Return on vision: Why eye health delivers one of the highest ROIs in global development

As a charitable person, wanting to know more about the return on your investment (ROI) is important and understandable. 

Of course, we are not referring to a return on investment in terms of financial benefits to you, as one would expect from a financial outlay, but rather a return on investment in terms of beneficial and positive impact from the charitable activity your donation funds. 

At The Fred Hollows Foundation, we are proud that our efforts in promoting and ensuring global eye health provides the highest return on investment in global development. And we want to explain to you why this is. 

Keeping ROI in sight with global eye health 

The Fred Hollows Foundation has been working for over 30 years throughout the world to help end avoidable blindness.  

By promoting eye health, restoring sight, and preventing avoidable blindness through education, healthcare and service, The Foundation is transforming lives worldwide. Every dollar our generous supporters contribute delivers extraordinary economic, social, and personal benefits to those people we help. 

Twelve-year-old Valentine hugs her mother, Claudine, after her eye patches are removed following cataract surgery in Rwanda – a moment that marked the start of her return to school and independence.

Photo credit: Mark Maina

Where does your eye health investment go?

The Fred Hollows Foundation works in more than 25 countries to help treat diseases such as cataract, trachoma, and diabetic retinopathy and prevent avoidable blindness in the first place. But it is not just about treatment, though. It’s about strengthening the whole health system to make it sustainable long into the future and delivering an ever-increasing return on investment. 

1. Training local health workers 

From doctors and nurses to teachers and community health workers, our programs train local eye care professionals to help disadvantaged communities around the world access high quality health care to help prevent avoidable blindness. 

2. Providing technology and infrastructure 

The Foundation also provides affordable, effective and modern health care technology and infrastructure to ensure local health clinics are kitted out to deliver high-quality care in the future.

3. Preventative screenings 

Supporting treatment for avoidable blindness is a huge part of what we do, but prevention, where possible, is even better. Eye screenings, provision of antibiotics to stop infectious eye diseases and distribution of glasses helps millions of people avoid the need for eye surgery or blindness. 

4. Expand access to treatments 

The Foundation works closely on expanding access to critical treatments for marginalised communities and underserved groups, such as women and children. This ensures that those community members who may have previously fallen through the cracks of healthcare receive the eye care they need and deserve. 

5. Global advocacy 

A large part of what our team does is to advocate for policy change and increased resourcing at national and global levels. By doing so, we are exponentially increasing the potential for positive change and impact at the highest levels to make avoidable blindness truly a thing of the past. 

Breaking down the numbers of restoring sight’s ROI 

Over the past 33 years The Foundation has restored the sight of more than 3 million people and or prevented blindness for millions more worldwide! 

The surgical team at Kwale Eye Centre, Kenya, after providing paediatric eye surgeries and follow-up care to restore sight for children in the community.

Photo credit: Michael Amendolia

In the past 15 years alone, The FHF has suported: 

• 1,556,899 cataract operations 

• 309,647 trachoma surgeries 

• 132,196,451 trachoma treatments with antibiotics 

• 5,587,258 intervention services to save eyesight 

• 904,019 glasses distributions  

Today, especially in the low- and middle-income countries where people live in poverty, 9 out of 10 of people who are blind or vision impaired don’t need to be. With the right access to health care systems and professionals their eyesight could be restored. And with that restoration comes more than just a ROI: They can pursue more education opportunities, regain independence and contribute to their family and communities more by being able to work.  

According to the recently released IAPB Value of Vision report, co-authored by The Fred Hollows Foundation and Seva Foundation, every dollar invested in eye health delivers an extraordinary $28 economic return, making it one of the most impactful health interventions globally. 

By scaling proven eye health solutions, we can unlock billions in productivity gains, improve education outcomes, and strengthen economies: clear evidence that vision is a high-value investment for sustainable development.

Eye health interventions outperform just about every other global health effort by effectively reducing poverty, boosting workforce productivity, and restoring community independence.  

Despite this significant positive impact, eye care remains critically underfunded, meaning that there is a huge amount of potential investment in spreading greater and lasting economic, educational, and social benefits for millions in lower socioeconomic countries. 

How can you make the most of your investment in eye health  

Krishna embraces his wife Mitthu and great-granddaughter Renish after his cataract patch is removed at Tilganga Nijgadh Community Eye Hospital, marking the return of his sight.

Photo credit: Michael Amendolia

You can make all the difference to transforming the lives of those living with avoidable blindness through your support of The Fred Hollows Foundation.  

Philanthropy - You can make a one off or monthly donation or join our group of major gifters as a charitable trust, foundation or Private Ancillary Fund (PAF) and ensure highly transformational vision economic returns. 

Gift in your Will - You can ensure a return on your investment even when you’re gone by leaving the Foundation a gift in your Will. 

Fundraise - You can help to spread the word about the work we do and the incredible eye health return on investment. 

Workplace giving - You can instigate workplace giving programs so that your colleagues can help make a difference in the lives of millions around the world. 

Or you can explore the many other ways to support our work, such as by volunteering.