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A Study of Imports and Exports in India
A Study of Imports and Exports in India
SUBMITTED
BY
Mr. KUMARESAN.K
2013271018063
2022 - 2023
1
CERTIFICATE
This to certify that the project report title “THE STUDY OF INFRASTRUCTURE
carried out the internship project work under my supervision during December 2022 to March 2023
Date:
Place:
2
DECLARATION
I KUMARESAN.K, Register No: 2013271018063 final year under Graduate student of the
Department of Economics, Ramakrishna Mission Vivekananda College, Chennai, hereby declare that
CHENNAI” is an original work done in partial fulfillment for the award of degree in Bachelor of
I further declare that it had not been previously submitted for any reward of any degree,
DATE:
3
ACKNOWLEDGEMENT
Dr. T. Jagathesan, Principal and Head, Dr. A.Selvaraju, Head of the Department, P.G, and
research Department of Economics, Ramakrishna Mission Vivekananda College, for his sincere
Department of Economics, Ramakrishna Mission Vivekananda College, for his valuable guidance
I take this grand opportunity to express my everlasting thanks to the Professors Dr. X.
Vincent Jayakumar, Dr. T.Chandramouli, Dr. V. Raju, Dr. K.Chandrasekaran, Dr. T. Raghu,
Dr.S.K.Prakash, and Dr. A.Kasirajan for their valuable teaching and continuous encouragement in
This project report is an output of valuable contribution from certain people and I take this
opportunity to specially thank to all the people concerned who made my project work reality. Above
all I thank the ALMIGHTY GOD who showered me with all his blessings to accomplish this project.
PLACE: CHENNAI
DATE: KUMARESAN.K
4
CHAPTER
PAGE NO.
NO. DESCRIPTION
1 7-17
INTRODUCTION
THEORETICAL
3 BACKGROUND 22-25
4 DATA&ANALYSIS 26-49
55-59
BIBLIOGRAPHY
5
THE STUDY OF INFRASTRUCTURE
IN GOVERNMENT HOSPITAL
WITH SPECIAL REFERENCE TO
CHENNAI
6
CHAPTER-1
INTRODUCTION
INTRODUCTION
7
As the city of Chennai falls under seismic zone III, the structure is designed to
be quake-resistant. A framed structure with pile foundation is used in the
superstructures. The tower blocks are constructed with structural glazing,
aluminium composite panel cladding and Novakote finish.
The total plinth area of Tower Block I is 31,559 square metres and Tower
Block II is 33,304 square metres. The ground level is raised up to 1.40 metres
(4'7") to avoid water stagnation and to allow gravity flow of rainwater. Each
tower block has three staircases and eight lifts and the building has a ramp with
access to all floors. A separate fire-escape staircase and garbage disposal lift are
found at the rear side of the building. Construction of an eight-storey block to
house 23 outpatient departments began in August 2016 at a cost of ₹ 1014.5
million. It will add to the hospital an additional 432,000 square feet when it is
opened in July 2019. The new block will have four bed-cum-passenger elevators
and four passenger elevators
The building has a 1,000 KVA generator with automatic main failure
panel. An air-conditioning plant caters to the needs of operation theatres, ICUs,
IMCUs,[clarification needed] blood bank and special wards. A digital EPABX
system has been installed with battery power backup.
