Twenty-five years ago, a group of doctors, visionaries and entertainers created the Seva Foundation, hoping to make the world a little bit better. This is our report. The Seva Foundation 25 Years of Service Since 1978 your donations of more than $60 million have helped… Two million blind people see again, through operations performed by Seva partners in India, Nepal, Tibet, Cambodia and Tanzania… Thousands of Indigenous People in Guatemala and Chiapas deliver healthy babies, drink clean water and learn to read and write… Native American communities throughout the United States reclaim their health and culture. Thank you. Our thanks to an anonymous and generous donor for underwriting the full cost of this publication. Not a single dollar was diverted from our programs to produce this report. Seeing and Believing 25 Years of Service Executive Director’s DEAR FRIENDS OF Greetings SEVA, One-quarter century ago, my wife and I wrote an article about our life in a Himalayan monastery and our work for the World Health Organization eradicating smallpox in Asia. We concluded “Death for a Killer Disease” with an appeal for support of international health programs in places where life is brutal, death comes early, and helpless parents watch their children sicken, die or go blind from diseases that should hold no mystery for modern public health. Readers were moved and mailed us money. We called a meeting of friends and colleagues to discuss how to best use this windfall and agreed to form an international health organization. I wanted to call the new organization “Seva” because that Sanskrit word means “Divine Work” or “Service to God.” We were shy about such a lofty name at first, so we hedged our bets with a double entendre and called ourselves: “S.E.V.A.: Society for Epidemiology and Voluntary Assistance.” Influenced by the many cases of smallpox-caused blindness we had seen in India and by the zeal of Drs. Nicole Grasset and G. Venkataswamy, we decided that blindness prevention and cure would be our first project. Since then, Seva has been supporting projects and hospitals that have given back sight to more than two million blind through low cost or free surgery and public health ophthalmology. But we’ve also grown to include diabetes prevention in Native American communities, where diabetes-caused mortality rates are four times the national average. And in Chiapas, Mexico and Guatemala, our community self development programs have helped thousands of Indigenous Peoples to drink clean water, read, write and deliver healthier babies. Today, after 25 years of service, it is time to make a report to the Seva community of workers, donors and friends.What you have in your hands is that report, paid for entirely by one very kind anonymous donor who wanted to make sure the Seva story did not go untold. It is a story that still moves me, and a story that brought me back as acting executive director to help take Seva to the next level. As you look through these inspiring pages, I invite you to not only share the satisfaction in 25 years of service, but also to join with me as a co-conspirator for the years of service to come: to plan, fund, and implement the next 25 years of Seva. With much love, Larry Brilliant, MD, MPH 2 | Seva Foundation Co-founder and acting Executive Director Seva Foundation Guiding Principles WE AFFIRM | both the rational and the intuitive in all our work. WE RESPECT | the spiritual and cultural roots of individuals and communities in helping them to create sustainable solutions. WE SEEK | long-term solutions that will support economic independence while remaining committed to methods that are environmentally sound. WE PROMOTE | solutions to problems that come from within individuals and communities. This principle is inherent in Seva’s concept of self-reliance. WE LISTEN | attentively to the people with whom we work and to each other. This kind of listening deepens intercultural understanding, allows lasting relationships to develop, and brings wholeness to our work. WE ARE | flexible in responding to the changing needs and conditions of the people and programs we help. WE FOLLOW |their lead in establishing goals and setting schedules. Basic Human Needs (a Song for One String by Wavy Gravy) Wouldn’t it be neat If the people that you meet had shoes upon their feet and something to eat? And wouldn’t it be fine if all humankind had shelter. Chorus (Repeat after each verse): Basic Human Needs Basic Human Deeds Doin’ What Comes Naturally. Down in the Garden Where No One Is Apart Deep Down in the Garden The Garden of Your Heart. Wouldn’t it be grand if we all lent a hand so each one could stand on a free piece of land? And wouldn’t it be thrilling If folks stopped their killing And started in tilling the land? Not just churches, not just steeples give me people helping people. Help yourself and work out ‘til the stars begin to shout thank god for something to do. What a great day it would be if everyone could see and no one was blind unnecessarily ‘cuz its hard yes, it’s hard to be blind (and disabled). Wouldn’t it be fun if the shine down from the sun could power everyone? And uranium slept forever in the ground. Wouldn’t it be daring if folks started sharing instead of comparing what each other was wearing? And wouldn’t it be swell if people didn’t sell their mother Earth. Lyrics by: Wavy Gravy Wavy Gravy and Ram Dass Seva’s Evolving Vision FO R INTERNATIONAL HEALTH & DEVELOPMENT S eva supports people around the world in their efforts to build healthy communities. Seva’s programs, spanning many cultures