GG Application

Global Grant Record - GG1526144
Grant Title - Human Heart Valve Tissue Bank

Status - Approved
District Number 3220 (Qualified)
OBJECTIVES
WELCOME TO THE GLOBAL GRANT APPLICATION
Your application has been assigned the reference number GG1526144 , which you can use for tracking and when communicating with The
Rotary Foundation or colleagues.
PLANNED ACTIVITIES
In a few short sentences, tell us your objectives for this global grant.
To establish the first Human Heart Valve Tissue Bank (HVB) in Sri Lanka for the cryopreservation of heart valves and
systematically supply cryopreserved valve homografts for heart surgeries for children with Congenital Heart Defects
(CHD) in Sri Lanka thus reducing the cost and increasing the number of surgeries that can be undertaken to repair CHD.
Our aim is to give these children a chance to survive to adulthood and ultimately contribute to the Economy when they
are adults.
At present a serious limitation in providing medical treatment is the availability of an adequate supply of heart valves. The
HVB will be set up in accordance to international standards.
For further information please refer www.rotarianswithaheart.org (Rotarians With A Heart . org)
Who will benefit from this global grant? Provide the estimated number of direct beneficiaries.
Children born with Congenital Heart Defects (CHD) from all over Sri Lanka who requires a heart valve transplant
(Approximately 2,500 to 3,000 children )
Under privileged Sri Lankan community that does not have the financial capacity to obtain artificial valves and who do
not have the financial strength to go overseas to do such procedures.
Which of the following activities will this global grant fund?
Humanitarian project
Humanitarian Project
Where will your project take place?

Community: Sri Lankan Children with CHD
City or Village: Entire Country
Country: Sri Lanka
When do you anticipate your project will take

place?
From:2014-11-01 Until: 2015-04-30
Outline your project implementation

schedule.
No.
Activity
Duration
1:
Setting up of the Clean Room - Civil Work of this would start in

November. Fixing of the equipment will begin once we receive the
funds from the grant. We expect around 1st week of January 2015
4 Months
Setting up of the Heart Valve Tissue Bank within the Clean Room
3 Months
2:
- Page 1 of 13 -

Status - Approved
SUSTAINABILITY
What community needs will your project address and how were these needs identified? Provide any relevant
data or survey results
In Sri Lanka for every 1,000 newborn babies, 6-8 are born with a heart defect. It is estimated that approximately 2,500 to
3,000 children are born with heart diseases every year in Sri Lanka and around 1,600-2,100 of them will need
intervention for their heart lesions. If these children are not treated in a timely manner, some of them will not live to their
first birthday and a majority will succumb before they reach adulthood. A majority of these cases are curable if surgery or
medical interventions are made available at the proper time.
Currently, more than 95 per cent of children with congenital and acquired heart diseases in Sri Lanka are treated at the
Lady Ridgeway Hospital (LRH) for Children.
In a study conducted by the Professorial unit at LRH showed that the case fatality rate among children with heart
diseases was 18 per cent within a period of one year. It further states that CHD was the second commonest cause of
deaths in the unit and unless surgical care for patients with congenital heart disease in the public sector is improved,
many such children will continue to die early due to lack of facilities.
Congenital Heart Disease (CHD) is a major killer of children and a main contributing factor to the Infant Mortality Rate
(IMR). Sri Lanka, with its excellent free public healthcare system and low infant mortality (8/100 live births), is ready to
lower IMR further by reducing deaths due to CHD.
Sri Lanka does not have a human HBV and the current practice in Sri Lanka is to use imported bovine grafts, which
costs approximately US$ 2,300 per graft (for a country with a GDP per capita of US$ 3,280 in 2013 this is a major cost).
Furthermore, all sizes of these bovine grafts are not freely available when needed. In addition they have to be
frequently replaced due to early calcification.
The best option is to use human tissue grafts harvested from cadavers as human tissue grafts last longer and can be
provided at a lower cost thus releasing funds for more free surgeries to be carried out and to save more lives.
In Sri Lanka, it is easy to obtain donors as donating body organs is considered a noble deed. For example although the
United States is the world's biggest cornea provider, sending more than 16,000 corneas to other countries (2010) Sri
Lanka, which is 15 times smaller, actually donates about triple that number of corneas per capita each year.
Detail how your project will address these community needs.
About 1,000 children undergo cardiac catheterisations every year at LRH and more than 60 per cent of these are
interventional procedures, which provide a cure for the patient. Since 2007 the surgical procedures at LRH has increased
from 300 cases per year to 900 cases per year by 2013, which includes complex congenital heart surgeries.
Unlike adult heart disease paediatric heart disease is not covered by insurance, the parents cannot afford the expensive
procedures as they are mostly newly married and have little savings after expenses such as the wedding, pregnancy and
confinement, delivery and scans.
Currently, bovine grafts are used in surgeries and they are expensive, all sizes are not freely available when needed and
have to be frequently replaced. Therefore, to supply the growing demand for human heart valves in the country, it is
essential to establish our own heart valve bank in the country.
How were members of the local community involved in planning the project? Does your project align with any
current or ongoing local initiatives?
Cardiac surgery in children was initiated by the Ministry of Health (MOH) at Lady Ridgeway Hospital (LRH) in 2007 with
two operating theatres and a 6 bedded ICU. Then the ICU was expanded to 18 beds in 2010 to accommodate more
surgeries. There are plans to increase the theatres from 2 to 4 and ICU beds from 18 to 36 to accommodate more within
next few years. This project which runs parallel to above development will provide tissue needed for increase in demand
- Page 2 of 13 -

