ORBIS International is a nonprofit organization that works in developing countries to save sight. ORBIS prevents and treats blindness through hands-on training, public health education, improved access to quality eye care, advocacy and partnerships with local health care organizations. It works in some of the world’s most under-served areas to deliver sight by strengthening local eye care institutions, training staff, introducing ophthalmic technology, advocating for supportive policies and increasing public awareness about eye health. Since1982, ORBIS has carried out programs in 92 countries, enhanced the skills of more than 325.000 eye care professionals and provided treatment to more than 23.3 million blind and visually impaired people. As part of ORBIS’s broad-based capacity building program, the organization works with carefully selected local partners on projects typically lasting at least three years. These partners include hospitals, health centers, universities and training centers, local NGOs, eye banks and government health departments. To provide such a vast array of capacity building programs over an ever-increasing terrain, ORBIS relies on an active pool of roughly 500 volunteer faculty members to provide clinical and technical expertise at local hospitals as well as onboard it’s Flying Eye Hospital — a one-of-a-kind ophthalmic surgical and training center located within a DC-10 aircraft. ORBIS uses volunteer pilots from FedEx and United Airlines to transport the Flying Eye Hospital from one destination to the next. The ORBIS Flying Eye Hospital is the result of a unique and lasting alliance forged between the medical and aviation industries. Their specially designed and converted DC-10 aircraft—the world’s only airborne ophthalmic training facility—makes it possible for ORBIS to bring ophthalmic training to communities throughout the world. On board and in local hospitals, the ORBIS team and Volunteer Faculty provide hands-on training to local eye care professionals and convey the latest medical knowledge to treat patients and restore sight. 
Website: http://www.orbis.org/
The flying hospital
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Listening matters: poor people are not mere beneficiaries
Clinical psychologist Adrien Cascarino writes on how empowerment requires a high dose of self-confidence, which is undermined when individuals are regarded as mere beneficiariesAdrien Cascarino C. is sitting in her house, anemic, tired-looking, and emaciated. Her 3 malnourished children, a 3-year-old son and two-year-old twin daughters, are sleeping, with rashes all over their skin and worms in their bellies. None of them have ever seen a doctor, they are mostly staying at home. Are they living in a remote area, too far from any potential support? Or maybe health treatment is just too expensive? They are in Vitas, Barangay 105, Tondo, a slum of Manila, capital of the Philippines. The place is reached by non-governmental organizations (NGOs) and public services. In fact, there is a free feeding program just 10 minutes away from C.'s makeshift house. Walk 10 minutes more and there is the Vitas Health Center, which offers free medicine and check-ups. You have 3 options on how you view people like C.: 1) You can either take the easy path and say "poor people are lazy, they don’t make the effort to solve their issues, that’s actually why they are poor." 2) You can take the middle and think that "poor people lack knowledge; we need to educate them and make them understand what are the right actions and decisions to make.” 3) And finally, you can consider C. as a person, someone as smart as you. Throw away ready-made answers and try to understand what’s actually happening in C.'s situation. Demotivation ATIA, an NGO founded in 2008, chose the 3rd path, assuming that socio-economic exclusion results in – rather than from –lack of self-esteem, lower cognitive functions, and consequently, very poor agency. Instead of telling C. to do what would feel right for us and therefore confirming her inability to properly raise her children by herself, we should take the time to know her, her story, and her dreams. We need to decipher her words, like this odd sentence that blurted out of her lips the first time we met: “Gusto ko lumabas pero hindi ko alam paano (I want to go out but I don’t know how)." Originally from Davao, C. migrated to Manila in hopes of eventually becoming a caregiver overseas. She believed that she could complete her training in the city and land a contract that would take her elsewhere. But by the time she completed her training, she had run out of funds. She ended up wandering the streets until she met N., who then became her partner. C. and N. live in the slums of Tondo. She had 3 children and started staying at home, waiting for N.'s P100 to P150 pesos daily income from scavenging. She felt alone and disempowered. After 9 months of weekly visits from the psycho-social counselors trained by ATIA, and hired by Enfance Foundation, a partner’s organisation of ATIA, C's family received treatment from the local health center. C. also finally met her neighbors and started looking for a job. The psycho-social counselors established a relationship with C. and N., seeing them as intelligent human beings capable of deciding what is best for themselves and their family. Not just bodies There are a dozen other stories like C.'s; tales of teenage parents, kids growing up with violence, and young Filipinos who stopped believing in the goodness of themselves and of others. Unfortunately, taking time to talk with poor people is still not considered a priority by many. Getting funding to do just that may also be difficult. Many organizations, however, have already shifted their views from merely treating poor families as nothing but mouths to feed to considering them as minds to educate. While this change is definitely an improvement, it still does not remove the condescending and paternalistic tone attached to these programs. This mindset is saying that “there is no point in listening to poor people, we just need to give or teach them what they need and they will get better.” Some people will not accept such help because they think they don’t deserve it, or because they don’t think anything can really change. Others will accept assistance and get better, but would then wait for another benefactor. Why? Because dole-out approaches don’t really improve their self-esteem or their agency. ATIA’s experience shows that by simply conversing and establishing relationships with marginalized families, we are helping them better understand their history, issues, and resources. This can make them feel in control of their life. We need to address physiological and psychological needs at the same time, not just one over the other. Empowerment requires not only a healthy body and an educated mind, but also a high dose of self-confidence, which is hampered when we consider individuals as mere “beneficiaries.” Adrien Cascarino is a clinical psychologist Clinical psychologist Adrien Cascarino writes on how empowerment requires a high dose of self-confidence, which is undermined when individuals are regarded as mere beneficiaries
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