A Project Proposal: Shri Jalaram Arogya Seva Trust Hospital
A Project Proposal: Shri Jalaram Arogya Seva Trust Hospital
A Project Proposal: Shri Jalaram Arogya Seva Trust Hospital
FOR
SETTING UP A MEDICAL COLLEGE,
A MULTIPURPOSE COMMUNITY
HEALTH CENTRE WITH SATELLITE CENTERS &
COMMUNITY HEALTH AWARENESS
PROGRAMMES,
SUBMITTED
BY
E-Mail - Shreejalaramhospital@yahoo.com
Visit us on – shreejalaramarogyasevatrust.com
Introduction:
Shri Jalaram Arogya Seva Trust Hospital & Reasearch Centre, situated at Meghraj
drains about 4000 villages sub servicing a population of about 15 million people.
Due to this patients are not able to get the necessary treatment in time, partly because of
ignorance and poverty ,because of proper facility. Looking to these conditions, the
institute felt a need for such a hospital.
Shri Jalaram hospital has at its disposal last 12 year a successful expense for
administering the general hospital. The Jalaram Hospital run by the trust gives instant
and good medical treatment at a very nominal rate of 10/- registration fees and 100%
free to the backward people of aadiwasi regions of the Meghraj Malpur, Bhiloda and,
Modasa talukas in addition to those from nearby Rajasthan state. Thus ,the hospital has
been a reliable option and blessing for the person receiving this type of treatment. Our
hospital has been a rendering immediate medical treatment in the case of female disease,
maternity treatment, instant accidental treatment, minor or major operation, heart attack,
treatment for the burnt patients, vaccination, stones and kidney treatment for the last 12
years.
All the trustees of this institution posses high educational qualification. The President of
the institution himself is the doctor having experience of 20 years as a medical
Practitioner and by establishing this Shri Jalaram Hospital, Meghraj.
The proposed project cost is about Rs. 7,37,22,83,239.00 may take about three years for
its completion. The detailed project report is enclosed herewith for appraisal.
Shree Jalaram Hospital is situated in a full tribal backward and un-irrigated area where
the main source of income of the people living there is only from the monsoon agriculture
or by selling the forest products or causal labour work. In a surround 100 kms. Area
from Meghraj, there is no any industry or any employment . In short, the patients taking
benefits under the project are very socially and economically backward and they are
backward tribal people with ancient customs and physically weak. The people of all age
shall get benefits of this hospital.
Administrative Details.
1) Name & Address of the Organization: Shri-Jalaram Arogya Seva Trust Hospital
At & Po Meghraj, Ta Meghraj
Dist. Sabarkantha
Gujarat
Phone: ( 02773) 244878/245031
Email: shreejalaramhospital@yahoo.com
Board of Trustees
Project Summary.
This proposed project is to upgrade the existing Community Multipurpose Health Centre,
run by Shri. Jalaram Arogya Seva Trust at Meghraj, with additional health departments
Departments and Centers for providing paramedical Courses. This is also to set up a
Medical College , three Satellite Health Centers , to launch 25 medical Mobile Vans
and also to initiate Programmes for creating Health Awareness in the rural areas of
Sabarkantha and Panchamahal districts of North Gujarat, and neighboring villages of .
Dugarpur district in South Rajasthan.
Presently the Trust is running a Community multipurpose Health centre with number of
superspeialiy departments such as;
1) Surgical Departments
2) Gynecology Department
3) Medical department
4) Pediatric department
5) Ophthalmic Department
6) 24 hours Emergency and Causalities
7) X-Ray
8) Sonography-2
9) ECG-2
10) A.C Operation Theatre with Anesthetic Trolley-2
11) ICU/ICCU/NICU
12) Pediatric Incubator , Warmer, Phototherapy unit and Nebuliser
13) Ambulance Service
14) Laboratory
15) & A medical Store.
We have a very reputed past service history in providing various health services to the
rural people of the area through our community out reach programmes, rural medical
camps and also through the base hospital established at Meghraj which is a taluka place
in the Sabarkantha district of North Gujarat also areas bordering to Madhyapradesh
and Rajasthan. In order to strengthen the ongoing programmes by scaling up the
existing programmes we are planning to upgrade the existing Hospital with required
infrastructure and modern machineries and equipments. Though our service has
benefited scores of the rural mass of the area, still there is an urgent need to set up
system to reach all the un reached population of the area which has very limited access
to quality health services. People of the area mentioned in the ongoing paragraphs have
to traverse a long distance for a simple health check up especially for child and maternity
health problems. Vaccination and prevention of Chronic Disease has also take strategic
position in this proposed project. Ultimate aim of the project is to provide quality health
services at one
Gujarat state has 27 districts with physical area of 19600 sq.kms and a total population
of 5, crore It has a density of 173 persons per sq. km. Its growth rate (1971 - 81) of
population is higher (28 %), compared to all India average of 25. The Scheduled Caste
population constitutes 7 per cent, and Scheduled Tribes 14 percent of total state
population.