Status - Approved
that will surely result with this expansion. It is on a national scale and the Rotary Club of Colombo Fort has been working
with the Management of LRH and the MOH in planning the project to ensure that it is very much in line with the MOHs
policy and plans.
Describe any training, community outreach, or educational programs, if applicable, and who will conduct them.
How will recipients be selected?
Once set up an awareness campaign will be carried out in collaboration with MOH and/or LRH. There will be special
emphasis to target the poorer sections of recipients.
Areas of Focus
Maternal and child health

Which goals will your activity support?
Reducing the mortality and morbidity rate for children under the age of five;Improving access to essential medical
services, trained community health leaders and health care providers for mothers and their children
How will you meet these goals?
CHD is more common than acquired disorders, affecting an estimated 3,000 newborns every year in Sri Lanka. It is one
of the most common birth defects in children, and a major contributor to morbidity and mortality in children under five
years of age. Reduce the number of deaths due to CHD by performing more surgeries using the lower cost human heart
valves, which will be harvested, preserved and made available by the HVB when required, thus releasing more funds for
more surgeries to be carried out.
How will you measure your impact?
No.
Measure
1:
Number of
children under
age 5 receiving Public records
medical
treatment
Every year
2500+
Other Lower
mortality due
to CHD (For
1300 surgeries
83 Deaths From Jan 2012
- May 2013)
Public records
Every year
20-49
Other Reduce
the number of
redo surgeries
for conduit
replacement
as homografts
last longer.
Public records
Every year
1-19
2:
3:
Measurement Method
Measurement Schedule Target
Who will be responsible for collecting information for monitoring and evaluation?
Lady Ridgeway Hospital, Ministry of Health - Sri Lanka and the Rotary Club of Colombo
Fort
- Page 3 of 13 -

