14Th ANNUAL REPORT-2007-08 "Love Cures People; the Ones Who Receive Love and the Ones Who Give It Too."

14th ANNUAL REPORT-2007-08 "Love cures people; the ones who receive love and the ones who give it too."

- Karl Menninger GRAM SEVA TRUST Dedicated to Health Care and Rural Development

Gram Seva Trust has been dedicated to providing health care and development in and around rural area of Kharel in South Gujarat since its inception in 1994. The initial emphasis was on improving medical and surgical facilities in the Kharel hospital so that quality health care was available to the poor at no or very affordable cost. During these fourteen years, we have also strived to touch upon concerns other than health like malnutrition, plight of women and children, poverty, illiteracy and prevalent superstitions, since these impact health and well being of the people. While tackling malnutrition amongst pre-school children was our major initial project in the community, subsequent years saw other projects targeted towards community development focusing on mother and child health, women's economic activities, adolescent girls and boys' health, de-addictions and education. These activities have also been extended to the remote areas of Dang district through our satellite centre. During the various steps of our involvement with community related issues, women have emerged to be in the forefront be it income generating schemes, health education or formal school education. GST has identified this “Stree-Shakti” or Women Power as the most important step towards all development programs. Mahatma Gandhi held women in very high esteem and had articulated this as, “If by power is meant moral power, then woman is immeasurably man's superior…if non-violence is the law of our being, the future is with women.” Even as many a government sponsored schemes do focus substantially on women empowerment like 33% reservation for women in Panchayats and Co- Operative bodies indicative of empowering the women. We wish to carry the faith of Mahatma Gandhi and feel that quantitative representation does not necessarily mean qualitative empowerment. And to bring about a qualitative change one has to start focusing on women at the grass roots by recognizing that there is need for training, education and skill building to enable more women especially from the villages to take leadership role in the development of entire community. It is, therefore, heartening to see the women taking a leadership role in all GST projects. GST has been selected as Service NGO by the National Rural Health Mission (NRHM) program of the government under RCH II with the objective of reducing maternal and infant mortality. We are acutely conscious of the need to increase literacy status of the community in order to reach them the benefits of development programs. Poverty and migration in search of economic opportunities deny the children chance of receiving basic education while quality of education leaves lot to be desired even amongst those attending the schools in remote areas. In order to fulfill this need of the children affected by migration and/or extreme poverty, we propose to start a shelter home to house these children. It gives us great pleasure to present the annual report of our activities for the year 2007-08. We express our deep gratitude to our Trustees, Donors, friends and well wishers from India and abroad for their trust and support in our efforts and look forward to their continued support, co- operation, and guidance in our ongoing activities in the coming years too. Thanking you

Place : Kharel Dr. Ashwin Shah Date : Dashera, 9 October 2008 Managing Trustee

Annual Report 2007-2008 1 GRAM SEVA TRUST Dedicated to Health Care and Rural Development

Gram Seva Trust (GST) has entered its 14th year of service to the deserving and needy population of Kharel and surrounding 300 villages. The medical services have been now extended to the largely tribal population in remote area of Dang district and Vansda. Hospital Services Quality medical care is offered at an affordable cost at the GST hospital to people from more than 300 villages. Those who can not afford to pay are treated free of cost or at an extremely subsidized cost. While all major specialty services like Internal Medicine, General Surgery, Orthopedics, OB & Gyn., Ophthalmology, ENT, and Pediatrics are available for both indoor and outdoor patients, some super-specialty clinics are also held by visiting doctors. All ancillary services like a fully equipped Laboratory, X-Ray, Sonography, and Physiotherapy are available in the hospital. The medical store in the premises supplies quality medicines and appliances at reasonable and discounted rates. The Emergency and the Laboratory have been upgraded with new equipment keeping in mind the increasing demand for higher care at the hospital. SN Department 2007-2008 1. OPD Patients Total 39465 2. Indoor Patient. 4299 3. Surgery 1001 4. Delivery 843 5. Laboratory Invesg. / No.of Patients 54810/18270 6. X-Ray 3440 7. Sonography 2078 9. Snake Bite Patients Treated 103 10. Physiotherapy 1403

There has been an impressive increase in the number of ante-natal registrations and 843 hospital deliveries as against 585 deliveries during previous year. The credit for this goes to our dedicated staff from OB-GYN, free antenatal check-ups and Chiranjivi scheme of the Government that provides for free institutional delivery to all expectant mothers fulfilling the criteria as beneficiaries. Our community health workers have worked hard to disseminate the information and awareness of this scheme to the community. Similarly there has been No. of patients admitted for snake bite progressive increase in the Sr. No. Year No. of patients number of patients coming to 1 2003-2004 62 GST for snake bite. Although the number of cases with poisonous 2 2004-2005 65 snake bites remains more or less 3 2005-2006 63 same, this increase in numbers 4 2006-2007 90 can be attributed to more 5 2007-2008 103 awareness of the community brought about by persistent health education programs and availability of the anti snake bite serum injection at the hospital.

2 Annual Report 2007-2008 GRAM SEVA TRUST Dedicated to Health Care and Rural Development

New Services and Facilities Laboratory: The laboratory has been renovated with air conditioning and upgraded with new Electrophoresis machine for sickle cell and thalassemia diagnosis. Besides blood chemistry by a fully automatic analyzer and thyroid hormone assay are also available. Eye Department: Auto Refractometer for Computerized refraction errors and eye testing. Pediatric Department: Neonatal Resuscitation Trolley Super deluxe room with A/C comfort We intend starting an Intensive Care Unit in the coming year. Planning and civil work are already in progress. Free Antenatal Care Program Pregnant women from tribal and rural areas do not come for check-up because of ignorance and financial constraints. Sometimes this leads to serious complications during delivery at high risk to the mother and newborn. It is not unusual to see women with severe anemia, high blood pressure or heart disease presenting late in labor with serious consequences. A good antenatal care is of immense importance in reducing high maternal and newborn mortality. There are two antenatal clinics every week where all expectant mothers are examined and given laboratory and medicines/vaccines free of charge. Sonography is done every Tuesday afternoon to monitor the mother and the baby. This year 2122 women availed the services. These women are followed up in the village by the health workers and are given health education regarding safe motherhood. There is substantial increase in hospital deliveries because of Chiranjivi scheme. The eligible couples are sensitized on gender issues, family planning and healthy relationships aimed at happy families and households. GST is a recognized for Prevention of Parent to Child Transmission (PPTCT) of AIDS giving pre-

One usually relates psychological problems like depression to urban life style and resultant stress. Following two case studies show that these problems affect the rural populations equally, if not more. The superstitions and mis-beliefs further complicate the matter resulting in long delays in diagnosis and sometimes denial of treatment to the patients. Ramilaben was a resident of a village in our project area. She and her husband were leading fairly happy life along with their three children. Ramila started behaving in a strange manner when her youngest daughter was about six months of age. She gave little or no attention to the family and household chores resulting in arguments and fights in the family. The problem gradually progressed to a stage where she was thought to be going completely crazy and some one suggested that she was possessed by an evil spirit. As a result she was taken to a 'Bhagat', a traditional village doctor cum exorcist. His treatment consisted of physical torture including severe beating. This led to further deterioration in her condition. GST health workers advised the family to bring her to the hospital for proper medical evaluation. The family was reluctant in the beginning but the health workers persisted visiting the family several times. They reasoned with her family members about the harm being caused not only to Ramila but to her children and entire family by continuing the treatment with the Bhagat. The husband finally agreed and brought her to see the psychiatrist at the GST hospital. She responded well to treatment with anti-depressants and her condition has improved over the time. She is now looking after her family and herself as before. She is still continuing the treatment and comes for regular follow-up.

Annual Report 2007-2008 3 GRAM SEVA TRUST Dedicated to Health Care and Rural Development test and post-test counseling where required. Those willing and if found positive, treatment is provided to the mother to prevent transmission of virus to the child. Counseling of newly married couples program was started last year. It has been found to be extremely popular program attended by large number of couples from varied backgrounds. Poor Patient Relief The medical care costs have escalated over the years and are beyond the access of poor and those who need them the most. It is a well known fact that illness is a leading cause of rural indebtedness. We have tried to give quality treatment at concessional rates or even completely free of cost to deserving cases. The following table is indicative of medical relief provided through hospital and medical camps.

Particulars Patients Amount (Rs.) OPD 5548 367773 Indoor 984 758397 ANC checkup 2122 202109 Treatment at higher centres 13 94830 Children 428 266530 Free Delivery 788 1272068 Total 9095 2961707

This year Rupees 30,57,156 worth relief was provided directly under different categories. The medical store gives further assistance by giving medicines at 10% discount. Relief is very often provided for outside investigations like CT scan, Biopsy, operations, blood transfusions and ambulance services. Be sides P.J Desai Trust, Surat and Hifazat Medical Trust have provided relief worth Rs. 1, 41,850 and Rs. 83,841 respectively. Ma Annapurna Bhojanalya Ma Annapurna Bhojanalya or the Hospital Kitchen is run with special donations made to the Bhojanalya Fund. This provides free meals and milk to all indoor patients twice a day and also to one attendant. Hospital staff, patients in private rooms gets food at subsidized rates. The kitchen also caters for many training programs conducted at GST. 40383 free meals were provided during 2007-08. Community Health, Education and Development The major cause of rural misery has been the grinding poverty and economic backwardness of the community. The public health system and many well thought out government projects have not been accessible to the people who need these the most. GST has recognized this need and has been working towards improving the living conditions of the poor. 47 Community Health Workers (CHW) are working in the project areas. Their activities include registration of pregnant women; care during and after delivery, care of newborns, adolescent girls programs and follow- up of TB patients. There are effective training, reporting and monitoring systems in place for CHWs.

