from leprosy to community based inclusive...

2015 Cover+ Back

Mariam Manzil, AM-21, Off Shahrah-e-Liaquat, P.O. Box No. 8666,Saddar, Karachi – 74400 (Pakistan) Phones: (9221) 35684151, 35682706,

Helpline: 35688018 Fax: (9221) 35683106, Email: [email protected] Website: www.malc.org.pk

From Leprosy to Community BasedInclusive Development – Our Journey is On….

FROM LEPROSY TO COMMUNITYBASED INCLUSIVE DEVELOPMENT–OUR JOURNEY IS ON...

ANNUAL REPORT 2016

MALC

0102030406081012141516171819202122232429

VISION, MISSION AND CORE VALUES

FOUNDER’S MESSAGE

CEO’S MESSAGE

LEPROSY ELIMINATION

INCLUSIVE DEVELOPMENT FOR PWDs

TB CONTROL

BLINDNESS CONTROL

MATERNAL CHILD HEALTH CARE (MCHC)

TRAINING AND DEVELOPMENT

GOVERNING BODY

INTERNATIONAL PARTNERS

CORPORATE PARTNERS

FUNDRAISING

DONATIONS IN KIND

CORPORATE / INSTITUTIONAL SUPPORT

INDIVIDUAL ZAKAT / DONATIONS

ZAKAT UTILIZATION

NETWORK

AUDITOR’S REPORT

APPEAL

CONTENTS

ANNUAL REPORT 201601

VisionHealth and Inclusive Development with Dignity.

MissionBeing a health-based Not-for-Profit Organization, we are committed to:• Eliminating Leprosy and controlling Tuberculosis & Blindness.• Promoting prevention of disabilities and creating an inclusive environment for

persons with disabilities.• Promoting prevention of malnourishment through primary healthcare for

mother & child.• Promoting prevention of poverty-related diseases by giving coverage to

Neglected Tropical Diseases.• Building the capacity of paramedics, undergraduate and post-graduate

medical professionals.• Promoting environmental improvement.• Increasing awareness through Advocacy, Communication and Social

Mobilization.• Responding to disasters for relief, rehabilitation and risk reduction.

Core Values:• A person-centered approach.• Timely and quality care with dignity for all.• Good governance.• Respecting, protecting and promoting the environment, natural resources and

communities in which we live and work in.• Keeping pace with technology and innovation.• Caring for staff welfare.


MESSAGEFOUNDER’S

2016 has passed –

I only can hope that at the end of 2017, we also will be able to say:

“The future is intact, as the spirit moves on.” We have started and improved on some worthwhile and urgent activities to help the Government, the people to tackle problems which so far are not sufficiently attended to: The Tuberculosis Control Program got access to better diagnostic facilities and early diagnosis of drug resistance with the help of three GeneXpert Apparatus, CBR gained experience in project areas, the Technician Training Courses have again started.

Some promises are difficult to redeem, and will again be on the agenda during 2017: Survey of the remaining areas for Leprosy Elimination, inclusion of plantar ulcer cases into the CBR planning. But even with the services available, there are patients’ stories which give us new motivation. Like the story of a young girl, a typical Leprosy case. She thought that life would be holding no future for her. Today she is cured and discharged from treatment. Of course – this we expected. But during this period, she also qualified as a Leprosy Technician, and got a regular job in the Leprosy Program. She visited me with the appointment letter. “Do you know what you did for me?” she asked. I did not know. “A Leprosy patient, a girl, from a modest class, what would be my future – and today? Respected qualified Medical Technician, drawing a good salary and having the chance to earn the love and respect of her patients - - -.” The spirit moves on.Help us achieve miracles in the life of patients also in future, Leprosy, Tuberculosis, Blind patients. We are still trying, with God’s help, to have it happen, again and again.

Ruth Pfau, M.D., D.Sc., Nishan-e-Quaid-e-Azam


MESSAGECEO’S

Dear friends,

The effervescence of a life well lived is a mere mirage that is seen from a distance but, closing down on reality, entails the vicissitudes of a lifetime. A nutshell presentation of the efforts of a single lady to restore human dignity. I take this opportunity to share the feelings of the entire nation, including the staff and the suffering masses who have been cured by the healing touch of none other than Ruth Pfau of Pakistan.

Moving on from the Leprosy control journey, the elimination phase is a success story as it has taken in its fold multi-disciplines that are considered to be the scourge of our country like Tuberculosis, Prevention of Blindness, Community Based Inclusion (focusing on the disabled) and Mother and Child Health Care. The Program is proud of its achievements, and continues to strive towards delivering services where it is scarce; the numbers may be few but these few matter, not only to us but also to our supporters.

The future strategy of the Program promises continued struggle with heart and soul. The team is all geared to take on new challenges, and it is always reassuring to know that someone who has seen it all approves of the direction we are heading towards. Yes, we dedicate our thoughts to a Living Legend, Dr. Ruth Pfau.