and countries, share certain fundamental principles: Serving the Under-served: Our programs serve people who have been economically, politically, or otherwise marginalized. We change our program approach to relate to their culture and circumstances – reaching out in very different ways to nomads in Tibet, women in Tanzania or Indigenous Peoples in Guatemala. Our aim is to bridge the gap between our donors and people around the world who have the fewest resources. Building Healthy Communities: Seva embraces an expanded concept of health, recognizing that spiritual and cultural renewal, economic self-sufficiency, and basic civil and human rights are as important to well-being as a visit to the doctor. Promoting Sustainability: Seva’s programs foster selfreliance and aim to reduce dependence on outside assistance. In the communities where we work, we share skills and technology appropriate for local conditions, assist local d e c i s i o n - m a k i n g, a n d h e l p launch projects that will become financially self-sufficient. This transfer of knowledge enables communities to care for their own, now and into the future. Working Through Partnerships: Seva forms long-term partnerships with those we serve. By developing close relationships with local organizations and community leaders, we build trust, mutual respect, and cultural understanding. We honor the ability of communities to define their own needs and devise their own solutions to the challenges they face. Mission S TAT E M E N T Seva builds partnerships to respond to locally defined problems with culturally sustainable solutions. 25 Years of Service |3 Sight Programs 25 Years of Innovation in Blindness Prevention F or twenty-five years, Seva has developed innovative, sustainable eye care programs to prevent blindness and restore sight to people around the world. With its early partners in Nepal and India, Seva created a highly successful, high-volume approach to providing quality eye care in developing countries. In 1981, Seva’s team of Drs. Larry and Girija Brilliant and Dr. Suzanne Gilbert spearheaded the Nepal Blindness Survey – the first such study to document the causes and prevalence of blindness in a developing country. Seva also pioneered the use of affordable medical supplies in modern eye surgery, enabling even the poorest patients to receive sight-saving care. In recent years, Seva’s blindness prevention work has expanded through new eye care partnerships in Tibet, Cambodia, North India and Tanzania. Seva helped provide clinical training to thousands of local eye care workers, and supports centers of training in India, Nepal and Tibet. In addition, Seva plays an active role in Vision 2020: the Right to Sight – a global initiative to save 100 million people from going blind during the next twenty years. Looking ahead, Seva will devote increasing energy and resources to eye care for women and children. Each year, a staggering number of children go blind – every minute a child somewhere in the world loses sight. The majority of blind children die within a few years of becoming blind, usually from the condition that caused the blindness. To launch our child vision initiative, Seva is funding a program in South India, working with 45,000 children to gather critically needed data on childhood blindness. Women are at the greatest risk of blindness. Expected to take care of family needs before their own, women are the last to receive the eye care services they need and all too often lose their sight to preventable causes. Seva addresses women and children’s eye care needs through programs that integrate eye care into primary health care, promote school screening, provide education and outreach, and train eye care workers in the special needs of women and children. 4 | Seva Foundation Dr. G. Venkataswamy, MD INDIA Dr. V is a I founding board member of the Seva Foundation and founder of Aravind Eye Hospitals in India. For four decades, he has dedicated himself to the fight against blindness. He pioneered eye camps as a model for blindness prevention and treatment, and personally performed over 100,000 successful eye surgeries. Under his leadership, Aravind has grown into a network of five eye hospitals and an international community ophthalmology training institute. Dr.V has received numerous international awards for his remarkable lifetime of service to humanity. He remains a guiding force on the Seva Advisory Board where he continues to inspire us with his vision of a world free of blindness. n 1976, Dr. G. Venkataswamy turned his former home in Madurai, India into an 11-bed hospital. Now the largest eye care institution in the world, Aravind provides over 200,000 cataract surgeries and more than a million eye exams each year. Aravind gives highquality, affordable, community-oriented eye care to all. Its innovative financial structure allows fees from one-third of paying patients to subsidize services for the two-thirds who cannot afford the costs. In addition to supporting the hospital, Seva helped Aravind establish an institute that now trains doctors, hospital administrators, and other eye care specialists from all over India and other parts of Asia and Africa. Seva continues to send experts to strengthen and expand the range of services and courses offered by Aravind. Seva also arranged the transfer of technology that enabled Aravind to establish a manufacturing unit, Aurolab, which makes eye care supplies affordable to eye care programs in over eighty countries. In North India, Seva recently initiated a partnership with the Sadguru Netra Chikitsalaya Eye Hospital in Chitrakoot, Madhya Pradesh State, where training is focused on microsurgical techniques, expanding outreach services, and improving refraction facilities. In one year, with Seva’s assistance, the hospital increased the number of cataract surgeries, improved the quality of its surgery, and increased the number of paying patients. Working in partnership, Seva and the Aravind Eye Care System are helping this 300-bed hospital develop into a technological center of excellence for eye care for northern India. 