4 Annual Report 2007-2008 GRAM SEVA TRUST Dedicated to Health Care and Rural Development

Anganwadi Project (Children's Health and Nutrition Project) This project was started with the objective of reducing malnutrition and to promote good health amongst the project children. Children from 0 to 6 years of age are closely monitored for their nutritional status, development and medical problems if any by trained health workers and the medical staff. High protein and high calorie powder (Hyderabad Mix) and medicines like iron, Vitamin A, treatment for worms are provided on regular basis. Children needing further treatment are treated at Kharel hospital by our pediatricians. This year 3416 children have been followed up. This is largely done through 73 anganwadis in 24 villages run in partnership with ICDS program of the Government while 5 anganwadis are exclusively run by GST. These children are provided healthy and nutritional meals along with pre- school education. Besides periodic health check ups are done by the medical staff. There were 99 children from migrant families with a very high incidence of severe malnutrition (10.10%). Severe malnutrition among other children ranged between 0.7 to 3.13%. Though there has been significant improvement in the nutritional status of children in most areas, pockets of concern remain in Dhanori and Gandeva blocks. One new anganwadi was started this year in Pipaldhara Nadikatha. Vaccinations MMR and Hepatitis B vaccines are given to Anganwadi children as well as other children and adolescents since these vaccinations are not provided in government run vaccination program.

Sr. no Beneficiaries vaccine

MMR Hepatitis B

1 Anganwadi children 477 531

2 Other children 125 198

3 Adolescents 139 201

4 Total 741 930

Adolescent Girls Project Young girls learn about reproductive health, child rearing and safe motherhood through interactive sessions. This year 220 girls benefited through 21 adolescent groups. They were also given MMR and Hepatitis B vaccines. School Health Program Larsen and Toubro Charitable Trust sponsored health check-up of students of Standard 8, 9 and 10 in 20 schools in Gandevi and Chikhli Blocks of Navsari district. A team of doctors and paramedical staff conducted health and laboratory checkup in these schools over a period of 4 months. A total of 7427 students underwent physical examination, blood tests and eye checkup.

Annual Report 2007-2008 5 GRAM SEVA TRUST Dedicated to Health Care and Rural Development

Laboratory tests for Haemoglobin, Sr. No. Particulars Total Blood group and Sickle cell were done. 1 No. of Schools 20 All those requiring further tests and 2 No. of students 7427 consultant opinion were referred to GST Hospital at Kharel. Those 3 No. of students having medical problems 757 suffering from minor illness were 4 Anaemia (Sickle Cell disease/trait) 3442 (18/567) treated in school itself. Children with 5 Skin Diseases 348 Haemoglobin less than 11gm% were 6 Refractive errors/Eye 200 given iron tablets and albendazole to 7 Heart disease 55 treat worm infestation. Hostels with large number of scabies patients were 8 Other illness 154 given jars of scabies lotion. 9 No of students referred to consultants 339 Further tests, examination or other 10 No. of students came for consultant checkup 105 procedures like 2 D Echo, Xray, 11 Other tests 56 Ultrasound examination and surgeries 12 No of students operated 2 were also done wherever required. 13 Heart opertion 1 Students with refractive errors were 14 Minor surgery 1 given spectacles 15 No. of students given spectacles 13 Health Education Sessions Night programs, home visits, antenatal clinics, anganwadi check-ups, school visits are all occasions for us to impart health education to increase the community awareness about health issues. There were 89 night programs using posters, charts and audio-visuals aids; 101 antenatal sessions; 12 Anganwadi check- ups utilized for health education besides two separate sessions for the staff and school children. Children's Heart Disease Project Children with congenital heart disease are now diagnosed early since we are doing routine check-ups in 0 to 6 years age group. At the same time significant numbers of rheumatic heart disease is a cause of concern. 46 patients were seen this year during 2 heart camps conducted at Kharel. All have undergone 2-D echocardiography, some at Gram Seva Trust hospital itself by Dr. Snehal Kulkarni of Wockhardt hospital in Mumbai and await further treatment. 3 patients have undergone heart surgeries. Patients are regularly followed up by Dr. Ratna Magotra during her periodic visits. We propose to set up a separate Cardiac Surgery Fund to assist in providing cardiac care to patients from our area. Women Empowerment Project Women empowerment has been the cornerstone of GST programs from its inception especially for the most deprived women of the area. Various projects have been initiated to provide them regular income and instill self confidence. Formation of self help groups, vocational training and health education are some of our efforts towards empowering the women.

6 Annual Report 2007-2008 GRAM SEVA TRUST Dedicated to Health Care and Rural Development

Sheela ben, 20 years of age was a resident of one of the villages from our project area. She delivered a baby at home although she had been advised to come to the hospital for delivery, this being her first pregnancy. After about a week she brought the baby to the hospital saying that baby had not passed urine since birth. The baby was given a thorough check-up and was found to be apparently normal. The doctors concluded that it was not possible for the baby to survive so long if he had actually not passed urine since birth as that would indicate some serious problem. Baby was probably passing little urine which she had not noticed. It was possible that the baby was not being breast fed adequately and was some what de-hydrated resulting in less urine formation. Slowely after this episode Sheela started behaving strangely. She would not feed the baby for hours, at other times would leave the house and keep roaming the village. She too was thought to be possessed by an evil spirit and taken to a Bhagat like it was done for Ramila. Since there was no improvement and she was labeled insane. She was finally brought to the GST hospital on intervention of our health workers who had to spend considerable time on visiting the family repeatedly to convince them that Sheela was neither possessed by an evil spirit nor was she mad. Sheela was seen by the psychiatrist and put on treatment for her psychosis. She responded well to the treatment and is looking after her healthy baby with tender care and love

Sewing classes are being conducted for adolescent girls for last 5 years. 58 % girls have completed the course and are earning 1500-2000 rupees per month. They also learn other handicrafts, hair styling, embroidery and other arts. Women are engaged in making detergent powders, shampoos, liquid phenyl, hair oil, Vaseline etc and sell these items through Jeevandhara Haat and through exhibitions in the campus and rural 'melas'. International Women's Day is enthusiastically celebrated through role plays, discussions and interactive sessions and is indicative of increasing self confidence amongst these women. Sr. No Year No. of Beneficiaries

1 2003-2004 77

2 2004-2005 21

3 2005-2006 27

4 2006-2007 39

5 2007-2008 50

Total 214

Self Help Groups There are 106 Self Help Groups (SHG) being run and managed independently largely by the women themselves. The total savings exceed RS 1,500,000 while internal lending is around RS 2,900,000. Several members of these SHG have contributed actively in not only in the well being

Annual Report 2007-2008 7 GRAM SEVA TRUST Dedicated to Health Care and Rural Development

Sr. no Particulars Total Number / Amount 1 Total groups 106 2 Total members 1121 3 Total savings Rs.1513799 4 Total internal lending Rs.2946471 5 Total repayment of internal loans Rs.2216333 6 Total bank loans Rs.1746600 7 Total repayment of bank loans Rs.1211234 of the family but also in creating assets. Community Workers Program Our most significant gain has been the induction of Community Health Workers to strengthen our out- reach programs at village level. 47 CHWs are involved with registration of pregnancies, deliveries, new-born care including morbidity and mortality They also follow 0-3 year olds and carry out health education programs for adolescent girls, T.B patients and other specific groups as and when identified. 2 crèches are being run at present, more will be in place as suitable care takers are identified These CHWs submit monthly report while their work is continuously monitored by the supervisors. Education Project Education is central to the development of all human potential. Despite being a fundamental right through legislation since 2002, quality education has eluded many a children in disadvantaged areas where government schools are the leading providers of education. Also the grinding poverty and search of livelihood result in large number of school drop-outs. 3 Tuition classes were started in 2006-07 to fill the gap in quality where children come before or after their regular school hours. That this was needed is evident by the fact that there are now 13 such classes with total of 412 children attending the same. Even as demands for more such classes are evident, the teacher's training is also being given constant thought and encouragement. The goal will be to reduce the gap between learning by fun and education by rote. De-Addiction Camps There is rampant incidence of alcoholism amongst men and women amongst the poor tribals. These addictions further impoverish the community; adversely affect the health, and well being of the entire family. 5 de-addiction camps were conducted at the Kharel hospital with 27 participants. We are conscious of many failures and at times the staff feels frustrated and therefore efforts to improve the program must go on.

8 Annual Report 2007-2008 GRAM SEVA TRUST Dedicated to Health Care and Rural Development

Sr .no Camps Beneficiaries Deaddicted patients 1 09/07/2007-14/07/2007 5 1 2 08/08/2007-12/08/2007 6 1 3 10/09/2007-15/09/2007 8 1 4 03/11/2007-08/11/2007 6 1 5 23/03/2008-27/03/2008 2 0 Total 27 4

Satellite Projects Van Arogya Kendra-Kudkas, Dang District A satellite service started at Kudkas, an extremely remote area of Dang District in 2003-04 has progressed very satisfactorily over the years. A team of doctors and paramedics visit the health centre with a well equipped medical van every Friday. This year 5577 patients availed the services provided at this centre, of this 5076 came for medical problems, 427 for gynecological problems, 74 for eye ailments and 1732 patients benefited from laboratory services. Total amount spent was RS.1, 95,298 with total relief of RS. 36,685. Patients needing further treatment are brought to Kharel hospital. Another satellite centre is being planned at Mahal in the same district for further benefit

Particulars 2003-2004 2004-2005 2005-2006 2006-2007 2007-2008 Total visits 44 50 51 48 51 Total no. of patients 4198 4642 4839 5473 5577 General medicine 3699 4407 4333 5028 5076 Gynae/ Obstetrics 248 167 285 363 427 Eye 145 110 167 89 74 Laboratory 571 852 1014 1087 1732 Referred to Kharel hospital 220 253 267 314 368

Shri Sukhabhai Govindji Patel Eye department Large number of patients suffering from cataract and other eye ailments benefit through the Shri Sukhabhai Govindji Patel Eye department. 8 eye camps were held this year where 1270 patients were examined and given medicines and spectacles. 173 patients were operated upon and 589 received spectacles free of cost.

