Who 2019 Vision Report highlights accessibility remains our biggest challenge to alleviating preventable vision impairment. There are extreme inequalities in distribution of eye care providers, surgeon, and non-surgeons among developing nations and within nations. Sub-Saharan countries are in the worst shape with only 2.5 ophthalmologists per million population. Forty-five percent of the blindness are due to cataracts. The Latin American countries although fair better with 5.2 ophthalmologists per hundred thousand, the intra country distribution inequities negate the impact of higher availability. In Guatemala 20% of least developed parts of the population only concentrated 2% while 75% of the ophthalmologists are concentrated in developed part of the population. There are thousands of volunteer surgeons who travel far to help perform surgeries and even though it helps many thousands, we have focus on finding sustainable solutions. We, at Adarsh Charitable Foundation strongly believe in supporting locals. Our pilot program in Belize is already bearing fruits. Two of our optometry students are now back in Belize and serving their communities. We are hoping that with your support we will be able to extend this program to other small pockets in Latin America and Sub-Saharan countries.