25 Years of Service |5 Amar Deuja, MD N E PA L Dr. Amar Deuja S is Director of Lumbini RanaAmbika Eye Hospital in Nepal, which was founded in 1985 by Seva and its partner, NNJS, in the populous Lumbini Zone. The program has grown to become self-sufficient financially and now includes the base hospital, six rural clinics, and an active community program. Under Dr. Deuja’s guidance and with Seva’s support, the Lumbini hospital is establishing a rural training institute for all levels of ophthalmologists, allied eye health professionals, managers, and other eye care workers. The hospital currently performs over 25,000 eye surgeries per year. 6 | Seva Foundation ince 1978, Seva’s partnership with the Government of Nepal, the World Health Organization and a dozen international organizations has helped create one of the most comprehensive eye care programs in the world. Initiated by Dr. Nicole Grassett, a Seva founder and leader in smallpox eradication efforts in Asia, the program broke ground in 1981 with a comprehensive survey of blindness. Among the study’s landmark findings: cataract, and not an infectious disease, was the leading cause of blindness in Nepal. Growing from 1,000 cataract surgeries in 1978, Nepal’s eye centers now provide more than 100,000 surgeries and more than 850,000 outpatient services annually. Seva continues to work primarily through support of the Nepal Eye Health Education Unit, which provides training programs for primary health care workers, pharmaceutical retailers, female community health care volunteers, and traditional healers throughout Nepal. In addition to the national program, Seva established and supported an eye hospital in the populous Lumbini Zone of Nepal. Since 1985, this program has become one of the most successful models of high-volume quality eye care, providing over 25,000 cataract surgeries and serving over 200,000 patients a year. Its fee structure, developed by Seva, enabled the program to become self-sufficient within a year, with a small proportion of paying patients covering the costs of those who are indigent. TIBET Chundak Tenzing, MD, MPH Newly named T ibet has one of the highest rates of blindness in the world, caused mostly by cataract. Providing adequate eye care to Tibet’s impoverished and widely dispersed population is a real challenge. For seven years, Seva has been working with the Tibet Development Fund, the Public Health Bureau and hospitals and doctors throughout the region. Through these partnerships, 10,000 people have received eye care. Seva has also trained local cataract surgical teams and supported 25 eye camps. the Medical Officer for Seva’s sight programs, Dr. Chundak Tenzing has been a driving force behind Seva’s program expansion from Nepal into Tibet. An ophthalmologist of Tibetan origin and a Nepali national, he brings the expertise of a cornea specialist to our work and is well regarded for Our overall goal in Tibet is to build a sustainable, affordable eye care infrastructure that is available to everyone. The results of the first-ever blindness survey, supported by Seva, are being used to develop an eye care program to address the most urgent needs of Tibetans. his surgical skills. As a trainer In 2002, Seva sponsored a historic eye care planning workshop in Lhasa – the first of its kind in Tibet – with eye care personnel from throughout the country. The resulting ten-year cataract blindness prevention plan calls for developing an eye care system, increasing the number of patients – especially women and children – and facilitating greater communication among eye care workers. Seva’s model program will screen and treat patients, and provide optical services or referrals to other specialized eye care programs. Dr. Tenzing has just completed a and a program planner, he is a visionary, and has stewarded the expansion of Seva’s projects. Masters Degree at Johns Hopkins School of Public Health. He is also a gifted poet, inspired by his life’s work. 25 Years of Service |7 Paul Courtright, DrPH, MPH TA N Z A N I A Dr. Paul Courtright A has collaborated with Seva for ten years, most of this time as the director of the British Columbia Centre for Epidemiologic & International Ophthalmology. The Centre designed The Tibet Eye Care Assessment, which provided vital information for Seva’s work in Tibet. When Dr. Courtright and his wife, Dr. Susan Lewallen, decided to return to Africa to establish a center for community ophthalmology, Seva was one of the first organizations they turned to for support in addressing the blindness prevention needs on the continent.They now direct the Kilimanjaro Centre for Community Ophthalmology at Tumaini University in Moshi,Tanzania. 