The future is intact as the spirit moves on!

Mervyn Lobo


LEPROSYELIMINATION


Leprosy in Pakistan – An Overview

The long-standing international and local support from our well-wishers and partners has enabled us to sustain Leprosy control in Pakistan. Over 57,000 patients have been registered and treated so far, of them 98% patients have been cured and resumed their normal life. However, Leprosy continues to appear in Pakistan. Approximately 300 to 400 new cases are reported each year. The biggest challenge in Leprosy is Disability among new cases which is still high. Annually 15 to 20% cases are registered with severe disability, which can be dangerous if ignored.

During the year 2016, necessary steps were taken to further reduce the burden of Leprosy in Pakistan. These steps include increasing of active case finding activities, early diagnosis and treatment, ensuring 100% MDT compliance, prevention and management of Leprosy-related disabilities through community based inclusive development and increasing awareness in different target groups.

At present, the national caseload of Leprosy is 6,045 patients; of them 514 are under medication and 3,104 patients are under care for their ulcers and drug-related reactions. 397 new cases remained within our expectation range. Disabilities among new cases are still high - 15%; however in children cases, disability is zero which is encouraging.

In the Hospital, 7,104 Leprosy patients were treated with multiple services; 547 were admitted in the wards for ulcer care and other Leprosy-related complications.

Due to the long incubation period of the disease, it is essential that the Leprosy teams remain in communities to ensure that the patients are diagnosed at an early stage before disability sets in. Your continued support will lead us to reaching at our next destination of elimination, saving our future generations from being affected by Leprosy.

2016

531

514

Patients Under Treatment


DISABILITIESINCLUSIVE DEVELOPMENTFOR PERSONS WITH


Community Based Inclusive Development for Persons with Disabilities:

Under this Program, which is largely focused on Karachi, over 1,700 persons with disabilities have been registered and needed services being provided to them, which include physiotherapy and occupational therapy exercises, assistive devices, assistance in education and skill learning, training of physical exercises to persons with disabilities and their caregivers, and providing opportunities to participate in livelihood and social activities. Under support from the Federal Ministry for Economic Cooperation and Development (BMZ), Germany and German Leprosy & Tuberculosis Relief Association, a pilot project is being implemented in selected project areas of Karachi with the following activities:

Major Achievements in 2016:

Services AchievementsTotal Persons with Disabilities registered 1,748

Interventions started through Individual Rehabilitation Plans 867

Number of PWDs facilitated in Disability Certificates 79

Number of Government Schools facilitated in making schools disability-friendly 6

Number of PWDs facilitated in house modification 9

Number of PWDs facilitated in Assistive Devices 168

Awareness Sessions held in communities 33

Number of children in schools screened for disability assessment 8,845

Number of PWDs facilitated in school admissions 90

Kindergartens established 2

Number of PWDs facilitated in skills’ learning 18

Number of PWDs supported with Economic Assistance 32

Number of PWDs provided Physiotherapy Services 673

Number of PWDs and their Caregivers trained in Activities of Daily Life 438

Number of PWDs provided Speech Therapy 112

OUTCOME / RESULTS

Number of PWDs actively participating in decisions 276

Number of PWDs empowered 48

Number of PWDs improved in health 96

Number of PWDs improved in education 90

Number of PWDs improved in social inclusion 47

Number of PWDs improved in livelihood 96


TUBERCULOSISCONTROL


Tuberculosis Control Activities:

Annually, over 11,000 TB patients are being treated at MALC’s centers all over Pakistan. Majority of them are from Azad Kashmir, Gilgit-Baltistan and Karachi in Sindh.

The major development of the year 2016 was the introduction of GeneXpert machines in the hospital and in two sub-centers of Karachi which has made TB diagnosis more easy and accurate with early identification of drug resistant cases. The better-equipped TB project in Karachi is now working more efficiently towards the global target of End TB. In 2015, MALC was selected as Sub Recipient to Mercy Corps (Principal Recipient) for TB control activities (Public Private Model) in selected districts of Azad Kashmir, Gilgit-Baltistan and Khyber Pakhtunkhwa. The Project continued to perform well in 2016, detecting over 1,000 cases and is likely to get an extension till 2020.

In the year 2016, 11,731 new TB cases were registered and treated. Among them 3,421 were sputum smear positive. Diagnosis and treatment of sputum positive cases will ensure the stop of the further spread of TB and save people from getting infected by the disease. Default cases also actively followed-up and brought on regular treatment to ensure that they get cured, as this could result in the development of drug-resistant TB (more lethal and difficult to treat) in communities.

