CHAPTER III SELECTED HOSPITALS IN AHMEDNAGAR DISTRICT

3.1 Introduction In this chapter an earnest attempt is made by researcher to compile and present an overview of the private hospitals in Ahmednagar district which have been selected for the present study. The selection of hospitals is already been discussed in the earlier chapter where in it has been deliberated that those private hospitals having bed size of more than 100 beds and which have been operating for more than 10 years are selected. The reason for selecting these hospitals basically lies in the premise that these hospitals have been revered as the best private hospitals in the district. The profile of 10 hospitals in terms of their establishment year, vision, mission, organizational structure, departments, facilities is been discussed. 3.2 Pravara Medical Hospital, Loni Pravara Medical Hospital owing its allegiance to Pravara Medical trust hereafter referred as (PMT) is a comprehensive Medical and Health Care center catering to Primary to Tertiary Care. The trust started providing primary and secondary level medical care in 1976 with a reticent hospital of 100 beds. Responding to the need of the area, gradually, the hospital grew into an 800 bed multi-disciplinary, super-specialty medical institute along with the other ancillary facilities. Hospital provides urbane diagnostic and therapeutic facilities. Spacious OPD & diagnostic departments and in patient wards are available with expert medical and paramedical teams. The hospital assists State and Central governments in implementing the National Health Programmes, like Revised National Tuberculosis Control Program & National AIDS control Program. The hospital offers state of art facility to patients some of which are listed and described below

 Diagnostic and therapeutic facilities: The institute provides sophisticated diagnostic and therapeutic facilities like Ultrasonography, Colour Doppler, CT Scan, Digital X-ray, Cardiac Monitors, etc.

56  Central Clinical Laboratory (CCL) which consists of pathology (morbid anatomy, cytology, haematology), biochemistry and microbiology is well equipped and caters to the needs of patients.  The Blood Bank of the Hospital is equipped with state of art equipment to perform routine and special investigations including HIV test (Elisa reader), and fractionation of blood to prepare blood components.  Causality: Emergency and trauma care is provided with round the clock by experts. These services are augmented with the latest diagnostic facilities like invasive and non-invasive imaging techniques, on the spot transfusion and other resuscitative techniques  Advanced Neonatal Unit and Neonatal Intensive Care Unit: It takes care of preterm babies, critically ill neonates, infants and children ensuring an excellent salvage rate.  Critical Care Unit : A six bedded CCU equipped with latest of the ventilators, multipara monitors, external cardiac pace maker and 24 hrs continuous Holter ECG monitoring facilities, Caters for the needs of critically ill cardiac patients Besides these services the hospital has left no stone unturned to reach out to peasant community which is in allegiance to the vision and mission of the hospital. Some of the distinguishing factors of these hospitals are as follows

 Cancer Treatment and Research Centre: The Centre offers tele therapy with Theratron 780C and Brachytherapy with Gammamed Remote Afterloading system. The Centre - a boon for the rural cancer patients, also popular even with urban patients from Pune, Mumbai and other metropolis due to its cost effectiveness.  Extension Out Patient Department-In order to attend to specific health problems of industrial workers, migratory sugarcane harvest labourers and their families, an extension Out Patient Department (OPD) was established at Pravaranagar, and Primary Health Centers at Pathare and Bhabuleswar. The OPDs are well equipped for first aid emergency management and routine health care. A mobile health team regularly attends to the needs of the migratory harvest labourers, specially the vulnerable groups at their operational areas.