8 | Seva Foundation frica has the most significant gap in eye care of any continent in the world. There are not enough eye doctors to meet the need for eye care and treatment. Training of skilled local staff is the only solution. Seva is responding by helping to establish the Kilimanjaro Centre for Community Ophthalmology – a rural training center for eye doctors and community workers in Tanzania that will serve the East Africa region. With support from Seva, the center has begun training of ophthalmology residents, nurses, and medical officers and will expand its communitybased programs. It is also reaching out to women, who are most at risk of blindness because they do not have access to care. Reducing blindness will continue to be a huge challenge in Africa for many years, due to the shortage of trained personnel, lack of eye care systems, an aging population and barriers to access. The overall goal of Seva's work in Tanzania is to create an African model of training that will prepare eye health workers not only to provide quality care but also to address these obstacles. P. Balakrishnan, Ph.D. CAMBODIA W ith over 225,000 blind people and only four trained ophthalmologists, Cambodia desperately needs more qualified eye care workers. For four years, Seva has been working with the Cambodian National Eye Care Program to sponsor activities that promote eye health. We have provided basic training for eye doctors and initiated a blindness survey in Battambang and Siem Reap, which were major areas of Khmer Rouge violence under Pol Pot. In addition, Seva is sponsoring three Cambodian doctors for ophthalmology training; they will complete their studies and return to practice in Cambodia in 2005. Seva has also provided fellowships for medical personnel to study quality eye care services in Nepal and India. P. Balakrishnan, Ph.D. is the Managing Director of Aurolab, an Indian non-profit established with Seva’s help. Over the years, Seva has facilitated several technology transfers to Aurolab that have enabled it to produce intra-ocular lenses (IOLs), sutures, and other supplies. Aurolab’s pricing has also created a downward shift in the cost of IOLs by other manufacturers selling in developing countries, making quality cataract surgery more generally affordable. Aurolab, under Dr. Balakrishnan’s leadership, has received international acclaim for its accomplishment in bringing affordable and greatly needed medical technology to poor people in developing countries. Soon, Seva will train eye care professionals who will assume leadership roles at the National Training Institute for Ophthalmology. With our in-country partners, we will expand child sight programs in the under-served northwest region of Cambodia. The establishment of a pediatric eye clinic at a local children’s hospital and launch of child eye education programs are also being planned. And by 2008, Seva-sponsored optical shops will dispense eyeglasses.With long-term partners in Nepal, India and Canada, Seva will play a significant role in addressing the eye care needs of one of the world’s poorest countries. 25 Years of Service |9 Community Self-Development Guatemala/Chiapas F or seventeen years, Seva has supported the Indigenous Peoples of Guatemala and Chiapas, Mexico, helping these communities address the causes and effects of poverty, exclusion, and injustice. Seva first became involved in Latin America by providing assistance to the Guatemalan refugees in Chiapas and Campeche who fled the violence of the 1980’s. Struggling for basic survival, refugees received water, food and shelter through Seva support. During the peace process, Seva volunteers and staff accompanied the first refugee communities on their return to Guatemala, maintained a continual presence for their security, and assisted them in the arduous task of rebuilding their communities. This year, Seva changed the name of its Chiapas-Guatemala program to “Community Self-Development” (CSD) to reflect the program’s core work and position it for regional expansion in the coming years. “Self-development” means that the community organization defines, directs and oversees its projects, with Seva providing resources and training. In keeping with our broad vision of community health, Seva not only trains health workers, it also helps the community address the vital issues of cultural survival, economic sustainability, and environmental protection. “It is very important for us to have a relationship like the one Oxlaju has with Seva. Seva understands our needs today and helps us meet our own needs for the future. The recovery of Maya Q’eqchi’ culture instills pride in our youth today and forever.” Mariano Poob Cuz, Program Partner, Guatemala 10 | Seva Foundation Alejandra Alvarez To equip the community to address these issues, Seva prepares its leaders. These are poor and frequently illiterate farmers who may walk six hours to receive training in representing their communities and securing funding for their projects. Seva guides the community in creating an organizational structure and planning process and funds selected projects. For most communities, the highest priorities are projects to build potable water systems, train health promoters and midwives, build schools and roads, organize and educate women and girls, establish weaving cooperatives, and preserve culture and tradition. In 1998, Seva began a five-year process of working directly with the Maya Q’eqchi’ people of the Petén region of Guatemala. One example of Seva’s success is Oxlajú, the leading Q’eqchi’ association of the Petén. Oxlajú has responded to community needs for potable water systems, land legalization processes, training for health promoters and midwives, and many other community projects. In 1986, Alejandra Alvarez began her work with Guatemalan refugees in Chiapas, helping them market their crafts in the European Union. Alejandra Alvarez (right) with Sarah Vaill She also helped develop a support program that provided education, health care, housing, and nutrition for children and nursing mothers. Her family background, a blend of Indigenous and European, help inspire her long-term commitment to indigenous communities that face overwhelming economic difficulties and political oppression. “I’ve learned to travel between two worlds and am learning to see myself for what I am: a mixture, someone who had to learn her own identity and in the process support her people. Their struggle also involves the need, not often expressed in words, to be themselves and regain their pride and identity as members of their own – nearly destroyed – culture.” 