Annual Report 2014-15

 KHEJRI SARVODAYA  GENERAL HEALTH AND EYE CARE CENTER

independent unit of

JAIPUR WORLD CITY SOCIETY

(a non-profitable organization)

2014 - 15 (April'14 to March'15)
Particulars		Morning	Evening	Eye	Total
Working Days					306
No. of patients		17889	4898	4442	27229
New patients		9888	3179	2771	15838
Former patients		8001	1719	1671	11391
Adult Male		4958	1682	1920	8560
Adult Female		8676	1487	2150	12313
Male children		2248	910	223	3381
Female children		2007	819	149	2975
Total		17889	4898	4442	27229
Antenatal cases					606
Eye operations					271
E C G					31
Laboratory					3071
Immunisation					1048
Children examined in schools 752
Patients attended in camps 895

 

ANNUAL REPORT 2014-2015

The Outdoor Patients Department

The Outdoor Patients Department (OPD) is the centre and focus of the Khejri Sarvodaya General Health and Eye Care Centre. It functions 4 hours in the morning and 2 hours in the evening, 6 days a week. There are three doctors in attendance on Monday, Wednesday and Friday mornings (Dr. Hanuman Singh, Dr. Aruna Kanwar and Dr. Prem Shekhawat) and these two lady doctors on other mornings. The evening clinic is being looked after every day by Dr. L.M. Pareek. On all mornings Dr. Apurv Kotia, the eye surgeon, is in attendance for consultations for 2 hours and twice a week for operations.

The Khejri Health Centre is a primary health centre, the first place of call for patients. We celebrated the Health Centre's 20^th anniversary. Over the years we have noticed a greater awareness amongst the local population for seeking early medical interventions, not waiting till an illness/an injury/a discomfort develops into something more serious. Of course, once the doctors detect something dormant or major, we give a letter for reference to a specialist in a major hospital. The same counts for the ante natal cases. The OPD received a total of 27229 patient visits, a comfortable number to be given detailed attention. We do receive more women and children than men patients, as also those who can ill afford to go elsewhere. The previous state government had opened two primary health centres in our larger area, including provision of free medicines like in all major hospitals through the state. This provision has considerably been reduced by the present government. Although one year in power, we have not yet seen the promised National Health Assurance Mission taking shape by the present government.  The overall health situation in the country remains worrisome, as India is still listed at a sub-Saharan standard and can not meet the UN MDGs in health by 2015.

Dr. Aruna Kanwar, assisted by Senior Nurse Sreeja Pillai , attended to 606 ante natal patients, who are given regular check-ups of weight, blood pressure, laboratory tests, vaccinations and birth control, besides a large number of women with reproductive ailments. This reproductive health programme is mainly supported by Mrs. Roos Terwan, Belgium.

Our small dispensary with the able assistance of Sri Rajendran Nair received ‘free’ medicines from the government this year, for which we paid Rs.21819.--. Besides, Rs.282268. -worth of medicines were bought from the market and freely distributed. We do not sell medicines. If and when required, patients receive a prescription to buy special medication from pharmacy shops. (Various donors  support us in providing free medicines; the Jasper Fund, The Netherlands provides medicines for children).

We could continue to provide financial assistance ( Rs.174583.-) under our Special Treatment Fund to 7 long term patients for treatment elsewhere (diabetes, muscular dystrophy, osteomylitis, tuberculosis, urethra operation, rheumatic heart disease). We are grateful to Khejri Verein, Germany for this support.

While patients are waiting or being registered, they consult our notice boards for up to date health  and socially relevant information. 

Eye Care Centre.

Eye Operation People 

Jaipur World City Society’s major contributions to Jaipur has been the twinning with Calgary in Canada and through this the establishment of the Jaipur Calgary Eye Hospital in Malviya Nagar in 1979. Subsequently, JWCS has financially and otherwise facilitated a massive programme of eye restorations in and outside of Rajasthan. The Khejri clinic, therefore, has eye care as one of its main programmes. Dr.Apurv  Kotia heads the Centre and Shri Puneet Sharma is the ophthalmic assistant. In the year under review 4442 patients visited the Centre and 271 cataract operations were performed in our well appointed operation theatre.  Spectacles at nominal price and free for school children are being provided. JWCS refunds the money for free operations and free spectacles. This year also we have received some financial support from the Foundation Lions Workgroup for the Blind, The Netherlands. This is the last contribution after 20 years continuous support. We thank  FLWB on behalf of all those patients we could help to restore their sight. 

Medical Camps.

In order to reach out to a larger population we have conducted multi speciality and eye ‘camps’ in August , September and February, usually on Sundays at the health centre itself.  A total of 895 patients were attended to in these camps for ENT, dental problems, eye diseases, gynaecological issues and general diseases. Once again the Jaipur Cancer Relief Society and the Mastectomy Association were present to check women for breast cancer. The camps were financed out of the Roma Baksi Memorial Fund.