57 Physiotherapy and Rehabilitation Care Physiotherapy and rehabilitation care rendered in the hospital since 1980 has been upgraded in 1997 with specialized therapeutic procedures. A well-established Physiotherapy and Rehabilitation Centre with full fledged orthotic and prosthetic laboratories and other modern and advanced equipments, caters to the needs of out patients and in-patients of Pravara Rural Hospital. The Orthotic and Prosthetic workshop has facilities to design and prepare all types of static and dynamic splints, calipers, crutches, collars, braces, prostheses, corrective modified shoes, wheel chairs, tricycles and other locomotive devices for handicapped persons. 3.3. Dr. Vikhe Patil Memorial Hospital, Ahmednagar Situated in serene and beautiful valleys of Viladghat, in area of 25 Acres, it is a 700 bedded multi-specialty hospital that provides 24 x 7 medical services in the vicinity. The Hospital has outpatient department for all specialties – Medicine, Surgery, Obstetrics and Gynecology, Pediatrics, Orthopedics, E.N.T., Ophthalmology, Skin, Dentistry, T.B. & Chest, Psychiatry, Radio-diagnosis, Cardiology, Nephrology & Neurosurgery. Important Facilities Provided By Hospital The hospital in addition to above listed facilities provides a wide array of services and could prove panacea to all woes of patients. The hospital has well equipped physiotherapy department. Further the Central Clinical Laboratory where Biochemical, Pathological, Histopathological and Microbiological investigations are carried out is an exemplary diagnostic center. The Radio Diagnosis Department (RDD) has ultra sound facilities, colour Doppler as well as the routine X – Rays & special investigations like CT Scan, MRI, Mammography etc. are also available that provide most accurate diagnostic support for medical assessment of patient. The well equipped Medical & Surgical I.C.U. helps in providing critical care for the seriously ill patients with the help of Ventilator, Central Cardiac Monitors, Pulse Oximeters, Central Oxygen and Suction system. The hospital also has N.I.C.U.- Intensive care unit for new born which helps in decreasing infant mortality. P.I.C.U. is also available. Recently the hospital has added one more feather in its cap through newly established Cardiac Cath-lab unit for Angiography &

58 Angioplasty. The Blood Bank & modern Blood Component Laboratory is functional and. Approved by F.D.A. The hospital runs its own Medical Stores. The hospital boasts of its well equipped MICU, ICCU, SICU, NICU, PICU, RICU, Ventilator, Central Cardiac Monitors, Pulse Oximeters, Central Oxygen and Suction System. 3.4. St Luke Hospital, Shrirampur St. Luke‘s Hospital, Shrirampur, registered under the Bombay Public Trusts Act 1950 is a 210 bed, comprehensive health care centre committed to serving the medical needs of Shrirampur taluka with quality health care services, for the last 60 years, irrespective of caste, color or creed at a reasonable cost. St. Luke‘s Hospital is committed to excellence in patient care, Nursing education and community service The Christian Missionaries of Catholic sect started the saint Luke hospital in the memories of ‗Luke‘ in 1952 in the Shrirampur city. The main rationale of this hospital was to offer the medical treatment without any cost to patients. Surprisingly, there was not a single charitable hospital in this area. The doctors and the nurses in this hospital came all the way from Germany. The Financial and medicinal abet was being received from Germany to this hospital. Therefore this hospital is called the ‗German Hospital‘ in this area. The in-patient department was incepted in 1953 with 25 beds which was augmented in 2007, to 200 beds. The hospital has 10 full time doctors, 4 part time doctors, 40 nurses. More than 200 patients on an average receive medical treatment from this hospital every month and about 4000 operations are done in one year in this hospital. The average quantity of patients in outpatient department (OPD) is more than 350. The dedicative approaches of doctors who have replaced their initial counterparts from Germany have carried out the legacy of service to humanity with equal dedication and commitment. 3.5. Sakhar Kamgar Hospital, Shrirampur Sakhar Kamgar Hospital Shrirampur is the most important social activity and welfare measures of Sakhar Kamgar Sabha, Shrirampur (Registered approved Union for Shrirampur Taluka). This hospital is built by worker‘s contribution but it is open to all those who need medical care and treatment. The foundation store of this hospital was laid by the noted labour leader Miss. MANIBEN KARA on 15th August 1962.

59 The hospital was commissioned at the auspicious hand of His Excellency Late Dr. P.V.Cherian on 29th OCTOBER 1965 the then Governor of Maharashtra State. Since then the hospital is functioning well. The basic premise of this hospital was the fact that needs of the sugar workers remained unfulfilled, because of apathy of sugar factories towards their workers forcing many of them to live in poverty and hardships. This perhaps may be one and only hospital which was built up by the workers for the workers. This hospital came into existence through the active instincts and motivations of the workers Leader. Mr. Gangadhar Janardan Ogale executed by a strong determination to erect an update and facilitative dispensary passed by the sugar workers Assembly. This hospital is spread over the 2.5 acres land. This hospital has close proximity to bus stand and the railway station. This 160 bed hospital is manned by 60 staff including four doctors and 23 nurses, office employee‘s security guards and other workers. One of the salient features of this hospital is that there is free service regarding the family planning operations. The medical treatments are given without charging more money: but the fees are not totally excused. The patients are given with the fifty percent relaxation in case. 3.6. Fairbank James Friendship Memorial Hospital Hospital ,Vadala The story of Vadala mission begins in the year 1857 with the Reverend Samuel Fairbank and his wife, two steadfast and dedicated missionaries from the American Marathi Mission. The missionaries were concerned about the physical as well as the spiritual well being of the people and the dispensary grew and developed to a point where, in 1929 the mission was in a position to appoint its first fully trained medical doctor. By 1937 it had blossomed into the ‗Fairbank James Friendship Memorial Hospital.‘ It was Samuel Fairbanks‘ son, Edward, who had the vision to build the hospital, made possible by generous donations from friends at home and abroad. Included in this amount, was an amount raised by all of the local pastors and teachers, each of whom donated one month‘s wages to the project. When it opened its doors for the first time, the new hospital had only 6 staff. At the same time the Fairbanks were putting great effort into spreading the gospel in the area. A large church was constructed in Vadala and many dedicated years of service and nurture were spent by three generations of Fairbanks in developing