Status - Approved
Participants
Primary Contacts
Name
Club
Role
Sponsored by
Serving as
Sushena Ranatunga
Colombo Fort
(Primary Contact)
Club
Host
G. Balasubrahmanyan
Madras Coromandel
(Primary Contact)
Club
International
Committee Members
Name
Club
Role
Chaminda De Silva
Colombo Fort
(Secondary Host Contact)
Isuru Gunatilaka
Colombo Fort
(Secondary Host Contact)
Name
Club
Role
Ravi Raman
Madras Coromandel
(Secondary International Contact)
Ganeshan Suppiah
Madras Coromandel
(Secondary International Contact)
No Rotarian who has a vested interest in the activity (e.g., an employee or board member of a cooperating
organization, owner of a store where project goods will be purchased, trustee of a university that a scholar
plans to attend) may serve on the grant committee. If any potential conflict of interest exists, disclose it here.
Cooperating Organization
No.
Name
Website
Street
address
or P.O.
box
Lady
Ridgeway
http://lrhHospital hospital.health.gov.lk/
Ministry
of Health
Dr.
Denister
De Silva
Mawatha
City
Country
Colombo 08
Sri Lanka
Describe your process for selecting this organization. What resources or expertise will this organization
contribute?
LRH is one of the largest paediatric hospitals in the world that provides its services free of charge. It is the tertiary care
referral centre for children with heart diseases in Sri Lanka. LRH will provide the following:
Location for the HVB;
Doctors/Surgeons/Nurses and technical staff required to operate the HVB;
Operate and maintain the HVB including meeting operating expenses;
VOLUNTEER TRAVELER(S)
No.
Name
Email
Identify the responsibilities of the volunteer traveler(s) and the specific tasks that each individual will complete.
- Page 4 of 13 -

Status - Approved
PARTNERS
List any additional partners who will participate and identify their responsibilities. This may include Rotary
clubs, Rotaract clubs, Rotary Community Corps, or individuals.
RC Colombo Fort
RC Cataraqui-Kingston Rotary Club, Canada
RC Madras Coromandal
Host District 3220
District 3230
District 3020
District 5580
District 5650
District 6000
District 6250
District 6420
District 6400
District 6600
District 6630
District 6450
District 7120
District 7150
District 7170
District 7300
District 7040
ROTARIAN PARTICIPATION
Describe the role of the host Rotarians in this activity and list their specific responsibilities.
The host Rotarians carried out initial project assessment, needs analysis, built a project budget, the initiated the project,
found funding and partners, conducted the tender process for the required equipment for setting up the HVB,
coordinated with LRH and MOH.
The Host Rotarians will also be responsible for disbursing the funds, maintaining project accounts and preparing the final
report. At all stages they will interact with the International project partners.
Describe the role of the international Rotarians in this activity and list their specific responsibilities.
The international Rotarians created awareness in their respective countries, will provide funding for the project and assist
in obtaining more partners/funding for the project. RC-Madras Coromandel shared their display booth at the Sydney
Convention 2014 with RC-Colombo Fort to create awareness of the project. They will be in constant contact with the
Host Rotarians and if possible visit the project site as well.
SUSTAINABILITY
Describe the role that members of the local community will play in implementing your project. What incentives
(e.g., compensation, awards, certification, promotion) will you provide to encourage local participation?
Local community (LRH-MOH) will provide,
The location and building for the establishment of the HVB, this will include all civil work of the HVB;
Technical assistance from Doctors/Surgeons/Nurses and technical staff required to operate the HVB;
Operate and maintain the HVB including meeting operating expenses.
Identify any individuals in the local community who will be responsible for monitoring outcomes and ensuring
continuity of services. How will you support these individuals to help them take on this leadership role?
Dr. Duminda Samarasinghe, Consultant Paediatric Cardiologist
Dr. Kanchana Singappuli, Consultant Cardiothoracic Surgeon
Director of LRH
- Page 5 of 13 -

