EHA Annual Report 2018

ANNUAL REPORT 2017-2018 Pages Contents

2. About EHA 4. Vision, Mission & Core Value 5. EHA Location Map 6. Year Summary 2017-2018 7. Chairman’s Remarks 8. Executive Director’s Report 10. Regional Directors’ Reports North-Central Region P10 Central Region P18 North Region P26 Eastern Region P36 North-Eastern Region P48 55. Hospitals Statistics’ 2017-2018 56. Sam Sidharth EMFI 58. Community Health and Development 62. Disaster Management & Mitigation Unit 66. Palliative Care & Shalom Delhi 70. Nursing Services & Training 78. Partnership Projects 81. Financial Statements 82. Directory We Care Photo by Ajit Eusebius About EHA primary health care and tertiary hospital How We Serve Who We Are EHA, a not for profit organisation, commit- services. Emmanuel Hospital Association is the ted towards health care and community largest Christian non-government provider development, has been doing relentless With the dynamic changes and demands in of healthcare in India, with 20 hospitals and service for the last 49 years. EHA is a the field of medicine, health care is becom- 42+ community based projects in 14 states fellowship of Christian health professionals, ing unreachable day by day. EHA is at a of India. committed to serve the marginalised and crossroad of delivering cost effective health economically weaker sections of our care and yet cope with the technology and society. infrastructural growth so required in hospi- Who We Serve tals. With a network of 20 hospitals and 42 Community Development projects, located In its journey of ‘service to the poor’ and with in the most challenging parts of rural and the challenges being faced to offer holistic semi urban India, EHA with its strong team care, EHA now wishes to engage friends, of 180 experienced doctors and about institutions, corporates and seeks support 2700 nursing, para medical and hospital towards the needs of rural health care. administration staff, addresses about 9 lakh Touch their lives with your benevolence and people in the area of health care. Our make a difference…..... hospitals are important for the rural populace of India and play a vital link between Visit www.eha-health.org to donate.

P | 02 Annual Report 2017-18 | About EHA About EHA | Annual Report 2017-18 P | 03 Photo by Ajit Eusebius About EHA primary health care and tertiary hospital How We Serve Who We Are EHA, a not for profit organisation, commit- services. Emmanuel Hospital Association is the ted towards health care and community largest Christian non-government provider development, has been doing relentless With the dynamic changes and demands in of healthcare in India, with 20 hospitals and service for the last 49 years. EHA is a the field of medicine, health care is becom- 42+ community based projects in 14 states fellowship of Christian health professionals, ing unreachable day by day. EHA is at a of India. committed to serve the marginalised and crossroad of delivering cost effective health economically weaker sections of our care and yet cope with the technology and society. infrastructural growth so required in hospi- Who We Serve tals. With a network of 20 hospitals and 42 Community Development projects, located In its journey of ‘service to the poor’ and with in the most challenging parts of rural and the challenges being faced to offer holistic semi urban India, EHA with its strong team care, EHA now wishes to engage friends, of 180 experienced doctors and about institutions, corporates and seeks support 2700 nursing, para medical and hospital towards the needs of rural health care. administration staff, addresses about 9 lakh Touch their lives with your benevolence and people in the area of health care. Our make a difference…..... hospitals are important for the rural populace of India and play a vital link between Visit www.eha-health.org to donate.

P | 02 Annual Report 2017-18 | About EHA About EHA | Annual Report 2017-18 P | 03 EHA LOCATION MAP

north

PUNJAB HERBERTPUR LANDOUR DEHRADUN

UTTARAKHAND SEOHARA NEW DELHI EHA Hqtr.

UTRAULA ASSAM AGRA TEZPUR NAGALAND UTTAR PRADESH RAXAUL GUWAHATI DIMAPUR

KACHHWA ALIPUR FATEHPUR MADHIPURA BIHAR MAKUNDA ALLAHABAD CHHATARPUR BARHARWA AMBASSA LALITPUR ROBERTSGANJ SATBARWA TRIPURA AIZAWL RANCHI MADHYA PRADESH JHARKHAND WEST MIZORAM BENGAL LAKHNADON CHHATTISGARH CHAMPA

CHINCHPADA JAGDEESHPUR

MAHARASHTRA

BASTAR

DAPEGAON

EHA Location Map | Annual Report 2017-18 P | 05 EHA LOCATION MAP

north

PUNJAB HERBERTPUR LANDOUR DEHRADUN

UTTARAKHAND SEOHARA NEW DELHI EHA Hqtr.

UTRAULA ASSAM AGRA TEZPUR NAGALAND UTTAR PRADESH RAXAUL GUWAHATI DIMAPUR

CHINCHPADA JAGDEESHPUR

MAHARASHTRA

BASTAR

DAPEGAON

EHA Location Map | Annual Report 2017-18 P | 05 Chairman’s‘ Remarks C.B Samuel

I am not sure who coined the phrase ‘dark ages of medical missions in India’, but I read that it was during that time – 50’s to 70’s - the idea was conceived for ways to sustain 13 mission hospitals founded by groups from UK, USA and Australia. Sudden and large-scale exodus of expatriate medical personnel left many medical missions in a crisis of leadership and funding. In 1970 Emmanuel Hospital Association was officially formed as a federation of these mission hospitals. In another year this Association which has since grown to be a movement of Christian health professionals will be completing 50 years of existence.

And fifty years is a long time in the history of a nation. The health care scenario has changed. More institutions for health have been established and India today is even a place of ‘medical tourism’, attracting people from other nations for health care here. But have the dark clouds of the dark ages moved on? May have as far mission hospitals are concerned; but definitely not, when one looks at the challenge of health in our nation from the perspective of those who still do not have access to affordable qualitative health care. There is evidence of increasing influence of corporates in shaping the public policies on health. And this clearly seems to be leaving the people in the margins outside the ambit of basic health care. India spends the least on health per capita (less than 5% of its annual expenditure) among the BRICS and newly industrialised nations.

The challenge for EHA is to be true to its vision of transforming communities through care and doing so by being a fellowship of those committed to such a vision. The organisation has been blessed to have many dedicated health professionals who bring in high compe- tencies of health care to the poorest of the poor in some of the most remote communities. This call to bring the best to the marginalised is the character of the Messianic community. God took pains to ensure that the angelic choir announced the birth of the messiah to the poor shepherds on the field; Jesus said to John’s disciples ‘the poor have heard the gospel’ and all that Peter, John and James asked Paul to remember was ‘remember the poor’ (Galatians 2:10). For EHA to be focussed on the poor is not doing a favour to the poor, but the privilege of being messianic community to announce the year of the Jubilee.

Chairman’s Remarks | Annual Report 2017-18 P | 07 Chairman’s‘ Remarks C.B Samuel

Chairman’s Remarks | Annual Report 2017-18 P | 07

REGIONAL DIRECTORS’ REPORT NORTH-CENTRAL REGION Dr Saira Paulose, MBBS, Dip. Anaes.

e praise God for his faithfulness and the way in which he has led us and provided for, in the North Central WRegion. We have seen many developments in the hospitals of this region. Each hospital is strategically located and unique in its contribution to the community. In the midst of various constraints, each hospital along with its community health project has had its impact in their respective locations.

Entry level NABH accreditation, Leadership Development, Staff Development will be the focus for this region.

Broadwell Christian Hospital - Fatehpur he conception of Broadwell Christian Hospital took place in 1894. The hospital is located in Fatehpur a not so developed town of Uttar Pradesh and at a distance of T100 kms from the Industrial city of Kanpur.

Clinical services The hospital offers services in Obstetrics and Gynaecology, General Surgery, Anesthesia, Psychiatry, Physiotherapy, General Medicine, Pediatrics and Neonatology, Ophthalmology, Dental and Orthopedics.

The major highlight in the clinical services was the completion of the operation theatre complex – eye, orthopedics (modular), general surgery and obstetric surgery. The new operation theatres have changed the proficiency of the OT team and they are able to deliver more. Another highlight was the completion of the Casualty department and HDU (High Dependancy Unit).

North-Central Region | Annual Report 2017-18 P | 11 REGIONAL DIRECTORS’ REPORT NORTH-CENTRAL REGION Dr Saira Paulose, MBBS, Dip. Anaes.

Entry level NABH accreditation, Leadership Development, Staff Development will be the focus for this region.

North-Central Region | Annual Report 2017-18 P | 11 Some of the highlights of the The CHD effectively pursued community - Utraula clinical services for the programmes such as Prem Sewa Hospital year 2017-18 ¢ Adolescent Empowerment rem Sewa Hospital, Utraula in Uttar ¢ Gender - Women empowerment, Pradesh, is a 35 bedded charitable OPD 46658 , Immunizations 6232, Dental reducing discrimination and violence Pinstitution catering health services to 1227, IP 4450, Deliveries 2105, Ultra against women Utraula block in Balrampur District for the Sounds 6274, Neonatal admissions 820, X ¢ Oral cancer Screening last 50 years. Utraula is situated on the rays 1134, Major general surgeries 201. ¢ Community Based Mental Health banks of Rapti River. It is approximately 45 Program kms from the border with Nepal and is 175 Paramedical services ¢ TB Advocacy kms north east of the capital city Lucknow. Palliative Care, Fatehpur ¢ Community Based Rehabilitation Pharmacy, Medical Laboratory, X Ray Balrampur is one of the most backward programme (CBR) – 60 wheelchairs and ECG services districts in Uttar Pradesh. were distributed to the disabled and helped them to lead an easier life. The hospital work is efficiently supported by Prem Sewa Hospital continues to be an ¢ Advocacy for government docu- the paramedical services and the patient important health care provider to the people ments & privileges community benefited from these services at of Balrampur, Gonda, Bahraich and affordable costs. The laboratory continues Siddharth Nagar districts in eastern Uttar to be a DOTS microbiology center. Palliative care services Pradesh. The reporting year 2017-18 is the sixth year The present Infant Mortality Rate (IMR) is Community Health and Development of the palliative care services in the district around 99.8 per 1000 live births (Govt. ) of Fatehpur and surrounding regions. and the Maternal Mortality Ratio (MMR) is The Community health Department of BCH Community Based Rehabilitation (CBR) has 2 arms of work. One is the primary Broadwell Christian hospital provides a estimated to be between 700 – 1000 per target population in the Urban slums. Empowerment, enabling livelihoods to home based care and support program for 100,000 live births (SIFPSA). The popula- mainstreaming mental health awareness in reduce poverty and tackling gender discrim- patients diagnosed with incurable diseases tion is rapidly growing with the Crude Birth the peri urban population. The other is ination. and conditions. Rate (CBR) of 40 per 1000. Population spread throughout the district as picked up based studies conducted by our through separate need assessments in We are grateful to Dr. Sujith Varghese who Community Health Department shows that various themes of Disability, Oral Cancer Supporting the NUHM was the Senior Administrative Officer and only 26 % of women received Antenatal screening and TB advocacy. (National Urban Health Mission) Medical Superintendent of the hospital for care and less than 2 % delivered in a the past ten years. We appreciate his medical institution and less than 5 % The project had a crucial role in supporting tireless effort in bringing the institution to deliveries were conducted by trained Urban Project the work of theNUHM in 2017. NUHM this level . personnel. requested our assistance in their major The CHD department has its primary target programmes in the field. The formation of population in 25 slums in the peri-urban Mahila Aarogya Samithis was formed with To Support BCH Fatehpur please write to- Clinical Services sections of Fatehpur. This year marks the project inputs. Mission Indradhanush which [email protected] Major services are Obstetrics and beginning of the new project cycle that runs is the government’s flagship programme for Gynaecology, Opthalmology, General from 2017 till 2020. 6 more slum areas were immunizing was strongly supported by the surgeries, Dental services. added to the existent 19 from the previous project in mobilizing communities and years. The work focuses on Adolescent ensuring maximum immunization. Our services benefited 76,283 in the Out- Patient’s department and admitted 2736

P | 12 Annual Report 2017-18 | North-Central Region North-Central Region | Annual Report 2017-18 P | 13 Some of the highlights of the The CHD effectively pursued community - Utraula clinical services for the programmes such as Prem Sewa Hospital year 2017-18 ¢ Adolescent Empowerment rem Sewa Hospital, Utraula in Uttar ¢ Gender - Women empowerment, Pradesh, is a 35 bedded charitable OPD 46658 , Immunizations 6232, Dental reducing discrimination and violence Pinstitution catering health services to 1227, IP 4450, Deliveries 2105, Ultra against women Utraula block in Balrampur District for the Sounds 6274, Neonatal admissions 820, X ¢ Oral cancer Screening last 50 years. Utraula is situated on the rays 1134, Major general surgeries 201. ¢ Community Based Mental Health banks of Rapti River. It is approximately 45 Program kms from the border with Nepal and is 175 Paramedical services ¢ TB Advocacy kms north east of the capital city Lucknow. Palliative Care, Fatehpur ¢ Community Based Rehabilitation Pharmacy, Medical Laboratory, X Ray Balrampur is one of the most backward programme (CBR) – 60 wheelchairs and ECG services districts in Uttar Pradesh. were distributed to the disabled and helped them to lead an easier life. The hospital work is efficiently supported by Prem Sewa Hospital continues to be an ¢ Advocacy for government docu- the paramedical services and the patient important health care provider to the people ments & privileges community benefited from these services at of Balrampur, Gonda, Bahraich and affordable costs. The laboratory continues Siddharth Nagar districts in eastern Uttar to be a DOTS microbiology center. Palliative care services Pradesh. The reporting year 2017-18 is the sixth year The present Infant Mortality Rate (IMR) is Community Health and Development of the palliative care services in the district around 99.8 per 1000 live births (Govt. ) of Fatehpur and surrounding regions. and the Maternal Mortality Ratio (MMR) is The Community health Department of BCH Community Based Rehabilitation (CBR) has 2 arms of work. One is the primary Broadwell Christian hospital provides a estimated to be between 700 – 1000 per target population in the Urban slums. Empowerment, enabling livelihoods to home based care and support program for 100,000 live births (SIFPSA). The popula- mainstreaming mental health awareness in reduce poverty and tackling gender discrim- patients diagnosed with incurable diseases tion is rapidly growing with the Crude Birth the peri urban population. The other is ination. and conditions. Rate (CBR) of 40 per 1000. Population spread throughout the district as picked up based studies conducted by our through separate need assessments in We are grateful to Dr. Sujith Varghese who Community Health Department shows that various themes of Disability, Oral Cancer Supporting the NUHM was the Senior Administrative Officer and only 26 % of women received Antenatal screening and TB advocacy. (National Urban Health Mission) Medical Superintendent of the hospital for care and less than 2 % delivered in a the past ten years. We appreciate his medical institution and less than 5 % The project had a crucial role in supporting tireless effort in bringing the institution to deliveries were conducted by trained Urban Project the work of theNUHM in 2017. NUHM this level . personnel. requested our assistance in their major The CHD department has its primary target programmes in the field. The formation of population in 25 slums in the peri-urban Mahila Aarogya Samithis was formed with To Support BCH Fatehpur please write to- Clinical Services sections of Fatehpur. This year marks the project inputs. Mission Indradhanush which [email protected] Major services are Obstetrics and beginning of the new project cycle that runs is the government’s flagship programme for Gynaecology, Opthalmology, General from 2017 till 2020. 6 more slum areas were immunizing was strongly supported by the surgeries, Dental services. added to the existent 19 from the previous project in mobilizing communities and years. The work focuses on Adolescent ensuring maximum immunization. Our services benefited 76,283 in the Out- Patient’s department and admitted 2736

