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NAME OF PROJECT KYM Cataract Project SUBJECT OF PROJECT: Health Assistances - Cataract Operations in 12 Countries PERIOD OF PROJECT: Project Starting Date : December 15, 2014 Project Ending Date : November 15, 2015

OWNER OF PROJECT:

KİMSE YOK MU Address : Mimar Sinan Mah. Basra Cad. No: 24 Sultanbeyli ISTANBUL/TURKEY Telephone : +90 216 521 80 80 Fax : +90 216 520 16 16 Web : www.kimseyokmu.org.tr E-Mail : katarakt@kimseyokmu.org.tr

Social Media : https://twitter.com/kym_en : https://twitter.com/kimseyokmu : https://twitter.com/KYM_Academic : https://www.facebook.com/kimseyokmu : http://instagram.com/kimseyokmu : http://www.youtube.com/user/kimseyokmudernegi

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PROJECT PARTNERS: Kimse Yok Mu carries out all activities relating to health screenings and operations to be performed in the countries through the Kimse Yok Mu representative offices and contracted hospitals. The duties of the representative offices are to follow up all processes including identifying hospitals, examining sufficiency of hospitals, identifying doctors, executing protocols with hospital managements, identifying patients, performing patient examinations, performing patient operations, photographing operations, examining expenditures, reports and documentation management.

Table -1: Kimse Yok Mu Representative Offices and Solution Partners

PROJECT PARTNERS

COUNTRY PARTNERS PLACE

Sudan KYM Sudan Representative Office Hospital

Cameroon KYM Cameroon Representative Office Hospital Hospital

Chad KYM Chad Representative Office Hospital

Niger KYM Niger Representative Office Hospital

Mali KYM Mali Representative Office Hospital

Central African Republic KYM Central African Republic Representative Office Hospital

Democratic Republic of Congo KYM Democratic Republic of Congo Representative Office

Hospital

Republic of Congo KYM Republic of Congo Representative Office Hospital

Burkina Faso KYM Burkina Faso Representative Office Hospital

Pakistan KYM Pakistan Representative Office Hospital

Nepal KYM Nepal Representative Office Hospital

Guinea KYM Guinea Representative Office Hospital

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GEOGRAPHICAL SCOPE OF PROJECT:

The Project will be carried out in 12 countries, including 10 in Africa, and 2 in Asia. These countries are Sudan, Cameroon, Chad, Niger, Mali, Guinea, Congo, Burkina Faso, Central African Republic, Democratic Republic of Congo, Nepal and Pakistan.

Table -2: Countries where the Project will be Carried Out

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PURPOSE OF PROJECT: Almost 1.2% of the one billion people living in Africa are visually-impaired. Cataract plays a major role among eye-related illnesses. Impossible to treat with medicines or glasses, cataract is either congenital or mostly occurs subject to age. The only treatment of a cataract that has formed is surgery. The disease impairs both distant and close visions to such extent to negatively affect a person's social life.

The countries where cataract operations will be performed are situated in locations where the rays of the sun fall vertically. These ultraviolet rays that cause serious damage to the human eye are among the major causes of cataract disease. Aside from climatic problems, poor nutrition, old-age and genetic factors are other causes of cataract.

In Africa, the number of people who suffer from cataract and are treated is 1 million 500. In Third World Countries, every five seconds one person and every one minute one child becomes blind. Notably in countries like Niger, Chad, Mali, Burkina Faso, and Ethiopia which are situated along the Sahara Zone, there is approximately one doctor per 40,000 people, and millions of people never see a doctor in their lifetime. In Niger, there are only 11 ophthalmologists who can perform a surgery. This means, there is only one ophthalmologist per 1.2 million people.

According to World Health Organization, 39 million people are visually impaired worldwide, and cataract accounts for 51% of the visual impairment problems. 90% of cataracts are from under-developed countries in Africa. In the light of these facts;

- Health Assistance is one of the basic areas of activity of Kimse Yok Mu. Since the date of its establishment, the association has led various health organizations abroad. It aims to assist in the solution of cataract problem in Africa through Health Screenings and Cataract Operations.