In a country like ours, the substantial size of the population coupled with inadequate
resources and apathy to awareness has worsened the health of the average Indian. For
creating an accommodative and reciprocities health care structure, the government
needs to allocate 6% of our Gross Domestic Product (GDP), towers health services,
whereas we have been consistently allocating under 3% of the GDP in the budget. Thus
there is a huge gap between the need and what exists on ground. For the rural population
of Sabarkantha, panchamahal and neighboring districts of South Rajastahn.
Shri Jalaram Arogya Seva Trust is one of the leading NGOs in Gujarat , contributing
significantly towards helath care service in the region. In the coming the current
financial year we had set up an ambitious target for setting up a world class Community
health centre to provide quality health services to the rural poor people of the mentioned
areas
. Of the total population of these districts, 70% is that of adivasis. The main adivasi
groups residing in Sabarkantha, panchamahal and Dungarpur districts are of Bhils,
Garasias and the Dungri Garasias who are concentrated in four talukas of the district,
namely, Khedbrahma, Vijaynagar, Bhiloda, and Meghraj.
JAST - works predominantly in the north and northwest regions of Gujarat which have a
harsh climate: saline land and groundwater with frequent droughts. As much of
agriculture is rainfed, yields are unpredictable. Following the Green Revolution, India
witnessed a boost in agricultural productivity. However, the main beneficiaries remain
large farmers who, with larger land holdings and irrigation facilities, are better
positioned to take advantage of economies of scale, new technologies and multiple
cultivation seasons. Small and marginal farmers and landless agricultural laborers have
been left out. They have little or no land, less knowledge and access to innovations and
technology, minimal capital or access to credit and no bargaining power. With few links
to the markets in which their products are sold (or in the case of landless labourers, to
alternative wage or self-employment), they are forced to rely on large farmers and
middlemen.
i) This proposed project will set up Three Satellite Health Centers respectively in all the
above mentioned Three districts ( Sabarkantha, Panchamahal and Dungarpur Dsitrict)
to facilitate our Community Based Health Care Programmes. The Centers will
have fulltime Health attendants to meet emergencies and will have well connected
communication channels with the Base Hospital at Meghraj.. The Centers will be
equipped with all required equipments and a mini Operation Theaters. Round the clock
Mobile Medicare services will be also provided through these Centers. All causalities
related to Cardiology, Gynecology, Eye Diseases, and Pediatric will be attended in the
Centers. Specialist from the Base Hospital will continuously visit these centers and
facilitate the services.
ii) Another Major activities projected through this proposal is to expand the existing
Hospital building into a 500 bedded full-fledged State of Art Community Multipurpose
Health Centre providing all kinds of super special health services, It is also to furnish
and equip all the existing department with modern medical equipments, apparatus and
machineries .It has also been planned out to construct addional buildings to start new
medical departments , hostels for working staff including medical officers and nurses.
Following are the proposed departments for upgrading with furnishing and equipping;
1. Surgical Departments
2. Gynecology Department
3. Medical Department
4. Pediatric Department
5. Ophthalmic Department
6. 24,hours Emergency and Causalities
7. X-Ray
8. Sonography
9. ECG
10. A.C Operation Theatre with Anesthetic Trolley
11. ICU/ICCU/NICU
12. Pathology Laboratory
13. A medical Store.
14. Dental Unit
15. Physiotherapy Centre
16. Orthopedic department
17. Thalassemia Sickle Cell Department
18. Prenatal diagnosis centre
19. Blood Bank
20. Pediatric Incubator , Warmer, Phototherapy unit and Nebuliser
21. )Ambulance Service
iii) Third Component of the Project will be to start various medical camps in the remote
villages including Medical Mobile Vans. 25 medical mobile vans are planned out to be
launched at various villages . each van will cover a total of 40 villages per month . These
mobile van will have qualified medical doctors, social workers, counselors and
pharmacists. The proposed van will in two shifts.in the morning shift it can visit one
village and in the afternoon it can visit another village which is closer to the morning
one.Each unit will cover a minimum of 8000 patients of per month and thus can serve at
least 96000 patients per year. 200 patients can be examined and treated in one villages in
a shift and thus through 25 of such units a total of 11,52,000 patients cab be examined
ant treated per year. The proposed vans will be launched in three above mentioned
districts.
