surgeons
3,000,000250,000250,0001Associate Surgeons
3,600,000300,000300,0001Chief Surgeon
YEARMONTHRATENUMFACULTY ESTIMATES
760,00063GRAND TOTAL
40,00010,0004Opticians
30,00010,0003Stores
30,00010,0003Laundry Staff
30,00010,0003Canteen Staff
20,00010,0002Drivers
60,00020,0003IT Professionals
40,00010,0004Telephone
60,00010,0006Security Staff
150,00015,00010Paramedical staff
80,0008,00010Maintenance staff
45,00015,0003Accounts
100,00010,00010Reception/ Reg
25,00025,0001Medical Rep
50,00050,0001Administrator
PMRATENUMPERSONEL ESTIMATES
72,000,0006,000,000
2,580,000215,000Miscl Expenses
12,000,0001,000,000Welfare Expenses
600,00050,000Advertising Expense
6,000,000500,000Upgrade & Expansion
600,00050,000Professional Fees
600,00050,000Income Tax Liabilities
600,00050,000Upkeep & Maintenance
14,400,0001,200,000Medical & Surgical Supplies
600,00050,000Office Supplies
6,000,000500,000Utilities
9,120,000760,000Salaries
18,900,0001,575,000Surgeon's Fees
YEARPMESTIMATE OF ALL EXPENSES
26,280,0002,190,000Profit
72,000,0006,000,000Total Expenses
98,280,0008,190,000Total Incomes
YEARPMPROFIT & LOSS
• This estimate is for only 50 % of Problem that is Cataract
• This estimate does not include the Market Potential for our Paying Class Patients
• This estimate does not takes into account the catchment area patients of Entire Balouchistan, Near Middle East, Interior sind etc.
• Capital Costs Estimates in Pak Rs.o Land 200,000,000o Construction 100,000,000o Furnishing 50,000,000o General Equipment 50,000,000o Medical Equipment 100,000,000o Grand Total 500,000,000
• Capital Costs in US $ 5,882,352• SAR 22,123,893
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