Results achieved during the last five years (2012, 2013, 2014, 2015 and 2016):

Table

Annual Admissions

Children (among positive cases)

Female

Pulmonary Patients

Sputum Positive Patients

Relapse Cases

Treatment Success Rate

Contacts examined

Cases found

Persons reached by social mobilization

2012 %

94

5,230

7,029

3,189

204

9,649

95%

39,251

440,901

3%

54%

73%

30%

2%

519 5%

2013 %

118

5,281

6,950

3,237

188

9,785

95%

43,517

438,016

4%

54%

71%

47%

2%

579 6%

2014 %

114

5,033

6,837

3,097

195

9,470 11,054 11,731

95%

36,595

423,414

4%

53%

72%

45%

2%

469 5%

2015 %

97

5,529

7,845

3,640

271

95%

42,154

413,866

3%

50%

71%

46%

2%

517 5%

2016 %

181

5,931

8,650

3,421

284

94%

46,977

402,955

5%

51%

74%

40%

2%

706 6%

Annual Admissions of TB Patients

5,58

4

5,91

5

6,27

9

6,54

6

8,54

9

8,90

4

8,58

0

10,5

21

7,93

8

9,52

8

9,64

7

10,0

86

9,64

9

9,78

5

9,47

0 11,0

54

11,7

31

0

2,000

4,000

6,000

8,000

10,000

12,000

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016


BLINDNESSCONTROL


Blindness Control Activities:

For Blindness control activities, our main hospital in Karachi and base hospitals in Gwadar and Turbat in Balochistan remained busy with regular free out-patient consultations and allied surgical services. Over 200,000 consultations were performed with 5,231 free Cataract surgeries with IOL (Intra-Ocular Lenses). Besides these secondary facilities, our clinics in Karachi and other parts of Sindh, Balochistan, Khyber Pakhtunkhwa and Azad Kashmir continued to provide primary eye care services to the population in need.

In 2016, free surgical eye camps were conducted in Balochistan in collaboration with Provincial Leprosy-Blindness Control Program. Over 26,000 consultations were provided with 1,639 Cataract surgeries and IOL implants.

On the development side, the Eye Unit in the MALC Hospital in Karachi has now been upgraded with the most modern equipment through kind support from our corporate partners in Pakistan. We are grateful to our supporters as the equipment has brought improvement in the quality of eye care being provided. Major achievements in 2016:

MALC Hospital Karachi:Services Achievements

Total Eye Consultations 14,399

Number of patients seen 13,480

Number of Cataract surgeries with IOL done 1,320

Number of VAs performed 14,393

Number of Refractions done 5,213

Services AchievementsTotal Eye Consultations 26,493




Number of Eye Glasses dispensed 2,192







Gwadar and Turbat Base Hospitals in Balochistan







Population screened 140,616

Children screened in school surveys 28,269

Awareness / Health Education given to public 376,801

Vitamin ‘A’ Capsules distributed 26,131

Tetracycline Eye Ointment prescribed 2,934

Primary Eye Care through Sub-centers

Eye Camps in Balochistan


MATERNAL CHILDHEALTH CARE (MCHC)


MATERNAL CHILD HEALTH CARE (MCHC)

Through our Program, we aim to reduce under 5 morbidity and mortality by targeting areas in Karachi where the burden exists. Our main focus is to improve every child’s nutritional status by macronutrient and micronutrient supplementation. Children that are brought to our centres are assessed in accordance with WHO GUIDELINES for signs of malnutrition. Parents are counselled about the importance of immunization and vaccine preventable diseases according to the EPI Program and every child’s immunization status is checked. Those found to be underweight are classified based on height and weight and regular follow-ups are carried out until the child is out of the danger zone. Common childhood diseases are treated in accordance with primary health care guidelines.

Women that visit our centres are from a very low socioeconomic background with little or no knowledge about the benefits of child spacing, 90% of these females are anemic, underweight and have signs of malnutrition. We understand that a healthy and happy mother results in a happy family. Our aim here is to ensure mental and physical well-being of these women during their reproductive years; our Program guidelines follow the four pillars of safe motherhood which are family planning, antenatal care, clean safe delivery and essential obstetric care. We provide health care services that are required to be safe and healthy during pregnancy and childbirth.

Our centers have doctors, certified paramedic staff as well as lady health workers running our centers in various low income areas. The centers are open from 8am - 4pm Monday to Friday. Our treatment and management protocols are set at the level of a primary health care facility.