Status - Approved
Dr. Duminda Samarasinghe, has worked with the RC-Colombo Fort from the initial stages of the project from scoping
and planning to date. Both of them have provided technical expertise and at their own cost visited other HVB in the
region (at All India Institute of Medicine to ascertain the requirement. They are also in constant communication with the
Heart Valve Bank in Oxford University Hospital in the UK and all planning is carried out as advised by the technical team
at Oxford Heart Valve Bank.
BUDGET
Select the local currency for your budget and enter the current rate of exchange to 1 U.S. dollar. Obtain the
current RI exchange rate from Rotary's website. If your country is not on the official RI exchange rates list, visit
the Oanda or Bloomberg website to obtain the current rate.
Detail your proposed expenses by adding items to the budget. Note that the total budget must be equal to the
total financing of your activity.
Local currency: LKR Exchange rate to 1 USD:
131
No.
Local cost (LKR)
Cost in USD
Biosafe
Healthcare
Equipment
Systems Pvt
Ltd, India
14,386,372.00
$109,820.00
Thermo
Fisher
Equipment
Scientific
India Pvt Ltd
24,962,967.00
$190,557.00
Biosafe
Shipping
Healthcare
Cost for
Equipment
Systems Pvt
Clean Room
Ltd, India
196,500.00
$1,500.00
4:
Government
Taxes
Equipment
4,731,358.00
$36,117.00
5:
Biosafe
Healthcare
Contingency Systems &
Thermo
Fisher
Equipment
1,182,840.00
$9,029.00
Thermo
Fisher
Operations
Scientific
India Pvt Ltd
2,353,677.00
$17,967.00
1:
Description
Supplier
Establishing
the Clean
Room
Equipment
2:
3:
6:
Warranty HVB
Equipment
Government
of Sri Lanka
Category
Total budget: 47813714
- Page 6 of 13 -
364990

Status - Approved
SUSTAINABILITY
Describe the process for selecting these budget items. Do you plan to purchase any items from local vendors?
Have you performed a competitive bidding process to select vendors? Do these budget items align with the
local culture and technology standards?
Where possible we have obtained quotations from local medical equipment agents and where required from regional
offices of medical equipment manufacturers. A competitive bidding process was carried out and we have obtained
quotes from the leading Medical Equipment Agencies in Sri Lanka and overseas.
How will the beneficiaries maintain these items? If applicable, confirm that spare or replacement parts are
readily available and that the beneficiaries possess the skills to operate equipment.
When purchasing the equipment a 5 year Service Level Agreement will be included. The MOH via LRH will maintain the
equipment.
Who will own the items purchased with grant funds at the end of the project, including equipment, assets, and
materials? Note that items cannot be owned by a Rotary club or Rotarian.
Lady Ridgeway Hospital - Ministry of Health, Sri Lanka (LRH-MOH)
FINANCING
The Rotary Foundation funds global grants from the World Fund, and awards range from US$15,000 to
US$200,000. The Foundation matches cash contributions at 50 percent and District Designated Fund (DDF)
contributions at 100 percent. The Foundation will also match non-Rotarian contributions toward a grant,
provided they do not come from a cooperating organization or a beneficiary.
To determine the World Fund match for your global grant, list all sources of funding, specifying contributions
from cash, DDF, and other sources. Non Rotarian contributions with no match from TRF can be included in the
grant financing if they are being used to purchase grant budget items. These contributions should not be sent
to TRF. Note that the total financing must be equal to the total budget of your activity.
After you have added all funding sources and the requested World Fund match, click "Save" to save your grant
financing.
#
Funding Method
Organization
Amount (USD)
Cash from club
Colombo Fort
$93,200.00
Cash from club
Madras Coromandel
$33,000.00
District Designated Fund (DDF)
3220
$5,000.00
3230
$10,000.00
5580
$5,000.00
5650
$2,000.00
6000
$5,000.00
6250
$2,000.00
6420
$5,000.00
10
6400
$5,000.00
- Page 7 of 13 -

Status - Approved
11
6600
$10,000.00
12
7150
$1,000.00
13
Cash from club
Cataraqui-Kingston
$2,500.00
14
3020
$10,000.00
15
7170
$5,000.00
16
6450
$5,000.00
17
6630
$2,500.00
18
7120
$5,000.00
19
7300
$1,000.00
20
7040
$2,500.00
21
6290
$5,000.00
DDF contributions:
86000
Cash contributions:
128700
Other contributions:
Endowed/Term gift contributions:
World Fund match maximum::
150350
World Fund match (requested):
150290
Total financing:
364990
Total budget:
364990
SUSTAINABILITY
Have you identified a local funding source to ensure long-term project outcomes? Will you introduce practices
to help generate income for ongoing project funding?
Lady Ridgeway Hospital - Ministry of health (MOH)
Authorization
Application Authorization
By submitting this global grant application, we agree to the following:

1. All information contained in this application is, to the best of our knowledge, true and accurate, and we intend to
implement the activities as presented in this application.
- Page 8 of 13 -

