Visualiza History
Ideas for Change
Haiti Eye Care Symposium
• Small private
practice in a
shopping mall
in Guatemala
city (four
employes)
• After the first clinic we move to
other building where we had 16
employees
2 Hospitals
• Guatemala
• Petén
• Visualiza Eye Clinic services Guatemala
City and its surrounding areas, a
population of over 2 million people, and
the Deparment of Peten with 40,000
people
• The clinic site was chosen for its easy
accessibility to our public and private
patients.
• Visualiza offers full service eye care
 
anterior segment & glaucoma
 
oculoplastics
 
retina
 
low vision
 
pediatrics
•
•
•
•
•
Visualiza has two
sections: one for the
private and one for
the poor.
The operating theater
is located on the
same premises
Visualiza has a full
optical shop, offering
same day service on
most prescriptions
Visualiza offers same
day surgery
In Guatemala we
have a saying: We
eat the soup while it
is hot
Guatemala
Petén
Entrada Servicio Social
Sala de espera y optica Servicio Social
Sala de espera Servicio Privado
Sala de espera Servicio Privado
Sala de espera Servicio Privado
Clínica Social
Clínica Social
Consejeras
Clinica Privada
Clínica Privada
Sala de Operaciones Social
Sala de Operaciones Social
Sala de Operaciones Privada
Optica Privada
Clinica en Petén
Clínica en Petén
Entrada y Sala de espera
Sala de Operaciones
The transition
• During a CBM workshop I meet
David Green who encourage us to
invite the IEF to help us
• Raheem Rahmathullah from the
IEF gave us his technical
assistance to change our small
clinic into a social enterprise.
• The main barrier:
ourselves….
Critical components…
• Bussiness plan and projections
• Location with its own Operating
Room (accesible to the poor and
attractive to the private patients)
• Introduction of outreach and
counsellor
• Differentiation of the services
(private and social sections)
• Accesible to all patients
• The price structure. Simple and
attractive that the patients paying
capacity is self selective
• Standardized protocols for
administration, OPD, OR, optical
shop, etc…
• Quality control
Surgical results
Optical shop
Administrative procedures
• From 2002 to 2011, outpatient
exams increased 621% from 6,312
to 39,251; all surgeries increased
761% from 464 to 5,680; pediatric
surgeries increased 250% and
cataract surgeries increased 781%
from 255 in 2002 to almost 2000 in
2011. Guatemala has 160
ophthalmologists and a reported
cataract surgical volume of 11,000
annually. Therefore, Visualiza's
impact is now 20% of all cataract
surgery in the country.
Revenue Source
6%
15%
44%
Optical
Surgery
35%
OPD
Pharmacy
Patient Distribution
18%
62%
20%
Zero Cost
Paying
Subsidized
Expenditure by category
EXPENDITURES
45
41
40
35
31
Porcentage
30
25
EXPENDITURES
20
15
12
10
10
6
5
1
Personnel/Staff
Costs
Office Supplies
Medical
Consumables
Equipment
Other
Overhead
Lessons from our six years of experience
• Happy Patients ***this has proven
to be the most effective tool for
advertisement***
Lessons from our experience
• Standardization of administration,
OPD, optical, etc
• The differentiation of the services
• Self Selection
• Communication among the staff
• Mini mission – difficulties and
achievements
• Price structure, it is so simple and
attractive that the patients paying
capacity is self selective
 Doctor???
 Staff???
Tiempo
Costo
Productividad
+ Patients
• Optical shop – important tool to
create revenue
• We started as a private clinic
• The support from IEF has
helped us tremendously
• “It does not matter how slowly
you go so long as you do not
stop” Confucius
Alianzas
•International Eye Foundation
•SEVA Foundation
•LICF
•CBM
Lions Clubs International
Foundation (LCIF)
Juan Francisco Yee, Technical Consultant
SightFirst
Port-au-Prince, Haiti
May 2012
What is
SightFirst?
SightFirst
Mission: To strengthen eye care
systems in underserved
communities, enabling them to
fight blindness and vision loss
and assist those who are blind
or visually impaired.
Strategy: Work in partnership
with local health authorities, eye
care professionals and other
non-governmental organizations
to…
Values
• Support the development of
comprehensive eye care
systems
• Prioritize aid to underserved
populations
• Deliver equitable, highquality eye care and
rehabilitation services
• Create sustainable eye care
systems
• Data-Driven: regular
monitoring and evaluation
SightFirst Funding Priorities
• Cataract
• Childhood Blindness
• Diabetic Retinopathy
• Education and
Rehabilitation for those
who are blind or visually
impaired
• Eye Health Education
• Low Vision
• Public Health Research
• Onchocerciasis
• Trachoma
• Uncorrected Refractive
Error
Historic Milestones
SightFirst in Latin America & the Caribbean
Since 1990…
• 364 grants awarded
• 165,896 cataract surgeries
supported
• 2,130 patients treated for diabetic
retinopathy
• Retinopathy of prematurity projects
in Cuba and El Salvador
• 4 eye clinics renovated and 11
equipment upgrade projects
LCIF in Haiti
Moving forward: SightFirst in Haiti
• Long-term commitment to supporting the
development of sustainable eye care systems
in Haiti
• Principal geographic area of interest is Portau-Prince
• Particular interest in URE and/or Low Vision
• Should follow SightFirst application process
•Lions involvement is an absolute must
• Contact Angela Supernaw, Regional
Specialist Sight Programs – Latin America &
Caribbean [email protected]
We Care.
We Serve.
We Accomplish.
The most pathetic
person in the world is
one who has sight but
no vision…
Helen Keller
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