THE ORGANISATION (Background with financial Status and Work Experience )
Background :
Trust is a voluntary organization established with a motto of serving the disadvantaged
and impoverished strata of the society in the northern districts of Gujarat. Our agency
has a very good past reputed services history in providing quality health care services
both through the base hospital established at meghraj and also through the community
based health out reach programmes. Though Gujarat rank second position in per capita
income in the country also 7th place in the developmental, the gap between the haves
and have notes take strategic position among all the planners and implementers and is a
major concern today.
Dreams of a well developed society with balanced rural and urban growth have been one
of the major objective of jalaram arogya seva trust and during the last 15 years we have
achieved those miles stones targeted philanthropically. This tremendous ongoing waves
of inductions has set up a bench mark for our trust to undertake programmes which is
expected to improve the health status of the rural people of Sabarkantha, panchmahal,
and Dungarpur district of South Rajasthan.
Our contribution for reducing the backlog in the region is being well appreciated by
loacal communities as well as Government departments.
Objectives of four Organization.
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To fulfill the said objectives, shri jalaram arogya seva trust has been activity involved in
the empowerment process through various government/non government programs and
empower grassroots communities through value based process.
Methodology
Shri jalaram arogya seva trust has adopted a process oriented methodology for
concerted development efforts which comprises of five basic steps as shown below :
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8. PROJECT DURATION
The time line for the completion of the project is three years from the date of
commencing. Proposed Medical Mobile cans will continue operating even after three
years. All the medical institute, courses, and departments will be set up and would be
operational permanently.
9. Need for various medical Intervention
a) Ophthalmic Care programmes
NEED FOR INTERVENTION IN REDUSING THE BACKLOG
OF
CATARACT, IN GUJARAT.
In Gujarat at present as on the previous survey done by Gujarat state ophthalmic cell,
there are 5lac persons blind with both eyes and out of these 68% are due to cataract.
Hence in Gujarat there is a backlog of about 3.4lac blind persons having cataract. It is
estimated that in Gujarat there is an addition of 1lac cataract cases every year.
At present 1.02 to 1.5lac cataract operation are being performed every year, since last
four year, which includes significant contribution from help age India too. Thus for
Gujarat it is not difficult to control blindness within 3 to 5 years by setting up priorities
and increasing efforts to perform 2.5lac cataract operations every year.
In Gujarat about 60% of the workload are being performed by NGOs. It is there for very
essential that maximum avenues should be explored to support the noble endeavors of all
the NGOs, which are playing a significant role in reducing the prevalence of blindness in
the state of Gujarat. Shri Jalaram Arogya Seva Trust as a pioneer NGO has also played
a vital role in reducing the backlog of cataract, by ay of performing an average of 5000,
cataract surgeries every year in Gujarat. Our strategic plan for implementing the
ophthalmic care programmes covers, the entire north Gujarat and south Rajasthan
scaling up of our programmes is entirely depends on the availability of the funds.
PROBLEMS/ISSUES STATEMENT
The problem of blindness is complex because of its gigantic size, multiple cause, shortage
of trained ophthalmic personnel and rural urban imbalance of the available scare
resources. The survey conducted by Government of India with the help of WHO during
1986-89 revealed the prevalence of blindness in Gujarat at 1.44%
Government efforts in control of blindness are supplemented by voluntary organizations-
Non-government organizations. In Gujarat the NGOs are playing vital role in control of
blindness. They are actively involved in education activities preventive measures
rehabilitation programmes as well surgical services in the community for control of
blindness in Gujarat. Blindness is the most significant economic and social burden on the
affected individual and society, it is therefore very essential to priorities setting up of
infrastructure not only in urban centers also semi urban/rural based.
People with visual problems at villages, just not interested to take any preventive
measures for preventing the progress of the eye diseases or to prevent occurrence of it.
This is mainly due to various reasons such as;
Reasons Percentage
1. Not aware of disease 37.1
2. Nearby Facility for treatment is 1.0
Not available within 30kms
3. Does not care for treatment 56.7
4. Superstitious 1.3
5. Family cannot afford 3.9
9b) Thalassemia and Sickle Cell Prevention Programmes. ( Need For Intervention)
Thalassemia major is one of the disease which is include and has no medicine available
for. This disease is genetically driven for children from their parents, if both of them are
Thalassemia Minor. Thalassemia Major children hardly lives for 10 to 15 years and they
require frequent blood transfusion. Since there is no medicine or treatment available to
save the affected persons, it is found very significant to prevent from inheriting this from
their parents by avoiding marriages between two Thalassemia minors.
