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					Sightsavers International
  Annual Review 2006
    Saving sight, changing lives
    Last year was an exceptional year for Sightsavers – we reached the milestone of supporting
    100 million treatments. In 2006 alone we helped distribute the drug Mectizan®, which prevents
    river blindness, to over 14 million people, and supported over 270,000 eye operations. We                                                                              HIGHLIGHTS FROM AROUND
    reached the highest number of individuals ever in our rehabilitation programmes.                                                                                       THE WORLD 2006
                                                                                                                                                                           04   Curing blindness
    We have been developing our relationships with institutions such as the UK Department for
    International Development, Irish Aid and the European Commission. Not only does this help                                                                              05   Preventing blindness
    augment our funding, but it also allows us to be more effective in advocating for the rights                                                                           06   Social inclusion
    of people who are visually impaired, and for governments to introduce more comprehensive                                                                               07   Training
    health care systems.
    In 2006 two important events took place: the World Health Assembly passed a resolution to put                                                                          COUNTRY FOCUS
                                                                                                        Caroline Harper (centre) and the
    more emphasis on prevention of blindness, and the UN passed a Convention on the Rights of           Sightsavers team meet Ellen                                        08 Uganda
    People with Disabilities. Both of these will raise awareness across the world of the cause we all   Johnson-Sirleaf (second to right),                                 10 Sierra Leone
    support, and the convention will provide more robust legal frameworks to support disabled people.   President of Liberia
                                                                                                                                                                           12 India
    It has been a tremendous year for me personally. I visited many programmes, seeing our

                                                                                                                                              SUZANNE PORTER/SIGHTSAvERS
    work at first hand and meeting partners and beneficiaries. In particular I had an inspirational                                                                        14 Promoting our work
    meeting with Her Excellency the President of Liberia, Ellen Johnson-Sirleaf. Despite her frantic                                                                       16 Income and
    schedule, she spent a considerable amount of time with a small group of Sightsavers’ staff                                                                                expenditure
    discussing how eye care could be integrated into plans for rebuilding the health system. The                                                                           17 Our performance
    most rewarding experiences, however, are with the people we help – it always inspires me                                                                                  in 2006
    to talk directly with the people whose lives we have been able to transform.
                                                                                                                                                                           18 Supporting Sightsavers
    I would like to take this opportunity to thank all our supporters, without whom we would
    simply not be able to do what we do, together with our partners and our employees, all of                                                                              19 Thank you
    whom work tirelessly to make our goals a reality.                                                                                                                      20 Further Information
                                                                                                        Cover picture
                                                                                                        Asha Musa at home with her
                                                                                                        granddaughter in Madudu village,
                                                                                                        Tanzania. She is looking forward to
                                                                                                        regaining her independence after
    Caroline Harper                                                                                     having cataract surgery on both
    Chief Executive                                                                                     her eyes to restore her sight


                            village girls dance while Chandrakumar plays the keyboard. Sightsavers in
                            Tamil Nadu, India, has been supporting the teenager, who is blind, to learn
                            both vocational skills growing plants and to play music, his real passion.
                                 HIGHLIGHTS FROM AROUND THE WORLD 2006

                                 Curing blindness
                                                                     Opening eyes

                                                                     The Bangladesh Child Cataract Campaign is well on track to achieve its aim of operating
                                                                                                                                                                      CaTaraCT fACt fIle
                                                                     on 10,000 children by the end of 2008. Over 5,000 cataract operations were performed,            Cataract is the world’s
                                                                                                                                                                      leading cause of
                                                                     which included 1,719 surgeries on children who previously had cataracts in both eyes.
                                                                                                                                                                      blindness, accounting
                                                                     A national database for children with visual impairment has also been established, so            for 47% of blindness
                                                                     children with eye problems other than cataract can be identified and given appropriate           in the world.
                                                                     help, such as support to attend mainstream schools.
                                                                                                                                                                      A cloudiness of the
                                                                     Nurturing partnerships                                                                           lens, cataract stops
                                                                                                                                                                      light from entering
                                                                     The Belize Council for the visually Impaired (BCvI) celebrated 25 years of providing eye
                                                                                                                                                                      the eye, and eventually
                                                                     services to Belize. The number of patients accessing the services of BCvI has tripled since it   leads to blindness.
                                                                     began. Among many other achievements, our partner has helped write a national disability
                                                                                                                                                                      In the developing world
                                                                     policy, introduced a literacy programme for people who are blind and conducted a pioneering
                                                                                                                                                                      cataract affects both
                                                                     research project into glaucoma – one of the five vISION 2020 priority diseases in the            adults and children,
                                                                     region – all this while continuing to provide excellent eye care and rehabilitation services.    who may become
                                                                                                                                                                      permanently blind if
                                                                     Spreading the word                                                                               not treated early.
                                                                     Local radio helped spread the message about eye care in southeast Uganda. Our local
                                                                                                                                                                      Although cataract
                                                                     government partners collaborated with radio stations in Kamuli and Iganga districts, and
                                                                                                                                                                      cannot be prevented,
                                                                     organised regular talk shows covering topics such as how to recognise common eye                 it is relatively easy
                                                                     problems such as trachoma. This kind of eye health promotion work increases the                  to cure, and a
                                                                     number of people accessing treatment, helping to combat avoidable blindness.                     straightforward
                                                                                                                                                                      20-minute operation
                                                                     Expanding our work                                                                               to replace the cloudy
                                                                     Enhancing and improving existing health provision is at the heart of our work in Zanzibar,       lens with a clear
                                                                     Tanzania, which got off to a great start with the renovation of the eye unit in Mnazi            plastic one can restore
                                 4,670,008 people were seen by our   Mmoja hospital. Previously patients had to rely on outreach sessions or travel to the            sight to someone with
                                                                     hospital on the mainland for treatment. Together with our partners we are training               cataract.
                                 local partners, and 3,102,769
                                                                     primary health workers in eye health so they can incorporate eye care into their work.
                                 treated as a result                 We are also supporting rehabilitation and special education programmes, and working
                                                                     to raise awareness of blindness among the public and key decision makers.