P | 12 Annual Report 2017-18 | North-Central Region North-Central Region | Annual Report 2017-18 P | 13 In-patient care with 58% bed occupancy. A Total 140 patients were operated for cancer prevention (oral cancer – cessation The main services offered at the Hospital total of 1,119 babies were born this year. A cataract surgery. of pann, etc.), TB, HIV, and hygiene. are Opthalmology, Medicine, Obstetrics total of 289 general major surgeries and 135 and Gynaecology, Orthopedics, Minor surgeries were performed. A total of A total of 3802 glasses were prescribed for Patient Numbers attended this year – OPD Physiotherapy, Dental and Palliative 949 major eye & 279 minor eye surgeries refractive errors. 86, Home Care 1144, Awareness Care. were done. Programme 5645, IP 7. ¢ Highlights of the year 2017 -18 A new Flash autoclave was purchased The Hospital continues to grow and serve ¢ Medicine OPD – 18000 The average daily Out-patients this year which helps us practise better sterilisation of the people of Balrampur District. ¢ IP Admissions - 4543 was 245. cataract surgery sets. HFA was started with It needs doctors in OB and Gynae, ¢ Opthalmology OPD – 47637 help from Lalitpur hospital and we were able Nursing - The nurses are well skilled and Dentistry, and General Surgery. ¢ Opthalmology surgeries - 2950 trained to conduct deliveries, Scrub in to strengthen the Glaucoma services. ¢ OB & Gynae OPD – 9425, Deliveries Gynae and Eye OT, take care of newborn Please write to – 508 babies, assist with Doctors for Instrumental Community Health and Development [email protected] ¢ Orthopaedics OPD – 2613, Ortho deliveries etc. major surgeries 287, Ortho minor PMTCT/HIV AIDS surgeries 33 New Facilities at the Hospital The HIV AIDS project focuses on vulnerable Jiwan Jyoti Christian Hospital ¢ Dental OPD – 1527 women and their families for HIV prevention - Robertsganj ¢ A CTG machine, essential for and care services especially Prevention of ith the new team of consultants, intrauterine fetal monitoring, was Mother To Child Transmission of HIV, Nursing the hospital has stabilized in its acquired. providing counselling and psychological The Nursing department continues to functioning and has been able to ¢ A new CPAP machine, required for support. Total of 15 villages are covered. W remain as the largest manpower and procure new equipment to improve the the management of neonatals in strength of the hospital. The nursing team is standard of patient care. We were able to respiratory distress who would have The other CHD programmes which have committed in its endeavour to demonstrate provide ventilator support to patients otherwise been referred to higher been helping the local communities are :- love, care and solace to the people we especially the ones who came with snake centres, was bought for the NICU. serve through excellence in service, bite with envenomation. The hospital ¢ Purchase of LOGIQ F8 ultrasound ¢ Maternal and Child Health Project compassion and Integrity. continued to be known for its ophthalmic machine with TVS probe for more ¢ Sangharsh Viklang Sangathan( services and saw a drastic increase in the comprehensive antenatal and (mainstreaming disability programme) number of patients accessing the outpa- gynaecological care. ¢ Flood Relief programme Allied Services tient department. ¢ As of January 2018, we have also ¢ Rural Skill development Programme ¢ Laboratory – Total investigations started offering screening services for 76938 The origin of the Hospital dates back to the cervical malignancy in the Out Patient ¢ Xray – 3067 Palliative Care early 1930s when a small Medical Centre department. ¢ ECG - 4922 was started as an extension to the Hospital ¢ A new well equipped Eye OT was This has been a busy and exciting year in the ¢ Optical Services – 2962 spectacles at Kachchwa. In the year 1976 the hospital built. Palliative Care Department! The highlights were provided. were: medication management specific to was incorporated with EHA (EMMANUEL HOSPITAL ASSOCIATION) under which it Opthalmology palliative patients; learning how to break the Palliative Care bad news of the prognosis to the patients continues to function. Since then, the Palliative Care Services was rolled out on Full fledged optical shop was started and a and families along with other counseling hospital has continued in its path of service the 15th of May 2017 by Dr. K.K. Singh total of 1359 spectacles were made and aspects; and how to improve care in the widening its range of treatment and (Chief Medical Officer, Sonebhadra District) dispensed which was a great help to the terminal stage near death. The Awareness specialities and expanding from 18 beds to at Jiwan Jyoti Christian Hospital. This is patients. Program continues to expand into new 100 bedded hospital witnessing HIS Grace basically a home base care but we continue villages. There are four topics covered: and faithfulness.

P | 14 Annual Report 2017-18 | North-Central Region North-Central Region | Annual Report 2017-18 P | 15 In-patient care with 58% bed occupancy. A Total 140 patients were operated for cancer prevention (oral cancer – cessation The main services offered at the Hospital total of 1,119 babies were born this year. A cataract surgery. of pann, etc.), TB, HIV, and hygiene. are Opthalmology, Medicine, Obstetrics total of 289 general major surgeries and 135 and Gynaecology, Orthopedics, Minor surgeries were performed. A total of A total of 3802 glasses were prescribed for Patient Numbers attended this year – OPD Physiotherapy, Dental and Palliative 949 major eye & 279 minor eye surgeries refractive errors. 86, Home Care 1144, Awareness Care. were done. Programme 5645, IP 7. ¢ Highlights of the year 2017 -18 A new Flash autoclave was purchased The Hospital continues to grow and serve ¢ Medicine OPD – 18000 The average daily Out-patients this year which helps us practise better sterilisation of the people of Balrampur District. ¢ IP Admissions - 4543 was 245. cataract surgery sets. HFA was started with It needs doctors in OB and Gynae, ¢ Opthalmology OPD – 47637 help from Lalitpur hospital and we were able Nursing - The nurses are well skilled and Dentistry, and General Surgery. ¢ Opthalmology surgeries - 2950 trained to conduct deliveries, Scrub in to strengthen the Glaucoma services. ¢ OB & Gynae OPD – 9425, Deliveries Gynae and Eye OT, take care of newborn Please write to – 508 babies, assist with Doctors for Instrumental Community Health and Development [email protected] ¢ Orthopaedics OPD – 2613, Ortho deliveries etc. major surgeries 287, Ortho minor PMTCT/HIV AIDS surgeries 33 New Facilities at the Hospital The HIV AIDS project focuses on vulnerable Jiwan Jyoti Christian Hospital ¢ Dental OPD – 1527 women and their families for HIV prevention - Robertsganj ¢ A CTG machine, essential for and care services especially Prevention of ith the new team of consultants, intrauterine fetal monitoring, was Mother To Child Transmission of HIV, Nursing the hospital has stabilized in its acquired. providing counselling and psychological The Nursing department continues to functioning and has been able to ¢ A new CPAP machine, required for support. Total of 15 villages are covered. W remain as the largest manpower and procure new equipment to improve the the management of neonatals in strength of the hospital. The nursing team is standard of patient care. We were able to respiratory distress who would have The other CHD programmes which have committed in its endeavour to demonstrate provide ventilator support to patients otherwise been referred to higher been helping the local communities are :- love, care and solace to the people we especially the ones who came with snake centres, was bought for the NICU. serve through excellence in service, bite with envenomation. The hospital ¢ Purchase of LOGIQ F8 ultrasound ¢ Maternal and Child Health Project compassion and Integrity. continued to be known for its ophthalmic machine with TVS probe for more ¢ Sangharsh Viklang Sangathan( services and saw a drastic increase in the comprehensive antenatal and (mainstreaming disability programme) number of patients accessing the outpa- gynaecological care. ¢ Flood Relief programme Allied Services tient department. ¢ As of January 2018, we have also ¢ Rural Skill development Programme ¢ Laboratory – Total investigations started offering screening services for 76938 The origin of the Hospital dates back to the cervical malignancy in the Out Patient ¢ Xray – 3067 Palliative Care early 1930s when a small Medical Centre department. ¢ ECG - 4922 was started as an extension to the Hospital ¢ A new well equipped Eye OT was This has been a busy and exciting year in the ¢ Optical Services – 2962 spectacles at Kachchwa. In the year 1976 the hospital built. Palliative Care Department! The highlights were provided. were: medication management specific to was incorporated with EHA (EMMANUEL HOSPITAL ASSOCIATION) under which it Opthalmology palliative patients; learning how to break the Palliative Care bad news of the prognosis to the patients continues to function. Since then, the Palliative Care Services was rolled out on Full fledged optical shop was started and a and families along with other counseling hospital has continued in its path of service the 15th of May 2017 by Dr. K.K. Singh total of 1359 spectacles were made and aspects; and how to improve care in the widening its range of treatment and (Chief Medical Officer, Sonebhadra District) dispensed which was a great help to the terminal stage near death. The Awareness specialities and expanding from 18 beds to at Jiwan Jyoti Christian Hospital. This is patients. Program continues to expand into new 100 bedded hospital witnessing HIS Grace basically a home base care but we continue villages. There are four topics covered: and faithfulness.

P | 14 Annual Report 2017-18 | North-Central Region North-Central Region | Annual Report 2017-18 P | 15 Along with the hospital services, KCH Community Health and Department started focusing on Community health & Dr. Rubel has given a fresh lease of life to the development, Vocational training, Primary various interventions that have been taking education and Leadership training’ place in the community, be it TB management, Community Action Group, Disability The year gone by programs, Palliative care etc. The hospital during the financial year 2017 – 18 had the opportunity to serve 12000 Vocational Training new out patients and 33600 re-visit patients ( OPD ). 2394 inpatients ( IPD ) In the year 2017-18, the following number were treated. 164 surgeries were con- of young people were trained in various ducted which included 29 major surgeries skills.

OPD at JJCH Robertsganj and 135 minor surgeries. 200 Eye and 19 OB Gyn surgeries were also done. Electrical & AC repair training 30 students, to do awareness and sensitization about Mobile repair training 20 students, Sewing Mahuria, Suarsot, Baki, Cheiron, Makribari, classes 80 students, Beautician’s course Palliative Care in the villages that we visit. Lauwa, Beiranchua, Palahari,Nandana etc. We started this service within an area of 10 The Medical Team 20 students Km radius from the hospital, but now have Dr. Dinesh Panjwani our acting Medical In the summer camp for women this year JJCH Hospital urgently needs doctors in extended it to another 10 km radius. Superintendent, Dr. Takemba AO our again, they were taught various skills like Orthopedics, Medicine, Anesthesia. longest serving doctor, Dr. Binu Gold, junior doll making, sewing, lampshade making, ¢ Total of 27 chronically ill patients were Support is also needed for the renovation doctors Dr. Susanna Thomas and Dr. Alan mehendi designing, beautician’s training taken care of by the PC team. and construction of the new OPD Block and Thomas and visiting doctors Dr. Cicili and other crafts. Every year we have around ¢ Around 75 villages in a 20km radius the OT. Thomas and Dr. Mary Alexander did 80 to 100 young women who are trained in have been reached with 49 Cancer exemplary work during the year. the aforementioned skills. awareness and PC outreach. Please write to [email protected] to Support. Kachwa campus has been a training centre Community Health and Development Nursing Services for the CLHTC (Community Lay Leaders CHDP has organized free medical clinics in Under the able leadership of our Nursing Health Training Certificate) in partnership the community with the help of the hospital Kachhwa Christian Hospital Superintendent Ms. Sweta Rai the Nursing with CMC Vellore for the last few years. Department provided efficient care to our Community leaders from various organiza- staff and doctors. Thus far we have HO defines health in the following patients. The nursing team nursed 2394 tions come every year to be trained in the arranged medical camps in the following manner- Health is a state of IPD patients during the year. The basics of health and treatment. blocks: Kachnarwa & Chatra, and have complete physical, mental and screened 791 patients, distributed medi- W International Nurses day was celebrated on social wellbeing and not merely the 12th of May 2017 with various cultural cines free of cost and brought to the base absence of disease or infirmity. The idea at programmes presented by the nurses. hospital for further treatment. Kachwa Hospital (KCH) was to provide health in a holistic manner and not just Networking with SMILE foundation To support Kachwa Hospital write to alleviate the disease burden of the commu- Allied Services – X ray 2196, ECG 1264, [email protected] JJCH has tied up with SMILE foundation to nity. Today KCH is a 20 bedded hospital Lab Tests 43176, Ultra Sound 295 adopt some villages for medical care, which serving the poor and marginalised in are based in the upper areas like Zaindi, Majhwa block of Mirzapur district in Eastern Uttar Pradesh.