The hospital has 52 operation theatres, besides intensive care units and
post-operative wards. The hospital requires around 1,400 cubic metres of
oxygen a day, which is supplied through 1,052 outlets using cylinders. The
hospital consumes around 300 oxygen cylinders every day
The hospital was the first government-run institution in the state to install
a tank to store liquid oxygen. The tank, with a capacity to hold 13,000 litres of
8
oxygen, would cater to the needs of the entire hospital when it becomes
operational. The tank has been installed in the space between Tower Block 2
and the old cardiology block. The tank, costing ₹ 4 million, has been built free
of cost by Inox Air Products, which supplies the gas to the hospital. A full tank
will ensure that supply will last for 5 days
As of 2013, there were 231 beds for various ICUs at the hospital
including for poly trauma, orthopaedics, medical emergencies, poison, surgical,
cardiology, neurology and geriatrics. An additional 15 beds for cancer ICU has
been planned along with the commissioning of a linear accelerator for precise
radiation therapy.[14] In 2018, an integrated laboratory facility in the hospital
was officially sanctioned to provide "seamless lab services
Infrastructure must integrate the hospital, as the centre for acute and inpatient
care, into the broader health care system,1 and should facilitate the seven
domains of quality – patient experience, effectiveness, efficiency, timeliness,
safety, equity and sustainability. Infrastructure includes the built environment
and supporting elements: equipment, access, information technology (IT),
systems and processes, sustainability initiatives and staff. Overall these
interwoven facets should enable patients to move seamlessly, with their privacy
and dignity maintained at all times, from initial referral through local hospitals
to specialist tertiary centres and discharge to appropriate care (home, care home,
or community hospital with intermediate care), whatever the age, disorder or
social circumstances of the patient.
10
care particularly to the vulnerable and marginal group of population. In the
Orissa Health Sector Plan, emphasis is laid on accessibility, utilization,
accountability and responsiveness of the providers. The health indicators are
sought to be stabilized along with addressing the critical health issues. In order
to achieve the goal, making up of deficiency in Healthcare infrastructure is
adopted as a strategy by OHSP to meet its objectives of enhancing the capacity
of the health system. Up gradation of the infrastructure of the three medical
college hospitals located in Cuttack, Sambalpur & Brahmapur and the Capital
Hospital in Bhubaneswar is being taken up by the Government of Orissa. These
institutions have been developed over a considerable period of time and the
present infrastructure is inadequate to meet present requirements of patients,
their families and the healthcare providers. To enable best use of resources for
the hospital improvement, the Government of Orissa along with its development
partner DFID, has engaged Medica Synergie as an external consultancy for
designing facility expansion
The current assignment is to develop appropriate master plans for scaling up the
infrastructure in each of these facilities. The proposed master plans have to take
into account, the present utilization of the healthcare facilities and a projection
of the healthcare needs in the next 20 years . The design plans also to
incorporate the best practices in healthcare facility design including patient
friendly infrastructure, internationally accepted safety protocols. In order to
meet the objectives of the assignment, the existing hospital infrastructure has to
be assessed to ascertain the gaps vis-à-vis the future needs. A series of toolkits
have been developed based on some accepted standards to assess different
functional areas of the hospital. An infrastructural, structural and engineering
assessment of the existing buildings has been carried out to assess the present
condition of the hospital buildings and the building services. The detailed
facility assessment revealed certain gaps in the current infrastructure. These
11
gaps were further analyzed to suggest suitable recommendations for bridging
them up. Schematic layout of concept plans has been prepared, subsequently, in
accordance with the recommended expansion plan and space program. Patient
friendly designs to ensure ease of accessibility and optimal utilization for
improvement of health status as well as providing an ambience for the providers
to deliver quality health care are the key objectives of this facility expansion
plan. A user perspective study has been conducted so as to incorporate patients’
perceived needs in the proposed facility design. A maintenance plan has also
been developed which will aid in maintenance of the present hospital
infrastructure so that medical care can be delivered unhindered. For
enhancement of skills within the department, training needs of engineers and
architects have been assessed to enhance and whet their capacity for project
management and subsequent maintenance of the hospital infrastructure.
Since the hospital is a complex functional entity, every effort has been
made to propose renovations and scaling up plans in a way that does not become
a hindrance to its continued operations. VSS Medical College & Hospital in
Sambalpur has been recommended with a unique master plan that will enable it
to meet the present and future healthcare needs of the population optimally.
