1. Visualiza History Ideas for Change Haiti Eye Care Symposium

2. Small private practice in a shopping mall in Guatemala city (four employes)

3. After the first clinic we move to other building where we had 16 employees

4. 2 Hospitals Guatemala Petén

5. Visualiza Eye Clinic services Guatemala City and its surrounding areas, a population of over 2 million people, and the Deparment of Peten with 40,000 people The clinic site was chosen for its easy accessibility to our public and private patients. Visualiza offers full service eye care  anterior segment & glaucoma  oculoplastics  retina  low vision  pediatrics

6. Visualiza has two sections: one for the private and one for the poor. The operating theater is located on the same premises Visualiza has a full optical shop, offering same day service on most prescriptions Visualiza offers same day surgery In Guatemala we have a saying: We eat the soup while it is hot Guatemala Petén

8. Entrada Servicio Social

9. Sala de espera y optica Servicio Social

10. Sala de espera Servicio Privado

13. Clínica Social

15. Consejeras

16. Clinica Privada

17. Clínica Privada

18. Sala de Operaciones Social

21. Sala de Operaciones Privada

22. Optica Privada

23. Clinica en Petén

24. Clínica en Petén

25. Entrada y Sala de espera

28. Sala de Operaciones

34. The transition During a CBM workshop I meet David Green who encourage us to invite the IEF to help us Raheem Rahmathullah from the IEF gave us his technical assistance to change our small clinic into a social enterprise. The main barrier: ourselves….

35. Critical components… Bussiness plan and projections Location with its own Operating Room (accesible to the poor and attractive to the private patients) Introduction of outreach and counsellor Differentiation of the services (private and social sections) Accesible to all patients

36. The price structure. Simple and attractive that the patients paying capacity is self selective Standardized protocols for administration, OPD, OR, optical shop, etc… Quality control Surgical results Optical shop Administrative procedures

37. From 2002 to 2011, outpatient exams increased 621% from 6,312 to 39,251; all surgeries increased 761% from 464 to 5,680; pediatric surgeries increased 250% and cataract surgeries increased 781% from 255 in 2002 to almost 2000 in 2011. Guatemala has 160 ophthalmologists and a reported cataract surgical volume of 11,000 annually. Therefore, Visualiza's impact is now 20% of all cataract surgery in the country.

38. Revenue Source

39. Patient Distribution

40. Expenditure by category

41. Lessons from our six years of experience Happy Patients ***this has proven to be the most effective tool for advertisement***

42. Lessons from our experience Standardization of administration, OPD, optical, etc The differentiation of the services Self Selection Communication among the staff Mini mission – difficulties and achievements Price structure, it is so simple and attractive that the patients paying capacity is self selective

44. Doctor??? Staff??? + Patients ProductividadCostoTiempo

45. Optical shop – important tool to create revenue We started as a private clinic The support from IEF has helped us tremendously “It does not matter how slowly you go so long as you do not stop” Confucius

46. International Eye Foundation SEVA Foundation LICF CBM Alianzas

47. Lions Clubs International Foundation (LCIF) Juan Francisco Yee, Technical Consultant SightFirst Lions Clubs International Foundation (LCIF) Juan Francisco Yee, Technical Consultant SightFirst Port-au-Prince, Haiti May 2012

48. What is SightFirst?

49. SightFirst Mission: To strengthen eye care systems in underserved communities, enabling them to fight blindness and vision loss and assist those who are blind or visually impaired. Strategy: Work in partnership with local health authorities, eye care professionals and other non-governmental organizations to…

50. Values Support the development of comprehensive eye care systems Prioritize aid to underserved populations Deliver equitable, high- quality eye care and rehabilitation services Create sustainable eye care systems Data-Driven: regular monitoring and evaluation

51. SightFirst Funding Priorities Cataract Childhood Blindness Diabetic Retinopathy Education and Rehabilitation for those who are blind or visually impaired Eye Health Education Low Vision Public Health Research Onchocerciasis Trachoma Uncorrected Refractive Error

52. Historic Milestones

53. SightFirst in Latin America & the Caribbean Since 1990… 364 grants awarded 165,896 cataract surgeries supported 2,130 patients treated for diabetic retinopathy Retinopathy of prematurity projects in Cuba and El Salvador 4 eye clinics renovated and 11 equipment upgrade projects

54. LCIF in Haiti

55. Moving forward: SightFirst in Haiti Long-term commitment to supporting the development of sustainable eye care systems in Haiti Principal geographic area of interest is Port- au-Prince Particular interest in URE and/or Low Vision Should follow SightFirst application process Lions involvement is an absolute must Contact Angela Supernaw, Regional Specialist Sight Programs – Latin America & Caribbean angela.supernaw@lionsclubs.organgela.supernaw@lionsclubs.org

56. We Care. We Serve. We Accomplish.

57. The most pathetic person in the world is one who has sight but no vision… Helen Keller