Vision Trust Eye Services

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Transcript of Vision Trust Eye Services

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Dr. Muhammad Mazhar Awan

My PresentationIssue at handOur IntroductionBlindness in PakistanOur AchievementsOur Immediate PlansOur Long Term Future Plan

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• 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

Vision TrustTrustees

Our Introduction

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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

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Justice Mushir Alam

Chief JusticeSindh High CourtPakistan

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Air Commodore Ghulam Mujaddid Butt

National Defense UniversityPAFIslamabad

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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

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Syed Humayun Kalam

Retired Economic Consultant and Philanthropist

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Syed Shariq Kalam

Technology Sales Manager atOracle Pakistan

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Mr. Talat Mahmud

Proprietor Messrs. Kashmir Automobiles Karachi Pakistan

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Visiontrust.pk

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Treatable Blindness

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• 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.

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• 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 %

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•Physical•Economic•Emotional

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• 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

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• 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

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• Three optionsoCharitable setupoCommercial setupoHybrid Setup

• Charitable label• Permanent Begging Bowl• Compromises in Quality• Generally life of organization equals

life of Prime Mover• Permanent Liability for left behind

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• Investment and returns• Bank Loans and Interests• Unjust Profiteering• Increased cost of Service• Service in-accessible to Majority

AchievementsTo prove our point

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Sheikh Aziz-ur-Rehman Memorial Eye Clinic

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Danishsra Welfare Association

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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….

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Vision Trust Funding of Free of Cost Services as of February-2011

Our Next ProjectGazdar Eye Clinic

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For this project we needFurnishing Rs. 2.5 MEquipment Rs. 5.0 MFundingRs. 2.5 MTotal Rs. 10 M

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• 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

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• 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

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• 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

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• 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

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• 250-400 out patients a day• 25- 40 Cataract Surgeries/day

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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

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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

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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

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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.

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• 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

Dr. Muhammad Mazhar [email protected]

92 0321 2673942