Thalassemia can be prevented by pre-marital blood tests ans awareness programmes.
Ew are organizing both blood test and awareness camps at free of cost. Each test cost us
around Rs. 350.00 plus staff salary, cost of Documentation and use of our existing
infrastructure. Department of education government of Gujarat has made this test
compulsory for all schools and colleges in Gujarat. Despite of the financial constrains,
our performance graphs in the past have been always high.
Thalassemia is life threatening disorder like cancer, aids, and hepatitis but it lacks social
awareness, which leads to a further increase in its spread. An estimated 250 million
people in the world suffer from Thalassemia. One major difference is that it is
preventable by an inexpensive test. The test costs only Rs. 320.00 per person ans results
in saving Rs.30,000, of treatment cost annually in india alone. We are working for a
“Thalassemia Free World” for this; we have started a model project in Gujarat. While
Thalassemia affects up to 4-5% of the people. 40 million Indian suffer from Thalassemia
and 10000 new case are added every year.
There are two types of Thalassemia; Minor and major. Thalassemia Minor is a carrier
state and the people affected lead a perfectly normal and healthy life. It is not s disease.
Yet Thalassemia major is fatal, afflicting children of parents who are both hemoglobin,
leading to a gradual failure of orguns. In the absence of treatment the child dies within 1
to 8 years of age.
Treatment comprise of monthly or bi-monthly blood transfusions. This has to be coupled
with the injection of iron chelating of iron chelating drug for 8 hours at a stretch,
minimum 5 nightcap week. In spite of all efforts, it is not a permanent cure and child does
not survive beyond the age of 20. It is equivalent to fighting a lost battle. Besides tha
financial burden, the diseases takes a heavy psychological toll on the family, despite of
the staggering treatment cost; the child’s life cnnot be extended beyond a few years.
9 c) Need for Medical Mobile Vans and conducting other proposed medical
Camps
In a country like ours, the substantial size of the population coupled with slow paced
economic growth has worsened the health of the average Indian. For creating an
accommodative and reciprocative health care structure, the government needs to allocate
6% of our Gross Domestic Product (GDP), towards health services, whereas we have
been consistency allocating under 3% of the GD pint he budget. Thus there is a huge gap
between the need and what exists on ground. Jalaram Seva Trust supplements and tried
to fill in the gap through the mobile Medicare units with the objective of alleviating
hardship and suffering of the disadvantaged rural population and their families living in
rural and urban area. Access to basic health service to all the people of the project of the
mentioned district irrespective of their cast, religion or creed is the basic Moto of this
project, which is expected to provide health services at the door step of the people, which
would be a boon to he bed ridden, people with restricted mobility, poor and socio
economically backward persons, and millions of rural poor women and children
including pregnant ladies and elderly population.
CORPUS FUND :-
We need 100 cr. As a corpus fund. We want to treat each and every poor patient totally
free of cost. i.e. those who are living under below poverty level ( Rs. 18,000/- year
income ). If we deposit Rs. 100 cr. In the bank @ 8% Rs. Interest we will get Rs.
80,00,000/- month. We will use this rupees towards the free treatment.
While doing the analysis of the beneficiaries who have received the medical treatment
and services during last 12 years from our Shri Jalaram Hospital that 895patients were
the tribal people. While 11% beneficiaries were of general category. Out of 100%
patients of all categories, 63% patients were having less than Rs. 18,000/- income per
annum per family and therefore they have obtained all facilities free of charges and
other patients have been provide the facilities at a very low and affordable rate.
Budget
A ) for organizing various medical camps and health awareness camps, prevention ant treatment of
Thalassemia and Blindness.