Rural Health care is one of biggest challenges facing the Health Ministry
of India. With more than 70 percent population living in rural areas and low
level of health facilities, mortality rates due to diseases are on a high. A majority
of 700 million people lives in rural areas where the condition of medical
facilities is deplorable. Considering the picture of grim facts there is a dire need
of new practices and procedures to ensure that quality and timely healthcare
reaches the deprived corners of the Indian villages. Though a lot of policies and
programs are being run by the Government but the success and effectiveness of
these programs is questionable due to gaps in the implementation. In rural India,
where the number of Primary health care centers (PHCs) is limited, 8% of the
12
centers do not have doctors or medical staff, 39% do not have lab technicians
and 18% PHCs do not even have a pharmacist.
India also accounts for the largest number of maternity deaths. A majority
of these are in rural areas where maternal health care is poor. Even in private
sector, health care is often confined to family planning and antenatal care and do
not extend to more critical services like labor and delivery, where proper
medical care can save life in the case of complications. Due to non accessibility
to public health care and low quality of health care services, a majority of
people in India turn to the local private health sector as their first choice of care.
If we look at the health landscape of India 92 percent of health care visits are to
private providers of which 70 percent is urban population. However, private
health care is expensive, often unregulated and variable in quality. Besides
being unreliable for the illiterate, it is also unaffordable by low income rural
folks.
13
against the interest of the poor and deprived section of population living in these
areas and on the other result in the states suffering even after having rather rich
natural resource base.
The public sector hospitals are more widespread (around 60%), but the
budgetary allocation of <1% of the GDP, is insufficient to even service the
existing infrastructure. The private sector has been growing for the last 15 years
and accounts for an estimated 95% of new hospital beds that have been added in
this period. While the affluent and the urban middle-class with a capacity to pay
have been catered to by the mushrooming Various organizations are coming
together for improvements in health care and technology plays a crucial role to
facilitate this. Information and communications Technology provides hosts of
solutions for successful implementation of these changes Private healthcare
providers and Corporate Hospital Groups; the economically weaker sections of
the society are dependent on the trust hospitals and NGOs. Not-for-Profit Trust
hospitals established by various NGOs, Missionaries and religious groups have
a significant presence in India and have over the years played a key role in
bridging the healthcare gap particularly for the under-privileged. The healthcare
trusts infrastructure is very wide and ranges from 5-bed nursing homes to 1000-
bed teaching and super-specialty hospitals.
14
generated from its operations. The proposed hospital will serve the nearby
villages of Gariaon in Mungra Badshahpur Block.
Objectives:
Clinical Care:
The primary objective of a hospital is to provide high-quality clinical care to
patients. This involves the diagnosis, treatment, and management of acute and
chronic illnesses, injuries, and medical conditions. Hospitals have trained
healthcare professionals who provide a range of services including emergency
care, surgeries, diagnostic tests, and specialized treatments.
Public Health:
Research:
Patient Experience:
15
Hospitals aim to provide a positive patient experience by ensuring that patients
receive compassionate and respectful care. This involves creating a welcoming
environment, communicating effectively with patients and their families, and
providing timely and efficient care. Hospitals may also provide amenities such
as patient entertainment, food services, and other comfort measures to enhance
the patient experience.
Patient Experience:
16
17
CHAPTER-2
REVIEW OF LITERATURE
REVIEW OF LITERATURE
18
Healthcare facilities are complex infrastructures where different features
from technological, social, clinical and architectural field interact. In
modern healthcare systems there is a growing attention to the need of
quality in terms of process and outcome, while the structural (physical)
aspects are not often considered. Since the Nineties the theory of the
Evidence Based Design (EBD) states that there is significant relationship
between built environment and health related outcome. Objective: Aim of
this paper is to investigate, in the recent scientific literature, which are the
most important occupants' and organizational outcomes influenced by
EBD hospital built environment qualities.