Annual Report 2007-2008 9 GRAM SEVA TRUST Dedicated to Health Care and Rural Development

Eye Camps Camp details Donors - Venue

Total camps-8 Shri N.D.Vanmali family (Khaparia/ U.S.A.)- Kharel Total patients-1270 Dr. Shrimati Madhurika Jashwantrai Nayak Memorial Trust ( Navsari)- Kharel Total operations- 173 District Blindness Control Society- Kharel Shanti Seva Pratishthan, Navsari – Gangadia Total spectacles Leva Patidar Samaj Yorkshire (U.K) and Shri Lalbhai (Lallubhai) Premabhai Patel, Vanzana(U.S.A.)- Vanzana distributed- 589 Luterworth Lions Club (U.K.) Linden Store, Madhukar D. Patel (Nagdhara), Futnam Chemists-Prop. Hasmukh Vyas, Luterworth, Prop. Mahendra Patel - Nagdhara

Public Private Partnership It has been the guiding principle of the organization from the very beginning not to duplicate the government run programs but to collaborate actively so that quality care can reach the communities effectively. The financial grants, though important, are not the main reason for such partnership. We have worked closely for several years with ICDS, National T.B, District Blindness Control, and National Vaccination programs. This year new such partnerships were initiated to raise the health status of the community with special emphasis on maternal and child health. Chiranjivi Yojana High incidence of maternal deaths still remains a major concern. It is largely due to ignorance, low literacy levels, young age and poor nutritional status of mothers as also of non-awareness of

Light in the tunnel… Pipaldhara Nadikantha is a small hamlet by the side of Ambika River. The hamlet is remotely placed about 3 to 4 Kms from the village with poor connectivity especially during the rainy season. Most of the people living there earn their living by digging the river bed for sand. Gram Seva Trust was running an Anganwadi (AW) there 8 years back. This AW had to be closed because of internal conflicts in the community. The children from the area were, therefore, deprived from health check-ups, proper nutrition and pre-school education offered in all Anganwadis. This resulted in irregular schooling of children and high school drop outs. The village community realized and understood the cause of this deprivation and approached the GST to restart the AW. They assured their full co-operation and came forward with ideas to overcome problems of poor accessibility during rainy season. Since it was difficult for us to send nutritional snacks for the children during the rains, they offered to collect the same and reach this to the AW. The realization by the community and ready participation in restarting this Anganwadi rekindles the hope that the communities will wake up to realize the need for proper education and development in seeking a better future for their children…

10 Annual Report 2007-2008 GRAM SEVA TRUST Dedicated to Health Care and Rural Development available government schemes. Gujarat government has started the Chiranjivi Yojna to focus attention on this problem; under this scheme various incentives like free hospital delivery including caesarian section, free medicines and other services up to Rs. 1500 are provided to each expectant mother. Although this amount may not suffice for complicated and operative deliveries yet the organization has willingly joined hands with the government in this important program. This year the hospital has spent approximately 12 lac rupees as against grant of approximately 11 lac rupees. Service NGO This program has been started by the government under Reproductive Child Health (RCH II) to reduce maternal and neonatal mortality and to improve health of mother and child. The organization has been selected by the government to implement this program as Service NGO (SNGO) in 9 villages of Chikhli Block covering a population of 27,700. The project was started in January, 2008 and will last for 3 years. Prevention of Parent to Child Transmission of HIV Infection (PPTCT) and Integrated Counselling and Training Centre (ICTC) Gujarat Aids Control Society has provided financial and technical assistance for this project where all pregnant women are tested free for HIV infection and offered pre and post test counseling. In a positive case of HIV,

Fatal Attractions……Ignorance and Stubbornness Children in 24 villages of our project area are regularly followed up for health and development. During one such check up in a village, progressive loss of weight was observed in 2 year old Nayan. The health workers from the area noticed that he was slipping into severe grade of malnutrition and brought this to the notice of medical staff. The father was reluctant to bring the child to the hospital for further tests and treatment apparently because he didn't have money. However even when offered financial help, he stubbornly refused to come to the hospital despite all persuasion. In the meantime, the mother was also sick and had become bedridden. In absence of any treatment, it didn't take long for her condition to take a severe down turn. On hearing the news our health workers visited the family and found the mother in a serious condition. Nayan too was running high fever and was severely malnourished. The neighbors and relatives forcibly brought both of them to the hospital. The mother was later diagnosed to have blood cancer and Nayan had high fever due to skin infections. Both mother and child were in a critical condition and needed intensive treatment. Both were advised further treatment at Surat Civil hospital but no one from the family was willing to take them there. This was despite the fact that organization was willing to provide free ambulance for transport as it was absolutely essential that they needed to be treated at a higher centre. The staff tried all types of modalities for the family to understand the gravity of situation but they were stonewalled because of sheer ignorance. The family decided to take both mother and child home against medical advice. The efforts of our health workers and staff went in vain and we lost both mother and child…

Annual Report 2007-2008 11 GRAM SEVA TRUST Dedicated to Health Care and Rural Development antiviral therapy is given free of cost to p r e v e n t H IV i n f e c t i o n b e i n g transmitted to the newborn. Also free counseling and treatment is provided to suspected HIV and Tuberculosis patients. Medical Camps Gram Seva Trust conducts medical camps regularly at Kharel, Kudkas and other remote areas in association with o t h e r t r u s t a n d c h a r i t a b l e organizations.

Sr. No. Date Particulars Donors

1 15-4-2007 Medical Camp- Anaval Shri Shukleshwar Mahadev Mandir, Total Patients - 230 Anaval 2 6-5-2007 Medical and Blood Shri Radha -Krishna Mandir Manav Kalyan Donation Camp- Trust- Kumbharfalia Kumbhar falia 3 9-3-2008 Medical Camp – Khambla Leva Patidar Samaj Yorkshire (U.K) and Total patients-544 Shri Lalbhai (Lallubhai) Premabhai Brought to Kharel -30 Patel, Vanzana(U.S.A.)- Vanzana Shri Paragjibhai Jeevanji desai and Matushree Laduben P. Desai Charitable Trust by Shri Chaganbhai P Naik - Surat 4 16-6-2007 Blood Donation Camp- Indian Red Cross Society Navsari Kharel Total bottles 77

Enlightenment… It is the usual practice in the villages that men leave matters related to pregnancy and child birth to the women of the household even when these concern their wives. They, by doing so, remain ignorant of complications and other problems related to pregnancy and delivery. Gram Seva Trust had taken the initiative of organizing a workshop for newly married couples in May, 2007. 38 couples had participated in this workshop where they were given information on reproductive health, family planning and happy relationship between husband and wife through lectures, models and role play. Lalita and Kantibhai was one such couple who had attended this workshop. Lalita became pregnant soon after and came to Kharel hospital for check up. It was most heartening to see Kantibhai accompanying her during her antenatal visits to the hospital, a phenomenon never seen in this part of the world! He took good care of his pregnant wife and remained present during her delivery also. Lalita felt reassured by presence of her husband by her side. While it was very pleasant and satisfying experience for us, we hope all our health education programs are equally and enthusiastically accepted and followed up by others…..

12 Annual Report 2007-2008 GRAM SEVA TRUST Dedicated to Health Care and Rural Development

Some Important Events…. Doctors providing services at GST Achievements and Awards Hospital May, 2007: Dr. Sharmishtha Patil received the Appreciation Award at the 1 Dr. Ashwin Shah Gen. Medicine/C.M.O. hands of Chief Minister of Gujarat, Shri 2 Dr. Harsha Shah Ob - Gyn / RMO Narendra Modi during Chikhli Lokmela 3 Dr. Kanchan Dhadve Ob - Gyn March, 2008: Smt. Subhadraben, our 4 Dr. Priti Patel Pediatrician senior health worker, was awarded 5 Dr. Hiren Morkar Sr. Med. Officer Champaben Gondhia Award by the Incharge Satellite Proj. Rajkot Young Mens Association in 6 Dr. Paresh Naika Physiotherapy appreciation of her work with rural women. 7 Dr. Shailesh Patel Med. Officer 8 Dr. Rajesh Patel Med. Officer 9 Dr. Vinayak Patel Med. Officer

Hon. Visiting Specialists

1 Dr. Rajesh Desai Radiologist 2 Dr. Kokila Desai ENT Surgeon 3 Dr. Lomesh Shah Pediatrician 4 Dr. Mitesh Desai Orthopedic 5 Dr. Mrugesh Desai Ophthalmologist Celebrations 6 Dr. Kishor Modi Gen. Surgery Foundation day of Gram Seva Trust was 7 Dr. Mahesh Bhakta Dermatologist celebrated on 12 June, 2007 with Blood 8 Dr. Nirav Mehta Psychiatrist Donation camp, 77 bottles of blood were 9 Dr. Vimal Naik Dentist collected. A cultural program comprising 10 Dr. Ratna Magotra Cardiac Surgeon song, dance and drama was presented by the staff. 11 Dr. Hiren Naik Anesthesiologist 12 Dr. Pravin Chauhan Anesthesiologist Independence Day was celebrated on 15 August where Anganwadi children 13 Dr. Kevin Desai Anesthesiologist participated. A Bollywood movie with 14 Dr. Janak Patel Ob - Gyn patriotic message, Swadesh' was screened in the campus. Community Project Hairstyling and Henna competition was organized for the adolescent girls on 27 1 Dr. Roda K. Patel Pediatrician July, 2007. The finals were judged by Hon. Director, Child Sudhaben Mehta, Varshaben Nayak and Health Bhartiben Patel. 2 Dr. Sharmishtha Patil Public Health A Handicraft exhibition was organized on Consultant 28-30 October, 2007 where handicrafts and other items made by the women Assoc. Director, Child were exhibited and sold. The exhibition Health was inaugurated at the hands of Ms. Kumudben Joshi, Chairperson of Khadi

Annual Report 2007-2008 13 GRAM SEVA TRUST Dedicated to Health Care and Rural Development

