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FRIENDS CHURCH - SABATIA EYE HOSPITALTel: 056 - 45008/45031Fax: 056 - 45040E-Mail: Sabeyehosp@swiftkisumu.com

P.O. Box 214,WODANGA

50311DISTRICT: VIHIGA, KENYA.

zo" November, 2008Stichting Oud in Afrika,Van Baerlestraat 56,3314 BKDordrecht,Netherlands,RE: APLICATION FOR CATARACT SURGERY SPONSORSHIP SUPPORT FOR POOR ANDELDERLY PATIENTS IN 2009INTRODUCTION/ BACKGROUNDSabatia Eye Hospital is a faith based institution established with the support of Christian BlindMission (CBM), the local community with the collaborative effort between the GoK through Hon.Musaha Mudavadi DPM, the area MP. The Hospital is in Western province; Vihiga District located inSabatia constituency. It is at the junction of the three major provinces; Western, Nyanza and Riftvalley. The Hospital is run by an oversight Board, a Hospital Director/CEO and a management teamthat runs the Hospital. The Hospital has a capacity of thirty-three beds. Currently it has thirtymedical and twenty support staff. It is the only independent eye Hospital serving as a referral centerfor eye care in western Kenya. It is the third largest eye care provider in the country and the largestin western Kenya.Eve Care Service Provision:The purpose of establishing the hospital was to facilitate the provision of eye care services in theregion in order to improve accessibility and affordability for eye care. The Hospital serves anestimated catch ment is of 6 miltion people in all the three provinces. It provides services to theimmediate cornmunity, the wider western region of the country and as recent as 2006; it has beenserving as a base for eye care service delivery center for the people of South Sudan.The hospital has a high growth potential since it is the only Eye Hospital in the region that focuseson the provision of both quality and quantity eye care services. The other Provincial GeneralHospitals in the region have eye units with little emphasis and budget for eye health promotion andblindness prevention.The Hospital is the only independent referral centre for eye care both for adults and children in theWestern region of Kenya with adequate infrastructure and manpower that can provide quality andquantity eye care services to the community in this region.The Hospital has two areas of major clinical activities:

1. The Base Hospital - We treat patients who come looking for our services. Out of thesepatients, we encounter a significant number of elderly people with cataract blindness thatcannot afford to pay for their surgery. Whom we include under your organization'ssponsorship fund for their payment.2. Mobile/Outreach Services - We work with various churches, mission hospitals and othergovernment and non-government institutions. They usually organize and makeannouncements and sometimes publicize, so that needy patients come for the service atvarious locations across the three provinces. Most of these institutions are unable to pay forthe medical treatment or cataract surgery for these patients. In these cases where there areOUR MOTTO: "WE TREAT, HE HEALS"

OUR MOTTO: "WE TREAT, HE HEALS"

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elderly cataract blind patients who are unable to pay their surgery, we sponsor them from thefund. The hospita I takes care of the transport and other costs but only charges Ksh, 3,0001-per cataract surgery. We offer accommodation, meals, medication and follow up visit withthe same cost.

8ased on the factors indicated above the Hospital can offer quality eye care to the public both at thebase Hospital and the community through its extensive outreach program improving theaccessibility of the service where there is no eye care service. We give priority to areas far from eyecare services.Purpose/ Rationale of the Application for fundsSOCIO-ECONOMIC CONTEXTIn Kenya, poor socio-economie conditions continue to limit the prospeets of increasing healthcarecoverage for the population.Poor economie performance coupled with a 2.7% population growth led to a reduction in per capitaincome by 0.5% per year through the 1990's. Poverty in Kenya has grown steadily since the mid-1990s. The second government report on poverty indicated that the proportion of the populationliving in poverty rose from 46.3% in 1994 to 60% in 2003The Need for Sponsorship support for Poor Elderly in the Western Region of KenyaThe Hospital outreach service covers three provinces, which are Western, Nyanza and parts of Riffvalley, as it is situated at the junction to these provinces.Sabatia Eye Hospital is the only specialized eye hospital, well-equipped with adequate infrastructurewhich provides quality and quantity eye care services in this part of the country.The Hospital hasadequate number of qualified and trained staff. In the last twelve years of its existence, the hospitalhas developed a good reputation in the provision of eye care in western Kenya.It offers quality eye care service at a low cost in order to enable all people to access eye careservices at the Hospital and in extensive outreach medical and surgical services to the poor andmarginalized communities in various parts of the region, covering both the three provincesextensively through a weekly outreach and mobile services. The Hospital sends a team ofprofessionals to wide range of areas partnering with organizations & community groups. This broadnetwork has helped us take eye care service to the needy in their districts and communities.The Major Challenges:

The poverty scenario in Western region of Kenya is no different from the national situationand in fact, the reality may be worse. The Hospital is located in a densely populated butrelatively poor area. The 2008 post election violence and the subsequent social andeconomie difficulties have seriously affected people to the extent of not being able to affordto come for minor treatment let alone pay for operations and others. There is a huge need for eye care services as there are many patients with eye problemsboth medical and surgical who are not able to access service because of distance, transportfee and cost of treatment i.e. poverty. The post election violence also affected most of our partner lions clubs who are currentlypreoccupied with reconstructing of their business more than the eye care work which theywere doing as part of their corporate responsibility. There has also been a huge reduction inLion's international allocations to Kenya and currently we have received only 48% ofsponsorship compared to last year as a Hospital from clubs.With all these realities on the ground, Oud in Afrika has become the main partner/supporter forsponsorship of poor, blind & needy patients. Your funding has seen over 1729 patients regainsight since 2005 to date as shown from the table below.

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OUD IN AFRIKA FUNDS SUPPORTED SURGERIES SUMMARY FROM 2005 TO 2008Date Euro Ksh Surgeries done24/08/2005 712,686.80 23616/05/2006 5,000.00 444,000.00 14817/11/2006 273,000.00 9121/12/2006 15,000.00 1,349,250.00 45014/12/2007 5,000.00 460,611.5515/02/2008 10,000.00 978,579.8002/09/2008 10,000.00 971,557.18 804TOTAL 5,189,685.33 1729

Based on the above mentioned facts and challenges, in 2009 we project that we will operate 1500needy cataract blind patients if we are given the sponsorship both at the base hospital and alsointensify the outreaches to far underserved areas. We are very grateful for your continuous supportfor the poor and the needy blind patients over the last three years. We hope our partnership withyou continues being more stronger over the coming years as we work for the same objective ofhelping the poor, needy and blind people. We believe in being accountable to our sponsors andmeet their needs and help in the fund raising effort. May God bless in your endeavour of helping thehelpless. ,.-.

Warm Regards,Dr. emissie TadesseHospital Director/CEO

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