                             HIGHLIGHTS FROM AROUND THE WORLD 2006
                                                                                                                                                                     TraCHOma fACt fIle
                                                                                                                                                                     Trachoma is a disease of

                             Preventing blindness
                                                                                                                                                                     poverty, affecting mainly
                                                                                                                                                                     women and children in hot,
                                                                                                                                                                     dry and dusty areas, and is
                                                                                                                                                                     spread by flies and cross
                                                                                                                                                                     infection, such as through
                                                                                                                                                                     unclean fingers and towels.
                                                                                                                                                                     Years of repeated infections
                                                                   Tackling trachoma

                                                                                                                                                                     of trachoma cause trichiasis,
                                                                   Trachoma could be eliminated in three villages in Pakistan thanks to a pilot project run          when the eyelid turns
                                                                   by the Punjab Institute of Preventive Ophthalmology. The disease occurs in hot, dry areas         inwards and the eyelashes
                                                                   with poor availability of water and sanitation so hygiene has been at the centre of the           rub on the eyeball, causing
                                                                   project, along with medical treatment. Each village now has new public latrines,                  scarring, constant irritation,
                                                                   improved drainage systems and new bricked roads. Community members have been trained              terrible pain and eventually
                                                                   in how to keep their village hygienic. The project will be rolled out to 67 other villages.
                                                                                                                                                                     Sightsavers supports the
                                                                   Protecting children                                                                               World Health Organization’s
                                                                   Children got a double dose of prevention against blindness in Cameroon when our partner           SaFE strategy: a combination
                                                                   the ministry of public health handed out vitamin A capsules with the annual dosage of             of Surgery, antibiotics, Face
                                                                                                                                                                     washing and Environmental
                                                                   Mectizan®. Although vitamin A can be found in a variety of food such as carrots and fish,         hygiene.
                                                                   many children are still not getting enough because of poverty and poor diet – in fact vitamin
                                                                   A deficiency is the greatest cause of childhood blindness in developing countries. We are
                                                                   working to facilitate vitamin A distribution and provide health and nutrition training.           rivEr bliNdNESS
                                                                                                                                                                     fACt fIle
                                                                   Getting the message across                                                                        300,000 people are blind
                                                                   Plays helped prevent blindness in Zambia when the Ronald Ross Eye Care project                    from river blindness in West
                                                                   brought together sighted and blind children to form a drama group. The children tour              and Central Africa, a further
                                                                   schools and community centres putting on plays about eye care. Ronald Ross has                    18 million people are infected
                                                                   also started up committees of traditional healers and other health workers to share               with the disease, and 125
                                                                   information about eye health. The community-based approach has been successful,                   million are at risk from it.
                                                                   and the number of patients treated has risen from 3,453 in 2004, when the project                 The disease is spread
                                                                   started, to 12,788 in 2006.                                                                       through the bite of the
                                                                                                                                                                     black simulium fly, which
                                                                   Preventing river blindness                                                                        breeds in fast-flowing rivers.
                             together with our partners we         Mectizan® distribution programmes supported by Sightsavers are now up and running in              River blindness can be
                                                                   all 12 districts of Sierra Leone for the first time since the end of the decade-long civil war.   prevented by a yearly dose
                             protected 14,208,655 people against                                                                                                     of the drug Mectizan®, over
                                                                   During the war, distribution of the drug had to be halted, resulting in the emergence of
                             river blindness in africa                                                                                                               at least 20 years. This is
                                                                   the disease even in areas where it had not been found in the past. Thanks to our partners’
                                                                                                                                                                     donated by Merck & Co.
                                                                   commitment, we are now a step closer to getting the disease back under control.

                             HIGHLIGHTS FROM AROUND THE WORLD 2006

                             Social inclusion
                                                               rebuilding lives