Our services include: • Public Awareness on Communicable and Non-Communicable Diseases • Provision of Free Macronutrient and Micronutrient supplements • Provision of Free Medicines • Free Medical Consultations by Doctors • Door to Door Immunization through Networking with EPI • Free Lab Facilities


Training and Development

Training is an integral part of the Program. The Training Institute at MALC is conducting regular training courses on Leprosy for over the past 50 years. This year, 17 candidates completed a one-year Leprosy training. Majority of the participants were from the Northern part of Pakistan (4 from Sindh, 2 from Khyber Pakhtunkhwa, 6 from Azad Kashmir and 5 from Gilgit-Baltistan). Out of 17 candidates, 3 were girls. Besides Leprosy, the Institute has also conducted short courses on “Community Based Inclusive Development for People with Disabilities” for our paramedical workers dealing with disabilities. In addition, visits by undergraduate students from different medical colleges of the city also continued to get an insight of a successful Leprosy Control Program in Pakistan. MALC’s main hospital in Karachi has been recognized as a facility for mandatory training of candidates pursuing FCPS-II (Dermatology). Other post-graduate medical students (Dermatology) also attend the hospital as part of their training.

Capacity-building of the staff has always been a major objective of the Training Department. Considering this need, this year 2 colleagues were sent to Germany for a four-week training in management of patients in wards and 10 co-workers were also sent for a short training course of two weeks on Community Based Rehabilitation in Nepal. Besides this, a continued learning process has also been started in the Training Institute with a weekly lecture program on management topics like leadership, communication skills, soft-skills, motivation, team-building, presentation skills, stress management and similar important topics for every category of staff.

Governing Board (As of December 31, 2016)

1. Archbishop Joseph Coutts,Archbishop of Karachi Diocese,President.

2. Dr. Ruth Pfau, M.D., D.Sc., NQA,

Founder Member of MALC,Honorary Federal Advisor on Leprosy (Retd.) to the Government of Pakistan,Member Congregation of Daughtersof Heart of Mary,Vice President.

3. Mrs. Ainee Shehzad,Head of Department of theContinuing Professional Department,Karachi Grammar School,Chairperson, Fundraising Committee of MALC,Secretary.

4. Mr. Irshad Hussain, Senior Fiscal Administrator, Treasurer.

5. Mr. Burkard Koemm,Chief Executive Officer,German Leprosy & TB Relief Association, Germany,Member.

6. Mr. Ernst Hisch,Member, Ruth Pfau Stiftung(Ruth Pfau Foundation) Germany,Member.

7. Mr. Rainer Schmiedchen,H.E. The Consul General,Consulate General of the Federal Republic of Germany,Member.

8. Mr. Anwarul H. Haidri, Industrial Relations & IR Advisor,Member.

9. Professor Tasnim Ahsan, Executive Director,Jinnah Postgraduate Medical Centre (JPMC) Endocrinologist,Medicell Healhcare Services,Member.

10. Professor Dr. Nabila Soomro,Director Institute of Physical Medicine &Rehabilitation,Dow University of Health Sciences,Member.

11. Sr. Jeannine Geuns,Founder Member of MALC,Director Manghopir Development Programme (Retd.),Member Congregation of Daughtersof Heart of Mary,Patron.



International Partners

The successful partnership with international donor agencies and friends is continued. MALC has a long list of its trusted partners abroad who are continuously supporting various ongoing projects of the Health and Development sectors. The long-standing association of the following partners with MALC has been vital for the Program as none of the activities would have been possible without their support:

1. German Leprosy & TB Relief Association, Germany2. Maria Laach, Lepra Hilfswerk, Germany3. BMZ – Federal Ministry for Economic Cooperation and Development, Germany4. Christoffell Blindenmission (CBM), Germany5. Kindermissionswerk, Germany6. German Embassy, Islamabad7. St. Francis Leprosy Guild, England8. Caritas, St. Pölten, Austria9. Missio, Austria10. Missio, Aachen11. Missio, Munich12. Basler Lepra Hilfswerk, Switzerland13. Beata Brunner, Switzerland14. World Health Organization (WHO), Geneva15. The i-Care Foundation16. Mercy Corps


Corporate Sponsorship in 2016

In the year 2016, the listed companies have exhibited extraordinary support to MALC by adopting health and development projects:

Adamjee Foundation: Readopted Orangi Centre for providing free services of Leprosy, TB, Eye and Mother & Child Health Care to the poor communities of the area.

Pakistan Petroleum Limited: Continuing sponsorship of our Kandhkot Centre in Sindh and Turbat Center in Balochistan.

Pakistan State Oil: Continuing support for health projects Pattan & Dassu in Khyber Pakhtunkhwa. PSO has also supported the Zakat campaign by sponsoring their hoardings for Zakat appeal and distributing Zakat appeal leaflets through their billing network.

National Bank of Pakistan: Adopted the Female Ward of MALC Hospital and Swabi Center in Khyber Pakhtunkhwa.

K-Electric: Their generous support is continued with free and uninterrupted power supply to MALC Hospital. Every year they are also supporting us in conducting medical camps in slum and remote areas.

United Bank Limited: Renewed adoption of the Leprosy-TB Center Bani Passari of District Bagh in Azad Kashmir, for providing free treatment and rehabilitation of Leprosy and TB patients.

Faysal Bank: Supporting treatment of TB patients in Gilgit-Baltistan.

