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New Directions - Sight First Program, South Asia By Prof.Dr.S.Chandrashekar Shetty Chief Sight First Technical Advisor India and Srilanka Sight First Lions Vision for All IAPB 9 th General Assembly September 19, 2012

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The Mission of the Lions SIGHTFIRST program is to build comprehensive eye care systems to fight the major causes of blindness and care for the blind or visually impaired. The program funds, high quality sustainable projects that deliver eye care services, develop infrastructure, train personnel and / or provide rehabilitation and education in underserved communities Mission Statement

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History of Sight First India Lions Aravind Institute of Community Ophthalmology (LAICO), Madurai Construction of new Eye Hospitals Capacity building of existing Eye Hospitals Establishment of Satellite Eye Centers and Vision Centers Cataract Surgery Campaigns/Programs

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History of Sight First India Manpower Management Training for capacity building of existing / start-up eye hospitals Re-orientation Training for Lions Eye Hospitals for Capacity Enhancement Management of Diabetic Retinopathy in the Community LCIF/Vision-2020 Paediatric Team Training

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Sight First - India LCIF/Vision-2020 Training for Eye care Managers Johnson & Johnson/LCIF Sight for Kids program Tele-ophthalmology program for control of Childhood blindness

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Sight First - India Sight First has awarded 288 grants for India since 1991 Established over 100 Lions Eye Hospitals throughout India Financial Support to 2.11 million cataract surgeries since 1991 LCIF has invested over US$ 43 million towards eye care in India

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Lions Aravind Institute of Community Ophthalmology AECS - LCIF

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Consultancy for Capacity Building The Manpower & Management Development program was originally started to enhance the capacity of Lions Club supported eye hospitals in India in eye care delivery and to build their long term financial viability through patient revenues.

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Consultancy: Supporting organizational development Monitoring & Feedback Implementation & Follow-up Support Vision Building & Developing Strategic Action Plans Selection of the Hospital Needs Assessment (Data Collection) Needs Assessment (Data Collection) Supporting the eye hospitals to enhance their performance

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Lions Hospitals supported by LAICO Project NameCountryNo. of Hospitals Lions SF 369India40 Bangladesh1 Lions SF 741India29 Bangladesh2 Africa4 Nepal4 Lions NewIndia Sri Lanka Africa Bangladesh 38 3 2 LCIF/ LavelleAfrica2 Total127

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Consultancy for Capacity Building Lions Club International Foundation (LCIF) Collaboration & support now extended to: Sight Savers International, UK (SSI) CBM International, Germany (CBM) Seva Foundation, USA International Eye Foundation, USA WHO

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Consultancy for Capacity Building ORBIS International, USA Dark & Light, Netherlands IAPB-ZEISS Lavelle Fund for the Blind Inc., USA Right to Sight-International, Ireland Direct Requests from Individual Eye Hospitals & Foundations

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LAICOs Partners till Date 273 eye hospitals from 27 countries Lions Eye Hospitals: 127 (46%)

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Surgeries Workshop Impact of capacity building process (Performance report from 90 Hospitals) 12 Months

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Moving to next level: To work with 73 Lions Eye Hospitals in India during next 2 years

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SF 1588: Hospitals MultiplesAspirersAchieversNeeding special attention Total South1210 426 East1316 635 West12 3 520 North 5 2 2 9 Total42311790

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Project Period- 5 years Management of Diabetic Retinopathy in the Community Pilot Project-SF-742 Lions Aravind Institute of Community Ophthalmology Supported by

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Project Objectives & Strategies Create Awareness Community Outreach Tertiary Care Training Model Development Lions Aravind Diabetic Retinopathy Project : Madurai and Coimbatore Project period 5 years

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Diabetic Retinopathy Project

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Sankara Nethralaya Diabetic Retinopathy Project Project period 3 years A PROJECT OF LIONS CLUB OF MADRAS CENTRAL LIONS CLUBS INTERNATIONAL

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Project Area Tiruvallur Kanchipuram Villupuram Vellore Tiruvannamalai Chennai

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L.V.Prasad Eye Institute Capacity Development Project for Management of Diabetic Eye Disease Andhra Pradesh Objectives: To build capacity of 18 Eye Hospitals (Primary, Secondary & Tertiary) in the state of Andhra Pradesh for the management of diabetic retinopathy through an approach with incorporating the following components Project period 2005-2008

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Project Inauguration-Oct 15, 2005

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SF 1513/MD 322 - 8 eye hospitals Project Period 2008-2011 Diabetic Retinopathy Pilot Project West-Bengal

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Johnson & Johnson/LCIF Sight for Kids Program City/StateNo. of children screened Spectacles given Mumbai, Maharashtra 300,0008,000 Cochin, Kerala 4,287,26122,950 Hyderabad, Andhrapradesh 550,20210,384 Kolkata, West Bengal 766,22719,063 TOTAL5,903,69060,397

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New Directions - Sight First Program Continue to support Capacity Building of Existing Eye Hospitals Capacity Building of existing eye hospitals for comprehensive Eye Care services. Emphasis on control of Diabetic Retinopathy and uncorrected refractive error Capacity Building for low-vision and rehabilitation services

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New Directions - Sight First Program: Operational and Epidemiological Research Building comprehensive Eye Care systems To discontinue Sight First Cataract Subsidy More strategic investments towards under- served area/community

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Importance of internal revenue generation, financial viability and sustainability of SF Eye hospitals Importance of data collection and monitoring Networking of Lions Eye Hospitals for cross- learning Area specific Sight First Programs in South Asia New Directions - Sight First Program:

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Thank you