25 Years of Service | 11 “Seva provides humanitarian services in some of the poorest areas of the world with the commitment of caring, compassion and competence.” Larry Schwab, MD, Author of “Eye Care in Developing Nations” 12 | Seva Foundation S eva wo r k s w i t h g r o u p s that specifically promote and assist indigenous women. Participants attend workshops to build self-esteem and t o l e a r n ab o u t wo m e n ’s rights, domestic violence, and micro-enter pr ise projects. Empowered by these new ideas and skills, these women are increasingly becoming leaders and decision makers in their communities. In the coming years, the Community Self-Development Program plans to expand its services for community organizations and broaden its work to include projects in other parts of southern Mexico and Guatemala. Seva’s approach brings lasting changes to the lives of indigenous communities in their struggle to survive. Seva: Seeing and Believing 25 YEARS 1978 Seva Foundation files Articles of Incorporation “to fund, develop and administer projects and activities in developing countries and the U.S. for eradication and control of epidemic and endemic diseases, and the general improvement of health as defined by the World Health Organization (WHO).” or twenty-five years Seva has been helping to restore sight to millions in Asia and supporting programs that reclaim and sustain indigenous cultures throughout the Americas. Looking back at the faces, programs and events, we feel a deep sense of gratitude to each of you. Through your support, you have shaped Seva’s growth and helped it reach out in service to people around the world. F 1979 Founding Board Meeting, Waldenwoods, Michigan. 1980 Seva initiates and conducts WHO Nepal blindness program, the first-ever national survey of blindness in Nepal. 1981 April 25 - “Sing Out for Seva” concert organized and hosted by Wavy Gravy with Country Joe McDonald, Kate Wolf, Rosalie Sorrels, Odetta and members of the Grateful Dead • Native American seed grant to Women of All Red Nations (WARN) in South Dakota We are proud to share Seva’s history and eager to forge its future. Please join us for the next twenty-five years of service and adventure. 1982 Seva Service Society incorporated in Vancouver 1983 Groundbreaking Nepal Blindness Survey completed • First grant to Chiapas for Guatemalan refugees • First “Eye Ball” fundraising event • Free ward funded at Aravind satellite hospital 1984 Seva begins to pay salary for Dr. Dhital and purchase medicines for Lumbini Eye Care program • Supports development of community health clinic on Cheyenne River Reservation 1985 “Cowboys for Indians” concert – proceeds to WARN • Guatemala refugee relief • Ram Dass “Celebrating Spirit Through Service” tour #1 heralds the first sign-up for local Seva groups 1986 Gifts of Service catalog initiated • Groundbreaking of Brotherhood Clinic on the Pine Ridge reservation in South Dakota 1988 Brotherhood Community Clinic completed • Aravind operates 3 hospitals with 1200 beds 1992 “Blues Against Blindness” concert • Aurolab intraocluar lens (IOLs) used in cataract implant surgeries • Esalen Institute Music Festival to benefit Seva Native American projects FOUNDING MEMBER Ram Dass A founding member of Seva and active on its Board until 1994, Ram Dass has been spiritual friend, advisor, and teacher to many in the greater Seva family, including tens of thousands who heard him during his marathon cross-country Seva benefit tours. Exploring the relationship between service and spirit, compassion and action, and personal growth and social change, Ram Dass, at Seva meetings and on stage, asked the questions that continually re-awakened what he calls “living spirit” in the day-to-day lives of many. 1993 Alianza invites Seva to accompany first group of Guatemalans returning home from Mexico • “Musical Reunion of Old Friends” with Crosby, Stills and Nash • Lumbini Hospital, with 75 beds, opens in Nepal 1994 First Jaguar volunteers accompany Guatemalan refugees, Lumbini Eye Care Program revenue exceeds operating expenses. 