English Biscuit Manufacturers (Pvt.) Limited: Readopted MALC-EBM Healthcare Center for providing free treatment services to Leprosy, TB, Eye patients and Mother and Child Health Care services in the area.

Bank Alfalah Ltd.: The Islamic Division of the Bank has donated Microscope and Slit Lamp for the Eye Care Unit in Gwadar Balochistan.

New Zealand Consulate: Supported MALC in conducting two Eye Surgical Camps in Balochistan.

Sui Southern Gas Company: Continued its support by adopting the Mirpurkhas Center in Sindh and Gwadar Center in Balochisan.

ICI Pakistan Foundation: Supported the provision of Mother and Child Health Care services to the deserving people of Khewra (Punjab) through Humqadam Community Centre Khewra.

HBL Islamic Banking: Supported MALC in providing free-of-charge treatment services for Leprosy, TB, Eye Care and Mother and Child Health Care.

HBL Foundation: Continued their support by sponsoring our centers in Azad Kashmir, Khyber Pakhtunkhwa, Gilgit-Baltistan and Eye Surgical Camps in different areas of Balochistan.

Anonymous Donors: MALC is always grateful to its anonymous private donors for their continued support and for helping us in helping others.


Fundraising:

The Fundraising Committee of MALC has been achieving remarkable success not only in raising funds, but also in promoting MALC and its commendable services in the corporate sector. The Committee is comprised of the following members:

Ainee Shehzad Chairman Shamsha Hashwani MemberAmna Mullick Member Zahida Habib MemberAsma Maqbool Member Zoya Nathani MemberAyesha Mir Member Farheen Mukaty Member Maha Illahi Ghani Member Mehreen Dawood Member Ghazala ShahnoorMona Rameez Member Romina MirzaNargis Soorty Member Aziz KhanSabina Bawany MemberSara Saigol Mushtaq Member

International Friends of MALC:

Swiss Friends of MALC, SwitzerlandMs. Ruth Zumbuehl, SwitzerlandMr. Braukmann, GermanyMr. Harald Kischlat, GermanyMr. Werner Sygnecki, GermanyMs. Claudia Villani, AustriaMr. Martin Van Camp, Belgium

Advisors

Philanthropies & Donations in Kind:

Kitchen Supplies

AFN EnterprisesAgar International Pvt. Ltd.Agro Processors & ATM Gasses (Pvt.) Ltd. (Soya Supreme) Dalda Foods Private LimitedNestle Pakistan LimitedOmni Group of Companies Shahpur IndustriesShezan International Limited Tapal Tea Private LimitedSaylani Welfare TrustEdhi Welfare TrustMirpurkhas Sugar MillsJumani Group of CompaniesSunrise GlobalMarzouq FoundationSindh Poultry Vaccine Center

Medicines

Abbot Laboratories Pvt. Ltd.ATCO Laboratories Pvt. Ltd.Brookes Pharmaceuticals Pvt. Ltd.Hilton Pharma Pvt. Ltd.Bosch Pharma Pvt. Ltd.Reckitt BenckiserGetz Pharma Pvt. Ltd.Zafa Pharmaceuticals Pvt. Ltd.

Miscellaneous Donations in Kind

Unilever Pakistan Ltd.Atlas Honda Ltd.Karachi Grammar School (Middle Section)Karachi American SchoolJasani ScientificsStedec Technology Commercialization Corporation of PakistanGul Ahmed International Ltd.Al-Karam Textile Mills Pvt. Ltd.Ms. Mariam KamranHospital Supply Corporation

World Leprosy Day

Premier InsuranceAgriavto Industries LimitedPakistan Beverage LimitedAdamjee Valleejee & Sons (Pvt.) Ltd.Hospital Supply Corporation



Corporate / Institutional Support:Donors

HBL Islamic BankingHascol Petroleum Ltd.Liberty Mills LimitedJubilee Life Insurance Co.Faisal WaqfSporting For A Cause EventBurj BankCDC-Trustee Meezan Islamic FundIndus Valley EnterprisesUnited Snacks Pvt. Ltd.Haji Muhammad Welfare TrustI-Care FoundationOrix Leasing Pakistan Ltd.CDC-Trustee NIT Islamic Equity FundNational Investment TrustAMN TrustAl-Badar Welfare TrustArif Habib FoundationInnovative Technical SolutionNasra School (Morning & Evening)Allied Engineering & Services Ltd.The City School PAF ChapterPak Arab Pipeline Co. Ltd.OBS Pakistan Pvt. Ltd.Muller & Phipps Pakistan Pvt. Ltd.St. Paul’s English High SchoolSt. Patrick’s High SchoolGrace Apparel Pvt. Ltd.Meezan BankPremier Insurance Ltd.Ali Hussain Rajab Ali Ltd.Megatrans Pakistan Ltd.Jehangir ServicesFaisal Mahmood Ghani & Co.Dalal Securities Agha SteelPakistan Services LimitedNawan Laboratories Pvt. Ltd.Siddiqsons LimitedSaima Packaging Pvt. Ltd.Sanofi Aventis Pakistan Ltd.Akbar FoundationHommie & Jamshed NusserwanjeeDinshaw Charitable TrustThal Limited (Pak Paper Rack)Golden Harvest Food Pvt. Ltd.Darul AdviatNuricon Union Pvt. Ltd.