                                                               We gave extra support to The Society to Uplift Rural Economy, our partner in northwest
                                                                                                                                                             SOCial iNClUSiON
                                                                                                                                                             fACt fIle
                                                               India, to provide food, cooking equipment and shelter to visually impaired people in
                                                                                                                                                             People who are
                                                               the flood-affected areas of Rajasthan. People with disabilities are among the most
                                                                                                                                                             blind can become
                                                               vulnerable when natural disasters happen and it is vital that they are included in the        isolated from their
                                                               recovery process. Our partners also helped people with disabilities in south India deal       community, making
                                                               with the psychological effects of the 2004 tsunami, as well as with rebuilding livelihoods.   them vulnerable to
                                                                                                                                                             abuse, poverty and
                                                               Education for all                                                                             even early death.
                                                               Sightsavers believes that all children everywhere should have the chance to go to school.     Sightsavers works
                                                               Together with our partners, we helped 741 children who are blind or visually impaired         with local partners to
                                                               to get into local mainstream schools, and continued to support another 4,081 already in       train people who are
                                                               education. We ensured that these children had specialist teachers to visit them regularly     blind in the kinds of
                                                               and appropriate learning resources such as Braille and large print books. We also advocated   skills they need to
                                                               for more and better trained teachers as part of the Global Campaign for Education.            lead independent
                                                                                                                                                             lives and to advocate
                                                               rights for people with disabilities                                                           for their rights.
                                                               A disability bill was passed in Ghana which aims to make life easier and fairer for people    Only 2 per cent of
                                                               who are disabled. The new bill, which has ten years to be fully implemented, gives            disabled children go
                                                               disabled people full access to public places and transport, as well as equal employment       to school. Sightsavers
                                                               opportunities. The bill’s emphasis on the rights of disabled people means inclusion           is a member of the
                                                               will eventually become integrated in local planning and budgeting – positive news for         Global Campaign for
                                                                                                                                                             Education which
                                                               Sightsavers’ projects and beneficiaries.
                                                                                                                                                             campaigns on
                                                               Giving children a clearer future                                                              education for all.
                                                               In Mali, we started a new project with the Malian Union of the Blind (UMAv) to help
                             we supported 4,822 children who   children with low vision attend mainstream schools. Children with low vision are often
                                                               thought of as blind and sent to specialist blind schools where they are taught Braille, but
                             are visually impaired to attend
                                                               often all they need to read and write is a low vision device such as a pair of glasses. We
                             mainstream schools                identified 30 such children and by providing specialist equipment, as well as advice to
                                                               their parents and teachers, are gradually helping them integrate into mainstream schools.

                            HIGHLIGHTS FROM AROUND THE WORLD 2006

                            training of workers
                                                                  increasing skills

                                                                  Ophthalmic nurses who have received specialist training in cataract surgery have become
                                                                                                                                                                     TraiNiNG fACt fIle
                                                                  invaluable in many east African countries where there is a chronic shortage of eye care            One of the most
                                                                                                                                                                     challenging aspects of
                                                                  workers. They conduct the straightforward cataract operations, freeing up surgeons for the
                                                                                                                                                                     eye care is the severe
                                                                  more complex cases. Research, funded by Sightsavers, found that 100 of these specially             shortage of trained staff.
                                                                  trained nurses performed over 80,000 operations in five years. The research recommended            In Africa, on average, one
                                                                  giving the nurses more support so they can help even more in the future.                           ophthalmologist serves
                                                                                                                                                                     one million people.
                                                                  reaching out to the community
                                                                                                                                                                     Sightsavers believes that
                                                                  It is vital that everyone at risk of river blindness in West Africa takes the prevention drug
                                                                                                                                                                     health education training
                                                                  Mectizan® but some communities are harder to reach than others. In Kebbi state in northwest        and community
                                                                  Nigeria the state ministry of health trained 56 Islamic teachers and 12 traditional birth          involvement are key to
                                                                  attendants in how to mobilise the community to take Mectizan® so that they could pass              dealing with the shortage
                                                                  the information on to women in purdah, as well as training 188 general health workers.             of trained eye care staff,
                                                                  In this state, 100 per cent of the population were treated against the disease.                    and we work with local
                                                                                                                                                                     partners to facilitate
                                                                  Training volunteers                                                                                training at all levels.
                                                                  In northwest Cameroon our partners, the local ministries of health, trained community              In West Africa,
                                                                  Mectizan® volunteers in basic eye care. The volunteers combine giving out the drug                 community volunteers
                                                                  with checking for common eye problems such as cataract, as well as giving advice about             are trained to distribute
                                                                  how to avoid eye diseases. This kind of initiative is vital, especially in rural parts of Africa   the drug that prevents
                                                                  where there is such a shortage of eye care staff.                                                  river blindness.
                                                                                                                                                                     We also support training
                                                                  Skill sharing                                                                                      to enable teachers and
                                                                  School teachers also received training in basic eye health in southeast India so that              field workers to work
                                                                  they could find children in their classes with eye problems. Using their new skills, the           with blind people, and
                                                                  teachers identified 130 children who needed help to see. The children were then taken              train health and eye care
                            we supported the training of 65,853
                                                                  to a special eye camp where they were further diagnosed by nurses and either referred              workers so that they can
                            workers ranging from community                                                                                                           deliver general eye
                                                                  for surgery or, when possible, treated immediately such as by being given glasses. Jana
                            volunteers to specialist teachers,                                                                                                       health education and
                                                                  Kalyna Samakha, our partner responsible for the scheme, plans to organise similar                  treat basic conditions.
                            nurses and cataract surgeons          children’s eye camps on a regular basis in the future.