19
India ranks 145 out of 194 countries. According to NITI Aayog India has
a scarcity of 6 lakh doctors, 20 lakh nurses and 2 lakh dental surgeons
20
9) Maulik Chokshi ,Benazir Patil , R Khanna , Sutapa Bandyopadhyay
Neogi (2016) :
Health systems and polices have a critical role in determining the manner
in which health services are delivered, utilized and affect health
outcomes. ‘Health’ being a state subject, despite the issuance of the
guidelines by the central government, the final prerogative on
implementation of the initiatives on newborn care lies with the states
10)Nilaish Nilaish(2017) :
21
CHAPTER-3
THEORETICAL BACKGROUND
THEORETICAL BACKGROUND :
Source Data:
Patient satisfaction:
22
Surveys:
Create a survey that patients can fill out either during their stay or after they
leave. The survey can ask questions about their overall experience, the quality
of care they received, the friendliness of staff, the cleanliness of the facilities,
and other factors that may impact their satisfaction
Focus groups:
Gather a group of patients who have recently used your hospital and ask them
questions about their experience. This method allows you to dive deeper into
specific topics and gain more detailed feedback...
Feedback forms:
Provide patients with a feedback form that they can fill out anonymously. The
form can include questions about their experience, as well as any suggestions
they may have for improvement.
Monitor social media channels such as Twitter and Facebook to see what
patients are saying about their experience at your hospital. You can respond to
any negative comments and use the feedback to make improvements.
Patient interviews:
Overall:
Survey Design:
23
Create a survey that is easy to understand, comprehensive, and focuses on key
aspects of the patient experience.
Determine the best data collection method such as paper-based surveys, phone
interviews, online surveys, or in-person interviews.
Sampling Techniques:
Identify the sample population and appropriate sample size to represent the
hospital's patient population accurately.
Questionnaire Content:
Data Analysis:
Collect and analyse data to identify key trends, strengths, and areas for
improvement.
Benchmarking:
Reporting Results:
Communicate the results of the survey in a clear and concise manner, including
recommendations for improvement.
Action Plan:
Patient care:
Clinical research:
24
Data collected in hospitals can be used for clinical research to identify patterns,
causes, and outcomes of diseases and treatments. This research can help
improve patient care and develop new treatments.
Quality improvement:
Hospitals collect data to monitor and improve the quality of care they provide.
By analysing data on patient outcomes, hospital staff can identify areas where
improvements are needed and implement changes to enhance patient safety and
satisfaction
Regulatory compliance:
Hospitals are required to collect certain data to comply with regulations and
accreditation standards. For example, they may need to report data on hospital-
acquired infections or patient outcomes to regulatory agencies.
Financial management:
25
CHAPTER-4
DATA&ANALYSIS
26
MALE
37
Kamaraj.K 1 Responses
Subash 1 Responses
Purusothaman 1 Responses
Sriram.E 1 Responses
Gurunathan 1 Responses
Sivashankar 1 Responses
Movan 1 Responses
Bharath.K 1 Responses
Dinesh.T 1 Responses
Santhosh 1 Responses
Kathir 1 Responses
Kamalakannan.R.G 1 Responses
Arul.A 1 Responses
Siva.E 1 Responses
Ashok 1 Responses
Madhuvanth 1 Responses
Suthish 1 Responses
Jayachandran.K 1 Responses
Vasanth.K 1 Responses
Viswanathan.B 1 Responses
Velmurugan.R 1 Responses
27
Surya.M 1 Responses
Amarnath.S 1 Responses
Ponkamaraj.G 1 Responses
Arun 1 Responses
Kathiravan.D 1 Responses
Vignesh 1 Responses