Immunisation

Free immunization this year could be provided by Nurse Prasanna to 1048 infants/children/pregnant women/accident cases at a total cost of Rs. 44111.- (donor Foundation Assistance to Young People, The Netherlands)

Laboratory services

During the year under review 3071 different investigations were done by our able technician Shri Babu Raj Nair. The laboratory functions three days a week and is a great diagnostic support for our doctors. Especially cataract patients needing operations are first checked for sugar and blood pressure and given treatment, if required, before operating them. And of course all expecting mothers are thoroughly investigated .We charge comparatively  lower fees for these services. The laboratory is being greatly subsidized by various donors. We are grateful to them.

 Hemoglobin

 One of the major causes of maternal mortality is the absence of required hemoglobin in the blood. This often happens due to malnutrition of the young girls and women. As we have reported in earlier years most underprivileged children are considerably under standard weight and their growth is stunted. Since girls/women often eat last and less, - and marry early - their bodies are ill prepared for bearing children, leading both to maternal and child mortality. Early intervention amongst adolescent girls can be very helpful. Hence, the Khejri Health Centre has a special project for detection and improvement of hemoglobin.  As part of our school medical examinations we checked so far a total of 1064 girls. As part of the ante natal investigations as well as others, 1300 women  were given this test. Every girl/woman is provided a yellow card with her Hb rating, mentioning what hemoglobin is and what anaemia’s impact on the body does plus how to improve it. We are grateful to Mrs. Jane Himmat Singh for her continuous support.

 Extra nutrition

Both with the school medical examinations and through the OPD we could distribute supplementary food in the form of 49 tins of protein powder, 1086 bottles protein and vitamin syrup, and 9433 vitamin tables to all those in need of extra nutrition. We fully realize that this is only marginally helpful.  Fortunately, we could provide some funds to two slum schools of the Rural Connextion Foundation, where the mothers have offered to cook a midday meal. Initially, the children's hunger could be understood through their insatiable appetite! The effect of this regular meal on the children’s wellbeing has been manifold. Foundation Children of Tomorrow, The Netherlands, has been the benefactor for this programme. 

School Health and Health Education Programme

With support of Foundation Children of Tomorrow, Foundation ASA, Foundation Assistance to Young People  and individual donors from The Netherlands we were able to continue our important preventive outreach programmes with the schools in our neighbourhood, spread out over a good distance away from the Health Centre. The further we go into the outlying areas, the greater the need. These are primarily private schools, who are struggling hard – often in deprived circumstances - to supplement the government educational efforts. Our emphasis has been on medical check-ups, health education, support for the education of poor kids, infrastructural improvement of the schools and teachers training.

Due to extreme climatic conditions (too cold in winter, too hot in summer, too much rain in the monsoon time) , due to socio-economic family circumstances and due to test and examination schedules, schools function often haphazardly and it is often difficult for the school to give the Health Centre time for the check-ups and health education Still, we could check-up 750 children in 6 schools: Rural Connextion School, Jhalana slum*; Government Secondary School, village Bhurtal; Bhal Bharti Senior Secondary School, village Dantli*;  Manju Public Senior Secondary School, village Kundanpura*; Arpit Children’s Academy School, village Kanadwas*; Bal Vidya Mandir Senior Secondary School, village Khatipura*.  211 children from the schools indicated with * have been subsequently given follow up treatment, including free spectacles. 325 adolescent girls from the schools indicated with *, including 53 girls from Digantar School, Bhavgarh were checked this year for hemoglobin and where necessary provided treatment.

Dr. Prem Shekhawat, Dr. Usha Sanghi, Dr. Sunita Sharma, Sister Prasanna, Sister Mamta, Lab. Technician Baburaj Nair, SHEP coordinator Bhanwar Lal Kumawat conducted this project.

Our Annual First Aid Teachers’ Training Workshop took place in November 2014 for 24 teachers of 14 schools. Dr. Marianne Jansen, Dr. Maya Tandon, Dr. Vinita Jain, Dr. Prem Shekhawat and Sister Sreeja were the resource persons.

Together with the Durga Devi Charitable Trust and Digantar Sansthan we conducted a workshop for Pre-Primary and Primary Teachers on 30^th-31^st March 2015. 31 Teachers from 15 schools attended this workshop. Prof. Darshan Kaur Narang, Dr. Parul Mittal, Mrs. Richa Mittal, Mr. Abdul Ghaffar, Mr. Hemant Sharma and Mrs. Gerda Unnithan were the resource persons. Our special thanks are to Mrs. Reena Das, director, Digantar for the use of the venue, lunch arrangements and cooperation. Mr. Ashok and Mrs. Richa Mittal of the Durga Devi Charitable Trust deserve special mention for their devoted interest and assistance this year to some of our schools. We are looking forward to their continued cooperation.

