1. International Eye Foundation IEF SightReach® Management Partner Ridge Hospital Accra, GHANA Funded by de Beaumont Foundation & IEF Raheem Rahmathullah IEF Sustainability Specialist

2. International Eye Foundation

3. Area: 238,537 sq. km (92,100 sq. mi.) Pop: 21,029,853 (2005 est.) Females- 51% Male 49% Life Expectancy at Birth total population: 56 years male: 55.04 years female: 56.99 years (2005 est.) GDP: $5.9 billion (2002) GDP per Capita: $1,980 (2002)

4. International Eye Foundation Purpose Establish the Ridge Hospital as a model for the country that demonstrates: Ability of a government hospital to reach marginalized populations lacking services Establish systems for high volume cataract surgery Create complimentary high-pay and low-pay services Improve patient convenience and satisfaction Improve financial autonomy Develop greater credibility and reputation

5. International Eye Foundation Outputs Decrease in Unit cost of cataract surgery Increase in surgical quality outcome Increase in number of poor and women served Management Information and reporting mechanisms are in place and operational. Initiate a High Pay afternoon clinic. Start an Outreach program

6. International Eye Foundation Registration BEFORE: area under “stilts” empty AFTER: “stilts” area built out to house primary waiting room, registration, and cashier

7. International Eye Foundation New Nurse Exam Room

8. International Eye Foundation BEFORE: Minor Surgery Room Clinical Exam and Minor Surgery AFTER: One side: Test Vision, Refraction, A-Scan AFTER: Other side: visual fields, minor surgery

9. International Eye Foundation Redesigned Upstairs Waiting Area Doctor’s Exam Room Less crowded Dr. Patrick Kwaw-Quaidoo, MD, MPH

10. International Eye Foundation Operating Theatre BEFORE: one bed, one old operating microscope AFTER: 2 beds, 2 surgeons, one new operating microscope, room for training

11. International Eye Foundation Pilot Optical Service Provide optical services and spectacles Earn revenue

12. International Eye Foundation Outreach Registration Test Vision Nurse Exam Refraction Spectacles

13. International Eye Foundation Church of Latter Days Saints Donates Vehicle for Outreach Services

14. International Eye Foundation Note: Salaries and benefits, electricity, water, and other utilities are not included in expenditures. These costs are covered by the Ministry of Health. Achievements to Date

15. International Eye Foundation Staff of Eye Unit, Ridge Hospital Dr. Patrick Kwaw-Quaidoo circled