Sanjay 1 Responses
Karan 1 Responses
FEMALE 32
SHALINI 1 Responses
Jenifer.J 1 Responses
Mayilvizhi.K 1 Responses
Abirami.D 1 Responses
Sakayam 1 Responses
Susi 1 Responses
Sneha 1 Responses
Sherin 1 Responses
Sangavi 1 Responses
Rupavathi 1 Responses
Manjula 1 Responses
Keerthana 1 Responses
28
Kanaga 1 Responses
Sowmiya 1 Responses
Gracynethra 1 Responses
Ambika 1 Responses
Baakiyalakshmi 1 Responses
Birunda 1 Responses
Yashini 1 Responses
Anushka 1 Responses
Ashwini 1 Responses
Rathika 1 Responses
Nivetha 1 Responses
Swetha 1 Responses
Gayatri 1 Responses
Elakia 1 Responses
Balatharshini 1 Responses
Rakshita 1 Responses
29
NAME
1.2
0.8
0.6
NAME
0.4
0.2
0
n .K .E r A ir .E h .K .V D n .K si vi la a a ri ni a a
h na raj am nka ar . ath iva this nth ya.M ar an. ara izhi Su nga nju nag bik a Sh hwi eth Priy
a r a k S S as Su Ku irav K yilv
r m
is i
Kr Kam Sr vas a S
h e K u a Sa Ma Ka Am hik As Sw mi
t h
h i
S han
V ya th a La ks
ee
t Ja Ka M La
n D
va
Na
GENDER RESPONSES
MALE 37
FEMALE 32
Total 69
30
Inference: From the above it is clearly understood that majority of the
respondents are male’s. From this it is understood that most of the male’s visits
Rajiv Gandhi Government Hospital.
31
Inference: From the above it is clearly understood that majority of the
respondents belong to 18-25 age group. From this it is understood that most of
the people belong to 18-25 age group visits the Rajiv Gandhi Government
Hospital.
32
Inference: From the above table it is clearly understood that majority of
the respondents belong to the profession group of Graguated from this it
is understood the people belong to this group of Graguated people mostly come
to Rajiv Gandhi Government Hospital.
33
MARITAL STATUS
60
50
40
MARITAL STATUS
30
20
10
0
MARRIED UNMARRIED
34
Graph No. 4.6
FAMILY MEMBERS
35
30
25
20
FAMILY MEMBERS
15
10
0
RS RS RS RS RS RS RS
BE BE BE BE BE BE BE
EM EM EM EM EM EM EM
M M M M M M M
8 7 6 5 4 3 2
RELIGION RESPONSES
HINDU 55 RESPONSES
CHRISTIAN 7 RESPONSES
MUSLIM 5 RESPONSES
OTHER 2 RESPONSES
35
RELIGION OF THE RESPONDERS
60
50
40
RELIGION OF THE RESPONDERS
30
20
10
0
HINDU CHRISTIAN MUSLIM OTHER
36
Inference: From the above it is clearly understood that majority of respondents
Have their annual income 150000 to 200000. From this it is understood that
most of the people visits Rajiv Gandhi Government Hospital. have their annual
income of 150000 to 200000.
Table No. 4.9: RESPONSES FOR THE QUALITY OF HOSPITAL STAY
37
Graph No. 4.9
38
Inference: From the above it is clearly understood that majority of the
respondents are satisfied with the information provided by the hospital. Hospital
staff provided clear and understandable information about your condition and
treatment
39
Inference: From the above it is clearly understood that majority of the
respondents are satisfied with the staff services from this it is understood that
most of the people who visit the hospital are satisfied with the respect and
dignity given by hospital staff.
40
Inference: From the above it is clearly understood that majority of the
respondents are satisfied with the pain management provided by the hospital.
From this it is understood that most of the people ate satisfied with pain
management during your hospital stay.
41
Inference: From the above it is clearly understood that majority of the
respondents feel happy with the care and treatment you needed in a timely
manner. From this it is understood that most of the people are happy with the
care and treatment you needed in a timely manner.
42
Inference: From the above it is clearly understood that majority of the
respondents are happy with their maintenance of their privacy and
confidentiality during your stay most of the people are satisfied with their
privacy maintained by hospital staff.