1995 Blindness program into Tibet initiated by Seva with the Tibet Development Fund • Eye camp conducted in Dharmasala, India with Tibetan Delek Hospital staff and blessings of His Holiness the Dalai Lama 1996 Native American diabetes project initiated with seed funds from Foundation for Dreamers • “Summit on Ethics and Meaning” co-sponsored in Washington, DC 1998 National Institutes of Nursing Health award five-year grant to Native American Diabetes Talking Circles • “Sing Out for Seva” concert • Oxlaju, Guatemala funding commences 1999 Comprehensive survey of blindness conducted in Tibet • Cambodia sight program initiated 2000 Oxlaju completes three water systems in the Petén region of Guatemala 2002 Seva chosen as one of only two organizations to represent scores of international blindness organizations on the Vision 2020 Task Force • Tibet blindness survey findings made public • Tanzania sight program initiated 2003 Program offices opened in Chiapas, Mexico and Battambang, Cambodia • Marra Foundation grant to CSD • Co-Founder Larry Brilliant returns as acting Executive Director for Seva’s 25th anniversary “W ith Seva’s help we continue to improve the quality of life of the population by increasing the capacities of community health leaders. We see health as a result of social, economic, cultural and political conditions in which we live.” Dr. Carolina Salazar Oxlaju, Guatemala “S eva is hope, motivation and light. HOPE for those who suffer. MOTIVATION for those making headway. And LIGHT that illuminates our work for health, life and peace.” “S eva volunteers bring much more than specific skills. They bring a mindset and a systematic approach to work, which greatly enhances the impact of their technical know-how. We welcome people who will devote their skills and caring hearts to this challenge.” Dr. G. Venkataswamy Hugo Icú Perén Program Partner Founder and Chair, Aravind Eye Hospital Native American Programs Preserving Native Communities & Culture for Future Generations F or two decades, Seva has partnered with Native Americans working to rebuild and sustain their communities after centuries of devastation. Fundamental to Seva’s work in these programs is the recognition and support of Native Americans’ right to self-determination. These programs are directed and staffed by Native Americans, and provide support to rural and urban Native communities throughout the United States. Native Americans have the lowest life expectancy rate of any ethnic group in America, suffer shocking levels of poverty, and have the worst health outcomes of any population in the U.S. Seva’s role is to help bring resources to Native Americans as they devise their own initiatives for building healthier communities. Seva’s efforts are divided into two broad program areas: a small grants program for community initiatives directed by Native peoples, and a diabetes program to help combat the current epidemic of this disease among Native Americans. GRANTS PROGRAM For twenty years, Seva’s Native American Grants Program has supported hundreds of Native community initiatives with grants ranging from $100 to $10,000. Grants are made in areas of health and wellness, cultural preservation, environmental protection, community development, education, and treaty rights protection. Seva ensures that support is given where it will have the greatest impact in the community. We also provide technical assistance to Native organizations by linking them to resources and giving feedback about their proposals. Most grants are awarded on a one-time basis, but the program also provides three-year continuing grants to help build the long-term capacity of selected Native American organizations. 25 Years of Service | 13 Lorelei DeCora, RN Lorelei DeCora, a Native American nurse, has been involved with Seva since she first asked for help in establishing the Porcupine Clinic on the Pine Ridge Reservation in 1982. A few years ago she was moved by a compelling vision to return to her own Winnebago tribe to begin work on diabetes prevention. She heads Seva’s Diabetes Wellness Program, which receives requests for training and assistance from tribes throughout the U.S. Lorelei has received the Robert Wood Johnson Community Health Leadership Award, serves on the American Indian Workgroup of the National Diabetes Education Program at the Centers for Disease This program provides one of the very few sources of non-governmental funding available to Native communities, often sponsoring innovative projects that are unable to access other sources of support. Many Native projects that received seed funding from Seva have grown to make an impact on their community far beyond the scope of the original grant. Seva will continue to support Native Americans as they devise solutions to the challenges that face their communities. Control and the National Institutes of Health. Lorelei has been awarded the William Kunsler Award for Racial Justice. DIABETES WELLNESS PROGRAM In 1996, at the request of Lorelei DeCora, a Native American nurse and community leader, Seva established the Diabetes Wellness Program to respond to the alarming epidemic of Type 2 diabetes. Mortality rates among Native Americans are four times the national average. Recognizing that conventional health interventions have failed to stem the tide of diabetes devastating Native Americans, Seva’s Diabetes Wellness Program offers a Native solution designed to be culturally sensitive to the core values, beliefs, traditions and practices common to Native peoples. The Diabetes Wellness Program honors the spiritual beliefs held by Native Americans and relies on culturally-based ceremonies and traditions to bring about meaningful, healthy and lasting change in the lives of participants. 