P | 16 Annual Report 2017-18 | North-Central Region North-Central Region | Annual Report 2017-18 P | 17 Along with the hospital services, KCH Community Health and Department started focusing on Community health & Dr. Rubel has given a fresh lease of life to the development, Vocational training, Primary various interventions that have been taking education and Leadership training’ place in the community, be it TB management, Community Action Group, Disability The year gone by programs, Palliative care etc. The hospital during the financial year 2017 – 18 had the opportunity to serve 12000 Vocational Training new out patients and 33600 re-visit patients ( OPD ). 2394 inpatients ( IPD ) In the year 2017-18, the following number were treated. 164 surgeries were con- of young people were trained in various ducted which included 29 major surgeries skills.

P | 16 Annual Report 2017-18 | North-Central Region North-Central Region | Annual Report 2017-18 P | 17 REGIONAL DIRECTORS’ REPORT CENTRAL REGION Dr Deepak Samson Singh, MBBS, MS, MCH, FMAS, FAIGEs

t has been an eventful year in the Central Region of EHA with many changes leading to new teams at various units. The Iprojects have done well alongside and have grown in stature among the citizens they serve. We praise God for the way he is starting to rebuild the central region which is key to healthcare for many people in this area.

Stability of the units and rebuilding of several of the units which have not had proper medical teams would be the focus of the central region teams.

Lakhnadon Christian Hospital akhnadon is situated at the confluence of two important National Highways (NH 7 & 26), which connects Kashmir (extreme north) to Kanyakumari (extreme south). Two Lnearby significant cities are Jabalpur (85 km north) and Nagpur (190 km south). It is in the middle of the tiger country in India with atleast 4 National Parks within the radius of 400 kms. It is remote, yet strategicaly located and is of significant importance in terms of rural health care.

Clinical Services Out Patient Department OPD has been functioning well in the year 2017 - 18. The medicine and dental departments functioned smoothly. Medical camps had a good response and due to which our OPD was kept busy.

Central Region | Annual Report 2017-18 P | 19 REGIONAL DIRECTORS’ REPORT CENTRAL REGION Dr Deepak Samson Singh, MBBS, MS, MCH, FMAS, FAIGEs

Stability of the units and rebuilding of several of the units which have not had proper medical teams would be the focus of the central region teams.

Central Region | Annual Report 2017-18 P | 19 do home visits, dressing, training the But it’s not only the numbers that tell the patient and family members in home based story. Each year, our staff dedicate them- care. Currently we have 30 patients being selves to saving thousands of lives, improv- scattered in villages 30 kilometers around ing health and wellbeing outcomes for Lakhnadon. individuals and communities.’ Mrs. Merin Thomas, SAO Jagdeeshpur Hospital. 2017 – 18 Mahasamund District OPD - 8230, IP – 864, Surgeries 236, Dental OPD 529, Laboratory Test 13069, X Area 4790 sq kms population 1032754, ray 657, ECG 613. literacy rate 71.02 %, Major languages Lakhanadon Hospital Staff spoken are Chhattisgarhi, Odiya and Hindi. In Patient Department Dental Department The hospital is in need of gynaecologists, There are 1145 villages, 5 blocks and 475- anesthetists and general surgeons on a gram panchayats in the district served by 5 Lakhnadon Hospital is a 25 bed facility and The department is able to cater to the long term basis to serve the people and Government Community Health Centers, 15 it has a 5 bed Acute Care Unit equipped with varying dental needs of the people and most help continue the good work. PHCs and 149 health sub-centers. Main a ventilator, a female ward and male ward. It of our patients are content with the services occupation of the people is daily wage Write to [email protected] also has a functioning nursery, a labour offered. labour and agriculture. Nearest Airport is to know more. room and four private rooms with a central Raipur, about 144 kms. nursing station. Patient numbers and The no. of patients coming into the OPD has ailments differ from season to season with been consistent. Sewa Bhawan Hospital, Jagdeeshpur more surgical cases in winter, snake bites in Sewa Bhawan Hospital provides the following medical facilities: rainy season and gastroenteritis in summer. Two camps were organised to create oral - Jagdeeshpur General Surgery, General Medicine, health awareness among the people, which rs. Merin Thomas and her family Obstetrics and Gynaecology, Surgical Services was well appreciated and showed excellent moved to Jagdeeshpur last year 0pthalmology and ENT. results in the dental health of the local All obstetric patients like caesareans and with a heart to serve in the area. people. M hysterectomies (which is the major chunk) have been attended well with the help of The previous medical team comprising of Out Patient Department This year we had mixed a variety of cases well trained nurses. Dr. Paneerselvam and his wife Dr. 9057 patients in 2017-18 which included cosmetic, general dentistry Hepsheba held the fort till March 2018. We and surgical procedures. Emergency Services/In Patients Nursing Services thank God for their services to Jagdeeshpur. Nursing care is extremely important for As a referral center SBH receives many good patient outcome, more so in a remote Allied Services critical cases which are attended by the Dr. Rajdayal Singh and his wife Dr. Elizabeth hospital like ours in Lakhnadon. It is the The other allied services such as Laboratory, emergency team round the clock. With a 5 have rejoined EHA, we welcome them nurses who spend more time caring their X Ray and ECG worked well and ably bedded room with facilities such as 3 back. Our hope is that the team would be patients and looking for all their needs supported the clinical services. Multipara Monitors, Ventilator, Two way rebuilt with the addition of Medicine as a throughout the hospital stay, good and Oxygen Concentrators, Emergency specialty and that this would serve to allay quality Care has enhanced the reputation of Medicine and Resuscitation trolley, the health needs in this very needy area in this institution. Palliative Care Services Defibrillator and Suction apparatus. We Chattisgarh. Palliative Care program is new to contribute a lot in attending to the districts Our constant effort is to improve infection Lakhnadon and many patients and families medical emergencies. We also have 50 ‘We provided care to more than 2809 control practice, procedures and nursing are really appreciative about the efforts the bedded facility for Patient Care Inpatients and 9057 outpatients in the year care. hospital is extending to the community. We 2017 – 18.

P | 20 Annual Report 2017-18 | Central Region Central Region | Annual Report 2017-18 P | 21 do home visits, dressing, training the But it’s not only the numbers that tell the patient and family members in home based story. Each year, our staff dedicate them- care. Currently we have 30 patients being selves to saving thousands of lives, improv- scattered in villages 30 kilometers around ing health and wellbeing outcomes for Lakhnadon. individuals and communities.’ Mrs. Merin Thomas, SAO Jagdeeshpur Hospital. 2017 – 18 Mahasamund District OPD - 8230, IP – 864, Surgeries 236, Dental OPD 529, Laboratory Test 13069, X Area 4790 sq kms population 1032754, ray 657, ECG 613. literacy rate 71.02 %, Major languages Lakhanadon Hospital Staff spoken are Chhattisgarhi, Odiya and Hindi. In Patient Department Dental Department The hospital is in need of gynaecologists, There are 1145 villages, 5 blocks and 475- anesthetists and general surgeons on a gram panchayats in the district served by 5 Lakhnadon Hospital is a 25 bed facility and The department is able to cater to the long term basis to serve the people and Government Community Health Centers, 15 it has a 5 bed Acute Care Unit equipped with varying dental needs of the people and most help continue the good work. PHCs and 149 health sub-centers. Main a ventilator, a female ward and male ward. It of our patients are content with the services occupation of the people is daily wage Write to [email protected] also has a functioning nursery, a labour offered. labour and agriculture. Nearest Airport is to know more. room and four private rooms with a central Raipur, about 144 kms. nursing station. Patient numbers and The no. of patients coming into the OPD has ailments differ from season to season with been consistent. Sewa Bhawan Hospital, Jagdeeshpur more surgical cases in winter, snake bites in Sewa Bhawan Hospital provides the following medical facilities: rainy season and gastroenteritis in summer. Two camps were organised to create oral - Jagdeeshpur General Surgery, General Medicine, health awareness among the people, which rs. Merin Thomas and her family Obstetrics and Gynaecology, Surgical Services was well appreciated and showed excellent moved to Jagdeeshpur last year 0pthalmology and ENT. results in the dental health of the local All obstetric patients like caesareans and with a heart to serve in the area. people. M hysterectomies (which is the major chunk) have been attended well with the help of The previous medical team comprising of Out Patient Department This year we had mixed a variety of cases well trained nurses. Dr. Paneerselvam and his wife Dr. 9057 patients in 2017-18 which included cosmetic, general dentistry Hepsheba held the fort till March 2018. We and surgical procedures. Emergency Services/In Patients Nursing Services thank God for their services to Jagdeeshpur. Nursing care is extremely important for As a referral center SBH receives many good patient outcome, more so in a remote Allied Services critical cases which are attended by the Dr. Rajdayal Singh and his wife Dr. Elizabeth hospital like ours in Lakhnadon. It is the The other allied services such as Laboratory, emergency team round the clock. With a 5 have rejoined EHA, we welcome them nurses who spend more time caring their X Ray and ECG worked well and ably bedded room with facilities such as 3 back. Our hope is that the team would be patients and looking for all their needs supported the clinical services. Multipara Monitors, Ventilator, Two way rebuilt with the addition of Medicine as a throughout the hospital stay, good and Oxygen Concentrators, Emergency specialty and that this would serve to allay quality Care has enhanced the reputation of Medicine and Resuscitation trolley, the health needs in this very needy area in this institution. Palliative Care Services Defibrillator and Suction apparatus. We Chattisgarh. Palliative Care program is new to contribute a lot in attending to the districts Our constant effort is to improve infection Lakhnadon and many patients and families medical emergencies. We also have 50 ‘We provided care to more than 2809 control practice, procedures and nursing are really appreciative about the efforts the bedded facility for Patient Care Inpatients and 9057 outpatients in the year care. hospital is extending to the community. We 2017 – 18.

P | 20 Annual Report 2017-18 | Central Region Central Region | Annual Report 2017-18 P | 21 Surgical Department Community Interventions Clinical Services Offered: Obstetrics & Medicine It contains Main OT, Eye OT, Anesthesia The hospital is involved in the following Gynecology, ENT, Medicine/ICU , Dental, Here we get a variety of medical cases, room and CSSD. services to the local communities – General Surgery, Opthalmology, such as: Typhoid – Enteric fever, Malaria, Palliative Care, Mushroom Cultivation And Anesthesia, Dental, Family Physician Gastroentritis & Diarrheal diseases, Obstetrics and Gynaecology Training Centre and Mental Health. Projects: Integrated Community Health & 831 Deliveries were done in 2017-18 Development Project. Diabetes, Hypertension, Respiratory infections, Tuberculosis, Cardiac diseases We are one of the trusted Caesarean referral Project AKSHAYA (Awareness and Hospital Needs – Cardiogenic shock, Myocardial Infarction, centre in a 150 km radius with one third Eradication of Tuberculosis in the Suicidal attempts– organophosphorus being emergency caesareans. SBH Jagdeeshpur is in need of a latest X District) Ray machine to serve its patients. poisoning, scorpion bite, snake bite, viral infections, etc. We teamed with Government PHCs and Population Total population of Janjgir- started Antenatal check ups where high risk The hospital also needs a CBC Machine and Champa District is 16,19,707 mothers were screened and diverted to the an electrolyte analyser. hospital. Please write to- Clinical Services [email protected] for support Out Patient Opthalmology and donations. Eye Service facilities include Slit-Lamp Majority of our patients are for routine ANC Examination, Retinoscopy, Computerized check-ups, followed by patients who Eye Testing, Direct Ophthalmoscopy, Champa Christian Hospital require general medicines, and then the Applanation Tonometry, Optical Prescription patients visiting us for general surgeries. and Dispensing. hampa falls on the main Howrah – OPD – 21920 patients. Mumbai railway line. The closest city is Bilaspur which is 70 kms away. Ent Services C Solar panel being installed to generate power for The nearest Airport is Raipur which is the In Patient ENT OP services were started from irrigation in Chattisgarh state capital city of Chattisgarh and is 200 There are 4 general wards in the hospital February 2017. each of 22 beds. The hospital has 8 private kms away. The Chhattisgarh State depends Community Health and Development much on rains for crops especially paddy. rooms with 2 beds each. Maternity ward Allied Services Summers are harsh and winters are pleas- has 24 beds. The present ICU has 8 beds, Community Health and Development Ultra Sound facility, X –Ray, ECG and ant. The State is rich in minerals, mainly coal, each bed has a monitor and have one Project of Champa Christian Hospital has Laboratory. Iron-ores, limestone and auxites, etc. ventilator for sick patients. IPD – 4234 been in the service of the community for patients this year. more than 30 years. Following are some of the highlights of the Blood Storage Unit Hospital Catchment Area: 60 kms radius. Janjgir-Champa District and blocks of project during the year 2017-18. For Chhattisgarh, a state with a very high Korba. Surgeries rate of anaemia, especially among women ¢ 3255 people accessed health Obs/GY Major: 594, Obs/GY Minor: 35, and children, the shortage of blood throws Mrs. Manjula Deenam continues to hold the services through sensitization up multiple challenges. Gen Major: 39, Gen Minor: 110, ENT programme conducted by the reigns of Champa Christian Hospital. The Major: 14, ENT Minor: 187, FP: 139 community work continues to grow and project. Efforts were made to start a Blood Storage expand and we are grateful that they have ¢ 179 patients from the community Unit that received the license recently. received many accolades from citizens and Deliveries 160, Dental 486, were referred to the hospital for Regular blood donation camps are con- the government. Opthalmology 2158 further treatment. ducted to find replacement blood.