             focus on uganda

             I started off my career with Sightsavers at the Regional Office in            submitted a joint application to the International Trachoma Initiative
africa       Nairobi back in 1993. I returned to my homeland Uganda as country             requesting the donation of azithromycin, the key drug in the strategy.
             representative in 2002, and now work with a dedicated team of seven           We support two other programmes that provide support for people
             colleagues.                                                                   who are blind and eye care, as well as training for ophthalmic staff, and
             Uganda is a relatively small country compared with many other countries       community-based rehabilitation and advocacy programmes.
             in East Africa, making most areas, besides the extreme northern parts,        Through the work we support in Uganda, we were able to treat
             easily accessible. We are a blessed tropical country with good rainfall and   112,500 people and provide 5,537 eye operations in 2006. We
             fertile land. Despite this, there is a very high degree of poverty in the     supported the training of 12 ophthalmic clinical officers to provide eye
             general population, particularly in the north where the Lord’s Resistance     care to underserved rural areas, 285 primary and traditional health
             Army has been waging war with government forces for almost 20 years.          workers and 1,027 village level volunteers, including community
             My work gives me endless opportunities to make Sightsavers’ work              distributors of Mectizan® to prevent river blindness. In the education
             real to the millions of Ugandans who either are faced with the risk of        sector, we supported the in-service training of 124 classroom teachers to
             becoming blind or are blind. After more than ten years working for            help them include children who are blind.
             Sightsavers, you might think I am no longer fascinated                                      Advocacy work focused on the allocation of funding by
             by sight-restoring cataract operations – but you would be                                   district education departments towards the purchase of
             wrong! I still get a kick out of seeing the smiling face of                                 educational equipment and materials (including Braillers)
             someone having their bandages off following surgery.                                        for blind and visually impaired children. We also supported
             In Uganda, like the majority of other African countries,                                    efforts to improve the quality of education provided to
             cataract and trachoma are the major causes of eye                                           visually impaired children in primary schools, focusing on
             problems. Whereas cataract patients are generally equally                                   the quality of Braille taught.
             distributed across the country, trachoma mainly affects                                     Overall 2006 was a busy year, and the launching of our
             two regions – Busoga and Karamoja. Sightsavers works in                                     national advocacy programme was one of the highlights. It
             Busoga region, in partnership with the ministry of health,                                  is vital that in the future we get other players, especially the
             to prevent trachoma through a combination of drugs,                                         national government, to take a crucial role in eye care. The
             surgery and environmental change. During 2006, we                                           future looks exciting.

             ‘‘    AfteR moRe thAn ten yeARS woRkIng foR SIghtSAveRS, you mIght thInk I Am no longeR
             fASCInAted by SIght-ReStoRIng CAtARACt oPeRAtIonS – but you would be wRong!

                                             her face-washing

                                   ezereya’s story
                                   It was from a radio announcement that Ezereya Nangobi
                                   found out that her agonising eye condition could be
                                   treated. She had suffered from trichiasis for the past two
                                   years, after many repeated infections of trachoma.
                                   Ezereya lives in Kagoma village, southeast Uganda,
                                   with her sister, who is blind, and two young orphaned
                                   grandchildren. “I’m really worried about who will look
                                   after the children if I can’t see,” she said. Recently she
                                   had been unable to do much because of her condition.
                                   The Sightsavers’ supported trachoma clinic took place
                                   at Buwenge Health Centre, a small rural medical
                                   centre three kilometres away. Ophthalmic nurse Justus
                                   Maluma examined Ezereya then performed a 20-minute
                                   operation to turn her eyelids back out again, halting the
                                   decline of her vision and relieving her pain. Justus holds
                                   outreach clinics at 34 such clinics over a distance of 60
                                   kilometres, mobilising people to attend them through
                                   informing churches, local councils and running radio
                                   Justus visits Ezereya and her family at home several days
                                   later. Although she still has a little pain from the stitches
                                   she is feeling much better, and shows how she will wash

                                   her face regularly – a simple process, yet one that should
                                   prevent the trachoma from recurring.

                                 Ezereya at home
                                 after surgery
         focus on sierra leone

         Sierra Leone is a small country of about five million people on the West        Sightsavers was one of the very few international NGOs to continue its
africa   Coast of Africa, and is very rich in mineral resources such as diamonds and     work uninterrupted right through the war.
Sierra   gold. The land is fertile and there are several fast-running rivers which are   Our main partners include government ministries, Sierra Leone Association
leone    both a blessing and a curse. A blessing because they provide us with food       of the Blind (SLAB) and schools, and we support them to provide eye
         and a curse because they are the breeding sites of the black fly which          care, education and rehabilitation, and advocacy.
         causes river blindness.
                                                                                         In 2007 we hope to begin the construction of a new eye unit in Kenema,
         The recent history of the nation is, unfortunately, characterised by a civil
                                                                                         Eastern Province, funded by Irish Aid. This will, among other things, help
         war between 1991 and 2002, in which 50,000 citizens lost their lives and
                                                                                         deal with the backlog of surgeries. In 2006 a total of 1,274 eye surgeries
         the country lost most of its social, economic and physical infrastructure.
                                                                                         were performed in the country.
         Since the end of the war, Sierra Leone has made a remarkable recovery
         and the process of rebuilding the country is well underway.                     In the past blind people have been seen as outcasts, due to traditional
                                                                                         beliefs, and blind children denied the right to education. Now
         I started work with Sightsavers as an ophthalmic surgeon in 1988 –
         at the time I was one of only two Sierra Leonean ophthalmologists in            community-based rehabilitation projects are challenging these beliefs,
         the country. I was motivated to work in this field by the high levels           and blind people are taking a more active role in community life.
         of blindness in the country, and by having a close relative                                   A SLAB project worked with 125 people who survive
         who was blind.                                                                                through begging, by training them with a family
         The major causes of blindness and low vision in Sierra                                        member in daily living skills, helping them to become
         Leone include cataract, river blindness and glaucoma.                                         self-sufficient. During the year we supported blind
         Sightsavers started working here back in the 1950s by                                         children in mainstream schools through the provision
         supporting the creation of the Milton Margai School for                                       of equipment, and Braille books up to secondary
         the Blind, the first school for blind children in the country.                                school level, as well as advocating for a specific policy
         This was followed by the establishment of programmes                                          on education for blind and low-vision children.
         to prevent and cure blindness through hospital clinics in                                     Last year was also the first year that our Mectizan® distribution
         Bo and Freetown and outreach clinics providing eye care                                       programme to prevent river blindness was fully resumed
         to more isolated rural communities, and a Mectizan®                                           after being suspended during the war. Community
         distribution programme to tackle river blindness.                                             volunteers distributed the drug to people in all 12 districts.