Board…she greatly appreciated the income generating initiative of the women and encouraged the organization to undertake more such programs. Republic Day celebrations were held on 26 January, 2007 by the staff and Anganwadi children. International Women's Day was celebrated on 8th March 2008. Members of the Self help groups participated in the Cooking Competition and Chief Guest Dr. Dakhsaben from ARCH Dharampur counselled women on health issues. New Initiatives… Newly married couples counseling meeting to educate them on gender sensitization, reproductive health and happy family life on 26 May, 2007 and 23 June 2007. 45 children of suspected congenital heart disease were examined with 2-D Echocardiography in August, 2007 by Dr. Snehal Kulkarni, Pediatric Cardiologist from Wockhadt Hospital, Mumbai. "Maharishi Rang Avdhoot Ambulance Service" was donated by Prof. Dave's family in December, 2007 at a colorful ceremony. New Anganwadi was started on 11 February, 2007 in Pipaldhara Nadikantha. A crèche was inaugurated at Rahej on 22 February, 2007 Service NGO project started covering a population of 27,700 to improve health status of community in Chikhli Taluka

Trainings, Workshops and Other Activities

No Date Activity Venue Persons 1 2/4/07 SNGO Training for Base line data entry by Kharel 3 SNGOs- GST, Sewa Rural RRC –CHETNA Jhagadia and ANJALI Ranasan

2 6-7/4/07 G u e s t L e c t u r e s a t W o m e n ' s Vijalpor and Navsari Dr. Harsha Shah and Dr. empowerment programme nagarpalika Sharmishtha Patil

3 11/4/07 Hospital visit by Dr. Thakkar-Dist. TB Kharel Officer

4 2 0 / 4 / 0 7 - RCH training for field workers of FNGOs of Kharel 30 Field workers 22/4/07 GVHA

5 1/5/07 Farewell to AGM, NABARD Kharel Shri Prafulbhai Dholakia

6 1 / 5 / 0 7 - Summer Vacation Embroidery classes Kharel Adolescent girls 30/5/07 7 2/6/07 Training to Tutors Kharel

14 Annual Report 2007-2008 GRAM SEVA TRUST Dedicated to Health Care and Rural Development

8 2 7 / 7 / 0 7 - RCH training for field workers of FNGOs of Kharel 30 Field workers 29/7/07 GVHA

9 18/08/07 SHG group leaders meeting with DIC Kharel 142 SHG members

10 19/08/07 Annual Gujarat Voluntary Health Baroda Dr. Ashwin Shah and Dr. Harsha Association Meet Shah

11 5-6/09/07 Hospital Visit by Shri Sharadbhai, Aspi Kharel Agro Bilimora

12 7/9/07 Reproductive health – education to Kharel Dr. Sharmishtha Patil, Dr. Mayur students of Kharel Highschool Pandya & team. 13 9-11/9/07 Annual Meeting of Voluntary Health Jaipur Dr.Ashwin Shah Association 14 12/09/07 Meeting of Credibility Alliance and Vimo Ahmedabad Dr. Harsha Shah Seva.

15 13/09/07 Workshop on Life Insurance by Max Life Kharel GST staff Insurance

16 20/09/07 Visit by Dr. Mukherjee HOD and Dr. Kharel Bhanderi Dept of PSM, Karamsad Medical College

17 2 1 / 9 / 0 7 - Health Checkup of 8th, 9th, 10th Students Kharel High school Medical team 22/9/07

18 3/10/07 SHG group leaders meeting – Sewa Kharel 150 SHG members Insurance

19 1 3 / 11 / 0 7 - RCH workers training Kharel 35 RCH workers 17/11/07

20 29/11/07 Hospital visit by members of Rotary Club of Kharel Blake(DIST-7670) U.S.A.

21 20-21/1/08 Conference on Women's Health –Indian Pune Dr. Harsha Shah and Dr. scenario Sharmishtha Patil 22 2/2/08 Certificate Distribution Program for Kharel SHG members and tailoring tailoring students students

23 3/2/08 Sickle cell Anaemia –south Zone Meeting Veruna Niketan Dr. Ashwin Shah and Dr. Harsha Unai Shah

24 28/02/08- HIV/AIDS Workshop Kharel GST Staff 29/02/08

25 27/03/08 Health Checkup Unn Ashram shala Kharel 44 students students

Annual Report 2007-2008 15 GRAM SEVA TRUST Dedicated to Health Care and Rural Development

WE ARE GRATEFUL TO….. Our generous donor organizations and individuals from India and abroad. All the full time and visiting doctors, consultants, dedicated staff, well wishers and friends associated in all our activities. Shri Dave and family from Bilimora for donation of Shri Rang Avdhoot Ambulance. Shri Anilbhai Naik (C.M.D.) L&T –Mumbai, for monetary support and other assistance in extension of Geetagram staff colony and cardiac monitors in the hospital. Ms.Kumudben Joshi, Chairman, Khadi Gramodyog Board for encouraging the rural women by inaugurating the exhibition cum sale of their products. Smt. Pushpaben Naik for donation of instruments and furniture every year and 50 beds and lockers in hospital wards this year. Gram Seva Foundation and Ronald McDonald House of Charities, USA, for supporting the projects of Child health and Nutrition and Community Health and Development year after year. L&T Charitable trust for monetary assistance in conducting health checkup and treatment of students of 20 high schools and also the Principals, teachers and staff of all high schools. Commissioner of Health Dr. Amarjeet Singh – for support and guidance in the Service NGO project of Central Govnt. and other Health projects. Shri Mahadevbhai Desai, Architect, Navsari and Shri Mehulbhai Desai Aakar Constructions for their technical support building constructions. Dr. Snehal Kulkarni Wockhardt Hospital Mumbai for her honorary services in 2D-ECHO studies of our paediatric heart patients at Kharel. D.D.Desai & Associates Valsad for conducting the organizations audit and financial advice. Red Cross Society Navsari Blood Bank Bilimora and Chikhli and voluntary blood donors for timely blood supply to the needy patients. District Panchayat and Health department Navsari, Gandevi Chikhli taluka Panchayat and all the Gram Panchayat members and officers of surrounding villages for their continuous support. The editors and correspondents of various newspapers of South Gujarat for covering activities of the Trust and dissemination of information to the community. Dena Bank –Kharel, Bank of Baroda – Khadsupa, Gujarat Electricity Board-Gandevi, Kharel mandali, Kharel and Tankal High schools and other local bodies for their continued interest and participation in our activities.

Helplessness… Rahej village as such has access to several government and charitable health centers in Gandevi. Yet Radha never went for any check up even while she was pregnant for the sixth time. Our health workers in the area had advised her for check up at hospital on several occasions. Our Community worker finally succeeded in bringing her to Kharel hospital for delivery where she delivered a baby girl weighing 2.2 Kg. The baby needed to be kept in Neonatal Intensive Care Unit (NICU) but Radha was not prepared to listen to any reason and left the hospital with out informing any one. Radha and her husband were really not interested in the well being of this 'unwanted girl child'. Radha neglected the baby further as it was too much work for her to look after the house with 6 children and that too in impoverished conditions. The baby was not gaining weight and was left to be cared for by an older sibling aged only 10 years while mother was away at work. She refused the job at a crèche run by our organization where she could have looked after her own child also. Her baby is now 9 months of age and weighs only 3.8 Kg…

16 Annual Report 2007-2008 GRAM SEVA TRUST Dedicated to Health Care and Rural Development Donations from India (2007-2008) Sr.No Name Address Amount

1 Shakilam Foundation Bombay 375000 2 Shri Paragji Jivanji Desai & Matrushri Laduben Paragji Desai Charitable Surat 292205 Trust 3 GIVE India Mumbai 201200 4 Mrs. Pushpaben B.G. Naik Valsad 102200 5 K. B. Doctor Trust Mumbai 100000

6 The Bai Alamai and Seth Ardeshir Talati and Seth Sarosh B. Mody Charity Mumbai 100000 Trust, C/O. Mrs. S.R.Vatcha, 7 Kharel Vibhag Vividh Karyakari Sahkari Mandli Ltd. Kharel 51000

8 Shri Ramanbhai Bhimbhai Dajibhai Naik C/O. Lilawatiben Dhirubhai Desai Vegam 51000 & Shri Ashokbhai,Shri Dushyantbhai,Shri Mukeshbhai,Late Hemantbhai & Dr.Shobhanaben 9 Shri B.K. Rindani Pariwar Charitable Trust Baroda 50000 10 Dr. Sashi Budhdeo Bangalore 50000 11 Gayatri Projects Ltd., Hyderabad 50000 12 In Memory Of Late Mother Rukshmaniben Nanubhai Desai C/O. Her Sons Valsad 50000 Shri Rameshchandra Nanubhai Desai,Gandeva(Valsad) & Shri Bipinchandra Nanubhai Desai(Valsad) 13 Mahmand Hanif Ibrahim Patel C/O. Shri Adambhai Patel Saraiya 40400 14 M. A. Shah & Co., Chartered Accountants Anand 30000 15 Nikhil D. Vanmali, Ishan D. Vanmali & Family C/O. Dipakbhai Patel Khapariya 30000 16 Shri Shanti Seva Pratishthan Navsari 30000 17 Dr. Dilip Shah Ahmedabad 25000 18 Dr. Smt. Madhurika Smruti Naik Smruti Trust Navsari 25000 19 In Memory Of Late Shri Maganbhai Morarji Patel(Khapariya) C/O. His Tankal 25000 daughter Chandanben Ishwarbhai Patel 20 In Memory Of Late Uncle Ishwarbhai Kikabhai Mehta(Panar) C/O. Manish Panar 25000 H. Mehta & Parimal H. Mehta 21 Lumbini Constructions Ltd. Hyderabad 25000 22 Mohammad Yusuf Mankada. Bhoriya 25000 23 Shantaben Hirabhai Dayalji Patel C/O. Her Son Shri Kiritbhai Hirabhai Sadlav 25000 Dayalji Patel 24 Hari Bhakta Pera 16200 25 Shri Jagdishbhai D. Patel Kumbhar Faliya 12751

Annual Report 2007-2008 17 GRAM SEVA TRUST Dedicated to Health Care and Rural Development