P | 22 Annual Report 2017-18 | Central Region Central Region | Annual Report 2017-18 P | 23 Surgical Department Community Interventions Clinical Services Offered: Obstetrics & Medicine It contains Main OT, Eye OT, Anesthesia The hospital is involved in the following Gynecology, ENT, Medicine/ICU , Dental, Here we get a variety of medical cases, room and CSSD. services to the local communities – General Surgery, Opthalmology, such as: Typhoid – Enteric fever, Malaria, Palliative Care, Mushroom Cultivation And Anesthesia, Dental, Family Physician Gastroentritis & Diarrheal diseases, Obstetrics and Gynaecology Training Centre and Mental Health. Projects: Integrated Community Health & 831 Deliveries were done in 2017-18 Development Project. Diabetes, Hypertension, Respiratory infections, Tuberculosis, Cardiac diseases We are one of the trusted Caesarean referral Project AKSHAYA (Awareness and Hospital Needs – Cardiogenic shock, Myocardial Infarction, centre in a 150 km radius with one third Eradication of Tuberculosis in the Suicidal attempts– organophosphorus being emergency caesareans. SBH Jagdeeshpur is in need of a latest X District) Ray machine to serve its patients. poisoning, scorpion bite, snake bite, viral infections, etc. We teamed with Government PHCs and Population Total population of Janjgir- started Antenatal check ups where high risk The hospital also needs a CBC Machine and Champa District is 16,19,707 mothers were screened and diverted to the an electrolyte analyser. hospital. Please write to- Clinical Services [email protected] for support Out Patient Opthalmology and donations. Eye Service facilities include Slit-Lamp Majority of our patients are for routine ANC Examination, Retinoscopy, Computerized check-ups, followed by patients who Eye Testing, Direct Ophthalmoscopy, Champa Christian Hospital require general medicines, and then the Applanation Tonometry, Optical Prescription patients visiting us for general surgeries. and Dispensing. hampa falls on the main Howrah – OPD – 21920 patients. Mumbai railway line. The closest city is Bilaspur which is 70 kms away. Ent Services C Solar panel being installed to generate power for The nearest Airport is Raipur which is the In Patient ENT OP services were started from irrigation in Chattisgarh state capital city of Chattisgarh and is 200 There are 4 general wards in the hospital February 2017. each of 22 beds. The hospital has 8 private kms away. The Chhattisgarh State depends Community Health and Development much on rains for crops especially paddy. rooms with 2 beds each. Maternity ward Allied Services Summers are harsh and winters are pleas- has 24 beds. The present ICU has 8 beds, Community Health and Development Ultra Sound facility, X –Ray, ECG and ant. The State is rich in minerals, mainly coal, each bed has a monitor and have one Project of Champa Christian Hospital has Laboratory. Iron-ores, limestone and auxites, etc. ventilator for sick patients. IPD – 4234 been in the service of the community for patients this year. more than 30 years. Following are some of the highlights of the Blood Storage Unit Hospital Catchment Area: 60 kms radius. Janjgir-Champa District and blocks of project during the year 2017-18. For Chhattisgarh, a state with a very high Korba. Surgeries rate of anaemia, especially among women ¢ 3255 people accessed health Obs/GY Major: 594, Obs/GY Minor: 35, and children, the shortage of blood throws Mrs. Manjula Deenam continues to hold the services through sensitization up multiple challenges. Gen Major: 39, Gen Minor: 110, ENT programme conducted by the reigns of Champa Christian Hospital. The Major: 14, ENT Minor: 187, FP: 139 community work continues to grow and project. Efforts were made to start a Blood Storage expand and we are grateful that they have ¢ 179 patients from the community Unit that received the license recently. received many accolades from citizens and Deliveries 160, Dental 486, were referred to the hospital for Regular blood donation camps are con- the government. Opthalmology 2158 further treatment. ducted to find replacement blood.

P | 22 Annual Report 2017-18 | Central Region Central Region | Annual Report 2017-18 P | 23 ¢ 34 villages were linked with PHE the families live below the poverty line as per We have a culture machine, an incubator of awareness, harmful indigenous treat- department for safe drinking water. the 2011 census. and an auto cave machine which are in ments and superstitious beliefs that ¢ 493 families have started kitchen function 24 hours a day. These have helped preclude optimal palliative care. garden in the community. Some health indicators of the us to treat our Patients whom we serve in a ¢ 5 acres of land have been developed region better way’- Mrs. Alice Hepzibah CH, as model farming for the farmers in Senior Nurse Officer. Current Research at Chinchpada 1 the project location and converted Sickle cell anaemia, which is a genetically National Surveillance System the waste land into productive land. transmitted disorder, is very commonly Outpatient Department for Enteric Fever in India Study ¢ 16 CBOs adopted organic agricul- prevalent. About 35% of the population in with CMC Vellore (Ongoing data General Surgery, General Medicine, ture practices during the year. the Nandurbar area of Maharashtra are collection) Obstetrics & Gynecology ¢ 36 CBOs mobilized their land carriers of this disorder. About 30% of OP patients – 17204 which is a steady resources for sustainable agriculture children suffering from sickle cell disease do increase over the previous years 2 Antimicrobial Stewardship practices in the community. not reach adulthood. IP Patients ( 50 Beds ) – 2886 Project Intensive Care Unit & Emergency Services - Anaemia, malnutrition, and Tuberculosis are Champa Hospital needs 24 hours 3 Sickle Cell Disease Study rampant among the people of the region. Full time ophthalmologist, Dentist, In a recent survey we have also found a high OBS/Gyne and Paediatrician prevalence of non-communicable diseases. Surgical facilities To support Chinchpada Christian These include Cancer, Diabetes, Hospital please write to Laparoscopic equipment for surgeries Dr Deepak Singh, Medical Superintendent, Hypertension and Cardiovascular disease [email protected] who has a subspecialty in Paediatric Requests for support for Staff Housing, OT and Chronic renal failure. and Wards. Write to- Surgery, is the Consultant Surgeon and undertakes both general and specialized [email protected] We have seen a steady rise in the OPD procedures. numbers. People from about 150 to 200 km away come to our hospital for treatment. Major surgeries done – 501, Ob and Gyn – 52 deliveries. The addition of Endourology and Chinchpada Christian Hospital Diagnostice Services – X ray 3815 and Laparoscopic equipment to our armamen- Laboratory Tests 51000. hinchpada Christian Hospital was tarium has improved the quality and turn- established in 1942 as a small clinic around time for patients. There is a lot of Cand few years later, it was upgraded renal stone disease which we are able to Community Health Department Report to a 15-bed hospital. The Hospital was address using the latest Endourology Palliative Care incorporated into Emmanuel Hospital techniques. Chinchpada Hospital Staff Association in 1976. There are 234 patients who have received palliative care since the inception of the Chinchpada is a Panchayat village located program in April 2016, and 84 patients are in Nashik division of Western Khandesh Nursing Services currently receiving home-based care. Of region and falls in the Nandurbar District, ‘We have 24 nurses in the nursing service these, a majority (50) suffer from cancer, 16 Maharashtra State in India. It is about 120 department, out of which we have 14 ANM have organ failure, 10 have HIV, and 7 have kms west of Surat (Gujarat). The literacy rate nurses, 7 GNM nurses and 1 BSc nurse. The neurological illnesses. The Palliative Care We Care of the population is only 56%, and, 72% of nursing department is headed by Mrs. team perseveres to serve in the midst of Ludiya Pramod Valvi. many challenges, particularly related to lack

P | 24 Annual Report 2017-18 | Central Region Central Region | Annual Report 2017-18 P | 25 ¢ 34 villages were linked with PHE the families live below the poverty line as per We have a culture machine, an incubator of awareness, harmful indigenous treat- department for safe drinking water. the 2011 census. and an auto cave machine which are in ments and superstitious beliefs that ¢ 493 families have started kitchen function 24 hours a day. These have helped preclude optimal palliative care. garden in the community. Some health indicators of the us to treat our Patients whom we serve in a ¢ 5 acres of land have been developed region better way’- Mrs. Alice Hepzibah CH, as model farming for the farmers in Senior Nurse Officer. Current Research at Chinchpada 1 the project location and converted Sickle cell anaemia, which is a genetically National Surveillance System the waste land into productive land. transmitted disorder, is very commonly Outpatient Department for Enteric Fever in India Study ¢ 16 CBOs adopted organic agricul- prevalent. About 35% of the population in with CMC Vellore (Ongoing data General Surgery, General Medicine, ture practices during the year. the Nandurbar area of Maharashtra are collection) Obstetrics & Gynecology ¢ 36 CBOs mobilized their land carriers of this disorder. About 30% of OP patients – 17204 which is a steady resources for sustainable agriculture children suffering from sickle cell disease do increase over the previous years 2 Antimicrobial Stewardship practices in the community. not reach adulthood. IP Patients ( 50 Beds ) – 2886 Project Intensive Care Unit & Emergency Services - Anaemia, malnutrition, and Tuberculosis are Champa Hospital needs 24 hours 3 Sickle Cell Disease Study rampant among the people of the region. Full time ophthalmologist, Dentist, In a recent survey we have also found a high OBS/Gyne and Paediatrician prevalence of non-communicable diseases. Surgical facilities To support Chinchpada Christian These include Cancer, Diabetes, Hospital please write to Laparoscopic equipment for surgeries Dr Deepak Singh, Medical Superintendent, Hypertension and Cardiovascular disease [email protected] who has a subspecialty in Paediatric Requests for support for Staff Housing, OT and Chronic renal failure. and Wards. Write to- Surgery, is the Consultant Surgeon and undertakes both general and specialized [email protected] We have seen a steady rise in the OPD procedures. numbers. People from about 150 to 200 km away come to our hospital for treatment. Major surgeries done – 501, Ob and Gyn – 52 deliveries. The addition of Endourology and Chinchpada Christian Hospital Diagnostice Services – X ray 3815 and Laparoscopic equipment to our armamen- Laboratory Tests 51000. hinchpada Christian Hospital was tarium has improved the quality and turn- established in 1942 as a small clinic around time for patients. There is a lot of Cand few years later, it was upgraded renal stone disease which we are able to Community Health Department Report to a 15-bed hospital. The Hospital was address using the latest Endourology Palliative Care incorporated into Emmanuel Hospital techniques. Chinchpada Hospital Staff Association in 1976. There are 234 patients who have received palliative care since the inception of the Chinchpada is a Panchayat village located program in April 2016, and 84 patients are in Nashik division of Western Khandesh Nursing Services currently receiving home-based care. Of region and falls in the Nandurbar District, ‘We have 24 nurses in the nursing service these, a majority (50) suffer from cancer, 16 Maharashtra State in India. It is about 120 department, out of which we have 14 ANM have organ failure, 10 have HIV, and 7 have kms west of Surat (Gujarat). The literacy rate nurses, 7 GNM nurses and 1 BSc nurse. The neurological illnesses. The Palliative Care We Care of the population is only 56%, and, 72% of nursing department is headed by Mrs. team perseveres to serve in the midst of Ludiya Pramod Valvi. many challenges, particularly related to lack

P | 24 Annual Report 2017-18 | Central Region Central Region | Annual Report 2017-18 P | 25 REGIONAL DIRECTORS’ REPORT NORTH REGION Margaret Kurien, MA Public Admin, M.Phil Hospital & Health System Management

he Northern Region of EHA comprises of 2 Hospitals in Uttarakahand, one in Uttar Pradesh and one in Madhya TPradesh. While HCH in Uttrakhand and CCH in Madhya Pradesh, the two larger hospitals have been stable and making progress, the two smaller Units – LCH, Mussoorie and HBM Hospital, Lalitpur in UP, have struggled to stay afloat, with the latter having faced a severe financial crisis.

The one common need that confronts us regularly is the paucity of medical personnel.

Chattarpur Christian Hospital

ituated in the Bundelkand region of Madhya Pradesh, Chattarpur Hospital was Sstarted in the year 1930. This 120-bed hospital functions under the leadership of Mr Jone Wills, the Managing Director and his committed team of doctors, nurses, paramedics and support staff.

It serves as an important link as a secondary care hospital while extending to tertiary care in some areas.

Medicine Chattarpur Hospital is the only Acute Care Unit within a radius of 100 kilometers with a 24 hour Emergency department and a fully equipped HDU.

The Hospital is equipped with a defibrillator and external pacing because of the high number of cardiac cases they get every year.

North Region | Annual Report 2017-18 P | 27 REGIONAL DIRECTORS’ REPORT NORTH REGION Margaret Kurien, MA Public Admin, M.Phil Hospital & Health System Management

The one common need that confronts us regularly is the paucity of medical personnel.

Chattarpur Christian Hospital

It serves as an important link as a secondary care hospital while extending to tertiary care in some areas.

Medicine Chattarpur Hospital is the only Acute Care Unit within a radius of 100 kilometers with a 24 hour Emergency department and a fully equipped HDU.

The Hospital is equipped with a defibrillator and external pacing because of the high number of cardiac cases they get every year.