Status - Approved
2. The club/district agrees to undertake these activities as a club/district.
3. We will ensure all cash contributions (as detailed in the grant financing) will be forwarded to The Rotary Foundation
(TRF) or sent directly to the global grant bank account after Trustee approval of the grant.
4. Rotary International (RI) and TRF may use information contained in this application to promote the activities by various
means such as The Rotarian, the RI international convention, RVM: The Rotarian Video Magazine, etc.
5. We agree to share information on best practices when asked, and TRF may provide our contact information to other
Rotarians who may wish advice on implementing similar activities.
6. To the best of our knowledge and belief, except as disclosed herewith, neither we nor any person with whom we have
or had a personal or business relationship are engaged, or intend to engage, in benefiting from TRF grant funds or have
any interest that may represent a potential competing or conflicting interest. A conflict of interest is defined as a situation
in which a Rotarian, in relationship to an outside organization, is in a position to influence the spending of TRF grant
funds, or influence decisions in ways that could lead directly or indirectly to financial gain for the Rotarian, a business
colleague, or his or her family, or give improper advantage to others to the detriment of TRF.
Primary Contact Authorizations

Role
Name
Authorization Status
Authorization Date
Primary Contact
Sushena Ranatunga
Authorized
10/12/2014
Primary Contact
G. Balasubrahmanyan
Authorized
10/12/2014
DRFC Authorizations
Role
Name
Authorization Date
District Rotary Foundation Chair

(DRFC)
Krishnaswamy Rajendran
Authorized
30/09/2014
District Rotary Foundation Chair

(DRFC)
Shunmugam Muthu
Palaniappan
Authorized
30/09/2014
Authorization Date
DDF Authorizations
Role
District
Name
District Governor
(DG)
3220
Amirthagowri Rajan Authorized
30/09/2014
District Rotary
Foundation Chair
(DRFC)
3220
Krishnaswamy
Rajendran
Authorized
30/09/2014
District Governor
(DG)
3230
I.S.A.K. Nazar
Authorized
30/09/2014
District Rotary
- Page 9 of 13 -

Status - Approved
3230
Shunmugam Muthu
Authorized
Palaniappan
30/09/2014
District Governor
(DG)
5580
Timothy Kaminski
Authorized
30/09/2014
District Rotary
Foundation Chair
(DRFC)
5580
Roland Turner
Authorized
30/09/2014
District Governor
(DG)
5650
Brian Moon
Authorized
30/09/2014
District Rotary
Foundation Chair
(DRFC)
5650
Joseph Roberts
Authorized
29/09/2014
District Rotary
Foundation Chair
(DRFC)
6000
Calvin Litwiller
Authorized
30/09/2014
District Governor
(DG)
6000
John Ockenfels
Authorized
30/09/2014
District Governor
(DG)
6250
David Warren
Authorized
29/09/2014
District Rotary
Foundation Chair
(DRFC)
6250
Joe Ruskey
Authorized
29/09/2014
District Governor
(DG)
6420
Shannon Scheffel
Authorized
01/10/2014
District Rotary
Foundation Chair
(DRFC)
6420
Elise Cadigan
Authorized
01/10/2014
District Rotary
Foundation Chair
(DRFC)
6400
Mary Kehoe
Authorized
29/09/2014
District Governor
(DG)
6400
Elizabeth Smith
Yeats
Authorized
30/09/2014
District Rotary
Foundation Chair
(DRFC)
6600
Joseph Ludwig
Authorized
30/09/2014
District Governor
(DG)
6600
Rex Engle
Authorized
30/09/2014
District Governor
(DG)
7150
Deborah Glisson
Authorized
01/10/2014
Foundation Chair
(DRFC)
- Page 10 of 13 -