60 Christian thought and understanding amongst the local people. In later years the rural church movement spread through many of the villages around Vadala and continues to flourish today. By the 1950‘s leadership of the hospital had passed to Dr Hale Cook and Dr Deodhar who started a new outward looking focus for the health work. A programme of village Health Clinics was started in the remote villages where people lived without access to any doctor. Anti-leprosy and anti-tuberculosis programmes were run with the former blossoming into the Leprosy Rehabilitation Centre of today. At the same time a ‗Myers mother and Child Care Centre‘ opened and the hospital expended through the addition of a 20 bed tuberculosis ward and a laboratory and x-ray centre. The 1950‘s also saw the start of a movement to improve the standard of living of the local people through improving farming methods and techniques. An agricultural school was set up which developed into a demonstration farm. In 1962, the Field and Mechanical divisions were formed aiming to improve the farming situation through better training, seeds, fertilizers and the loan of equipment such as pumps for irrigation and tractors. FJFM Hospital is the only available secondary care center in the radius of 50 kms, thus it becomes imperative that care to cancer patients be provided in this hospital. In this regard patients suffering from cancer are admitted and treated in this hospital for the last 25 years which also includes palliative care. The hospital has a visiting onco-surgeon for surgical intervention. Chemotherapy is regularly given to patients in this hospital. Patients are referred to higher centers when radiotherapy is considered essential.

 Reconstructive Surgeries for Patients Suffering from Leprosy FJFM Hospital has become only the second institute in the state of Maharashtra to offer reconstructive surgeries for people affected with leprosy & Reconstructive surgery camps are held every three months in collaboration with The Leprosy Mission & state Government. The hospital has various diagnostic facilities including fully equipped laboratory is available for all routine blood, urine, sputum and CSF investigations

61 FJFM Hospital has three full time counselors who provide all the needy individuals with counseling and motivate them toward regular treatment and necessary life style modifications The hospital conducts weekly road side camps in different villages to screen elderly individuals with low vision and cataract. Such individuals are counseled and visual aids and cataract surgery for needy individuals is done at a subsidized rate. 3.7. Nityaseva Hospital, Shevgaon Nityaseva Hospital has been rendering its services to the society since 1974 and has an allied Nursing School incepted in 2008. Nityaseva has excellent facilities for nursing education. The hospital is located at Shevgaon, which is a drought prone area, to serve the poor and needy population of rural area. It is a 160 bedded hospital, which provides Medical, Surgical, Pediatric, Obstetric, Gynaec, I.C.U. and Casualty care. In 1984 Community Health Centre was started in order to reach out to more rural Population and to provide basic health and socio-economic uplift services. These services are given at present in 48 Villages through mobile clinics, which includes preventive, primitive, rehabilitative and children services.The special stress is given on Women‘s Development through Women‘s Associations and SHG (Self Help Groups), academic education as well as professional trainings, especially for girls. 3.8. Atma Malik Hospital, Kokamthan It is one of the tertiary care multi-specialty hospital situated at Kokamthan, Kopargoan. It is a private, full-fledged multi-specialty hospital with 100 beds of which 24 are dedicated to ICU. The hospital has rendered services of 70 consultants in diverse area of medical specialization contributing their services. In a similar way to other hospitals in district this hospital also has an attached nursing college with 50 intake. ATMA MALIK HOSPITAL has skilled nurses & some of them have additional qualification & specialization. ATMA MALIK has research actions carried out in various fields in collaboration with other institutions in India & abroad. More importantly, the hospital has evolved into a tertiary referral centre for providing treatment for advanced, complex problems. It