North Region | Annual Report 2017-18 P | 27 Pediatrics Community Health & Development Project (Prerana) 2017-2018 The management of critical pediatric cases continued as we remained one of the few centers Reproductive Child Health So far, 176 palliative cases have been with ventilators and 24 hr emergency and HDU. New equipment like nasal CPAP machine enrolled, out of which 51 of them are current has helped survival of newly born. (RCH) Project cases. This project focuses at antenatal and Out-Patient Statistics 55896, In-Patient Statistics 7927 postnatal mothers and newborn babies in The CH team has also contributed consid- 50 villages from Nowgong and Chhatarpur erably in other projects like the – Obstetrics & Gynaecology blocks and works closely with the Govt. health and Integrated Child Development Kishangarh Watershed Project- The The Hospital purchased one more CTG machine (electronic fetal monitor) for intrapartum Scheme (ICDS). monitoring and this has helped in diagnosing foetal distress early and prevents stillbirths. challenge is to sustain food and water security measures and the livelihoods of the Installation of the centralized suction, oxygen and air supply in the MCH (Maternal and Child A total of 1035 mothers received antenatal target communities in face of increasing Health) block enhanced the provision of this service. (AN) care along with health education and natural resource depletion, unpredictable 457 mothers received postnatal care. The weather patterns and changing drought Training of the Emergency Room and HDU staff enabled even the new nurses to manage Chief Medical Health Officer of the district cycles. cases well. The department is ably handled by Dr. Asangla, Dr. Elsa and Dr. Catherine. and us partnered in the Intensified Mission Antenatal OP Statistics 10702, Deliveries 2520 Indradhanush (Immunization) survey, monitoring and validation of 50 villages of our RCH project. Landour Community Hospital Nursing Services - Mussoorie andour Community Hospital in Nursing Services is led by a Nursing Superintendent with a team strength of 68 nurses. NEED (Nutrition, Education, Mussoorie is situated at an approxi- Entitlement & Development) mate elevation of 2133 meters (7000 Our local TNAI body gathers every month for regular In-Service Education and demonstration L Project. feet) on the eastern outskirts of Mussoorie and for active fund raising evening. town in the lower Himalayas. Mussoorie, This project addresses the issues related to the Queen of Hills, is 290 Kms North of nutrition, education, entitlement and School Of Nursing Delhi, the country’s capital, and 35 Kms development (NEED) of the local from Dehradun, the State capital. The school of nursing was founded in 1975 The academic year achieved an overall communities.The CMHO granted written result of 88 % for our school. We are very to train Auxiliary Nurse Midwife and in the permission for us to build the capacity of The hospital has a catchment area of about proud of our students. They worked hard to year 2000 was upgraded as General Gram Sabha Swasthya Gram Tadarth 150 kms on the northern and eastern side achieve theses ranks. The 9th graduation Nursing and Midwifery ( GNM ) training Samiti (GSSGTS) in same villages. of the Garhwal hills where it is one of the few and 15th lamp lighting ceremony was centre recognized by the Indian Nursing hospitals that provides service 24 hours x 7 conducted on 28th February 2018. Council, State Nursing council and Mid Palliative Care - days a week. The hospital caters to the India Board of Education. “Transforming The Palliative Care (PC) Project continued population of the town of Mussoorie, which Congratulations to the hard working faculty people through education and care” is the its fourth year’s interventions in a catch- is inclusive of the schools, hospitality and particularly to the principal Mrs. Rekha guiding principle of the Chattarpur Nursing ment area of 35 kilometers radius, to industry, and also the surrounding villages. John. School. provide sustainable holistic care to people This 35-bedded hospital serves as the first with life limiting diseases by providing home point of contact for Emergency services, To support Chattarpur Christian Hospital please write to [email protected] care. despite the many high-end medical facilities that have mushroomed in Dehradun. The average Emergency patient load is around

P | 28 Annual Report 2017-18 | North Region North Region | Annual Report 2017-18 P | 29 Pediatrics Community Health & Development Project (Prerana) 2017-2018 The management of critical pediatric cases continued as we remained one of the few centers Reproductive Child Health So far, 176 palliative cases have been with ventilators and 24 hr emergency and HDU. New equipment like nasal CPAP machine enrolled, out of which 51 of them are current has helped survival of newly born. (RCH) Project cases. This project focuses at antenatal and Out-Patient Statistics 55896, In-Patient Statistics 7927 postnatal mothers and newborn babies in The CH team has also contributed consid- 50 villages from Nowgong and Chhatarpur erably in other projects like the – Obstetrics & Gynaecology blocks and works closely with the Govt. health and Integrated Child Development Kishangarh Watershed Project- The The Hospital purchased one more CTG machine (electronic fetal monitor) for intrapartum Scheme (ICDS). monitoring and this has helped in diagnosing foetal distress early and prevents stillbirths. challenge is to sustain food and water security measures and the livelihoods of the Installation of the centralized suction, oxygen and air supply in the MCH (Maternal and Child A total of 1035 mothers received antenatal target communities in face of increasing Health) block enhanced the provision of this service. (AN) care along with health education and natural resource depletion, unpredictable 457 mothers received postnatal care. The weather patterns and changing drought Training of the Emergency Room and HDU staff enabled even the new nurses to manage Chief Medical Health Officer of the district cycles. cases well. The department is ably handled by Dr. Asangla, Dr. Elsa and Dr. Catherine. and us partnered in the Intensified Mission Antenatal OP Statistics 10702, Deliveries 2520 Indradhanush (Immunization) survey, monitoring and validation of 50 villages of our RCH project. Landour Community Hospital Nursing Services - Mussoorie andour Community Hospital in Nursing Services is led by a Nursing Superintendent with a team strength of 68 nurses. NEED (Nutrition, Education, Mussoorie is situated at an approxi- Entitlement & Development) mate elevation of 2133 meters (7000 Our local TNAI body gathers every month for regular In-Service Education and demonstration L Project. feet) on the eastern outskirts of Mussoorie and for active fund raising evening. town in the lower Himalayas. Mussoorie, This project addresses the issues related to the Queen of Hills, is 290 Kms North of nutrition, education, entitlement and School Of Nursing Delhi, the country’s capital, and 35 Kms development (NEED) of the local from Dehradun, the State capital. The school of nursing was founded in 1975 The academic year achieved an overall communities.The CMHO granted written result of 88 % for our school. We are very to train Auxiliary Nurse Midwife and in the permission for us to build the capacity of The hospital has a catchment area of about proud of our students. They worked hard to year 2000 was upgraded as General Gram Sabha Swasthya Gram Tadarth 150 kms on the northern and eastern side achieve theses ranks. The 9th graduation Nursing and Midwifery ( GNM ) training Samiti (GSSGTS) in same villages. of the Garhwal hills where it is one of the few and 15th lamp lighting ceremony was centre recognized by the Indian Nursing hospitals that provides service 24 hours x 7 conducted on 28th February 2018. Council, State Nursing council and Mid Palliative Care - days a week. The hospital caters to the India Board of Education. “Transforming The Palliative Care (PC) Project continued population of the town of Mussoorie, which Congratulations to the hard working faculty people through education and care” is the its fourth year’s interventions in a catch- is inclusive of the schools, hospitality and particularly to the principal Mrs. Rekha guiding principle of the Chattarpur Nursing ment area of 35 kilometers radius, to industry, and also the surrounding villages. John. School. provide sustainable holistic care to people This 35-bedded hospital serves as the first with life limiting diseases by providing home point of contact for Emergency services, To support Chattarpur Christian Hospital please write to [email protected] care. despite the many high-end medical facilities that have mushroomed in Dehradun. The average Emergency patient load is around

P | 28 Annual Report 2017-18 | North Region North Region | Annual Report 2017-18 P | 29 220 per month with seasonal variations. Tourists constitute a significant number of the At present Samvedna provides care for 65 The HBM Hospital staff is thankful to God patients attending the Emergency Room. children with all types of disability, which for helping them live EHA’s vision of being ‘a includes home-based care and also at the Fellowship for Transformation through Orthopaedics and Family Medicine have been the stable services provided through the year. Disability Resource Centre (DRC). Apart Caring’ through whole person care in their from this, the Project works with 412 hospital, compassionate palliative care, Persons with Disability (PWDs) who are community mobilization and through adults. This work is in 65 villages of Jaunpur equipping others at the Bacon Memorial Block in Tehri Garhwal District of Training Centre. This year HBM Hospital Uttarakhand. campus was given a prize for cleanliness by the Lalitpur Municipality. Disability Inclusive Livelihood Initiatives Program (DILIP) The hospital gave whole-person care for 12,496 outpatient visits this year (a drop of The Vocational Training centre provides 5%). However, it was in the in-patient care Livelihood trainings to the Persons with where the effect was most markedly seen Disabilities (PWDs) and their caregivers. with the HBM Hospital admitting 1068 Currently there are 10 PWDs enrolled in this patients this year (a drop of 57%). The main training program. cause of this can be linked to non availability of doctors. Funds are solicited specifically for the reconstruction of staff quarters (urgent The HBM Hospital is known locally as a need) maternity hospital and since 1932, has been serving women and children. OPD at Landour Hospital, Mussoorie If you wish to support LCH for this project, A General surgeon, obstetrician- Community Health and Development please write to- The HBM hospital has also for the past 10 gynaecologist, psychiatrist, Dermatologist, [email protected] years run an innovative Palliative care ENT surgeon and an Opthalmologist The staff focus has been on the poor, programme. Their current reach is focused formed the main services at the Hospital. marginalized and disadvantaged communi- on about 100 people with life-limiting ties in the northern and eastern hill-side diseases within a 50 km radius of the base The average Out patients seen during the through their work among the physically hospital. This year we recorded a total of challenged (Samvedna Project), the farmers Harriet Benson Memorial Hospital summer months is 80-90 patients per day - Lalitpur 360 visits by palliative care patients to our which drops to an average of 50 per day in rehabilitation of flood affected areas (Umeed HBM Hospital OPD which was a quarter winters. Project) and the slums of Mussoorie (Uday he HBM Hospital completed 86 years more (25%) than the previous year. Project). The highlight of the year has been of medical service to the people of For the last two years Advanced the completion and commissioning of the the Lalitpur District in the state of T Community Health and Development Cardiovascular Life Support training has Disability Resource Centre at Dhana, Uttar Pradesh. been given by Aerie Backcountry Medicine, Thatyur. Continuing 40 years of community health work, the HBM hospital reaches out to Montana, USA. Samvedna Project Lalitpur is a “heart-shaped district at the heart of Bundelkhand” and has a popula- surrounding communities through its Change in leadership – Dr George In December 2012 Samvedna opened its tion of 12 lakhs (12,21,592 in the 2011 Community Health and Development Clarence, MS Orthopaedics took over as first learning centre where children with census). Lalitpur district is still overwhelm- Programme (HBM CHDP). During 2017/18 the Senior Administrative Officer in January disability have been able to receive special ingly rural with 86% of the population living their major focus was on an integrated 2018. education, physical therapy, life-skills in villages (2011). watershed management project in 15 education and pre-vocational training. villages of the Bar block.

P | 30 Annual Report 2017-18 | North Region North Region | Annual Report 2017-18 P | 31 220 per month with seasonal variations. Tourists constitute a significant number of the At present Samvedna provides care for 65 The HBM Hospital staff is thankful to God patients attending the Emergency Room. children with all types of disability, which for helping them live EHA’s vision of being ‘a includes home-based care and also at the Fellowship for Transformation through Orthopaedics and Family Medicine have been the stable services provided through the year. Disability Resource Centre (DRC). Apart Caring’ through whole person care in their from this, the Project works with 412 hospital, compassionate palliative care, Persons with Disability (PWDs) who are community mobilization and through adults. This work is in 65 villages of Jaunpur equipping others at the Bacon Memorial Block in Tehri Garhwal District of Training Centre. This year HBM Hospital Uttarakhand. campus was given a prize for cleanliness by the Lalitpur Municipality. Disability Inclusive Livelihood Initiatives Program (DILIP) The hospital gave whole-person care for 12,496 outpatient visits this year (a drop of The Vocational Training centre provides 5%). However, it was in the in-patient care Livelihood trainings to the Persons with where the effect was most markedly seen Disabilities (PWDs) and their caregivers. with the HBM Hospital admitting 1068 Currently there are 10 PWDs enrolled in this patients this year (a drop of 57%). The main training program. cause of this can be linked to non availability of doctors. Funds are solicited specifically for the reconstruction of staff quarters (urgent The HBM Hospital is known locally as a need) maternity hospital and since 1932, has been serving women and children. OPD at Landour Hospital, Mussoorie If you wish to support LCH for this project, A General surgeon, obstetrician- Community Health and Development please write to- The HBM hospital has also for the past 10 gynaecologist, psychiatrist, Dermatologist, [email protected] years run an innovative Palliative care ENT surgeon and an Opthalmologist The staff focus has been on the poor, programme. Their current reach is focused formed the main services at the Hospital. marginalized and disadvantaged communi- on about 100 people with life-limiting ties in the northern and eastern hill-side diseases within a 50 km radius of the base The average Out patients seen during the through their work among the physically hospital. This year we recorded a total of challenged (Samvedna Project), the farmers Harriet Benson Memorial Hospital summer months is 80-90 patients per day - Lalitpur 360 visits by palliative care patients to our which drops to an average of 50 per day in rehabilitation of flood affected areas (Umeed HBM Hospital OPD which was a quarter winters. Project) and the slums of Mussoorie (Uday he HBM Hospital completed 86 years more (25%) than the previous year. Project). The highlight of the year has been of medical service to the people of For the last two years Advanced the completion and commissioning of the the Lalitpur District in the state of T Community Health and Development Cardiovascular Life Support training has Disability Resource Centre at Dhana, Uttar Pradesh. been given by Aerie Backcountry Medicine, Thatyur. Continuing 40 years of community health work, the HBM hospital reaches out to Montana, USA. Samvedna Project Lalitpur is a “heart-shaped district at the heart of Bundelkhand” and has a popula- surrounding communities through its Change in leadership – Dr George In December 2012 Samvedna opened its tion of 12 lakhs (12,21,592 in the 2011 Community Health and Development Clarence, MS Orthopaedics took over as first learning centre where children with census). Lalitpur district is still overwhelm- Programme (HBM CHDP). During 2017/18 the Senior Administrative Officer in January disability have been able to receive special ingly rural with 86% of the population living their major focus was on an integrated 2018. education, physical therapy, life-skills in villages (2011). watershed management project in 15 education and pre-vocational training. villages of the Bar block.