1,500,0001,300,0001,250,0001,000,0001,000,000

855,800650,000500,000500,000500,000500,000327,024

300,000225,000220,000200,000200,000200,000200,000189,062159,000158,583150,000150,000125,000

117,261101,272

100,000100,000100,000100,000100,000100,000100,000100,000100,00080,00065,00050,00050,00050,00050,00050,00050,00050,00050,00050,00050,000

Amount Donors

Mr. R. Z. MahmoodMrs. Batool MahmoodMr. Sheikh Imran Ul HaqueMr. Omer H. SohailMrs. Abdul RaufM. I. Mahomedy FamilyMr. M. A. NasirMr. Qasim KazmiMr. Munib IslamMr. Shahnoor Ahmed & FamilyMr. M. Abdul AleemMr. Abdul AleemMs. Sadaf SaeedMs. Aqeela Ghulam MuhammadMr. Muhammad AbdullahMr. Muhammad OmerMr. Abdul Karim (Late)Mr. Faizan Ahmed Mr. Tauqeer Ehsan RanaMr. Kamran Iqbal BariMrs. Raana SyedMs. Lilly R. DossabhoyMs. Mariam HalaiMr. M. Habib-ur-RehmanMr. Muhammad HanifMr. Muhammad Alamgir KhanMr. Adil Siddiq DalalMrs. Ghazala AhmedMr. Sohail P. AhmedMr. Abdul Karim SheikhMrs. Misbah MajeedMr. Ahmed JawadMr. Abdul Hamid ShaikhMr. Muhammad Moinuddin KhanMr. Fayyaz-ur-Rehman KhanMs. Ayesha NafeesMr. Inam Ellahi ShaikhMrs. Shams Nuruddin SarkiMr. Shaikh Mohammad MasoodMr. M. A. NasirMr. Asdaque SultanMr. Athar SultanMr. Arshad SultanMr. Mahmood Abdul GhaniMs. Aqila Ghulam MuhammadMr. Abdul Karim SheikhMr. Abdul AleemMr. Muhammad Akhter Bawany

600,000528,000500,000500,000500,000400,000300,000225,000200,000200,000200,000200,000200,000173,450150,000169,000144,000140,000135,000130,000109,000100,000100,000100,000100,000100,000100,000100,000100,000100,000100,000100,000100,000100,000100,000100,000100,000100,000100,000100,000100,000100,000100,000100,000100,000100,000100,000100,000

Amount

Individual Zakat & Donations:

Support in MALC’s Endowment Fund:Donors

K-ElectricMs. Kamila Mirza IslamMr. & Mrs. Wyss

511,200322,834100,000

Amount


Besides the above, there are a number of anonymous donors who contributed with Zakat and Donations. We are very grateful to all our friends and well-wishers for contributing generously to continue free treatment of poor and needy patients of Leprosy, TB and Blindness.

Individual Zakat & Donations

Donors

Mr. Saad IqbalMr. Salim K. LadiwalaCapt. ShujaMr. Sabir SamiMr. Naveed SheikhMs. Romana Aziz KhanMs. Mashmooma Zehra MajeedMr. Ehsan Naseer AwanMr. Khurram Ali KhanMr. Mobeen Majeed ChaudharyMr. Abdul WahidMr. Mushtaq AhmedMr. Sajjad BokhariMr. & Mrs. Khalid NizamiDr. & Mrs. A. Q. KhanMr. Muhammad Kalil Ur RehmanMr. Shahid KarimMr. Munir MonnooMr. Saeed RazaMs. Nadia LakhaniDr. Ata-ur-RehmanMr. Imran IqbalMr. Muhammad Zia ul HaqMr. Ismail MaparaMr. Imtiaz Hussain ZaidiEngr. I. HaqMs. Aneesa AhmedMs. Yasmin KhanMr. Abid AzizMr. Ghulam Hussain ChaudharySyed Mansoor AliMr. Abdur Rahim CEOMr. Abdul Majeed Mr. Mehdi Ali RizviMr. Muhammad AlyMs. Fauzia Anis KhanMr. Hamza Majeed ChaudharyMr. Moin Raza KhanMr. Arif HussainMs. Sariaa Hussain LawaiMrs. AshfaqMr. Arif SaleemMr. Aslam HussainMr. Khurram QasimMr. Khawaja Bashir Ahmed