62 attracts patients not only from district but other parts of states and seldom abroad also. Well-known citizens from all over the country have availed of the advanced facilities at the hospital. The institution now has around 30 established specialties and these are budding gradually. The departments are outfitted with state of the art equipment and manned by trained & devoted staff, many of whom now run training programs. The hospital is now a full-blown medical and wellness center in the vicinity. The Hospital has also played an significant role in helping the under privileged sections of the society which is in allegiance to the vision of its founders. Till date, 5% beds in the hospital are offered free of charge to the patients who are in need of it. Moreover the hospital continuing its association with social values has successfully maintained ratio of subsidized beds and free beds. Moreover concessions are also offered to elderly citizens and a vigorous social work department helps the needy patients with donations from Trusts. The hospital offers well developed specialties and services through various department including Department of Anesthesiology, Imaging & Interventional Radiology department to name a few. Modern and state of art services such as Conventional Radiology, CT Scan, MRI section, Mammography., modern Cardio Vascular &Thoratic Surgery, Advanced Dental surgery, Dermatology, Nephrology, Neurosurgery, Clinical Neurophysiology, Neuroradiology, Ophthalmology, Orthopedics & Trauma Services, Pathology & Transfusion medicine, Immunology, Microbiology, Haematology, Surgical Pathology & Electron Microscopy, advanced Pediatrics & Neonatology to name a few. The Department of Cardiology, has full- fledged Cath Lab for Angiography and AngioPlasty with E.C.G & 2 D ECHO. 3.9. Shri Sai Baba Hospital And Shri Sainath Hospital, Shirdi The Saibaba Hospital named after holy saint SaiBaba who in his entire life span in Shirdi, spread the message of humanity and empathy for poor is a multispecialty hospital governed by Sai Baba Sansthan. The hospital inscribes its mission to render super specialty health care service in different disciplines, with the application of recent advances in medical technology while incorporating the total quality management, with least possible cost and a healing touch. One of the salient features of this hospital is best cardiac care through its CARDIAC CARE CATHETERISATION lab equipped with

63 world‘s latest digital cath lab machine which has capability of high fidelity cardiac Imaging. The lab is also equipped with world-class other life saving emergency equipment IABP, defibrillator with pacemaker, ventilators, Anesthesia machines, monitors etc. The hospital is well equipped to carry out major surgical and medical interventions such as Interventional cardiology, Cardiology Angiography, Coronary Angioplasty, Simple / Complex-/Single Vessel/Multi Vessel, Permanent Pacemaker implementation, AICD Automatic Implantable Cardiac Defibrillator, Balloon Valvuloplasty Mitral/Aortic/Pulmonary/Tricuspid, Peripheral Angiography / Angioplasty with online DSA. The hospital has fully equipped highly aseptic state of art 5 operation theatres with sophisticated anesthesia management systems. The hospital is equipped with the latest equipments representing the finest technology available internationally like Multi Channel homodynamic monitors, Maquest heart lung machine and Electrohydrolic O.T.Table ,Shadowless O.T. Lights, defibrillators, Datascope I.A.B.P., & C-Arm. The hospital has proven track record in various surgeries such as Conventional Coronary Artery Bypass Surgery (CABG),Minimally Invasive Coronary Artery Surgery (MICAS), Valvular Heart Surgery,Vascular Surgery,Closure of ASD, VSD, Thoracic Surgery to name a few. The Intensive Care unit of hospital is internationally designed, thermo regulated, state of art unit with easy accessibility to all departments like OT and Cathlab. It also incorporates the latest patient central monitoring system and life support systems. The hospital offers a range sophisticated tests, employ latest techniques and consultations to suit different age and risk profiles. The hospital has 22 fully furnished Consultations rooms, Pathology lab that is available round the clock and other support services such as Blood Bank and Physiotherapy department. 3.10. Anandrishiji Hospital, Ahmednagar Named after the Jain saint Anand Rishiji who gave the message of love, humanity and service to mankind the hospital obliges to his teachings of ―Yega Manusya Jayi‖ means all human beings are same. Ahinmsa The hospital administration belives that in the present context of advanced technology and expensive medical field, the basic and fundamental social-engineering-mission is to edify and put into practice the preventive health-care system for the common people by organising free health-check-up camps in-