43
Inference: From the above it is clearly understood that majority of the
respondents feels good with the responsiveness provided by the hospital staff
from this it is understood that most of the people feels good with responsiveness
of hospital staff to yours needs and concerns during their stay.
44
Inference: From the above it is clearly understood that majority of the
respondents are satisfied with the instructions provided by the hospital. From
this it is understood that most of the people are satisfied with the discharge
instruction provided by hospital staff.
45
Inference: From the above it is clearly understood that majority of the
respondents are satisfied with the cleanliness of your hospital room and
bathroom. From this it is understood that most of the people are satisfied your
hospital room and bathroom.
46
Inference: From the above it is clearly understood the majority of the
respondents are satisfied with the quality and variety of the food provided
during your hospital stay. From this it is understood that most of the people are
satisfied with the quality and variety of the food provided by the hospital.
47
Inference: From the above it is clearly understood that majority of the
respondents are in decision of neutral. From this it is understood that most of the
people are in neutral with the point of recommendation of this hospital to friends
and family.
48
Inference: From the above it is clearly understood that majority of the
respondents are satisfied with the reports which they receive from hospital.
Form this it is understood that most of the people are satisfied that they were
kept informed about any delays or changes in your treatment or care plan.
49
CHAPTER - 5
FINDING AND CONCLUSION
From the above it is clearly understood that majority of the respondents are
male’s.
From the above it is clearly understood that majority of the respondents are
male’s. From this it is understood that most of the male’s visits Rajiv Gandhi
Government Hospital.
51
the people visits Rajiv Gandhi Government Hospital. have their annual income
of 150000 to 200000.
From the above it is clearly understood that majority of the respondents are
satisfied with the overall quality of care you received during your hospital stay.
Most of the people who visit the hospital are satisfied with the overall quality of
care.
From the above it is clearly understood that majority of the respondents are
satisfied with the overall quality of care you received during your hospital stay.
Most of the people who visit the hospital are satisfied with the overall quality of
care.
From the above it is clearly understood that majority of the respondents are
satisfied with the staff services from this it is understood that most of the people
who visit the hospital are satisfied with the respect and dignity given by hospital
staff.
From the above it is clearly understood that majority of the respondents are
satisfied with the pain management provided by the hospital. From this it is
understood that most of the people ate satisfied with pain management during
your hospital stay.
From the above it is clearly understood that majority of the respondents feel
happy with the care and treatment you needed in a timely manner. From this it is
understood that most of the people are happy with the care and treatment you
needed in a timely manner.
From the above it is clearly understood that majority of the respondents are
happy with their maintenance of their privacy and confidentiality during your
stay most of the people are satisfied with their privacy maintained by hospital
staff.
52
From the above it is clearly understood that majority of the respondents are
satisfied with the instructions provided by the hospital. From this it is
understood that most of the people are satisfied with the discharge instruction
provided by hospital staff.
From the above it is clearly understood that majority of the respondents are
satisfied with the cleanliness of your hospital room and bathroom. From this it is
understood that most of the people are satisfied your hospital room and
bathroom.
From the above it is clearly understood the majority of the respondents are
satisfied with the quality and variety of the food provided during your hospital
stay. From this it is understood that most of the people are satisfied with the
quality and variety of the food provided by the hospital.
From the above it is clearly understood that majority of the respondents are
in decision of neutral. From this it is understood that most of the people are in
neutral with the point of recommendation of this hospital to friends and family.
From the above it is clearly understood that majority of the respondents are
satisfied with the reports which they receive from hospital. Form this it is
understood that most of the people are satisfied that they were kept informed
about any delays or changes in your treatment or care plan.
53
CONCLUSION:
factors, including the quality of its facilities, the expertise and dedication of its
staff, and the availability of funding and resources. Hospitals face a number of
54
BIBLIOGRAPHY
55
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59