10       ‘‘     SIghtSAveRS wAS one of the veRy few InteRnAtIonAl ngos to ContInue ItS woRk unInteRRuPted RIght thRough the wAR

                                                     Sister Mary
                                                     removes Mamie’s

                                          mamie and Jeneba’s stories
                                          The city of Bo is a diamond mining centre 150 miles inland
                                          from the capital of Sierra Leone, Freetown. During the
                                          civil war of the 1990s the city was one of the major areas
                                          of heavy conflict, but the hospital remained open with a
                                          skeleton staff during the worst of the fighting. At times
                                          large numbers of people even sheltered from the war in
                                          the buildings.
                                          Now peace has been restored the eye department is fully
                                          functioning again and Mamie Kanenh and Jeneba Arung are
                                          undergoing cataract surgery. Mamie lives 55 miles away,
                                          and was brought to the centre by her son. She had been
                                          blind from cataracts for the past two years. Jeneba had
                                          struggled with failing vision as she tried to bring up two
                                          young children, and by the age of 28 was totally blinded by
                                          double cataracts. “I could no longer do anything,” she says.
                                          “My mother had to help me with everything. But worst of
                                          all I could no longer see my children.”
                                          After surgery Mamie can finally walk by herself. Jeneba
                                          thanks God for what she can see and looks forward to
                                          being able to return to her work as a trader. “I can’t wait to
                                          get home again and look at my children’s faces again.” The

                                          emotion is incredible as the two women hug and laugh as
                                          they see each other for the first time.

                                        Mamie (left) and Jeneba after
                                        having their sight restored
         focus on india

         Sightsavers’ foray into the Indian subcontinent dates back to the    lowest indicators in the world.
         late 1960s when founder Sir John Wilson travelled in India and met   We are indeed fortunate to have partners committed to serving
 india   with visionaries like Dr venkataswamy of Aravind and Dr Mehere       the less fortunate undertaking projects in the neediest areas like
         of Sitapur eye hospital and together they persuaded then Prime       the Thar Desert and the Sunderban islands. We have adopted an
         Minister Indira Gandhi to include a blindness control programme in   integrated approach to eye care which combines prevention and
         her 20-point programme.                                              treatment with service delivery and advocacy for social inclusion.
         What started as a small programme to support eye camps grew          During 2006 Sightsavers India worked with 55 eye hospitals and
         over the decades and today Sightsavers cover 18 states out of 28.    31 development organisations and supported 161 projects.
         Moving with the times, our support for programmes has shifted        2006 was an exciting year, with new initiatives focusing on northern
         from merely funding partners for camps to cost-effective service     states, where the need is greatest. Along with our partners, we
         delivery models and long-term partnerships, with a focus on          have been actively involved in the implementation of ‘Sarva
         community involvement and ownership.                                 Shiksha Abhiyan’ (Universalisation of Elementary Education), a
         I joined Sightsavers in 1997, and soon discovered the                            government programme which aims to provide quality
         joy of facilitating sight restoration and helping people                         education to all children in the 6-14 age group by 2010.
         with irreversible blindness and low vision. It is indeed                         Under this programme every child with special needs
         a unique experience watching people who had                                      is to be provided meaningful and quality education in
         accepted blindness as their fate see again following                             mainstream schools. If implemented fully this would
         a simple operation.                                                              bring about considerable change in the lives of visually
         India is an emerging economy today. But it is also                               impaired people in this country.
         a country of stark contrasts and the gap between                                 Although cataract continues to be the main cause of
         the ‘haves’ and the ‘have nots’ is growing by the                                blindness in India, diabetic retinopathy and glaucoma
         day. On one hand, there are states with development                              are both on the rise. These, as well as low vision,
         indicators equivalent to those of developed                                      assistive technology and social inclusion, will continue
         countries and on the other, states with some of the                              to be our regional priorities for some time.

         ‘‘                                                           ’’
               It IS Indeed A unIque exPeRIenCe wAtChIng PeoPle who hAd ACCePted blIndneSS
         AS theIR fAte See AgAIn followIng A SImPle oPeRAtIon

                                                                                                                                                                    vipin (centre) does PE
                                  vipin’s story                                                                                                                     with his classmates