14 | Seva Foundation In a three-year joint partnership with the Center for American Indian Research and Education, funded by the National Institute of Nursing Research, Seva tested a “Talking Circles” model as a tool in diabetes education among Native American adults. As they learned more about their disease, program participants dramatically improved their blood sugar levels by reclaiming a more traditional diet and exercising. At the request of many Indian tribes, Seva plans to share this model with Native communities across the U.S. Training in the “Talking Circles” model will be provided to tribal and community organizations, Indian Health Service personnel, and employees of federal and state penitentiaries. Seva will also continue to fund community gardens, tribal bison herds, traditional foods education, and exercise equipment in Native American communities through our Diabetes Wellness Program. The small grants and diabetes programs address issues critical to Native Americans and respect the spiritual and cultural context of their communities. Seva plans to support significant growth in these programs in response to the enormous need and in recognition of its unique expertise in this area. While Seva Foundation supports partnerships with many underserved communities in distant parts of the globe, through this program, we also place a high priority on addressing health inequities closer to home. 25 Years of Service | 15 Ways to Support Seva Compassion in Action V olunteers have always played a crucial role in Seva’s work. From ophthalmologists performing sight-restoring cataract surgeries, to the epidemiologists conducting blindness surveys, to nurses, management consultants, graphic designers, envelope stuffers, telephone answerers, information technologists, writers and editors – volunteers sustain Seva programs. “It is not enough to be Volunteer opportunities abound at Seva. For current volunteer openings, please visit our website at www.seva.org, call us at 510.845.7382, or email [email protected]. compassionate. Thank you. Without you, there would be no Seva. You must act.” Tenzin Gyatso, 14th Dalai Lama “Local development and implementation is a constant theme that comes across when working with Seva, and it has been a privilege to be a part of this important process. We all, medical professional or otherwise, locally and globally, play an important role in supporting hospital management and local program sustainability, enabling the continuation of eradicating blindness throughout Nepal.” Kay Timms, volunteer “Nat” Natalya Maura Santangelo, MD, FACS, MPH Natalya lives on a farm in Colorado where she cares for 23 chickens whose eggs she sells. She was inspired by both her mother and Thich Nhat Hahn to share, Natalya and decided to donate some of her egg money to Seva because “they really bring people together from around the world.” Natalya’s donation helps teach reading and writing to indigenous Guatemalans and restore sight in Asia. Dr. Maura Santangelo first volunteered her ophthalmologic skills in Nepal in 1991 and was so inspired that seven years later she retired from private practice, completed a degree in Public Health, and as a volunteer, helped guide Seva’s Sight Programs. She and her husband, Larry Schenk, recently completed a 500-mile pilgrimage on the Camino de Santiago in Spain to benefit Seva’s indigenous communities programs. 16 | Seva Foundation Maura sees patients in Tibet Music To Our Eyes SEVA CONCERTS For the past twenty-five years, the incomparable Wavy Gravy has produced over twenty concerts to support Seva. For a complete list of artists who have donated Wavy Gravy with Bob Weir their time and of the Grateful Dead. talent, see the Artist section of the Donors List pull-out. Bonnie Raitt and Jorma Kaukonen Seva Contribution WAYS TO GIVE Gifts of Service For the Holidays and Year ’Round Through Gifts of Service, Seva’s catalog of giving, you can make the most meaningful gifts on the planet! For holiday seasons, birthdays, weddings, mother’s day, father’s day, memorials, thank-yous, tributes – remember the catalog year ’round. Circle of Sharing Join our circle of dedicated Seva donors who pledge a year’s commitment and pay monthly by check or credit card. These donors make compassionate service a way of life. Donations of Planned Gifts At the heart of our work are the wonderful donors who have made Seva part of their long-term financial plans. They support Seva by making outright gifts, gifts of stock, bequests, trusts, or gifts of property and other assets. If you are interested in exploring the benefits of a planned gift, please contact us. “We at Aravind, and the patients who have been treated successfully by us, are thankful for the support of Seva. Seva has helped thousands of people enter into a new life.” Dr. G. Natchiar, Aravind Eye Hospital, India 25 Years of Service | 17 Since 1982 Seva Canada Society Martin Spencer, MD, FRCS E stablished in 1982, Seva Canada Society is a non-profit organization based in Vancouver. During the past twenty years, Seva Canada Society has built a broad base of support among Canadians from coast to coast. Our principal activities abroad, in collaboration with the Seva Foundation, focus on sight restoration and blindness prevention in developing countries, particularly Nepal, India and Tibet. Seva Canada Maggie Westhaver, Society receives its primary support from the Canadian Executive Director Seva Canada Society International Development Agency and through the Tibetan Voices project, which offers books, posters, and an annual calendar. “Whether measured in millions of eyes restored to sight, healthy communities in Central America, or Native Americans reclaiming their health and traditions, Seva Foundation has Marty Spencer and former board co-chair, boona cheema had an enormous impact on innumerable lives in many parts of Now and in the future, Seva Canada will continue to support sight programs and will always be on the look-out for unique opportunities to enrich the world we live in. Seva itself is a gift, an opportunity to express our compassion through the miraculous gift of sight. Congratulations to Seva Foundation on your 25th anniversary. the world. Equally important is the mindful