- Kimse Yok Mu aims to carry out Cataract Organizations in 12 countries, including Sudan, Chad, Cameroon, Niger, Mali, Republic of Congo, Democratic Republic of Congo, Central African Republic, Burkina Faso, and Guinea in Africa, and in Nepal and Pakistan in Asia.

8. GROUNDS FOR THE PROJECT: World Health Organization Cataract Facts According to World Health Organization, 285 million people are visually impaired worldwide. Among these 385 million people, 39 million people have lost their sight completely. The prevalence of cataract, a major cause of blindness, is 51%. 90% of the visually impaired people live in developing countries, and 80% of all visual impairment can be cured or prevented.

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Table -3: World Health Organization Visual Impairment and Cataract Problem

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Table -4: Geographical Distribution of Eye Diseases Worldwide

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Table -5: Estimated Increase in Visual Impairment in Future Years

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Cataract Operations performed by Kimse Yok Mu In the scope of health assistance activities, Kimse Yok Mu first started health screenings in 2008 in Darfur, Sudan, and as a result of examinations performed until 2012, the number of cataracts identified and treated by surgery reached 9,141 in 4 years. After 2012, in line with expectations from various countries, further health screenings and operations were performed in 12 countries and number of operations reached 27,586 in 2014. By the end of 2014, Kimse Yok Mu, having doubled its targets every year, aims to realize cataract operations of 30,000 people in 2015, 60,000 people in 2016, and 120,000 people in 2017.

COUNTRY

SUDAN

DARFUR

SUDAN

KHARTOUMCAMERUN CHAD NIJER MALI

MIDDLE

AFRICA

DEM.

KONGO

KONGO

REPUPLIC

BURKINA

FASOPAKISTAN NEPAL GINE

2008 220

2009 2.845

2010 3.030

2011 3.046

2012 2.300 100

2013 2.557 2.073 154 55 337

January 2014 311 389 300 300 240

February 2014 406 1.000

March 2014 490 1.317

April 2014 202 719 91

May 2014 328 584 73 77

June 2014 200 645 218

July 2014 72 236 51

August 2014 183 428

September 2014 155 443 274 466

October 2014 102 307 212 50

Noveber 2014

December 2014

TOTAL 16.447 8.141 454 55 100 164 337 300 240 77 704 517 50

2008 220 2009 2.845 2010 3.030 2011 3.046 2012 2.400 2013 5.176 2014 10.869

GRAND TOTAL 27.586 Table -6: Cataract Operations performed by Kimse Yok Mu between 2008 - 2014

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Table -7: Distribution of Operations by Years

Table -8: Distribution of Operations by Countries

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TARGET SEGMENT OF PROJECT:

Target Segment In the light of data obtained from health screenings which Kimse Yok Mu has been carrying out since 2008, it has been observed that cataract can be seen at any age. According to these researches, cataract may develop subject to age, or may even be seen in newborns irrelevant to the age. On the basis of that, the disease may develop in babies congenitally due to genetic factors, and in older persons due to nutritional and climatic factors. For this reason, patients’ profiles are variable. Social Dimension of the Program Due to geographical adversities, development problems, governmental policies and the recent civil wars, the people of Africa cannot benefit from health services that are their natural rights. Guided by the philosophy that the quality of a society starts from the individual, this project aims to shed light on the social life of Africa. Psychological Dimension of the Program The cataract patient who encounters social exclusion is psychologically affected negatively, and this is felt by people around him/her. A person who is operated with the support of the program will gain his/her sight, a skill which maybe he/she innately lacked, or regain this skill which he/she had lost long after birth.

PROJECT ACTIVITIES: Protocols will be signed with hospitals through our Representative Offices in 12 countries in Asia and Africa (Nepal and Pakistan, Sudan, Chad, Cameroon, Niger, Mali, Republic of Congo, Democratic Republic of Congo, Central African Republic, Burkina Faso and Guinea). As a result of protocols signed, health screenings is carried out by local doctors, and patients who received an operation would be identified. An operation schedule is issued every month for patients to be operated, and people receive treatments at such dates specified in the schedule.