                                  vipin is a keen cricket player and most afternoons he can be       standard four now, vipin reads and writes Braille and is
                                  found playing with the neighbourhood children before going in      an A grade student. “I love learning science,” he says. He
                                  to do his homework. The 11-year-old, who was born blind, has       even helps out his brother, who finds school more of a
                                  always been independent, and his parents have ensured that         struggle. vipin and his best friend Ajin spend most of their
                                  he gets the support he needs to participate fully in local life.   time together at school, helping each other with lessons and
                                  vipin attends the local school in Melpalai village, Kerala, in     playing carom board (a local game) at break time.
                                  south India. He gets special help from teacher Latha Janet, who    vipin’s mother Leena says: “We don’t want him living away
                                  works for Sightsavers’ partner CADRE India, a local grassroots     from us in a blind school. I don’t want him to be treated
                                  organisation that works with vulnerable people in the area.        differently from other children but as a normal child, so
                                  Latha is herself blind, so understands the challenges vipin        I want him to be brought up in the community with his peers        vipin and Latha
                                  might face and is able to help him overcome these. In              and teachers.”                                                     read a Braille text

     Promoting our work
     Global Campaign for Education                                                     at the RA, and Stephanie was thrilled to become the youngest person to
     Disability is currently the greatest barrier to a child going to school. In the   have ever exhibited there.
         past, few decision makers or policies had recognised this fact and            The Treasured exhibition at the London Eye in September featured photos
         fewer still had plans to overcome it. In 2006 over 100 million children       of the sights that celebrities would miss most alongside those of the favourite
         were out of school. Over a third of these were disabled.                      sights of Bangladeshi children who had recently had their sight restored.
         Working as part of the Global Campaign for Education, supporters in
          the UK wrote to the government, and children in Malawi who are               World Cup fever
          blind took part in an event with the Minister of Education. Politicians      2006 saw an important date in the cricketing calendar, the Blind Cricket
         in the UK listened and some progress is being made in ensuring                World Cup. Held in Pakistan, this event is far more than a sporting
     disability is included in all discussion and policies around getting those        occasion. Discrimination and exclusion are all too prevalent for people
     100 million children into school.                                                 who are blind in developing countries and events such as this send a
                                                                                       strong message that disability is not inability. We supported the World
     Picture this                                                                      Cup, including helping teams from the Caribbean, Sri Lanka and India
     Communicating our work visually was very successful in 2006. The second           to compete. After close fought games showing amazing skill, Pakistan
     year of the Junior Painter Competition in association with the Royal              emerged victorious.
     Academy was a great success and a host of celebrities contributed to our
     Treasured exhibition.                                                    Putting the fun into fundraising with aSda
                                                                              Sightsavers began working with ASDA on employee fundraising during
     The second year of our Junior Painter competition attracted over 9,400   the year. With an average of over 50,000 customers visiting a store each
     entries from 386 schools across the UK. Children were invited to paint   week, this not only gave us a great opportunity to raise money, but
     their ‘favourite sight’, and the Royal Academy (RA) judges were thrilled also fantastic public awareness – laying a foundation for further support
     with the overall standard of the entries.                                in years to come. This relationship also demonstrates the strength of
     Maurice Cockrill, Keeper of the RA, was moved by the colourful and       Sightsavers’ core messages and how motivating and inspiring saving
     imaginative piece submitted by five-year old Stephanie O’Connell (winner sight in the developing world is. Stores have raised over £80,000 to date
     in infants category) who painted ‘Sunshine Mermaids’, describing it as   through a range of novel fundraising initiatives – in fact, by working
     ‘an image that conveys joy, exuberance and totally innocent pleasure’.   together, employees in two stores have raised enough money to be able
                                                                              to provide the equivalent of one cataract operation each.

     All winning, highly commended and shortlisted pieces were exhibited

           ChIldRen weRe InvIted to PAInt theIR ‘fAvouRIte SIght’, And the RoyAl ACAdemy
     JudgeS weRe thRIlled wIth the oveRAll StAndARd of the entRIeS
                                                     GEORGINA CRANSTON/SIGHTSAvERS

                             Clockwise from
                             top left:
                             Malian music
                             duo Amadou and
                             Mariam’s entry in
                             Lawrence and his
                             friends are part
                             of the inclusive
                             at Kilimani
                             Primary School

                                                                                          ZUL MUKHIA/SIGHTSAvERS
                             in Kenya
                             England play
                             Sri Lanka in the
                             Blind Cricket
                             World Cup
                             Ten-year-old Maria
                             in Bangladesh
                             her family as her
                             favourite sight

                             Stephanie O’Connell,
                             five, with her award-
                             winning entry in the
                             Junior Painter Awards
 Income and expenditure
     Summary financial statements                                     1            Trustees’ statement
                                                                                   These Summary Financial Statements represent a summary
                                                                                   of the SOFA from the unqualified audited accounts, which
                                                                                                                                                   Income 20062                Legacies
                                                                                   were approved on 9th May 2007. Copies of the full
                                                         00             00     accounts and trustees’ report, which have been submitted                                   £,,000
                                                           £               £       to the Charity Commission, can be obtained from
     incoming resources                                                            Sightsavers International. Michael Pitts, Honorary Treasurer.
     Donations                                       20,209,000       17,296,000
     Legacies                                         5,579,000        5,600,000
                                                                                   auditors’ statement to the trustees of Sightsavers
     Grants                                             800,000          407,000   We have examined the summary financial statements which
                                                                                   comprise the summary statement of financial activities.                                          Companies
     Other income                                     1,044,000          930,000
                                                                                   This report is made solely to the Charities’ trustees, as a
                                                                                                                                                                        10.0%       £,0,000
     Total incoming resources (excluding gifts in kind) ,,000   ,,000    body, in accordance with the Accounting and reporting by                   .%
                                                                                   charities: a statement of recommended practice 2005.
                                                                                   Our audit work has been undertaken so that we might state
     Gifts in kind                                   34,324,000       20,423,000   to the Charities’ trustees those matters we are required                              .%         Trusts
                                                                                   to state to them in an auditors’ report and for no other
     Total incoming resources                        1,,000      ,,000    purpose. To the fullest extent permitted by law, we do not                           .%       £1,,000
                                                                                   accept or assume responsibility to anyone other than the
     resources expended                                                            Charity and the Charities’ trustees as a body, for our audit                       .%           Grants from
                                                                                   work, for this report, or for the opinions we have formed.
     Charitable expenditure                          52,023,000       39,464,000                                                                                                    governments
     Costs of generating funds                        6,836,000        6,468,000
                                                                                   respective responsibilities of trustees and auditors
                                                                                   The trustees are responsible for preparing the summary
                                                                                                                                                    Individuals           Other      £00,000
     Governance costs                                   357,000          261,000   financial statements in accordance with the recommendations     £1,,000         £1,0,000
                                                                                   of Accounting and reporting by charities: a statement of
                                                                                   recommended practice.
     Total resources expended                        ,1,000      ,1,000    Our responsibility is to report to you our opinion on the