P | 30 Annual Report 2017-18 | North Region North Region | Annual Report 2017-18 P | 31 finished Thyle Residency and have imple- Obstetrics and Gynaecology is one of the mented a long-cherished dream to provide most important services of the hospital. good quality accommodation to our Every year a large number of women have existing staff. access to affordable and good antenatal and postnatal care through this depart- Lalitpur Hospital requires doctors who have ment. a heart to serve the rural people on a long term basis. Write to- Medicine, Paediatrics, Orthopaedics and [email protected] if you care for General Surgery are also the most sought the people of rural India. after services of the hospital.

Dermatology, Dentistry, Opthalmology, ENT services are the other most busy departments of the Hospital and hold a strong and trustworthy reputation in the catchment area. Herbertpur Christian Hospital Patient care at Lalitpur Herbertpur Christian Hospital, a 120 Operation Theatre And Anaesthesia bedded hospital, located in the Doon Valley Allied Services Hospital was able to restart the eye services. Department In September 2017 the Mission Direct team of Uttrakhand functions under the leader- A state of the art Operation Theatre with the The HBM laboratory conducted 40,303 repainted the eye ward and all the beds. It ship of Dr Mathew Samuel, MS three teams of Orthopaedics, General tests from April 2017 to March 2018. This is was a modest start with 78 cataract surger- Orthopaedics, as Managing Director, and Surgery and Obstetrics operating daily, is a 25% increase on the previous year when ies using intra-ocular lenses done this year. his team of dedicated doctors and para 30,539 tests. Our team of 2 lab technicians medical staff. doing great service to the local populace. conducted an average of 129 tests per working day. New initiatives The hospital is located around 45 kms from Every year around 3000 surgical proce- A pilot program of an integrated Non- Dehradun on the borders of the neighbour- dures are done , 1200 deliveries take place , We are glad to report that despite low Communicable Diseases (NCD) outreach in ing states of Himachal Pradesh, Haryana and more than 105000 OPD and 5500 IP numbers of overall patients, the HBM X-ray 10 villages was started, where the Palliative and Uttarpradesh. Because of its location, patients are treated in the hospital . machine was used for 362 x-rays in care team has begun providing a spectrum it serves the people of Uttrakhand and the 2017/18, a 178% increase over the 130 of NCD care of which palliation is a vital part. neighbouring states covering most of the Dr Samuel Barnabas, Physical Medicine done last year. We also conducted 83 ECGs villages and satellite towns of the area. and Rehabilitation services joined our team, and hope to do more in the coming year. The first batch of training village partners in thus enhancing the Disability program. The health care through the Community Lay- The Hospital is visited by around 350 OPD first spinal cord injuries camp was hosted leaders Health Training Course (in partner- patients daily. for 10 patients. Opthalmic work restarted ship with CMC Vellore) was completed. The hospital’s main clinical services are Infrastructure The HBM Hospital has a purpose-built eye Staff Housing Medicine, Orthopaedics, General Surgery, The major project is the In-patient Building centre. Obstetrics and Gynaecology, Physio The two flats of the 2nd phase of the Thyle construction which commenced in Therapy, Psychiatry, Paediatrics, December 2017. Completion of this project We are thankful that this year the HBM Residency were built and dedicated this Dermatology, Dental, Pathology, Radiology year. They now have 8 apartments in the is expected in December 2018. It is a and a 24 hour Casualty and Intensive Care. 30000 ft well designed facility to cater to the

P | 32 Annual Report 2017-18 | North Region North Region | Annual Report 2017-18 P | 33 finished Thyle Residency and have imple- Obstetrics and Gynaecology is one of the mented a long-cherished dream to provide most important services of the hospital. good quality accommodation to our Every year a large number of women have existing staff. access to affordable and good antenatal and postnatal care through this depart- Lalitpur Hospital requires doctors who have ment. a heart to serve the rural people on a long term basis. Write to- Medicine, Paediatrics, Orthopaedics and [email protected] if you care for General Surgery are also the most sought the people of rural India. after services of the hospital.

P | 32 Annual Report 2017-18 | North Region North Region | Annual Report 2017-18 P | 33 Herbertpur Hospital Staff ever increasing number of patients visiting 2017) of 19 GNM nurses, graduated in members of the Anuragh Project under- the hospital. August 2017, and, we are happy to share went Occupation and Vocational training. that all of them were placed in EHA and 44 students completed the one year The Chapel on the campus was recon- other reputed Hospitals. Our students (only diploma course in Health Assistance from structed mainly from funds raised through girls) come from humble and economically the Lehmann Community College, which the offerings and efforts of staff.. weaker sections of our society and avail this offers this training to the poor, marginalized vocational facility. and school drop-outs. The Hospital needs donations for the ongoing IP Block where the civil work is Our nursing faculty worked very hard with A privileged opportunity about 60% complete. these students and helped in shaping their careers and personality as young Health The Department of Social Welfare, For setting up a Blood Bank Care professionals. Uttarakhand through an MoU with the Herbertpur Hospital in 2016, handed over If you wish to support Herbertpur Hospital, the management of the Government please write to- Community Health Mental Health Asylum in Dehradun (Nari [email protected] or The Community Health department oper- Niketan) for women. The year started with [email protected] ated 8 Projects with a focus on Mental 106 residents of which 35 were success- Health and Physical, Mental and Intellectual fully reunited with their families and 39 new School of Nursing disabilities. female patients were admitted. A carpentry, prosthetics and orthotics School of Nursing at Herbertpur Hospital is Training Centre were new additions to the recognised by the Indian Nursing Council Anuragh (Disability) Program which has and is affiliated to the Uttrakhand State expanded exponentially since 2002. Medical Faculty and Uttrakhand Nurses and Midwives Council. Our first batch (2013- 11 adolescents who were long-time

P | 34 Annual Report 2017-18 | North Region North Region | Annual Report 2017-18 P | 35 Herbertpur Hospital Staff ever increasing number of patients visiting 2017) of 19 GNM nurses, graduated in members of the Anuragh Project under- the hospital. August 2017, and, we are happy to share went Occupation and Vocational training. that all of them were placed in EHA and 44 students completed the one year The Chapel on the campus was recon- other reputed Hospitals. Our students (only diploma course in Health Assistance from structed mainly from funds raised through girls) come from humble and economically the Lehmann Community College, which the offerings and efforts of staff.. weaker sections of our society and avail this offers this training to the poor, marginalized vocational facility. and school drop-outs. The Hospital needs donations for the ongoing IP Block where the civil work is Our nursing faculty worked very hard with A privileged opportunity about 60% complete. these students and helped in shaping their careers and personality as young Health The Department of Social Welfare, For setting up a Blood Bank Care professionals. Uttarakhand through an MoU with the Herbertpur Hospital in 2016, handed over If you wish to support Herbertpur Hospital, the management of the Government please write to- Community Health Mental Health Asylum in Dehradun (Nari [email protected] or The Community Health department oper- Niketan) for women. The year started with [email protected] ated 8 Projects with a focus on Mental 106 residents of which 35 were success- Health and Physical, Mental and Intellectual fully reunited with their families and 39 new School of Nursing disabilities. female patients were admitted. A carpentry, prosthetics and orthotics School of Nursing at Herbertpur Hospital is Training Centre were new additions to the recognised by the Indian Nursing Council Anuragh (Disability) Program which has and is affiliated to the Uttrakhand State expanded exponentially since 2002. Medical Faculty and Uttrakhand Nurses and Midwives Council. Our first batch (2013- 11 adolescents who were long-time

P | 34 Annual Report 2017-18 | North Region North Region | Annual Report 2017-18 P | 35 REGIONAL DIRECTORS’ REPORT EASTERN REGION Dr Koshy C. George, MBBS, DCH, MD (Paed)

t is my privilege to present to you the annual reports of the hospitals in the Eastern Region of the Emmanuel Hospital IAssociation. There are four hospitals in this region in the states of Bihar and Jharkhand. I am grateful to the outgoing Regional Director, Mr. Victor Emmanuel, who held fort last year even as some of the units saw a transition in their leadership.

Duncan Hospital, Raxaul he Duncan Hospital, Raxaul continues to be the flagship hospital in the area with a wide range of facilities provided to the poor and marginalized sections of Bihar and Tbordering Nepal. Some of the major developments during the year included the starting of the prosthetics and orthotics center and the Duncan Rural Health and Social Center. Community health and development initiatives continue with the vision of transformation through NCD programs, palliative care, CBR and health care to the poor who don’t seek out health as a priority.

We thank Dr. Uttam Mohapatra and his team for the wonderful work done and request your prayers and support for the year ahead.

Duncan Hospital, Raxaul, is located in one of the northern most towns of Bihar bordering Nepal and falls in East Champaran District. It serves the people of this district and part of bordering Nepal.

Eastern Region | Annual Report 2017-18 P | 0237 REGIONAL DIRECTORS’ REPORT EASTERN REGION Dr Koshy C. George, MBBS, DCH, MD (Paed)

We thank Dr. Uttam Mohapatra and his team for the wonderful work done and request your prayers and support for the year ahead.

Duncan Hospital, Raxaul, is located in one of the northern most towns of Bihar bordering Nepal and falls in East Champaran District. It serves the people of this district and part of bordering Nepal.

Eastern Region | Annual Report 2017-18 P | 0237 East Champaran District agement for diabetic, Hansen’s disease snake bite, newborn with perinatal According to the 2011 census Purba Champaran district has a population of 5,099,371. The and snake bite wounds, hand surgery, asphyxia and meconium aspiration syn- district has a population density of 1285 inhabitants per square kilometre . Its population pediatric orthopedics, and club foot drome, OP poisoning. growth rate over the decade 2001-2011 was 29.43%. Purba Champaran has a sex ratio of corrections.. We could manage more 902 females for every 1000 males, and a literacy rate of 55.79%. patients due to excellent team of anesthe- Other Clinical Departments which are tists, critical care staff and nursing staff. We treating large number of patients continue to reach out to patients with Paediatrics, Obstetrics and Gynaecology, YEAR 2017 – 18 AT A GLANCE disabilities with the Physical Medicine and Dental, Psychiatery, Physical Medicine and OPD Clinic Statistics 2017-18 Rehabilitation (PMR) department and CBR Rehabilitation, Occupational Therapy and Project. Physiotherapy. 2017-2018 PSY SUR MED DENT PAED IMM. ANC ORTHO PMR EYE Medicine Allied services like Pharmacy, Laboratory, NEW 719 1153 8485 2536 3061 4164 10562 1585 595 385 ECG and X Ray add able support in the We see many patients with pesticide service to our patients. REPEAT 2139 2479 16241 7382 8274 11193 27168 2593 830 349 poisoning, attempted suicide, non- Total OPD Patients: 114184 communicable diseases like diabetes, hypertensive urgencies, coronary artery Nursing Services IP Statistics 2017-18 diseases, strokes, hypokalemic periodic ‘I am proud to look back over the past years paralysis, snake bites, COPD wide spec- and see how we have stepped up and 2017-2018 CHW EYE MED PVT ICU OBS MSW LR NUR TOTAL trum of infectious diseases like TB, HIV, embraced the change and challenges. We Enteric fever, Hansens disease. A few celebrate the contribution of our student 1261 0 2893 1168 11 2193 14539 ADMISSION 370 633 6010 patients with SLE and other autoimmune nurses and colleagues who are dedicated Note: This data is prepared by setting the total bed as 200. diseases were diagnosed and are on to serve our community in building and regular follow up. expanding the scope of nursing practice Surgery through teaching ensuring quality educa- We are a part of a multi-centric study on tion side by side safe quality care nursing General Gynae Ortho Eye Enteric fever with the primary objective of and safe learning environment for our Total assessing the prevalence and drug resis- students’. Ms. Dorcas Lepcha Major Minor Major Minor Major Minor Major Minor LSCS tance pattern of Enteric fever. Community Health and Development 164 338 66 648 104 506 10 1318 3154 Critical Care The main cohort of adult patients who Nayi - Roshni Project ‘Overall statistics were better with the kind of care being offered becoming better and wide received critical care are OP poisonings, Awareness and access to medical services ranging. We managed a lot more critically ill patients and took on more complex patients. snake bite with neurotoxic envenomation, for people with mental illness and helping We had great interdepartmental unity with good cooperation at all levels’ Dr. Prabhu Joseph, Myocardial Infarctions, Pulmonary Edema, community members to reduce alcohol MS, Medical Director. Chronic Obstructive Airway Disease with abuse and domestic violence. Acute Exacerbation, Pneumonia, Tetanus, staff in surgical & private wards showed Asish Project sick obstetric patients with eclampsia, Clinical Services commitment and we appreciate their PPH, Post OP surgical and orthopaedic Reducing the risk of human trafficking, child Surgery diligence in giving good nursing care. patients. The common pediatric patients labour and bonded labour. In the year, 164 major operations and 338 Orthopaedics that we manage in ICU were acute CNS minor surgeries were done.. The nursing Patients were majorly treated for adult and infections, severe pneumonia, acute pediatric trauma, infections, wound man- gastroenteritis with severe dehydration,