90,00080,00080,00075,00075,00075,00075,00065,00060,00060,00055,00051,30050,00050,00050,00050,00050,00050,00050,00050,00050,00050,00050,00050,00050,00050,00050,00050,00050,00050,00050,00050,00050,00050,00050,00050,00050,00050,00050,00050,00050,00050,00050,00050,00050,000

Amount Donors

Mrs. Kulsoom HassanCapt. IsaMr. Syed AliMr. Siddiq Gul AgaMrs. Naseem AkhtarMr. Muhammad Yousuf TinwalaMrs. Aquila Ghulam MuhammadMr. Abdul MajidMr. Sajid GhaniIndustrial & Mechanical EngineersMr. Hanif IsmailMrs. Naheed RehmanMr. Eric CorderoMr. M. R. Mehkari/Tazeen MehkariMr. Nadeem RehmaniSyed Israr AhmedAllied MarketingSynergies Sourcing PakistanSyed Irfan Ahmed Mr. M. Aley Abid/Mr. M. Jaffer RazaMs. ZainabMr. Anjum HaiMr. Mehboob AlamLt. Col. (Rtd.) Mohsin AkhtarMr. Salman A. UsmaniMr. Faiyaz Husain FeroziMr. Rameez MansoorMr. Muhammad Ali MadraswalaDr. Fozia QureshiMrs. Kulsoom AnwarMr. Rahat Alam

50,00050,00050,00050,00050,00050,00048,45048,00045,00045,00040,00040,00040,00040,00040,00040,00040,00040,00040,00035,00030,00030,00030,00030,00030,00030,00030,00030,00030,00030,00030,000

Amount


Zakat Utilization Report During The Year 2016

RECEIPTZakat received during 2016 17,711,293 Total receipts up to December 31, 2016 17,711,293

UTILIZATION

ITTEHAD MANZIL – (Home for Disabled Patients) Food & Ration Supplies 1,500,000 Building Maintenance 160,914 Utilities - Gas, Electric & Generator Fuel 400,000 Medicines - Local Drugs 100,000 Medical Supplies and Lab Solution 50,000 Bedding and Linen - Laundry Expenses 41,834 2,252,748 HOSPITAL – (Wards) Food & Ration Supplies 4,858,545 Utilities - Gas, Electric & Generator Fuel 2,000,000 Medicines – Local Drugs 3,000,000 Medical Supplies & Lab Solution 2,200,000 Bedding & Linen 300,000 Laundry Expenses 2,000,000 Building Maintenance 500,000 Zakat Campaign Expenses - 14,858,545

MALC LEPROSY CENTERS KARACHI Medicines – Local Drugs 600,000 600,000

Total Utilization of Zakat up to December 31, 2016 17,711,293

Rupees

RECEIPT & UTILIZATION ACCOUNTFor the period January to December 2016

ZAKAT ACCOUNT


Network:

Medical Specialists & Doctors:

Dr. Manzoor Memon, DermatologistDr. A. G. Dawood, Chest PhysicianDr. Cowasjee, GynaecologistDr. Iftikhar Salahuddin, ENT Specialist

Hospitals & Clinics:

Jinnah Hospital (JPMC)Civil HospitalIndus HospitalKarachi Adventist HospitalHoly Family HospitalLady Dufferin HospitalAga Khan University HospitalPNS Shifa HospitalLiaquat National HospitalAl-Ibrahim Eye HospitalLRBT Adamjee Eye HospitalPICO PeshawarOjha Institute of Chest DiseasesKIRAN HospitalNICVDNational Institute of Child HealthMental Health Clinic (PAMH)SIUTKidney Centre

Rehabilitation Centers:

Pakistan Association of the BlindDarul-SukunKarachi University Department of Special EducationSocial Welfare Department, Government of Sindh Artificial Limbs CentreInstitute of Physical Medicines & RehabilitationPakistan Bait-ul-MalPakistan Sweet Home KarachiIDA RIEUInstitute of Behavioral PsychologyPhysical Medicines and Rehabilitation JPMCCentre for Adult Deaf & DumbVocational Rehabilitation Centre of PWDsSpecial Education Centre for Mentally RetardedVocational Training Centre for Disabled PersonsSpecial Education Centre for Visually HandicappedAl-Umeed Rehabilitation AssociationAl-Dua Special SchoolAELP Institute of Child DevelopmentAl-Shifa TrustMA Ayesha Special SchoolNetwork of Organization Working for PWDsAl-Hamd Medical Centre & Drug BankDow University of Health SciencesMemon Industrial & Technical InstituteArtificial Limb & Hearing Aid Centre

INDEPENDENT AUDITOR'S REPORT TO THE BOARD OF GOVERNORS

We have audited the accompanying financial statements of Marie Adelaide Leprosy Centre (the Organization), which comprise of the balance sheet as at December 31, 2016, the income and expenditure account, the statement of changes in accumulated fund and the cash flows statement for the year then ended, and a summary of significant accounting policies and other explanatory information.