     Net incoming / (outgoing) resources
     Gains on investments
                                                                                   consistency of the summary financial statements with the full
                                                                                   financial statements and Trustees’ Annual Report. We also
                                                                                   read the other information contained in the summary annual
                                                                                                                                                   expenditure 20062
                                                                                   report and consider the implications for our report if we
     Actuarial losses on defined benefit pension scheme 1,421,000      (484,000)   become aware of any apparent misstatements or material                                       Cost of generating
                                                                                   inconsistencies with the summary financial statements.                                             funds
     Net movement in funds                            ,,000      (1,0,000)   basis of opinion
                                                                                   We conducted our work having regard to Bulletin 1999/6                                         £,,000
     Opening reserves                                 ,,000       ,,000    The auditors’ statement on the summary financial                                   .%
                                                                                   statement and Practice Note 11 The audit of charities
     Closing reserves                                 ,00,000       ,,000    issued by the Auditing Practices Board for use in the
                                                                                   United Kingdom.
     represented by                                                                Opinion
                                                                                                                                                          1.1%                        Governance
     General funds                                    6,257 ,000       4,186,000   In our opinion, the summarised financial statements are                                1.%
                                                                                   consistent with the full financial statements and the
     Pension reserve                                 (1,113,000)     (2,707,000)   Trustees’ Annual Report of Sightsavers International for                                             £,000
     Designated funds                                  1,241,000       1,241,000   the year ended 31 December 2006.
     Restricted funds                                  1,166,000         544,000   deloitte & Touche llP
     Endowment funds                                     489,000         479,000   Chartered Accountants and Registered Auditors                Charitable
                                                                                   London, United Kingdom
                                                       8,040,000       3,743,000   17 May 2007                                                   activities
     1Figures are rounded to the nearest thousand                                                                                              £1,,000                    2Excludes gifts in kind

  our performance in 2006
  eye operations                                                                                                                training
  Number of eye operations performed                                                                                            Number of staff and volunteers trained
   00,000                                                                                                                       0,000
   0,000                                                                                                                       0,000
   00,000                                                                                                                       0,000
   10,000                                                                                                                       0,000
   100,000                                                                                                                       0,000
    0,000                                                                                                                       10,000
         0                                                                                                                            0
                   00*                 00*                  00                  00                   00                           00         00        00        00    00
             * These figures have been slightly reduced to be consistent with new data collection criteria introduced in 2004

  River blindness protection                                                                                                    Social inclusion
   Number of people treated with mectizan                          ®
                                                                                                                                Number of people who are blind who received training
1,000,000                                                                                                                       10,000
1,000,000                                                                                                                        ,000
10,000,000                                                                                                                        ,000
 ,000,000                                                                                                                        ,000
 ,000,000                                                                                                                        ,000
 ,000,000                                                                                                                        ,000
 ,000,000                                                                                                                        1,000
         0                                                                                                                            0
                   00                   00                  00                  00                   00                          00        00         00          00   00

                                                                                                                                      Chellamma is happy to
                                                                                                                                      be home after cataract

                                 Supporting Sightsavers
                                                                                                                                      surgery on her left eye,
                                                                                                                                      Tamil Nadu, India

                                 make a donation                                   Give the Gift of Sight
                                 If you would like to make a donation to           The Sightsavers gift list is a great opportunity
                                 Sightsavers you can give online at                to buy your friends and loved ones a fantastic
                       , call 0800 089 20 20          gift which has a huge impact on someone’s
                                 (24 hours) with credit or debit card details      life in the developing world. The gifts have
                                 or pop a cheque in the post to: Sightsavers       been carefully chosen to reflect the wide
                                 International, FREEPOST SEA4079, Haywards         range of projects across the countries in
                                 Heath, RH16 4BR                                   which we work.