64 house and out-skirts of the city- for mothers, children and old-age people at the grass- root-level of the society. In tune to the vision of Acharya Rashtra Sant; Anand Rishiji Maharaj to have a modern medical health-care system ―Aarogya Mandir‖ for the needy, the hospital was incepted on 28th March‘2001. The hospital has a vision to bring the highest standards in healthcare within the reach of every individual. The land, on which Anand Rishiji Hospital is set-up today, was reserved once upon a time for the slaughter-house purpose by the Ahmednagar Corporation. The Jain Social Federation has took initiative and after putting a lots of efforts the purpose of land has changed from killing the life to saving it. Anand Rishiji Hospital has a record of dedicated patient-care in Ahmednagar district and adjoining districts and other close by States for the last more than one decade. Anand Rishiji has carved an apt position in the Ahmednagar city‘s history for its dedicated medical service. Administration of the Hospital: The department of Cardiology provides a modern, well-equipped service led by consultant cardiologist aiming to provide excellent patient care. A full range of diagnostic techniques are available including: ECG, ambulatory ECG and stress test, and 2D echo- cardiography with trans-oesophageal echo-cardiography.Cardiac Catheterisation (Angiography & Angioplasty) and pacemaker implantation is carried out in the dedicated angiography suite which was opened in 2004. The hospital also offers free Angioplasty under Rajiv Gandhi Scheme. Moreover the hospital successfully performs 200 angiography and 50 angioplasty every month. Knowing the urgent and foremost need of cardiac patients in and around Ahmednagar district and adjoining district of Beed, Shirur (Pune) and Malegaon (Nasik) the new cardiac surgical wing (Centre) has been set up in 2006.Till that period of time patients have to travel to Pune, Mumbai or Aurangabad for such facilities. The cardiac center is equipped with Sanz Heart Lung Machine, Datascope Intra- aortic balloon pump, and Drager make fabius 3 gas anesthesia machines etc. The other components like the operating table, lights, anaesthetic-equipment etc. are also on as per global standard. The theatre and the recovery staff are adequate in number and well

65 trained in their respective fields. On an average around 75 to 80 cardiac surgeries are done in a month. The success rate in surgery as reported by hospital authorities is 99 %. The hospital owing its commitment to low Socio economical class patients at large undertake Cardiac Surgery (Bypass, VSD,ASD etc) at very low charges of Rs. 50000/- (inclusive of Medicine) which may be lowest cost in Maharashtra. The hospital has various departments which include Opthalmology, Oncology, Surgical Oncology, Gyneconcology, Pediatrics/Neonatalogy, ENT Department to name a few. The hospital renders various services such as Cardiac Recovery Room (CCU), Blood Bank, CATHLAB, Dialysis Center, Emergency services and well-Equipped -7 Bedded Casualty Department. The hospital has well-Equipped 35 bedded Female Ward with 24 hours RMO (Residential Medical Officers) and experienced, trained Nursing staff. The Neonatal Intensive Care Unit of the hospital is sophisticated and fully equipped for care of high-risk babies, which are referred from in and around villages of Ahmednagar district. NICU Unit has Incubators and warmers with capacity to admit 10 new born babies. It also offers advance pediatric life support. The outpatient department with seven consulting chamber open in 2 session morning and afternoon .OPD has full time consultant and visiting Specialist Super specialist. 3.11 Noble Hospital And Research Center, Ahmednagr Noble Hospital and Research Center was a consequence of long treasured dream that was envisioned by two doctors, Dr. Bapu Kandekar & Dr. Mrs. Sangeeta, who both for long preferred to build a full fledged multi Super Speciality Hospital at the very heart of Ahmednagar city. Their much cherished dream was eventually fulfilled in year 2007. The various departments of Noble hospitals have been especially successfully in performing many complicated operations, which only testifies this hospital‘s competency. As of today Noble hospital has 16 departments that deals with different medical specialties. The Cath – Lab Department of the hospital is completely dedicated to cardiac (heart) patients. It has facilities like Coronary Angiography, Angioplasty,

66 Permanent Pacemaker, Renal Angiography & Angioplasty, Peripheral & 4 Vessel Angiography. The Neuro Tuauma Unit is looked after by competent and experienced neuro consultants who render their valuable service 24 hours a day and 365 days. The general and special facilities available at Noble Hospital include ICU (Intensive Care Unit), ICCU (Intensive Coronary Care Unit), NICU (Neonatal ICU), PICU (Paediatric ICU), Neuro Surgical Trauma Unit, Special C.T. Scan, Digital XRay Unit, Phaco Emulsification Machine.

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