26 Dr. Ashwin A. Shah & Dr. Harsha A. Shah Kharel 11562 27 In Memory Of Late Shri Kusumben Jagjivanbhai Patel C/O. Her Daugther Bilimora 11111 Lataben Thakorbhai Patel 28 Shri Kanaiyalal Mohanlal Shah, Shrimati Shushilaben K. Shah Vadodara 11111 29 In Memory Of Mother Maniben Ranchhodji Naik & Father Ranchhodji Amalsad 11001 Kunvarji Naik C/O. Their Son Shri Rameshbhai Ranchhodji Naik 30 In Memory Of Late Ratilal Gulabbhai Naik (Vijalpore) C/O. His Family Vijalpore 11001 31 In Memory Of Late Rambhai Kunvarji Patel C/O. Ratanben Rambhai Patel Kuched 11000 32 Rohit Bipinchandra Shah Pune 11000 33 Shri Bhaskar K. Desai Surat 11000 34 Shri Hirabhai Dahyabhai Patel Pera 11000 35 In Memory Of Late Father Nanubhai Manibhai Desai & Late Mother Valsad 10002 Gajraben Nanubhai Desai C/O. Shri Dinkarbhai Nanubhai Desai 36 In Memory Of Late Dhirubhai Gulabbhai Mehta C/O.Shri Jitendrabhai,Shri Pipaldhara 10001 Janakbhai & Bhargav 37 In Memory Of Late Father Chhaganlal Bhikhabhai Naik C/O. His Sons Shri Valsad 10001 Anilbhai, Shri Devendrabhai & Shri Bakulbhai C. Desai 38 Shri Satishchandra Ramanlal Desai Antroli 10001 39 A. Laxminarayana Hyderabad 10000 40 Amrutha Construction Hyderabad 10000

41 In Memory Of Late Deenaben Bhagvatlal Raijiwala C/O. Her Son Dr. Surat 10000 Dhaval B. Raijiwala 42 Mr. & Mrs. Zubeen Nallaseth Mumbai 10000 43 Mrs. Indiraben Rasiklal Shah Amalsad 10000 44 Mrs. Shirin Sorab Vaid Mumbai 10000 45 Shri Gurjar Manav Seva Trust C/O. Shri Chhatrasalsinh Parmar Surat 10000 46 Shri Mohmmedbhai Musabhai Navsa Matwad 10000 47 Shri Mineshkumar Nathubhai Desai C/O. Jashvantrai R. Naik Navsari 10000

48 Smt. Geetaben Umeshbhai Shah Mumbai 10000 49 Yusuf Ahmad Varachhiya Kangvai 10000 50 Snehsudha Pramodchandra Mehta Surat 9000 51 Ilaben Subhashchandra Mehta Surat 8000 52 Shri Subhashchandra Pramodchandra Mehta Surat 8000

53 In Memory Of Late Parvatiben Manilal Shah C/O. Shri Suchit Mayankbhai Amalsad 6000 Shah

18 Annual Report 2007-2008 GRAM SEVA TRUST Dedicated to Health Care and Rural Development

54 In Memory Of Late Parvatiben Gopalbhai Patel C/O. Her Son Shri Kharel 5552 Khetabhai Gopalbhai Patel 55 Smt. Pushpaben Randhirbhai Patel Sarpore Pardi 5501 56 In Memory Of Late Bhuliben Maganbhai Patel(Sadlav) C/O.Her Family Sadlav 5001 57 In Memory Of Late Shantaben Monghabhai Naik C/O. Her Son Shri Gadat 5001 Satishbhai Monghabhai Naik 58 In Memory Of Late Shri Thakorbhai Khandubhai Desai C/O. Nirmalaben Dhamdachha 5001 Thakorbhai Desai & Nalinbhai T. Desai 59 Smt. Kiran Syal & Dr. Ratna Magotra Mumbai 5001 60 Lalitaben Manibhai Naik C/O. Shri Bhikhubhai Dayalji Naik Samrawadi 5001 61 Shveta Dipakbhai Patel & Meha Dipakbhai Patel Khapariya 5001

62 Ardeshir S. Khambata F.R.C.S Mumbai 5000 63 In Memory of Late Amratlal Zinabhai Desai(Ganghor) C/O.Shri Rajnikant J. Amalsad 5000 Naik 64 In Memory Of Late Father Khandubhai Morarji Desai(Sultanpura) C/O. Shri Surat 5000 Bhaskarbhai K. Desai 65 In Memory Of Late Mother Vajiyaben Khandubhai Desai(Sultanpura) Surat 5000 C/O.Shri Bhaskarbhai K Desai 66 In Memory Of Late Father Moghabhai Mohanbhai Naik (Gadat) C/O. His Gadat 5000 Son Shri Satishbhai Moghabhai Naik 67 In Memory Of Late Mother In Law Maniben Mohanlal Naik C/O. Mrs. Pipaldhara 5000 Kaushikaben Rajanbhai Naik 68 In Memory Of Thakorbhai Bhimbhai Vashi C/O. Sushri Shardaben Bilimora 5000 Thakorbhai Vashi 69 Lala Bhavan Charity Khadsupa 5000 70 Land Mark Export & Import Pvt. Ltd., Hyderabad 5000 71 Lodge Barton No.475 S.C. LONAVLA, C/O. Nauzer M. Baxter Mumbai 5000 72 Mr. & Mrs. Noshir Randeria Mumbai 5000 73 Mr. & Mrs. Phiroze Katrak Mumbai 5000

74 On the Birthday Of His Grandson Sahil Kaushikbhai Patel C/O.Shri Navsari 5000 Khandubhai Kalidas Patel 75 Shri Ishwarbhai Chhimabhai Naik Amalsad 5000 76 Smt. Radhikaben Himatlal Patel, Charitable Trust Vadodara 5000 77 Taronish Zubin Mistry & Zubin A. Mistry Mumbai 5000

78 Shri Bhagubhai Nathubhai Patel Amanpore 4050

Annual Report 2007-2008 19 GRAM SEVA TRUST Dedicated to Health Care and Rural Development

79 Shri Mehulbhai Jitendra Maganlal Mehta Amalsad 4000 80 Tinaben Kapur(New Delhi) C/O.Gopalbhai Kalyanji Patel Sadlav 4000 81 Ismail Isab Bahadur C/O. Musabhai Saraiya 3972 82 In Memory Of Late Shri Motichand Maganlal Shah C/O. His Family Khapariya 3501

83 Mr. Yogesh Naik & Friends Taliara 3400 84 Shri Arun A. Bhavsar Ahmedabad 3250 85 Prashant Suman Naik Navsari 3001 86 Mr. Ajay Shah Ahmedabad 3000 87 Mr.& Dr. Mrs.Homi Mullan, Mumbai 3000

88 Mrs.Tejasben Dipakbhai Shah Ghandhinagar 3000 89 Shri Janardan Amratlal Desai Valsad 3000

90 Smt. Minakshiben Rohitbhai Desai Dhamdachha 2501

91 Arohi Ashwinbhai Shah Kharel 2500 92 Dr. Nirav Desai Valsad 2500 93 Ronak Ashwin Shah Kharel 2500

94 In Memory Of Late Shri Babubhai G. Patel C/O. Swastik Medicals, Vijay & Bilimora 2101 Vinod B Patel 95 In Memory Of Late Dahiben Ranchhodbhai Patel C/O. Mrs. Madhuben Mumbai 2001 Jayeshbhai Patel(Khapariya) 96 In Memory Of Late Sister Kikiben/Taraben Dolatrai Mehta(Sarav) C/O. Shri Gandeva 2001 Kantilal Bhikhabhai Naik 97 Mr.Nauzer M. Baxter Mumbai 2000 98 Mrs. Katie E. Dalal Kolkata 2000 99 Mrs. Manjulaben M. Desai Navsari 2000 100 Shri Maganbhai Premabhai Patel Vanjana 2000 101 Shri Manubhai Hirabhai Patel Sarpore Pardi 2000 102 Smt.Sudhaben Ravindrabhai Morkar Surat 2000

103 Vahbiz H. Pestonjamasp Mumbai 2000 104 Dr. Hiren B. Naik Bilimora 1500

105 In Memory Of Late Mother Savitaben & Mother Kamlaben Desai C/O. Mrs. Pipaldhara 1111 Ramilaben Rajendrabhai Haribhai Desai

20 Annual Report 2007-2008 GRAM SEVA TRUST Dedicated to Health Care and Rural Development

106 Shri Somabhai Ratanabhai Patel Sunthwad 1111 107 In Memory Of Late Father Shri Amratlal Chhimabhai Vashi C/O. Shri Dhamdachha 1102 Dipakbhai Amratlal Vashi 108 In Memory Of Late Jashvantiben Pratapbhai Raval C/O. Dr. Dhirubhai J. Surat 1101 Yagnik 109 In Memory Of Late Pratapbhai Chhaganlal Raval C/O. Dr. Dhirubhai J. Yagnik Surat 1101 110 In Memory of late Mother Sharmishthaben Pravinchandra Pandya From Dr. Nadiad 1101 Mayur P Pandya

112 In Memory Of Late Amarchand Lalluchand Shah C/O. His Son Shri Amalsad 1100 Jayeshbhai Amarchand Shah 113 Kusumben Motichand Shah Khapariya 1100 114 Vashi Jogeshkumar Khandubhai Ahmedabad 1100 115 In Memory Of Late Shantaben Kasanji Desai C/O. Her Son Shri Jitendra Gandeva 1011 Kasanjibhai Desai 116 Smt. Vajiyaben Dahyabhai K. Mistry C/O. Shri Mahadevbhai. B. Nani Pethan 1011 Mistry(Navsari) 117 D. K. Patel C/O.Indian Overseas Bank Hyderabad 1001 118 In Memory Of Late Father In Law Natubhai Maganlal Desai C/O. Mrs.Yashvi Vijalpore 1001 Parimal Desai 119 In Memory Of Late Father Shri Mangubhai/Kasanji Dahyabhai Desai C/O. His Gandeva 1001 Son Shri Mahendrabhai K. Desai 120 In Memory Of Late Manjulaben Kantilal Shah C/O. Her husband Shri Kantilal Navsari 1001 Shah & Gita Shah 121 Shri Kiritbhai V. Shah Udwada 1001 122 Bhikha Vallabh Charity Trust Khadsupa 1000 123 In Memory of Shri Dilipbhai Kantilal Shah C/o.Shri Nareshkumar K. Shah Surat 1000 124 Kashmira Suratiwalla C/O.Rayomand Karkariya Mumbai 1000 125 Mr. & Mrs. Pilloo Pastakia Mumbai 1000 126 Mr.Meher. R. Engineer Baroda 1000 127 Mrs. Gangaben & Mr. Bhulabhai Kalyanji Patel Sarpore Pardi 1000 128 Mrs. Jasmine Irani Mumbai 1000 129 Shri Hiteshbhai Rameshbhai Desai Luswada 1000 130 Shri Ishwarbhai Rambhai Patel C/O.Shri Nathubhai Dahyabhai Patel Sadlav 1000 131 Shri Jitendra Hiralal Savai Ahmedabad 1000