                                 remember Sightsavers in your Will                 For example, you might choose to spend £10
                                 Making a Will is a simple and important way       on four white canes to help people who are
                                 to protect the future of your loved ones. It’s    blind to get around more easily, or £17 to
                                 the only way to be absolutely certain that        provide a sight-restoring cataract operation
                                 your money and your belongings go to the          for an adult.
                                 people and causes you care about. Legacies        When you buy a gift, we will send your
                                 left to Sightsavers by people in their Will are   choice of greetings card, together with a
                                 one of our most important sources of income.      voucher explaining in more detail the gift
                                 Without legacies we would be unable to help       you have chosen. You can choose to have
                                 one in five beneficiaries.                        the card and voucher delivered to yourself;
                                 When you are making or updating your Will,        alternatively, we can send it direct to the
                                 please consider leaving a legacy to Sightsavers.  person you are buying the gift for with a
                                 However big or small your gift, you’ll know it    personalised message of your choice.
                                 will help to save sight and change lives in some The full range of gifts is available to
                                 of the world’s poorest countries.                order online at
                                 To request a free guide to making or             or you can call us on 01444 446710
                                 changing your Will, including information        during office hours to place your order.

                                 about leaving a legacy to Sightsavers, please     Whichever gift you choose, for whatever
                                 call Estelle Fiske on 01444 446615 or e-mail      occasion, you will know that your kindness
                                       will warm hearts and change lives.

                            thank you                                  A special thanks to the following generous supporters in 2006

                            Programme funding            Association of Inner        The Zayed Bin Sultan Al      Thereza Macnamara
                            AusAid                       Wheel Clubs in Great        Nahayan Charitable and       Dr and Mrs Mark and
                                                         Britain and Ireland         Humanitarian Foundation      Jan Scott
                                                         Bell Fundraising            James Thomson,               Mr and Mrs J Totten
                            Comic Relief                                             Proprietor of the
                                                         Blindcare                                                Christine and David
                            Department For                                           Witchery & Prestonfield,     Walmsley
                            International                Cairn Energy plc
                            Development                  Dubai Duty Free                                          Sir Nicholas
                                                                                     Tomlinsons Fine Furniture    White
                            Disasters Emergency          EDF Energy
                            Committee (through           Good Gifts                  Trusts and
                            Christian Aid)               Great Causes                foundations
                            European Commission          Mr and Mrs George Horan     Cleopatra Trust
                            Guernsey Overseas Aid        Harvey Nichols              Four Acre Trust
                            Committee                                                Hadley Trust
                                                         International Power
                            Helen Keller International                               Hargrave Trust
                                                         Lehman Brothers
                            ICEH                         Foundation                  Kiawah Trust
                            Irish Aid                    Lions Sightsavers           Lewis Family
                            Isle of Man Overseas Aid     Lyndsay Brown Opticians     Charitable
                            Committee                                                Trust
                            Jersey Overseas Aid                                      Brian Mercer
                                                         Merck & Co
                            Commission                                               Charitable
                                                         Paperchase                  Trust
                            The OPEC Fund for
                            International                Quester Capital
                            Development                  Management
                                                                                     Charitable Trust
                            Task Force for               Rotary International in
                                                                                     F & PC Scotto
                            Child Survival               Great Britain and Ireland
                                                                                     Charitable Trust
                            and Development              Safaricom
                                                         Scotland on Sunday
                            Corporate partners                                       James Tudor Foundation
                                                         Shapes Fine Art
                            Asian Cricket Council

                                                         Auctioneers & valuers       individuals
                            Alternative Wedding List                                                                                    A girl practises using a low
                                                         Shell Pakistan              Crispian and Diane Collins                         vision device at the low vision
                            Anglo American plc           Standard Chartered          David and Christina                                clinic, Layton Rahmatulla
                            ASDA                         Bank plc                    Kershaw                                            Benevolent Trust, Pakistan

Sightsavers works in 33 countries across the developing world

                                                                                                                       Patron                       For further information about
                                                                                                                       Her Majesty The Queen        Sightsavers, or to contact our
                                                                                                                                                    regional offices, please visit our
                                                                                                                       Her Royal Highness
                                                                                                                       Princess Alexandra, the      Sightsavers international
                                                                                                                       Hon. Lady Ogilvy, KG, GCvO   Grosvenor Hall, Bolnore Road
                                            Guinea                                                                                                  Haywards Heath, West Sussex
                                            Conakry Mali                                                  Bangladesh   vice Presidents              RH16 4BX, United Kingdom
               Haiti Antigua
   Belize                Dominica      Senegal          Benin                                                          Lady Wilson OBE
             Jamaica      St Lucia The Gambia               Nigeria                       India
                                                                                                                       Sir David Thompson KCMG      Tel 01444 446600
               Grenada Trinidad                                                                                                                     Fax 01444 446688
                                  Guinea Bissau                                                      Sri Lanka         Sir Nicholas Fenn GCMG
                Guyana              Sierra Leone Ghana
                                                                                                                       Richard Porter               Email
                                            Liberia    Togo Uganda              Kenya
                                                                                                                       Ted Heimsath                 To request this annual review in
                                                                                                                                                    Braille, large print or audio, please
                                                            Zambia             Mozambique                              Honorary Officers
                                                                                                                                                    contact us at the above address.
                                                           Zimbabwe                                                    Chairman
                                                                                                                       Sir John Coles GCMG          Sightsavers International is also
                                                                        South Africa                                   Vice Chairman                known as The Royal Commonwealth
                                                                                                                       David Jordan CBE             Society for the Blind
                                                                                                                       Treasurer                    Registered UK Charity Number
                                                                                                                       Michael Pitts                207544

This product has been awarded the NAPM Recycled Mark.
Produced at a mill that is certified with the ISO14001 environmental management standard.
FSC mixed sources – product group from recycled wood or fibre, well-managed forests and other controlled sources.