way in which the work is carried out. I consider myself blessed to know many people in the Seva circle, and to have learned so much from them about the spirit of part- “Seva brings capacity to see the whole cultural process of economic nership in compassionate service. Congratulations, Seva Foundation, on 25 years of miracles!” renewal. We take the time to deepen our relationships in order to build a vision of sustainability that supports both spirit and culture.” Cesar Díaz, Board Member 18 | Seva Foundation 25 Years of Service | Seva Foundation Board &Staff CHAIR OF THE BOARD ADVISORY BOARD Jahanara Romney Wahhab Baldwin John Bennett Peter Buckley Mirabai Bush Terrance Carlson Gary Cohen Ram Dass Athena Desai Paul Haible Michael Jeffery, JD Neal L. Keny-Guyer Glen Dune Lankard, Jr. David Levine Maria Mangini, FNP, CNM, Ph.D. Sunanda Markus Alan Morinis P. Namperumalsamy, MD Pauline Pariser, MD Marina Rifkin Hans Schoepflin Martin Spencer, MD, FRCS Beverly Spring, MD R.D. Thulasiraj Mark Tilsen Linda Velarde EXECUTIVE DIRECTOR Lawrence B. Brilliant, MD, MPH BOARD OF DIRECTORS Dennis Bowen, Sr. Girija Elaine Brilliant, Ph.D., MPH Lawrence B. Brilliant, MD, MPH Sally Crane Cesar Díaz Wavy Gravy Jerry Jones T. Stephen Jones, MD, MPH Yvette Joseph-Fox Mary LaMar Leland E.G. “Lee” Larson Nipun Mehta Stephen D. Miller, MD Doraiswamy Nagarajan G. Natchiar, MD Sailhamo Samang Jahanara Romney Maura Santangelo, MD, FACS Isaac Sobol, MD, CCFP, MHSc. G. Venkataswamy, MD, FACS Bob Weir Nedd Willard, Ph.D. Agnes Williams HONORARY AND EMERITUS Nicole Grasset, MD G. Venkataswamy, MD, FACS Ram Dass STAFF Alejandra Alvarez Heng Bunthoen Bishnu Choudhary Shravan Choudhary Linda Coiner Parami Dhakwa Tashi Dhargye Sonam Dradul Beth Goldberg Ram Prasad Kandel, MPH Cherie LaPointe Peter Lull Phong Eddie Luu Lois Moore Deborah Moses Priscilla Ndlovu Paul Paz y Miño Vann Ratana Jessica Schmidt Amy Sherts Niki Smith Ruth Tamura Kunga Tashi Chundak Tenzing, MD, MPH Jennifer Temple Dechen Tsering, MPH Alexa Wilkie, MHS CONSULTANTS Lorelei DeCora, RN Suzanne Gilbert, Ph.D., MPH David Green, MPH Tamara Klamner Michael Zap PHOTO CREDITS Jay Blakesberg, Larry Brilliant, Geoff Bugbee, Paul Courtright, Rameshwar Das,Terence Ford, Brian Harris, Jon Kaplan, Paul Paz y Miño, Mary Pember, Maria Porter, Jahanara Romney, Galen Rowell, Amy Sherts, Martin Spencer, Dechen Tsering 25 Years of Service | 19 Special Acknowledgments Seva Foundation Financials S ince Seva’s founding, our supporters have contributed over $60 million for sight-restoring eye operations, diabetes prevention, community development and other projects to strengthen communities and improve health. Today Seva Foundation operates with a $3.5 million annual budget. As we’ve grown, we’ve maintained our commitment to keep administrative costs low. Audited financial report available on request. Program Expenses vs. Administrative Overhead 1978-2003 60,000,000 50,000,000 16% Admin. FUNDS 40,000,000 30,000,000 20,000,000 10,000,000 84% 84% Program 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 YEARS 23 24 25 4,000,000 3,500,000 3,000,000 2,500,000 REVENUE 25 years of Executive Directors Larry Brilliant, MD, MPH John Friedl, Ph.D. Suzanne Gilbert, Ph.D., MPH James O'Dea Jahanara Romney Amy Somers Mary Kay Sweeney Marianne Zebrowski Revenue History 1994-2003 25 years of Seva Board Chairs 2,000,000 1,500,000 1,000,000 500,000 0 1994 1995 1996 1997 1998 YEAR 20 Twenty-five years ago, Larry and Girija Brilliant wrote an article about their work eradicating smallpox in Asia. In response to that article, people sent in $20,000, which became the seed money to start Seva. Two of the people who made the first grants Seva ever received were Steve Jobs and Bob Friedland. In the early years, Seva was entirely a volunteer organization run out of the Brilliant’s spare bedroom in Chelsea, Michigan. Early board members we gratefully acknowledge include Ram Dass, Mirabai Bush, Dan Goleman, Nicole Grasset, Wavy Gravy, Michael Jeffery, Steve Jones, Sunanda Markus, Alan Morinis, Danny Rifkin, Bev Spring, Lama Surya Das, Dr. G. Venkataswamy, Bob Weir, Carole West, and Nedd Willard.The early staff included Judy Gallagher, Suzanne Gilbert, David Green, Ravi Khanna, and Marianne Zebrowski. Sir John Wilson, founder of the Royal Commonwealth Society for the Blind, was an early inspiration, as were Nicole Grasset, the entire Aravind family, Neem Karoli Baba and His Holiness the 16th Karmapa. We thank the many kind staff and volunteers who have served over the past 25 years as Board Chairs and Executive Directors. | Seva Foundation 1999 2000 2001 2002 2003 Girija Brilliant, Ph.D., MPH Larry Brilliant, MD MPH Mirabai Bush boona cheema Gary Cohen Ram Dass Michael Jeffery, JD Jerry Jones Steve Jones, MD, MPH Jai Lakshman Sunanda Markus Jahanara Romney Maura Santangelo, MD, FACS Linda Velarde I honor the place in you where the entire universe resides, I honor the place in you of love, of light, of truth, of peace. I honor the place within you where if you are in that place and I am in that place in me, there is only one of us. Ram Dass is a founding member and a well-loved friend of Seva’s Cover photograph reprinted with gratitude to and in memory of Galen and Barbara Cushman Rowell. We thank them for so many unforgettable Seva images Seva Foundation 1 7 8 6 Fi f t h S t re e t Berkeley, CA 94710 510.845.7382 www.seva.org For our Canadian friends, contact: Seva Canada Society | 100-2000 West 12th Avenue, Vancouver, BC V6J2G2 | 604.713.6622 | www.seva.ca
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