School Assistance Programme:-

We are grateful to the Foundation St. Theresia, The Netherlands, for financially supporting once again 27 students in the following schools in our neighbourhood: viz. Ganpati Public School, Khonagoriah (5), Arpit Children Academy Senior Secondary School, Kanadwas (4), Bal Bharti Senior Secondary School, Dantli (7), New Child Academy Senior Secondary School,  Goner (1)(, Adarsh Vidya Mandir, Adarsh Nagar (1), Bal Vidya Mandir Senior Secondary School, Khatipura (6), RPS Cambrian Academy School, Jagatpura (2) and Navjyoti Public School, Udaipur Gilaria (1). These are either orphans or children from deprived homes. Our School Health Coordinator keeps a check on their progress and their family situations.

Similarly, on behalf of the following schools we are grateful to the Foundation  Assistance to Young People and Foundation ASA, the Netherlands for the financial assistance provided for much needed infrastructure: Vinayak Public School, Phulera (35 tables and stools), Arpit Children Academy Senior Secondary School, Kanadwas (electricity connection, 80 tables and stools) and Bal Vidya Mandir Senior Secondary School, Khatipura (stone flooring of 2 class rooms).

Staff and Management:-

Doctors: Dr. Hanuman Singh, Dr. Prem Shekhawat and Dr. Aruna Kumari Kanwar take care of the morning OPD; Dr. L.M. Pareek  (evening clinic); Dr. Apurv Kotia (eye care centre). Para-medical : Mr. Rajendran Nair, Mrs.Sreeja Pillai Nair, Mr. Babu Raj, Mr. Puneet Sharma. Administrative: Mrs. Gerda J. Unnithan (Hon. Director), Mr. Bhasi M, Mrs. Rekha Pillai, Mr. Ramchandran Pillai, Mr. Bhanwar Lal Kumawat, Mr. Gopinathan Nair.  Supporting: Mrs. Zaida Bano, Mrs. Kamlesh, Mr. Gogaram.

Overall management rests with Jaipur World City Society. The Health Centre’s Advisory Committee members are: JWCS president Mr. B.L. Baid, its treasurer Mr. J.C. Gupta, Dr. Y.K. Rajvanshi, Dr. Alka Rao, Mr. Hemant Agrawal, Mrs. Krishna Gupta, Mr. B.M.S. Bareth and Mrs. G.J. Unnithan. Prof.Dr.T.K.N. Unnithan and Prof.Dr. Maya Unnithan are special invitees.

Finances:-

Due to increasing expenditure and less local income, we had to marginally increase the fees to Rs. 30 (approx. euro 50ct) for three days consultation with medicines and Rs.50 for eye patients. Laboratory rates were also minimally increased to keep our services accessible for less privileged people, who are the Health Centre’s major target group.

The total income from 1^st April 2014 – 31^st March 2015 from local sources and donations was Rs. 1819849.-; from foreign donations was Rs 3851951.- and from bank interest Rs. 504807.- Most foreign donations are for ongoing projects into the next year(s).  The 20 year support from Khejri Verein, Germany has come to an end in March 2015; so has the long standing support from the Foundation Lions Workgroup for the Blind, The Netherlands. The Foundation ‘Children of Tomorrow’, The Netherlands is wound up. Most gracefully, the Foundation sent us their remaining funds. Thank you, Hans and Marianne Jansen, thank you FLWB and thank you Danielle Brinks for your fantastic support all these years.

The total expenditure under various heads amounted to Rs.4281351.-These are as yet unaudited figures. Messrs. Shekhawat &Co will be auditing our accounts along with the accounts of Jaipur World City Society. Income tax and FCRA Govt. of India formalities will be completed in due course.

DO CONTINUE TO SUPPORT US IN FUTURE ALSO.

Donations from abroad may please be sent to Jaipur World City Society, account no. 10054351906, State Bank opf India, Malviya Nagar, Jaipur, India (swift code: SBININBB154).Local donations can be directly transferred to Khejri Sarvodaya General Health and Eye Care Centre, account no. 678705110686, ICICI Bank, University Marg, Jaipur.

FCRA (Govt. of India) registration no. of Jaipur World City Society is 125560068.

Exemptions for local donations under sub clause 80(G) of the Income Tax Act 1961. Certificate no. 705. Dated 18.7.2011.

Ms. Priya Samuels , second year MBBS student, receiving the Dr. A.K.Banerjee Memorial Award for medical studies. Ms. Priya subsequently passed her examination in first division

KHEJRI SARVODAYA GENERAL HEALTH AND EYE CARE CENTER

Todiramzanipura, Jagatpura, Jaipur-302017, India, Tel. No. 01-141-2750134

E-mail : gjunnithan@hotmail.com, http://khejri.dotmy.nl

Blog : http://khejrihealthcenter.blogspot.in

JAIPUR WORLD CITY SOCIETY

A-11, Central Market, University Marg, Jaipur-302015, India

Tel. 91-141-2704929, E-mail : baidbl@yahoo.co.in

Khejri is a local venerated tree (Latin Name : Prosopia cineraria) and has been taken as a symbol for endurance in this harsh and arid land. Sarvodaya is a Sanskrit word meaning "welfare for all".

Bhanwar lal Kumawat                                                          G.J. Unnithan

SHEP-Coordinator                                                       Hon. Director (Adm&Fin.)