132 Shri Kiritbhai Ishwarbhai Patel(Ahmedabad) C/O. Shri Dilipbhai Dhirubhai Devdha 1000 Naik

Annual Report 2007-2008 21 GRAM SEVA TRUST Dedicated to Health Care and Rural Development

133 Shri Pathik Ashwinbhai Vashi Desad 1000 134 Shri Suhas Mohanbhai Naik Amalsad 1000 135 In Memory of Smt. Ashaben Bhatt Navsari 551 136 Dr. Sharmishtha S. Patil Kharel 551 137 In Memory Of Late Father Shri Ishwarlal Chhotubhai Desai C/O. Shri Pipaldhara 551 Rajubhai Ishwarlal Desai

138 In Memory Of Late Father Natvarlal P. Desai & Late Uncle Manubhai P Desai Pipaldhara 551 C/O. Shri Jatinbhai N. Desai 139 In Memory Of Late Father Shri Dahyabhai Dayalji Desai (Gorwada) C/O. Mrs. Gandeva 551 Jaynaben Hirenbhai Vashi

140 In Memory of Late Mother Kamlaben Haribhai Desai C/O. Shri Dilipbhai Pipaldhara 551 Haribhai Desai 141 Shri Akhil Ishwarbhai Naik Amalsad 551 142 In Memory Of Late Shri Gomansinh Laxmanbhai Parmar C/O. His Son Shri Ranverikalla 501 Balvantsinh Gomansinh Parmar 143 In Memory Of Late Sudhaben Dinubhai Naik(Endhal) C/O.Her Son Shri Bilimora 501 Devendrabhai Desai 144 Shantaben Surendralal Choksi Ankaleshwar 501 145 Shri Pankajbhai Jagubhai Patel Nogama 501

146 Freny J. Patel Mumbai 500 147 Muktaben Manharlal Naik Amalsad 500

Gram Seva Fund Categories Building Fund – For construction of ICU ward, children ward, new general wards, delivery rooms and dining hall. New Equipment Fund Poor Patient Relief Fund General Fund Children Fund In Memorium Eye Camp Sponsership Satelite Project

“ Gods gifts put man's best dreams to shame” – Elizabeth B. Browning

22 Annual Report 2007-2008 GRAM SEVA TRUST Dedicated to Health Care and Rural Development

Donation From Abroad - 2007-2008 No. Name Address Amount 1 In Memory of Late Son Anjaykumar Dhansukhlal Solanki C/O.Smt. Prabhaben & Shri Dhansukhlal C. U.k Rs.200000 Solanki 2 Mr. R.L. Patel U.K Rs.200000 3 Mr. Hiten Patel U.K Rs.160000 4 Leuva Patidar Samaj C/O.Ghelabhai V. Patel & Rambhai V. Patel U.K Rs.157600 5 Give India Mumbai Rs.90519 6 Anavil Samaj Leicester C/O.Dipakbhai Dhirubhai Desai,Kaushikbhai Sumanbhai Mehta U.K Rs. 75001 7 Chetnaben Jatinbhai Patel U.K Rs.32600 8 Mukeshbhai Dhirubhai Patel U.K Rs.32600 9 In Memory Of Late Father Rudaji Kikabhai Mistry & Late Mother Ichchhaben Rudaji Mistry C/O Mr. U.K Rs.30000 Bhikhubhai Rudarji Mistry(Endhal) 10 "FRIENDS AT MANCHESTER U.K Rs.28250 11 Lutterworth Lions Club U.K. U.K Rs. 26030 12 KRIS PATEL U.S.A Rs.25000 13 Shri Madhukar Ghelabhai Patel (Nagdhara),Shri Hasmukhbhai Vyas,Shri Mahendrabhai Patel Nagdhara Rs. 15551 14 In Memory Of Late Father Maganbhai Ranchhodbhai Parmar(khapariya) EnglandC/O Mr. Priyvadan M. U.K Rs.15000 Parmar 15 Soham Sachinbhai Mehta C/o. Mrs. Parin Sachin Mehta U.S.A RS.11890 16 Mr. Vijaykumar B. Desai U.S.A Rs.11000 17 IASA U.S.A Rs.8000 18 Shri Amratbhai Keshavbhai Patel U.S.A Rs.8000 19 Manishaben Prakashbhai Patel C/O.Nilaben G. Patel(Gandeva) U.K Rs.5001 20 Drs. Freany & Jitu Vohra Australia Rs.5000 21 Mr. D.C.Solanki U.K Rs.5000 22 Soonoo Engineer Canada Rs.3000 23 Sheelaben Nanubhai Patel C/O. Shri Bharatbhai P. Patel (Khaparia) U.K. Rs.1500 24 Gram Seva Foundation U.S.A $374,387 25 Chhotubhai Patel Family Foundation U.S.A $20,000 26 Mr. Manubhai D. Desai & Friends U.K £ 462 27 Mr. Vikas Goel U.S.A $152

28 Mrs. Shirley L. Poliquin U.S.A $20

American Friends and Donors can donate through Gram Seva Foundation and get benefit of tax exemption. Gram Seva Foundation C/o Dr. Roda K. Patel. 2030, Post Road, North Brook, IL-60062-6204 U.S.A. Phone No.: 847-5642030 E Mail : [email protected] Website : www.gramseva.org

Annual Report 2007-2008 23 GRAM SEVA TRUST Dedicated to Health Care and Rural Development Gram Seva Foundation Annual Honor Roll of Donors. (Year ending March 31, 2008) We are pleased to recognize these generous individuals and organizations whose gifts help us sustain Our Mission of Healing, Nurturing, Educating and Empowering. (We strive to be accurate and complete. Please inform us of any errors, and accept our apologies for any oversight)

$10,001.00 and Above Beach Cigar Group, Inc Miami FL $110,200.00 Ronald McDonald House Charities Oak Brook IL $25,000.00 Dr. & Mrs. Mohan M. Patel Pittsburgh PA $20,000.00 Anonymous MN $13,000.00 Dr. & Mrs. Burzoe Ghandhi Milwaukee WI $12,253.00

$5,001.00 to $10,000.00 Khushroo & Roda Patel Northbrook IL $10,000.00 Chhotubhai N. Patel Greensboro NC $10,000.00 Mr. & Mrs. William Linville Ashville NC $9,000.00 Mr. Robert Fisher Fridly MN $8,637.60

$3,001.00 to $5,000.00 Dr. Sarojini Rajguru Bakersfield CA $5,000.00 Mr. & Mrs. Sanjay Vyas Glen Allen VA $3,834.86 Mr. & Mrs. Zubin Tantra Long Grove IL $3,601.00 Kaizer Corporation Miami FL $3,500.00

$1,001.00 to $3,000.00 Mrs. Bachi M. Bilimoria Northbrook IL Patricia & John Foltz Chicago IL Dr. & Mrs. Scott Groch Elmhurst IL Mr. & Mrs. Gerald P. Johnson Pine Island MN Elaine & Wendell Johnson Northbrook IL Dr. & Mrs. Bernard Leininger Willowbrook IL Dr. & Mrs. Arda-E-Viraf Minocherhomjee Hinsdale IL Dr. & Mrs. Shiraz Patel Paducah KY Harshad & Jyotsna Shah Raleigh NC Mr. & Mrs. Michael Smith St. Francis MN Cainaz Vakharia & Michael Heaton Silver Spring MD Dinyar & Gool Wadia New Cannan CT Mr. & Mrs. Anurag Wakhlu Chelmsford MA

$501.00 to $1,000.00 Anonymous IL Drs. Nargis & Manohar Awatramani South Barrington IL Jay & Roxie Bozicevich Golden Valley MN Dr. & Mrs. Mukesh Desai Owensboro KY Mrs. Beverly Engineer Sturgeon Bay WI Mr. & Mrs. Tas Ganitopoulos Northbrook IL Dr. & Mrs. Sorab Ghandhi Escondido CA Mr. & Mrs. Ashok Iyengar Ancinitas CA Dr. Sunita Khambatta Menomonee Falls WI Dr. & Mrs. Barry Levy Evanston IL Mr. & Mrs. Kayomarsh Mehta Bur Ridge IL Kris & Hina Patel Austin TX Mr. & Mrs. Andrew Reisman Highland Park IL Mr. & Mrs. Mahendra Shah Mount Prospect IL Mr. & Mrs. Surendra Shah Evanston IL Mr. & Mrs. Pesi Shroff Ottowa ONT

24 Annual Report 2007-2008 GRAM SEVA TRUST Dedicated to Health Care and Rural Development $251.00 to $500.00 Anonymous KS AHINSA Club, Mahazabin Darukhanawalla Chicago IL Mr. & Mrs. Richard Bacon Manchester MO Mr. & Mrs. Emilio Bettaglio Minneapolis MN Mr. & Dr. Mrs. Raj Bhatia Lake Forest IL Shailesh & Kaushika Desai Clifton NJ Vikram & Reena Grover Fremont CA Dr. Jaswant Jain East Rochester NY Dr. & Mrs. Timothy Lemieur Deerwood MN Dr. Judith Levitan Minneapolis MN Vera Meyer Northbrook IL Phiroza & Satish Modi Newburg NY Mr. & Mrs. Jim Modi Arlington Heights IL Dr. Damyanti Moorjani New York NY Susan Noyes Wilmette IL Mr. & Mrs. Vasant Patel Skokie IL Dr. & Mrs. Jim Plath Bloomington IL Jehan Rivetna Fresno CA Mr. & Mrs. Jehangir Rudina Saint Paul MN Donna R. Stender Chicago IL Mr. & Mrs. Adi Vakharia Flower Mound TX Mr. & Mrs. Pesi Vazifdar Bolingbrook IL