Management's Responsibility for the Financial Statements

The Board of Governors (the Board) of the Organization are responsible for the preparation and fair presentation of these financial statements in accordance with approved accounting standards, as applicable in Pakistan, and for such internal control as the Board of Governors determines is necessary to enable the preparation of financial statements that are free from material misstatements, whether due to fraud or error.

Auditors' Responsibility

Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with the approved auditing standards as applicable in Pakistan. Those standards require that we comply with ethical requirements and plan and perform the audit to obtain reasonable assurance about whether the financial statements are free from material misstatement.

An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statements. The procedures selected depend on the auditor's judgment, including the assessment of the risks of material misstatement of the financial statements, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the entity's preparation and fair presentation of the financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity's internal control. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of accounting estimates made by management, as well as evaluating the overall presentation of the financial statements.

We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our qualified audit opinion.

Basis for Qualified Opinion

The Organization, as is common with other organizations of similar size and nature, derives some portion of its income in cash from donors, which, due to inherent risk associated with cash, may not have been fully recorded in the accounting records of the Organization. Due to such reason we are unable to obtain sufficient appropriate audit evidence regarding completeness of recording of such transactions in the books of account of the Organization.

Qualified Opinion

In our opinion, except for the possible effect(s), of the matter stated in the Basis for Qualified Opinion paragraph, the financial statements present fairly in all material 'respects the financial position of the Organization as at December 31, 2016 and of its financial performance and cash flows for the year then ended in accordance with the approved accounting standards as applicable in Pakistan.

Other Matter

The annual financial statements of the Organization for the year ended December 31, 2015 were audited by another firm of Chartered Accountants who, through their audit report dated April 16, 2016, expressed a qualified opinion thereon.

Chartered AccountantEngagement Partner: Naresh KumarDate: June 06, 2017Place: Karachi


Deloitte


Marie Adelaide Leprosy CentreBALANCE SHEETAs at December 31, 2016

Mervyn Francis Lobo

Chief Executive Officer

Dr. Ruth Pfau Irshad Hussain

Members of Governing Body


Mervyn Francis Lobo




Marie Adelaide Leprosy CentreINCOME AND EXPENDITURE ACCOUNTFor the year ended December 31, 2016


Mervyn Francis Lobo




Marie Adelaide Leprosy CentreCASH FLOWS STATEMENTFor the year ended December 31, 2016

Marie Adelaide Leprosy CentreSTATEMENT OF CHANGES IN ACCUMULATED FUNDFor the year ended December 31, 2016

Mervyn Francis Lobo






Appeal:

60% of the annual budget is managed by the German Leprosy and TB Relief Association and other sundry donors and well-wishers in Europe, whereas 40% is raised through local corporations and philanthropists. In 2016, our friends have supported us with Zakat amounting to Rs. 17,711,293 which was spent on free treatment and rehabilitation of Leprosy, TB and Eye patients at the Hospital, and in medical camps conducted in Balochistan for poor communities living in remote areas.

To help continue our work, individual supporters can contribute with Zakat and Donations for one of the following:

Individuals/Corporations can adopt one of our following projects for atleast 3 to 4 years to meet its annual running cost and to ensure continuation of health services for deserving patients and communities. Project proposals are available at MALC and can be forwarded on request:

Rs. 7,000,000 for food expenses of patients admitted in Wards/Ittehad ManzilRs. 5,000,000 for purchase of TB medicinesRs. 3,500,000 for purchase of general medicinesRs. 3,000,000 to maintain Ittehad Manzil (Day Care House for Patients with Disabilities) Rs. 2,500,000 to adopt one ward in the hospital (indoor care of ulcer patients)Rs. 2,000,000 for providing IOL to deserving cataract patientsRs. 1,500,000 for running of a Leprosy-TB, Blindness Control Centre Rs. 1,200,000 for a Community Based Inclusive Development ProjectRs. 1,000,000 for upgradation of medical equipmentRs. 1,000,000 for complete health facilities of patients in MALC OPDRs. 1,000,000 to procure eye medicinesRs. 600,000 to conduct one Eye camp in remote areasRs. 300,000 to conduct one Medical camp in remote areas

Donate Rs. 5,000 to operate one cataract patient with Intra-Ocular Lense.

Donate Rs. 7,000 to cure one TB patient.

Donate Rs. 15,000 for complete treatment and rehabilitation of a Leprosy patient.

Donate Rs. 25,000 to support in the education of one Leprosy affected child,or child of a Leprosy patient for one year.

Donate Rs. 35,000 to set up a small business for a person with disabilities tolive a life with dignity.

from leprosy to community based inclusive...

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