P | 38 Annual Report 2017-18 | Eastern Region Eastern Region | Annual Report 2017-18 P | 39 East Champaran District agement for diabetic, Hansen’s disease snake bite, newborn with perinatal According to the 2011 census Purba Champaran district has a population of 5,099,371. The and snake bite wounds, hand surgery, asphyxia and meconium aspiration syn- district has a population density of 1285 inhabitants per square kilometre . Its population pediatric orthopedics, and club foot drome, OP poisoning. growth rate over the decade 2001-2011 was 29.43%. Purba Champaran has a sex ratio of corrections.. We could manage more 902 females for every 1000 males, and a literacy rate of 55.79%. patients due to excellent team of anesthe- Other Clinical Departments which are tists, critical care staff and nursing staff. We treating large number of patients continue to reach out to patients with Paediatrics, Obstetrics and Gynaecology, YEAR 2017 – 18 AT A GLANCE disabilities with the Physical Medicine and Dental, Psychiatery, Physical Medicine and OPD Clinic Statistics 2017-18 Rehabilitation (PMR) department and CBR Rehabilitation, Occupational Therapy and Project. Physiotherapy. 2017-2018 PSY SUR MED DENT PAED IMM. ANC ORTHO PMR EYE Medicine Allied services like Pharmacy, Laboratory, NEW 719 1153 8485 2536 3061 4164 10562 1585 595 385 ECG and X Ray add able support in the We see many patients with pesticide service to our patients. REPEAT 2139 2479 16241 7382 8274 11193 27168 2593 830 349 poisoning, attempted suicide, non- Total OPD Patients: 114184 communicable diseases like diabetes, hypertensive urgencies, coronary artery Nursing Services IP Statistics 2017-18 diseases, strokes, hypokalemic periodic ‘I am proud to look back over the past years paralysis, snake bites, COPD wide spec- and see how we have stepped up and 2017-2018 CHW EYE MED PVT ICU OBS MSW LR NUR TOTAL trum of infectious diseases like TB, HIV, embraced the change and challenges. We Enteric fever, Hansens disease. A few celebrate the contribution of our student 1261 0 2893 1168 11 2193 14539 ADMISSION 370 633 6010 patients with SLE and other autoimmune nurses and colleagues who are dedicated Note: This data is prepared by setting the total bed as 200. diseases were diagnosed and are on to serve our community in building and regular follow up. expanding the scope of nursing practice Surgery through teaching ensuring quality educa- We are a part of a multi-centric study on tion side by side safe quality care nursing General Gynae Ortho Eye Enteric fever with the primary objective of and safe learning environment for our Total assessing the prevalence and drug resis- students’. Ms. Dorcas Lepcha Major Minor Major Minor Major Minor Major Minor LSCS tance pattern of Enteric fever. Community Health and Development 164 338 66 648 104 506 10 1318 3154 Critical Care The main cohort of adult patients who Nayi - Roshni Project ‘Overall statistics were better with the kind of care being offered becoming better and wide received critical care are OP poisonings, Awareness and access to medical services ranging. We managed a lot more critically ill patients and took on more complex patients. snake bite with neurotoxic envenomation, for people with mental illness and helping We had great interdepartmental unity with good cooperation at all levels’ Dr. Prabhu Joseph, Myocardial Infarctions, Pulmonary Edema, community members to reduce alcohol MS, Medical Director. Chronic Obstructive Airway Disease with abuse and domestic violence. Acute Exacerbation, Pneumonia, Tetanus, staff in surgical & private wards showed Asish Project sick obstetric patients with eclampsia, Clinical Services commitment and we appreciate their PPH, Post OP surgical and orthopaedic Reducing the risk of human trafficking, child Surgery diligence in giving good nursing care. patients. The common pediatric patients labour and bonded labour. In the year, 164 major operations and 338 Orthopaedics that we manage in ICU were acute CNS minor surgeries were done.. The nursing Patients were majorly treated for adult and infections, severe pneumonia, acute pediatric trauma, infections, wound man- gastroenteritis with severe dehydration,

P | 38 Annual Report 2017-18 | Eastern Region Eastern Region | Annual Report 2017-18 P | 39 Act (Aids Control And Treatment) Project Duncan Hospital needs ultrasound machine Promotes awareness of HIV and AIDS and with ECHO probe.. facilitates access to treatment for those affected or infected with HIV/AIDS. More staff is needed for separate PICU. Doctors, support for buildings, equipment Karuna Project - Youth For Girls and staff welfare.

Cbr (Community Based Please write to : [email protected] Rehabilitation) Project [email protected] Gives hope to people with disabilities and their families, through therapy, advocacy, counselling, special learning centers, Nav Jivan Hospital Wheelchair distribution at Satbarwa provision of equipment and access to medical care. he Nav Jivan Hospital started in 1961. Clinical Care Opthalmology Early clinics were held under a Jamun OPD – 4435 Chetna NCD ( Non- Ttree, which can still be seen today on Out patient care Admissions – 530 Communicable Disease) Project what is now the NJH campus. Over time, This year we were able to cater to 28,369 Surgery - 527 Works to prevent non-communicable the small clinic grew up into the present 100 patients with an average numbers of 91 diseases (NCDs) and improve the quality of bedded hospital with specialised services patients per day. Para Medical Services include: Pharmacy, life of people with chronic and life limiting available for General Medicine and ECG, Xray, Laboratory In Patient Care illnesses. Ophthalmology and a strong reputation for the management of surgical and obstetric This reporting year, NJH was able to cater Tuberculosis Unit emergencies. to 4046 inpatients in comparison to 3682 SVJ (Samalit Vikas Jankari) inpatients in the previous year. Bed occu- The tuberculosis unit in Nav Jivan Hospital Project At the beginning there was no electricity. pancy however remains as 26% with an under the PPP mode of RNTCP has Helps people with disabilities to access Surgeries were carried out and deliveries average length of stay of 2 days. enabled our hospital to serve TB patients of government entitlements through the conducted with the help of petromax lights a catchment population of 1 lakh covering formation of self- help groups known as or flashlights. Telephones did not come to Maternity and Child Services one designated microscopic centre. The Disabled Persons Organizations (DPO’s). the hospital till 1997. 4824 ANC patients visited the hospital. The total number of patients registered this year The hospital is situated in the Satbarwa total number of deliveries was 1086. We were 111, number of suspects were 595 PED Project block of Palamau district which is one of the were also able to handle critical obstetric and new sputum positive cases were 56 most underdeveloped parts of Jharkhand. It cases like eclampsia, severe anemia, and 2 MDR patients were treated. Providing opportunities for girls from needy is 120 kms west of the Jharkhand state families to attend school at Duncan pregnancy with cardiac lesions etc. capital, Ranchi and 30 kms east from the Nursing Services Academy School. district headquarters town, Medhninagar Operation Theatre (formerly Daltonganj). Our labour Room services have been Duncan Needs The hospital has three equipped operation assessed by FOGSI for quality standards, Providing opportunities for girls from needy Led by Mrs. Helen Paul, work has been theatres. for ensuring safe delivery. We are awarded families to attend school at Duncan excellent and the hospital continues to be Major surgeries performed – 820 by FOGSI for the best practices. Academy School. an important service provider in rural LSCS - 284 Jharkhand. Deliveries - 1086

P | 40 Annual Report 2017-18 | Eastern Region Eastern Region | Annual Report 2017-18 P | 41 Act (Aids Control And Treatment) Project Duncan Hospital needs ultrasound machine Promotes awareness of HIV and AIDS and with ECHO probe.. facilitates access to treatment for those affected or infected with HIV/AIDS. More staff is needed for separate PICU. Doctors, support for buildings, equipment Karuna Project - Youth For Girls and staff welfare.

P | 40 Annual Report 2017-18 | Eastern Region Eastern Region | Annual Report 2017-18 P | 41 Nursery project was started in two districts of Palamu and Latehar and is currently working By the grace of God we were able to alongside 600 PWDs for their empower- continue to admit Neonates and provide ment and to improve their quality of life. level two Nursery care round the clock. Wheelchair distribution was done at the Nav Pallliative Care services Jivan Hospital in collaboration with the Wheels for the World. All the PWDs were Our team travels within 15 to 20 km radi- provided with custom fitted mobility aids ance, covering 2 blocks in Satbarwa and and were trained how to use. Manika.

Main activities are home visits, conducting INJOT Project is on building resilient the awareness program in various places, communities to trafficking (focus on net working and meetings. children at risk). NICU at Prem Jyoti Hospital Nursing School The project works primarily with the aim Prem Jyoti Community Hospital Prem Jyoti Community Hospital began on towards building resilience within communi- 1st December 1996. Initially it started just The Nursing school was founded in 1973 ties towards trafficking. rem Jyoti Community Hospital as a community health program where and offers two years ANM course which is continued to be an oasis of health primary health care was done through a affiliated to the Indian Nursing Council Pcare in the region. During the year, network of Community Health Volunteers through the Mid India Board of Examiners. Navjeevan Hospital needs support for they have been able to meet all the stringent and peripheral clinics. But due to lack of Annual intake is 25 seats sanctioned by statutory requirements for the running of a referral hospitals in the vicinity, Prem Jyoti ¢ 8 staff quarters for family staff INC. hospital including the clinical establishment Community Hospital was started as a 6 ¢ Single staff Hostel to accommodate bedded facility in 1999. Later on it evolved 16 staff act. into a15-bedded hospital in 2008 and then ¢ Renovations: existing casu- Community Health and Development However, the inadequacy of doctors and a 30 bedded hospital in 2015. CH team has been working with communi- alty/emergency room, wash rooms in wards poor internet, phone and electricity facilities ties as agents of transformation. continued through the year. ¢ 4 private rooms ¢ Cardiac monitors- 2 Ventilators-2, Clinical Services Below are the major highlights of both CBR The hospital is now seen as an important and INJOT Projects for the reporting period Nebulising machine, Out patient department Laparoscope,Diathermy machine player in improving the health statistics of 2017 - 18 the region and is the referral hospital for We are noticing a considerable increase in ¢ Hospital beds. complicated pregnancies. Community non communicable disease patients. More Disability diabetic patients and antenatal patients are The hospital also needs doctors, pharma- health continues to be holistic in its Disability is an issue that has been around coming for follow-up which is an encourag- cists and lab technicians approach in the target villages and there is a forever but there has been almost no work notable change in the health seeking ing sign. in the Palamu and Latehar region. There is a Please write to Helen Paul at behavior of these villages. huge gap in accessibility and availability of OP Patients 10274. [email protected] rehabilitative services especially for children Dr. Benedict and his team have labored and an an attitude of neglect towards through various difficulties and we acknowl- In Patient Department People with Disabilities. Hence, the CBR edge and commend them for the hard work In-patient numbers saw a marginal and commitment. decrease in numbers. However, the number

P | 42 Annual Report 2017-18 | Eastern Region Eastern Region | Annual Report 2017-18 P | 43 Nursery project was started in two districts of Palamu and Latehar and is currently working By the grace of God we were able to alongside 600 PWDs for their empower- continue to admit Neonates and provide ment and to improve their quality of life. level two Nursery care round the clock. Wheelchair distribution was done at the Nav Pallliative Care services Jivan Hospital in collaboration with the Wheels for the World. All the PWDs were Our team travels within 15 to 20 km radi- provided with custom fitted mobility aids ance, covering 2 blocks in Satbarwa and and were trained how to use. Manika.

P | 42 Annual Report 2017-18 | Eastern Region Eastern Region | Annual Report 2017-18 P | 43 of critical patients who were managed department (CHD) is continuing to be an those born preterm and low birth weight, successfully increased. integral part of Prem Jyoti Hospital. This year Madhepura Christian Hospital and those with respiratory distress and new in-roads were made in development sepsis. Dr. Pradeep has also been able to IP patients 1975. adhipura was declared as a project – self help group (SHG) stabilizing separate administrative district, provide high-end paediatric surgery and initiating livelihood projects. M(Madhepura) by the government services as he is the only Paediatric sur- Maternal in the year 1981. geon in Bihar outside Patna. Last year we saw an increase in the number Community Health Volunteers: They are of deliveries by 10%. The number of referral the primary health workers serving their The geographical area of the district is 1792 Nursing from near-by PHCs has increased consider- community by giving Health education, sq kms. The total areas of land for cultiva- The Nursing services, strives to ensure that ably over the past few years. This accounts treating simple ailments and early referral of tion is 1,36,646 Hectare. There are 446 all patients receive the highest possible for the high caesarean rate of 35%. complicated cases. They are a vital link villages in the district of Madhepura. The quality of holistic care during their illness between the medical team and the commu- condition of the rural electrification is and education. Deliveries 944. nity. satisfactory. All revenue villages and tolas are electrified. Skilled Birth Attendance training for Government Nurses continued and a large Critical Care Peripheral clinics In road communication, this district is the number of nurses were trained in safe Critical care is just few months old but it is Currently, the Mobile Clinic service is being most backward of all the districts of Bihar. delivery as well as other aspects of hospital- getting established slowly. We are starting conducted in five centres / villages. The length of metaled road in this district is based care. to get few patients referred from other only 317 km. and the total length of kucha ( hospitals for critical care management. This General Health Check-ups, ANC Check- nonmetaled ) road is 376 km. which is very has been a welcoming sign. Focussed ups and immunization are the major compo- Palliative Care less in comparison to the total areas of the training for nurses is helping us improve nents taken care during the Mobile Clinic. During last year, our Palliative Care services district. Besides these, there are 8 state monitoring and quality. have been increasingly accepted by the Other CH programmes include – capacity dispensaries/sadar hospital,146 primary local communities and individuals. We are building of communities, providing bore Health center,16 Animals hospitals and 3 now collaborating with the Village Nursery wells and hand pumps, CLHTC training. artificial breeding centers in the districts. Transformation Project, and at present we Population is 1994618 and literacy level is Sick new born are very high owing to poor have 38 patients under follow-up. We are around 52 %. (source madhepura.nic.in) antenatal coverage and low awareness of also involved in conducting awareness institutional deliveries. This year we saw Prem Jyoti Hospital needs support in programs in villages, schools and crowded new pattern – sick babies from other ¢ Doctors Clinical Care places. hospitals being referred here to PMJH. ¢ Housing for staff – Rs. 18,00,000, Intensive Care Infrastructure Utra sound machine replacement Rs. Our Intensive Care Unit continues to attract This year we were able to construct three Para Medical Services 10,00,000 patients as we are the only ICU in 3 districts new buildings – the Nurses Hostel, Staff Laboratory - 28750 tests. ¢ Transformer 3 phase 60 KVA Rs. with functioning ventilators and available quarter are completed and the doctors’ X rays - the new X-ray160 MAh high 3,00,000 doctors. Under the leadership of Dr quarter is on the way to completion. frequency (Siemens) was purchased. We Ilangovan, our anesthesiologist and have received the AERB License for the new Write to- intensivist, we have become a referral X-ray machine. [email protected] centre for poisoning and snake bite victims. Community Health and Development The Community Health and Development Community Health and Development Neonatology And Paediatric Program is an integrated development Surgery program being implemented in Murliganj Community health and development and Alamnagar Block (Madhepura District) The Neonatal ICU continues to serve a and consists of Anti Human trafficking number of critically ill neonates, including