Type of Total No. of Target Population Cost of IOl surgeries with Total Cost
Camps villages to be break upIn Rs.
covered in
three districts
1a ) 1246+ 100 per village publicity 50.00 60,34,60,000.00
Ophthalmi 510+ 2743 x 100 = food 150.00
c 987 = 2743 2743100, IOL transport 150.00
Camps Villages Surgeries medicines 750.00
staff 600.00
spectacles 50.00
IOL 450.00
2200.00
1b ) 2743 300 students per Cost per test : 20 7,40,61,000.00
Refraction village 200 senior Medicine : 30
eye citizen per village Spectacles
Check up 500 x 2743 Pre biopic &
1371500 for Long vision : 40
Eye test : 90
10% for
spetacles 1371500 x 50 =
Rs.68575000
10% for refraction glass
137150 x 40 = Rs. 5486000
445
2b ) 2743 3% of the total High profile liquid 15,83,94,190.00
Thalassem population Chromatography :
ia and Panchamahal 185
Sickle Cell ( 2,025,277 ) Complete blood count
prenatal Sabarkantha ( CBC )
blood test 2083416 : 100
for Dungarpur Sickle cell
pregnant ( 1823680 ) ( Solbility Test ) :
ladies and 5932373 75
their 3% = 177971 Blood collection system
husbands 177971 x 2 ( E D T A CBD Vaccutainer
355942 : 35
IEC Materials
: 30
Fuel and Administrative :
20
445
2743 x 2 =
5486 x Rs. 15000 avarage
6c ) Other 2743 3 per villages 2,88,01,500.00
Try-cycles :
Disability tricycles
3000
Aids
Calipers :
800
Wheel chairs :
2000
Average :
3500
2743 x 3 = 8229 x 3500
7a ) health 2743 5932373 Culture programmes 2,74,30,000.00
awareness Documentry Films
prgramme Pupet shows
s Dramas and street plays
Hand bills, posters and
phamletes
Approx cost per village =
Rs. 10,000 x 2743 villages
Sub Total 2,77,31,39,089.0
0
B 1. Estimated construction cost of medical College & Hostels ( Non-recurring
expenditure )
Proposed Location of the Proposed construction Estimated construction
Satellite Medical Centers area/built up area cost in Rs.
1 Boys Hostel Block No. 1 15220SQ.FT-Ground 4,87,04,000.00
Floor
15220SQ.FT- First
Floor
15220SQ.FT-Second
Floor
15220SQ.FT- Third
Floor
2 Boys Hostel Block No. 2 15220SQ.FT- Ground 4,87,04,000.00
Floor
15220SQ.FT- First
Floor
15220SQ.FT- Second
Floor
15220SQ.FT- Third
Floor
3 Central Library Building : 9420SQ.FT-Lower Level 75,36,000.00
9420SQ.FT-Uper Level
4 College Building 22150SQ.FT-Ground 8,86,00,000.00
Floor
22150SQ.FT- First
Floor
22150SQ.FT- Second
Floor
22150SQ.FT- Third
Floor
Rs. 1000 SQ FT
5 Girls Hostel Block No. 1s 15220SQ.FT-Ground 4,87,04,000.00
Floor
15220SQ.FT-First Floor
15220SQ.FT- Second
Floor
15220SQ.FT- Third
Floor
6 Girls Hostel Block No. 2 15220SQ.FT-Ground 4,87,04,000.00
Floor
15220SQ.FT-First Floor
15220SQ.FT- First
Floor
15220SQ.FT- First
Floor
7 Kitchen and Dinning Hall 6150SQ.FT-Ground 1,47,60,000.00
Block Floor
6150SQ.FT-First Floor
6150SQ.FT- Second
Floor
8 Staff Quarter 12500SQ.FT-Ground 45,00,00,000.00
Floor
12500SQ.FT-First Floor
12500SQ.FT- Second
Floor
12500SQ.FT- Third
Floor
900 per SQ FT
9 Warden Office 1100 SQ.FT- Lower 16,72,000.00
Level
990 SQ.FT- Upper Level
Sub total 75,73,84,000.00
Sn No Particulars Cost-per month for Cost per Anuum For Three yrs
all the 25 units
1 Purchase of Medical 10 lacks x 25 ------------------- 2,50,00,000.00
van with insurance units=
coverage and Road 2,50,00,000.00
Tax
2 Cost of medicine 40,000 per unit per 1,20,00,000.00 3,60,00,000.00
month
3 Administrative cost 5000 per unit per 15,00,000.00 45,00,000.00
month=
Rs.1,25,000.00
4 Staff salary 25xRs.60,00,000.00 1,80,00,000.00 5,40,00,000.00
25 medical Officers 15,00,000.00
5 Salary of Drivers Rs.6000x25 18,00,000.00 5,40,00,000.00
25 nos 1,50,000.00
6 Salary of pharmacist Rs.8000x25= 24,00,000.00 72,00,000.00
25 nos 2,00,000.00
7 Salary of social Rs.15,000.00x25= 45,00,000.00 1,35,00,000.00
workers 3,75,000.00
25 nos
Total 19,42,00,000.00
Budget Summary:-
Total 737,22,83,239.00