$101.00 to $250.00 Shaiffali & Dinesh Aggarwal - Kumar Cupertino CA Mr. & Mrs. Jamshed Antia Bolingbrook IL Arlington Heights Rotary Club Arlington Heights IL Mrs. Mary Lou Baffes Park Ridge IL Mr. & Mrs. Kersi Bhathena Glen Ellyn IL Mr. & Mrs. Charles Caruso Deerfield IL Dr. Claudia Crawford Minneapolis MN Drs. Ahswin & Mira Damania Oakbrook IL Zarine Damkevala Naperville IL Mr. & Mrs. Nano Daroowala Houston TX Mahazabeen Darukhanawalla Chicago IL Mr. & Mrs. Viraf Darukhanawalla Hoffman Estates IL Mr. & Mrs. Khushroo Dastur Northbrook IL Mrs. Mae Defrain Glenview IL Hem & Niyati Desai Duluth GA Arun & Jaya Desai Phoenixville PA Mr. & Mrs. Paul Emerson St. Louis Park MN Mr. & Mrs. Lauro Fanucci Anoka MN Mr. & Mrs. Jamshed Ghandhi San Carlos CA Dr. & Mrs. Erach Guard Brentwood CA Drs. Gool & J. D. Gupta Goldboro NC Dr. & Mrs. Peter Haynes Baton Rouge LA Pamela Heart Vernon Hills IL Bernadine Jaszewski Milwaukee WI Mr. & Mrs. Neriosang Karanjia Bolingbrook IL Kamalrukh Katrak Chicago IL Mr. & Mrs. Sarosh Khambatta Orland Park IL Dr. & Mrs. Cyrus Kotval Danville CA Drs. Bashir & Meenal Mamdani Oak Park IL Mr. & Mrs. Hosi Mehta Elmhurst IL Mr. & Mrs. Bhadresh Mehta Chicago IL Manish & Vaishali Mistry Somerset NJ Mr. & Mrs. Sorab Mullan Darien IL Mr. & Mrs. Pheroze Nagarwalla St. Charles IL

Annual Report 2007-2008 25 GRAM SEVA TRUST Dedicated to Health Care and Rural Development Mr. & Mrs. Arvindrai Oza Glendale Heights IL Dr. & Mrs. Subhash Paralikar Gailsburg IL Mr. & Mrs. Chittaranjan Pardeshi Cupertino CA Mr. & Mrs. Burjor Patel Schaumburg IL Mr. & Mrs. Farhad Patel Evanston IL Mohanlal & Jyotsnaben Patel Edison IL Dr. Padma Patel Orangeburg NY Mr. & Mrs. Daraius Patel Hoffman Estates IL Drs. Veerdhaval & Madhavi Pitale Northbrook IL Mr. & Mrs. Minoo Press Schaumburg IL Mr. & Mrs. Rusi Press Ramsey IL Dr. Varsha Puri West Hollywood CA Drs. Suresh & Santosh Raina Montville NJ Marilyn Reidy Chicago IL Mr. & Mrs. Dara Rivetna Darien IL Mr. & Mrs. Navin Sanghavi La Grange Park IL Samuel & Karen Schmall Buffalo Grove IL Mr. & Mrs. Naveen Sharma Minneapolis MN Gurmeet & Rajindra Singh Wheeling IL

Upto $100.00 Ms. Julia Agboatwalla Bolingbrook IL Sandra J. Alevras Wheeling IL Mary & John Alsip Mackey IL Mr. & Mrs. Yogindra Anand Chelmsford MA Dr. & Mrs. Cawas Antia Bel Air MD Ina & John Beierle Glencoe IL Irena Berezin Chicago IL Mr. & Mrs. Kishore Bhojani Brunswick OH Mr. & Mrs. Farokh Billimoria Palatine IL Karl E. Blalock Riverwoods IL Dawn Boling Utica KY Mr. & Mrs. Farhad Cama Pittsburg PA Mrs. Jaloo Captain Boca Raton FL Alexandra & Eduado Castagna San Jose CA Tsu Yen Chen Morton Grove IL Claudia Chocano Highland Park IL Nancy Christen Minneapolis MN Mr. Daraius Contractor Overland Park KS Alfred Cooper Crystal Lake IL Mr. & Mrs. Stephen Craver Minnetonka MN Ada Cross Algonquin IL Mr. & Mrs. Zubin Daroowala Cypress TX Mr. & Mrs. Jehangir Darukhanavala Peoria IL Kishore & Kusum Desai Clifton NJ Arvindkumar B. Desai Greer SC Bharat & Lata Desai Chester VA Minesh & Mona Desai Clifton NJ Prabhat & Bharti Desai Clifton NJ Anil & Malti Desai Clifton NJ Angela Diasparra Lake Forest IL Mr. & Mrs. Jack DuBow Chicago IL Paul Duchek Arlington Heights IL Mr. & Mrs. Prafulla Dunung Des Plaines IL Rohena Elavia Westmont IL Desta Elliot Niles IL Tera Embry Owensboro KY Angela Fong Malpitas CA Kathy Foty Chicago IL

26 Annual Report 2007-2008 GRAM SEVA TRUST Dedicated to Health Care and Rural Development

Myron Griffith Harvey IL Dr. & Mrs. John Hallenbeck Kensington MD Rajesh & Sangeeta Hatkar Buffalo Grove IL Robert & Virginia Heller Inverness IL Mr. & Mrs. David Hill Mequon WI IDCA c/o Mohan Jain Willowbrook IL Anna Isbell Rolling Meadows IL Mr. & Mrs. Rumi Jamsetjee Bolingbrook IL Mrs. Lorraine Jhonson Marco Island FL Mr. & Mrs. Kersi Kapadia St. Catherines ONT James & Linda Kapuscinski Niles IL Mr. & Mrs. Firdosh Kavina Naperville IL Mr. & Mrs.Edward Keevins Lincolnshire IL Dr. & Mrs. Noshir Khory Northbrook IL Ranchod Krupa Inc. North Bergen NJ Dr. & Mrs. Jules Last Highland Park IL Ms. Theresa Lilley Cupertino CA Cindy Majkowicz Morton Grove IL Mrs. Marsha Mark Glenview IL Dilip & Hansa Mehta Clifton NJ Julia Towne Mendelson Highland Park IL Kanchan & Sarla Naik Nutley NJ Nilesh & Hetal Naik North Wales PA Paresh N. Naik Dunn NC Dr. & Mrs. Peter Nennhaus Sugar Grove IL Dr. & Mrs. Salvatore Nigro Oak Brook IL Wanda Nowak River Grove IL Michael & Joanne Paller Aiken SC Mrs. Roshan Patel Hoffman Estates IL Charul & Rajendra Patel Chester VA Delphine & Arnaud Perrier Cupertino CA Mrs. Verna H. Peterson Park Ridge IL Ms. Shirley Poliquin Minneapolis MN Dr. T. K. Raghunath Northbrook IL Premlata & Rangarajan Rajagopalan Cupertino CA Renu E. Ramkumar Menon San Jose CA Sheela Rani San Jose CA Natvarlal & Varsha Raval Bloomfield NJ Stuart & Marlene Rosen Northbrook IL Paul & Mara Rothschild Highland Park IL Octavia P. Samaroo Schaumburg IL Alpa & Jagesh Sanghavi Cupertino CA Freny Shroff North York ON Mrs. Kumud D. Shyamani Des Plaines IL Mr. & Mrs. Avinash Soni Northbrook IL Mr. & Mrs. David Sussman Golden Valley MN Mrs. Freny Talati Bolingbrook IL Mr. & Mrs. Percy Tarapore Morganville NJ Rusi & Villoo Tavadia Novi MI Mr. & Mrs. Edul Udvadia Bolingbrook IL Perry D. Unwalla St. Augustine FL Mazarin Vakharia Santa Clara CA Mr. & Mrs. Jay Weisbach Deerfield IL Susan R. Weiss Deerfield IL Sandra & David Wickzer Buffalo Grove IL Jane Qian Xin Sunnyvale CA

We are grateful to Mr. Noshir Daruwalla and his Accounting Firm F. R & R (Frost, Ruttenberg & Rothblatt, P.C.) and Mr. Mukesh Desai C.A. for their probono services.

Annual Report 2007-2008 27 GRAM SEVA TRUST Dedicated to Health Care and Rural Development AUDITORS' REPORT (Under sub section (2) of section 33 and 34 and Rule 19 of the Bombay Public Trust Act 1950) We have audited the annexed Balance sheet of GRAM SEVA TRUST ( Reg.No E/896/Navsari) situated At & Post: Kharel, Dist: Navsari (396 430) as on 31st March 2008 as well as Income and Expenditure Account for the year ended on 31st March 2008. These financial statements are the responsibility of the Trust. Our responsibility is to express an opinion on this financial statements based on our audit. We have conducted our audit in accordance with auditing standards generally accepted in India. These standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by Trust, as well as evaluating the overall financial statement presentation. We believe that our audit provides a reasonable basis for our opinion. Subject to the above and, in respect of schedules forming part of Balance Sheet and Income & Expenditure Account, we report that:- 1. The accounts are maintained regularly and in accordance with the provisions of the Act and Rules. 2. The receipts and disbursements are properly and correctly shown in the accounts. 3. The cash balance and vouchers in the custody of the treasurer or trustee on the date of the audit were in agreement with the books of account. 4. All books, deeds, accounts, vouchers or other documents & records required by us were produced before us. 5. A Register of movable and immovable properties has been maintained and the changes there in have been furnished to us. 6. All the necessary information required by us has been furnished to us by the Trustees personally whenever called upon. 7. No property or funds of the Trust were applied for any object or purpose other for than object or purpose of the Trust. 8. There are no amounts which are outstanding for more then one year and written off. 9. For repairs, tenders are not invited but for construction involving expenditure exceeding Rs.5000/-, tenders are invited. 10. The Money of the trust has been invested contrary to the provisions of section 35 of the Act. 11. There is no alienation of the immovable property contrary to the provision of Section 36. 12. There is no case of irregular, illegal or improper expenditure or failure or commission to recovery monies or other property belonging to the public trust or loss or waste of money or other property thereof. 13. The provision of Budget to be filed under Rule in the form under Rule 16A is not applicable to the trust. 14. The maximum and minimum number of trustees is maintained during the year. 15. The meetings are held as provided by such instrument. 16. The Minutes Book of proceedings of the meetings is maintained. 17. None of the Trustees has any interest in investment of the trust. 18. None of the trustees is any debtor or creditor of the trust. 19. The irregularities pointed out by the Auditors in the accounts for the year under audit is having been duly comply with by the trustees. 20. There is no special matter, which we think fit or necessary to bring to the notice of the Deputy or Assistant Charity Commissioner.