After the operation, the patient is followed up, and a photograph of the patient is taken. A file is prepared for each patient, and information and documents belonging to the patient is sent to Kimse Yok Mu inside this file for archiving purposes. The photograph of the patient who has undergone an operation will be printed on a certificate of appreciation to be issued to the benefactor. The certificate of appreciation will be sent via e-mail and contract addresses specified by the benefactor.

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1- Specification of Countries where Operations will be performed: Operations will be performed in 12 countries, including Sudan, Chad, Cameroon, Niger, Mali, Republic of Congo, Democratic Republic of Congo, Central African Republic, Burkina Faso, Guinea, Nepal and Pakistan. 2- Signature of Protocols: Cataract agreements will be executed with local hospitals identified. 3- Identifying Patients: As a result of health screenings and examinations, specialist doctors will identify patients to be operated. 4- Creating an Operation Schedule: As a result of health screenings and examinations, patients who will be operated in that region in a month will be organized. 5- Performing Operations: At specified dates, operations of specified number of patients will be performed. 6- Taking Photos of Patients: A photo of each patient will be taken, and profile information will be recorded. 7- Sending Documents to KYM: Recorded information will be sent to KYM via e-mail and mail. 8- Making Payments: After patient information received by Kimse Yok Mu is confirmed, payments will be made to hospitals that have performed the operations. 9-Certificate of Appreciation for the Benefactor: A Cataract Certificate of Appreciation that contains information about the operated patient will be sent to benefactors via e-mail and posts.

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PROJECT ACTIVITIY SCHEDULE

Definition M1 M2 M3 M4 M5 M5 M7 M8 M9 M10

Specification of Countries where Operations will be Performed

Signature of Protocols

Identifying Patients

Creating an Operation Schedule

Performing Operations

Taking Photos of Patients

Sending Documents to KYM

Making Payments

Benefactor Certificate of Appreciation

Table -9: Schedule of Project Activities PROJECT BUDGET Kimse Yok Mu has calculated average cost of a cataract operation in the countries where the operations will be performed, and determined that all operation expenses to be incurred to open one eye of a patient will be $100. The project budget has been established as $ 100,000 for operating 1000 patients in total, so that 100 patients will be operated every month throughout the 10-months period of the project.

BUDGET

COST ITEMS UNIT COST NUMBER OF

PERSONS NUMBER OF COUNTRIES

TOTAL COST

Examination Cost

100 $ 1.000 12 100.000 $

Operation Cost

Lens Cost

Medical Consumable Expenses

Medicine Expenses

Hospital Costs

Filing Costs

Documentation and Photographing

Certificate Printing Expenses

TOTAL 100.000 $

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EXPECTED RESULTS FROM THE PROJECT:

As a result of this project, 1000 cataract patients identified through health screenings in 12 countries will be operated. After donations made and operations performed, only one eye of 1000 patients regained its sight. Information about these patients (age, gender, operating doctor, etc.) was recorded, and record charts were created. These records will be useful for further health assistance services.

PROJECT SUSTAINABILITY:

Considering the need in Africa and Asia, it is known that the number of people who need a cataract operation is far more than the ten thousand people who are planned to benefit from this support. Operations to be performed with the support to be received in the scope of this project will provide a basis for subsequent organizations, which, in return, will reduce costs, and contribute to the sustainability of the project. PROJECT TEAM & ORGANIZATION CHART Project Coordinator : A person will control and watch operations and management processes. Project Assistant: A person will be responsible for following up reporting and documentation processes. Project Country Representative: A person will ensure performance of activities on behalf of Kimse Yok Mu in the relevant country. Hospital: These institutions will be responsible for providing physical necessities, performing operations, supplying technical equipment, medicines and medical consumables. Doctor : Professionals will be responsible for performing examinations and operations.