Status - Approved
District Rotary
Foundation Chair
(DRFC)
7150
Paul (PJ) Scott
Authorized
29/09/2014
District Rotary
Foundation Chair
(DRFC)
3020
Lakkaraju
Satyanarain
Authorized
30/09/2014
District Governor
(DG)
3020
Gude Mohan
Prasad
Authorized
01/10/2014
District Rotary
Foundation Chair
(DRFC)
7170
Lana Rouff
Authorized
30/09/2014
District Governor
(DG)
7170
Patricia Kriebel
Authorized
30/09/2014
District Rotary
Foundation Chair
(DRFC)
6450
Patricia
MerryweatherArges
Authorized
01/10/2014
District Governor
(DG)
6450
Nicki Scott
Authorized
01/10/2014
District Governor
(DG)
6630
Michael Davanzo
Authorized
08/10/2014
District Rotary
Foundation Chair
(DRFC)
6630
James Lechko
Authorized
06/10/2014
District Governor
(DG)
7120
Scott MacDonell
Authorized
02/10/2014
District Rotary
Foundation Chair
(DRFC)
7120
Jeffrey Krans
Authorized
03/10/2014
District Governor
(DG)
7300
Herman
Dieckmann
Authorized
08/10/2014
District Rotary
Foundation Chair
(DRFC)
7300
Robert Rupp
Authorized
06/10/2014
District Rotary
Foundation Chair
(DRFC)
7040
Elizabeth Miller
Authorized
05/10/2014
District Governor
(DG)
7040
Ariane Carriere
Authorized
05/10/2014
6290
Alfred Bonney
Authorized
29/10/2014
District Governor
- Page 11 of 13 -

Status - Approved
(DG)
District Rotary
Foundation Chair
(DRFC)
6290
Christine Etienne
Authorized
Bank Account
Bank country
Payment currency
Payment method
Pay to
Account name
Bank account number
Account Signatories
First Name
Family Name
Bank Account
Bank country
Payment currency
Payment method
Pay to
Account name
Bank account number
Account Signatories
First Name
Family Name
Bank Account
Bank country
Payment currency
Payment method
Pay to
Account name
- Page 12 of 13 -
29/10/2014

Status - Approved
Bank account number
Account Signatories
First Name
Family Name
Bank Account
Bank country
Payment currency
Payment method
Pay to
Account name
Bank account number
Account Signatories
First Name
Family Name
- Page 13 of 13 -

GG Application

Uploaded by

Copyright:

Available Formats

GG Application

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

GG Application

Uploaded by

Copyright:

Available Formats

Global Grant Record - GG1526144

Grant Title - Human Heart Valve Tissue Bank

Where will your project take place?

When do you anticipate your project will take

Outline your project implementation

Setting up of the Clean Room - Civil Work of this would start in

Global Grant Record - GG1526144

Global Grant Record - GG1526144

Maternal and child health

Measurement Schedule Target

Global Grant Record - GG1526144

(Secondary Host Contact)

(Secondary Host Contact)

(Secondary International Contact)

(Secondary International Contact)

Global Grant Record - GG1526144

Global Grant Record - GG1526144

Local cost (LKR)

Total budget: 47813714

Global Grant Record - GG1526144

Cash from club

Cash from club

District Designated Fund (DDF)

District Designated Fund (DDF)

District Designated Fund (DDF)

District Designated Fund (DDF)

District Designated Fund (DDF)

District Designated Fund (DDF)

District Designated Fund (DDF)

District Designated Fund (DDF)

Global Grant Record - GG1526144

District Designated Fund (DDF)

District Designated Fund (DDF)

Cash from club

District Designated Fund (DDF)

District Designated Fund (DDF)

District Designated Fund (DDF)

District Designated Fund (DDF)

District Designated Fund (DDF)

District Designated Fund (DDF)

District Designated Fund (DDF)

District Designated Fund (DDF)

Endowed/Term gift contributions:

World Fund match maximum::

World Fund match (requested):

By submitting this global grant application, we agree to the following:

Global Grant Record - GG1526144

Primary Contact Authorizations

District Rotary Foundation Chair

District Rotary Foundation Chair

Amirthagowri Rajan Authorized

Global Grant Record - GG1526144

Global Grant Record - GG1526144

Paul (PJ) Scott

Global Grant Record - GG1526144

Bank account number

Bank account number

Global Grant Record - GG1526144