For D.D. Desai & Associates Chartered Accountants

(Dipak D. Desai) Place : Valsad Proprietor Date : 28-08-2008 M. No. :042031 D.D. Desai & Associates, Chartered Accountants G/2, Sun Shine Apt., Ratanji Ni Wadi, Near Bai Avabai High School, Halar Road, Valsad. 396 001. Tel. 02632-243737

28 Annual Report 2007-2008 Annual Report2007-2008 GRAM SEVA TRUST Schedule - VIII Regd. No. E/896/Navsari Balance Sheet As on 31st March 2008

Previous Year FUNDS & LIABILITIES SCH. Current Year Previous Year PROPERTIES & ASSETS SCH. Current Year NO. NO. 2006/07 2007/08 2006/07 2007/08

234,000.00 Trust Fund Corpus 1 234,000.00 12,226,859.50 Immovable Properties 4 11,758,058.35

64,596,867.94 Other Earmarked Funds 2 80,739,723.11 37,747,502.56 Investments 5 50,232,326.68

1,316,775.62 Current Liabilities & Provisions 3 2,104,079.82 5,131,814.00 Movable Properties 6 6,299,139.00

1,293,353.11 Cash & Bank Balances 7 3,082,629.11

372,259.00 Accounts Receivables 8 758,906.70

545,620.00 Advances & Deposits 9 1,354,862.03

839,289.02 Closing Stock of Medicines & Others 10 1,193,365.65

7,990,946.37 Income & Expenditure Account 8,398,515.41

66,147,643.56 TOTAL RS. 83,077,802.93 66,147,643.56 TOTAL RS. 83,077,802.93 Dedicated toHealthCareandRuralDevelopment GRAM SEV

As per our Report of even date D. D. Desai & ASSOCIATES GRAM SEVA TRUST Date : 28-08-2008 Chartered Accountants Place: Valsad

(A.A.SHAH) Managing Trustee A Date: 28-08-2008 TRUST D.D. Desai (Partner) Place: Kharel M.No. : 042031 29 30 Dedicated toHealthCareandRuralDevelopment GRAM SEVA TRUST Schedule - IX GRAM SEV Regd. No. E/896/Navsari Income and Expenditure Account for the year ending on 31st March 2008 A TRUST Previous EXPENDITURE SCH. Current Year Previous Year INCOME SCH. Current Year Year NO. NO. 2006-07 2007-08 2006-07 2007-08

557,665.90 Establishment Expenses 15 851,848.25 8,121,641.46 Hospital Receipts 11 8,513,058.80 1,871,301.00 Depreciation 4 & 6 2,098,005.00 704,918.00 Project Donation Receipts 12 465,152.00 263,646.28 Other Receipts 13 161,429.82 Expenditure on Objects of the 16 581,504.00 Grant Received 14 2,346,146.00 Trust 9,507,584.50 (A) Hospital Expenses 16A 9,681,001.89 133,892.00 Interest from Other 81,045.00 Investments 2,034,087.47 (B) Community Health Project 16B 2,689,510.15 2,567,598.00 Voluntary Donations 2,393,121.00 57,689.18 (C) Satelite Project 16C 94,269.72 1,602,300.13 Interest from Earmarked Funds 2 2,843,538.00

1,307,795.00 (D) Medical Camp Expenses 16D 407,415.30 1,329,912.34 Transfer from Project Funds 2 1,242,011.15 520,269.00 (E) Specific Project Expenses 16E 2,631,020.50 Deficit : 550,979.84 Excess of Expenditure over 407,569.04 Income 15,856,392.05 18,453,070.81 15,856,392.05 18,453,070.81

As per our Report of even date

Annual Report2007-2008 D. D. Desai & ASSOCIATES GRAM SEVA TRUST Date : 28-08-2008 Chartered Accountants Place: Valsad (A.A.SHAH) Managing Trustee Date: 28-08-2008 D.D. Desai (Partner) Place: Kharel M.No. : 042031 GRAM SEVA TRUST Dedicated to Health Care and Rural Development CASH FLOW STATEMENT Particulars Year ended March 31,2008 A. CASH FLOW FROM OPRATING ACTIVITIES Amounts (Rs.) Amounts (Rs.) Excess of Expenditure over Income (407,569.04) Add : Depreciation 2,098,005.00 2,098,005.00

Less : Interest from Earked Finds 2,843,538.00 Interest from other Investments 81,045.00 2,924,583.00

Cash from Operation before working capital changes (1,234,147.04) Add : Decrease in advance & deposits 1,354,862.03 1,354,862.03

Less : Increase in Accounts Receivables 758,906.70 Increase in Inventories 354,076.63 Decrease in Current Liabilities. 1,777,575.82 2,890,559.15

Net cash flow from Operating Activities (A) (2,769,844.16)

B CASH FLOW FROM INVESTMENT ACTIVITIES Donations Received for Earmarked Funds 14,421,481.00

Add : Interest from Earmarked Funds 2,843,538.00 Interest from Other investments 81,045.00 2,924,583.00

Less : Project Funds Utilised 1,242,011.15 Purchase of Fixed Assents 772,521.85 Purchase of Investments 12,484,824.12 14,499,357.12

Net cash flow from Investment activities (B) 2,846,706.88

C Net cash flow for the year (A + B ) 76,862.72

D Cash and cash equivalents at the beginning of the year 1,866,138.72 Cash and cash equivalents at the end of the year 1,789,276.00 Net Increase ( Dacrease) in cash & cash Equivalents 76,862.72

Date : 28-08-2008 D. D. Desai & ASSOCIATES GRAM SEVA TRUST Place: Valsad Chartered Accountants

(A.A.SHAH) Managing Trustee D. D. Desai (Partner) Date: 28-08-2008 M.No.: 042031 Place: Kharel

(Complete Audited Report will be available on request)

Annual Report 2007-2008 31 GRAM SEVA TRUST Dedicated to Health Care and Rural Development Credibility Alliance Norms and Compliance Report Identity ! Name of Trust : Gram Seva Trust ! Address : At & Post Kharel, Ta. Gandevi, N. H. No. 8, Dist. Navsari. Pin. 396 430 (Guj.) INDIA ! Public Trust Registration No. : E / 896 / Navsari. Dtd. January 1,2001 Old No.: E/1487/Valsad ! FCRANo. : 42000065 ! Permanant Account No. (PAN) : AAATG2029D Dt. 05-02-1994 ! Registered u/s 12A of the Income Tax Act No. : SRT/CIT/SIB/110-1586-G-1994-95 ! Income Tax Exemption u/s 80G (5) (vi) No. CIT / VLS / TECH /GST/2007-08 Dt. 17-5-2007 & Valid till 31-3-2010 ! Name & Address of main Bankers (I) Dena Bank, Kharel Branch N. H. No. 8, At & Post. Kharel, Ta. Gandevi, Dist. Navsari -396430 (II) For Foreign Donation Bank of Baroda, Bhulafalia K.B. Branch, N. H. No. 8, At & Post. Khadsupa, Ta.& Dist.Navsari - 396 433 ! Name & Address of Auditors : D. D. Desai & Associates, Chartered Accountant G/2, Sunshine Apt., Ratanji Wadi, Opposite Bai Avabai Highschool, Valsad - 396 001 Governance ! Board of Trustees - Title page No. 3 ! Two Trustees are related to each other. ! Board met 5-8-2007, 6-1-2008 & 29-3-2008 - in 2007-08 year. Accountability And Transparency ! No remuneration, sitting fees or any other form of compensation has been paid since inception of the Foundation, to any Board members or trustees. ! Head of the organization's salary for professional work: 20000/- p.m. ! Highest salary Rs.25,000/- p.m. paid to 1 Staff Member ! Lowest salary Rs.2,170/- p.m. paid to 1 Staff Member ! DISTRIBUTION OF STAFF ACCORDING TO SALARY

Slab of gross salary (in Rs.) plus benefits paid to staff Male Female Total <2500 3 6 9 2501 to 5000 18 23 41 5001 to 10000 4 0 4 10000 to 15000 3 - 3 > 15000 3 3 6 Total 31 32 63

TOTAL COST OF NATIONAL TRAVEL BY ALL STAFF DURING THE YEAR : Rs.5916 TOTAL COST OF INTERNATIONAL TRAVEL BY ALL STAFF DURING THE YEAR : None

32 Annual Report 2007-2008 Board of Trustees Dr. Ashwin Shah Managing Trustee Kharel Shri Nalinbhai J. Desai Hon. Secretary Surat Dr. Harsha Shah Kharel Shri Nalinbhai T. Desai Surat Shri Dipakbhai Vashi Dhamdachha Shri Moghabhai Naik Pipaldhara Shri Dinubhai Patel Khaparia Dr. Anilbhai Desai SEWA Rural, Jhagadia Dr. Roda K. Patel Kharel Shri Chhaganbhai Naik Surat Dr. Ratna Magotra Mumbai

Advisers Shri Dhananjaybhai Desai Valsad Dr. Lataben Desai SEWA Rural, Jhagadia Shri I. J. Desai Surat