P | 44 Annual Report 2017-18 | Eastern Region Eastern Region | Annual Report 2017-18 P | 45 of critical patients who were managed department (CHD) is continuing to be an those born preterm and low birth weight, successfully increased. integral part of Prem Jyoti Hospital. This year Madhepura Christian Hospital and those with respiratory distress and new in-roads were made in development sepsis. Dr. Pradeep has also been able to IP patients 1975. adhipura was declared as a project – self help group (SHG) stabilizing separate administrative district, provide high-end paediatric surgery and initiating livelihood projects. M(Madhepura) by the government services as he is the only Paediatric sur- Maternal in the year 1981. geon in Bihar outside Patna. Last year we saw an increase in the number Community Health Volunteers: They are of deliveries by 10%. The number of referral the primary health workers serving their The geographical area of the district is 1792 Nursing from near-by PHCs has increased consider- community by giving Health education, sq kms. The total areas of land for cultiva- The Nursing services, strives to ensure that ably over the past few years. This accounts treating simple ailments and early referral of tion is 1,36,646 Hectare. There are 446 all patients receive the highest possible for the high caesarean rate of 35%. complicated cases. They are a vital link villages in the district of Madhepura. The quality of holistic care during their illness between the medical team and the commu- condition of the rural electrification is and education. Deliveries 944. nity. satisfactory. All revenue villages and tolas are electrified. Skilled Birth Attendance training for Government Nurses continued and a large Critical Care Peripheral clinics In road communication, this district is the number of nurses were trained in safe Critical care is just few months old but it is Currently, the Mobile Clinic service is being most backward of all the districts of Bihar. delivery as well as other aspects of hospital- getting established slowly. We are starting conducted in five centres / villages. The length of metaled road in this district is based care. to get few patients referred from other only 317 km. and the total length of kucha ( hospitals for critical care management. This General Health Check-ups, ANC Check- nonmetaled ) road is 376 km. which is very has been a welcoming sign. Focussed ups and immunization are the major compo- Palliative Care less in comparison to the total areas of the training for nurses is helping us improve nents taken care during the Mobile Clinic. During last year, our Palliative Care services district. Besides these, there are 8 state monitoring and quality. have been increasingly accepted by the Other CH programmes include – capacity dispensaries/sadar hospital,146 primary local communities and individuals. We are building of communities, providing bore Health center,16 Animals hospitals and 3 now collaborating with the Village Nursery wells and hand pumps, CLHTC training. artificial breeding centers in the districts. Transformation Project, and at present we Population is 1994618 and literacy level is Sick new born are very high owing to poor have 38 patients under follow-up. We are around 52 %. (source madhepura.nic.in) antenatal coverage and low awareness of also involved in conducting awareness institutional deliveries. This year we saw Prem Jyoti Hospital needs support in programs in villages, schools and crowded new pattern – sick babies from other ¢ Doctors Clinical Care places. hospitals being referred here to PMJH. ¢ Housing for staff – Rs. 18,00,000, Intensive Care Infrastructure Utra sound machine replacement Rs. Our Intensive Care Unit continues to attract This year we were able to construct three Para Medical Services 10,00,000 patients as we are the only ICU in 3 districts new buildings – the Nurses Hostel, Staff Laboratory - 28750 tests. ¢ Transformer 3 phase 60 KVA Rs. with functioning ventilators and available quarter are completed and the doctors’ X rays - the new X-ray160 MAh high 3,00,000 doctors. Under the leadership of Dr quarter is on the way to completion. frequency (Siemens) was purchased. We Ilangovan, our anesthesiologist and have received the AERB License for the new Write to- intensivist, we have become a referral X-ray machine. [email protected] centre for poisoning and snake bite victims. Community Health and Development The Community Health and Development Community Health and Development Neonatology And Paediatric Program is an integrated development Surgery program being implemented in Murliganj Community health and development and Alamnagar Block (Madhepura District) The Neonatal ICU continues to serve a and consists of Anti Human trafficking number of critically ill neonates, including

P | 44 Annual Report 2017-18 | Eastern Region Eastern Region | Annual Report 2017-18 P | 45 Counselling of a village group at madhepura measures, Livelihood, Health & Nutrition, ¢ 40 young girls completed 4 month Disaster Preparedness and Dalit basic tailoring course. 20 young Empowerment. The project is being people continuing computer course implemented among a population of (DCA) and 6 of them are successfully around 40,000. completed.

Major Achievements (2017–2018) of CHDP The Hospital is a 35 bedded facility and has achieved for the year ¢ Flood relief program was organized for 1795 families in Alamnagar & Admissions ( IP ) 1898, OP 20949, Gen Murliganj) Surgery 60, OB GY surgery 493, Deliveries ¢ Associated with KVK (Krishi Vigyan 704, Lab tests 28993, X ray 186, ECG 112 Kendra) as agriculture promotion and ultra sounds 3062 member. ¢ 40 farmers offered their land for To support Madhepura hospital please write vegetable demonstration for first to- [email protected] time. ¢ Farmers adopted System of Rice Intensification (SRI) method for rice production in more than 200 acres of land.

P | 46 Annual Report 2017-18 | Eastern Region Counselling of a village group at madhepura measures, Livelihood, Health & Nutrition, ¢ 40 young girls completed 4 month Disaster Preparedness and Dalit basic tailoring course. 20 young Empowerment. The project is being people continuing computer course implemented among a population of (DCA) and 6 of them are successfully around 40,000. completed.

P | 46 Annual Report 2017-18 | Eastern Region REGIONAL DIRECTORS’ REPORT NORTH-EASTERN REGION Dr Koshy C. George, MBBS, DCH, MD (Paed)

he North-eastern region of EHA continued to show growth with two of the hospitals being accredited by the TNABH this year. New partnerships with like-minded organizations, churches and the state government coupled with stable leadership and improved interaction between the hospitals, have contributed significantly to the growth and expansion into reaching out to the poor and marginalized in society.

Makunda Christian Leprosy and General Hospital In 1992, Baptist Mid-Missions Trustees India, handed Makunda Hospital over to Emmanuel Hospital Association under the leadership of Dr Vijayanand Ismavel and Dr Ann Miriam.

The Makunda Christian Leprosy and General Hospital celebrates 25 years of God’s faithfulness under the able leadership of Dr. Vijayanand Ismavel and Dr. Ann Miriam. Their commitment and faithfulness to their call through tremendous challenges have inspired many to join the medical missions.

The hospital is nestled in a remote and predominantly tribal region of Karimganj District, Assam and also strategically located at the junction of the three states of Assam, Tripura and Mizoram.

Karimganj district is one of the four Barak valley districts of Lower Assam which are proba- bly the most impoverished districts in India. It has the highest maternal mortality rate of 281 per 100,000 live births (India 130 per 100,000 live births) and the third highest infant mortality rate of 75 per 1000 live births (India 34 per 1000 live births) - Data from MHW in 2014-16.

North-Eastern Region | Annual Report 2017-18 P | 49 REGIONAL DIRECTORS’ REPORT NORTH-EASTERN REGION Dr Koshy C. George, MBBS, DCH, MD (Paed)

The hospital is nestled in a remote and predominantly tribal region of Karimganj District, Assam and also strategically located at the junction of the three states of Assam, Tripura and Mizoram.

North-Eastern Region | Annual Report 2017-18 P | 49 3. Community College Makunda Christian Leprosy and General Hospital is a 150 bedded secondary level hospital Partnerships and training programs A community college for school with specialities in Surgery and Anaesthesia, Obstetrics and Gynaecology, Pediatrics (Neona- ¢ The hospital continued its public dropouts, low income groups was tal Intensive Care Unit Services), General Medicine (High Dependnecy Unit services), private partnership with the started in 2016 which offers a 1 year Psychiatry and Dental health and Pediatric surgery as a superspeciality. It has a highly trained Government of India’s National Rural Diploma in Health Assistant Course in and dedicated staff of 245 personnel. Health Mission as a referral centre. collaboration with the Indian Center ¢ In partnership with the Royal Dutch for Research and Community The clinical services are ably supported by the hospital’s 24X7 diagnostic services which Tropical Institute the hospital serves Education. include the laboratory and blood storage center, radiology department, neurophysiology lab, as one of the 8 centres of the devel- physiotherapy department and optometric services. oping world where the residents of 4. Makunda Christian Higher the Doctor in International Health Secondary School and Tropical Medicine work to gain Started in 2004, the English Medium experience in health care delivery in school has over 900 students till 12th poor resource settings. grade. Research 5. Department of Biodiversity ¢ Part of NSSEFI – Tier 2, National Documentation and wild life surveillance for Enteric Fever in India conservation. – Hospital based surveillance The “Makunda Nature Club” pio- ¢ Maternal and perinatal Health neered by Dr. Vijay Anand, was Research Collaboration India formed to encourage students to appreciate and conserve nature. Awards and Recognitions Highlights The Biodiversity Award was for the highest contribution by an individual to the Assam ¢ The hospital celebrated 25 years of Biodiversity Portal was awarded to Dr service to the people of Karimganj Vijayanand Ismavel. District and beyond. ¢ Dr Ann and Dr Vijay Anand after Requesting prayers and support for completing 25 years of selfless plans for the coming year service, handed over the baton to Dr 1. To start the orthopaedic department Roshine Mary Koshy, the Medical in the main hospital Superintendent. Staff at Makunda Hospital 2. Construction of urgently needed ¢ In 2018, the hospital was awarded Patient Statistics accommodation for staff and financial 2. Female Health Worker Training the pre accreditation Entry level assistance for the same 2017–2018: OPD 98941 patients, IP Center certification by the National accredi- 3. Construction of the academic block 13458 admissions, Major Surgeries The ANM school registered under tation Board for Hospitals and Health and hostel facilities for the Bsc College 2407 Minority Educational Institutions has Care providers in India. of Nursing 1. MCLGH has a branch Hospital in trained ANM nurses from various states ¢ The hospital canteen earned the 4 To conduct an external review of the Ambassa, Tripura which is a 12 of the North East since 2006, many of certificate from the Food Safety and impact assessment of the hospital bedded facility. whom continue to serve in remote rural Standards Authority of India, FSSAI. over the past 25 years. locations in the North East. To support Makunda Hospital write to [email protected]

P | 50 Annual Report 2017-18 | North-Eastern Region North-Eastern Region | Annual Report 2017-18 P | 51 3. Community College Makunda Christian Leprosy and General Hospital is a 150 bedded secondary level hospital Partnerships and training programs A community college for school with specialities in Surgery and Anaesthesia, Obstetrics and Gynaecology, Pediatrics (Neona- ¢ The hospital continued its public dropouts, low income groups was tal Intensive Care Unit Services), General Medicine (High Dependnecy Unit services), private partnership with the started in 2016 which offers a 1 year Psychiatry and Dental health and Pediatric surgery as a superspeciality. It has a highly trained Government of India’s National Rural Diploma in Health Assistant Course in and dedicated staff of 245 personnel. Health Mission as a referral centre. collaboration with the Indian Center ¢ In partnership with the Royal Dutch for Research and Community The clinical services are ably supported by the hospital’s 24X7 diagnostic services which Tropical Institute the hospital serves Education. include the laboratory and blood storage center, radiology department, neurophysiology lab, as one of the 8 centres of the devel- physiotherapy department and optometric services. oping world where the residents of 4. Makunda Christian Higher the Doctor in International Health Secondary School and Tropical Medicine work to gain Started in 2004, the English Medium experience in health care delivery in school has over 900 students till 12th poor resource settings. grade. Research 5. Department of Biodiversity ¢ Part of NSSEFI – Tier 2, National Documentation and wild life surveillance for Enteric Fever in India conservation. – Hospital based surveillance The “Makunda Nature Club” pio- ¢ Maternal and perinatal Health neered by Dr. Vijay Anand, was Research Collaboration India formed to encourage students to appreciate and conserve nature. Awards and Recognitions Highlights The Biodiversity Award was for the highest contribution by an individual to the Assam ¢ The hospital celebrated 25 years of Biodiversity Portal was awarded to Dr service to the people of Karimganj Vijayanand Ismavel. District and beyond. ¢ Dr Ann and Dr Vijay Anand after Requesting prayers and support for completing 25 years of selfless plans for the coming year service, handed over the baton to Dr 1. To start the orthopaedic department Roshine Mary Koshy, the Medical in the main hospital Superintendent. Staff at Makunda Hospital 2. Construction of urgently needed ¢ In 2018, the hospital was awarded Patient Statistics accommodation for staff and financial 2. Female Health Worker Training the pre accreditation Entry level assistance for the same 2017–2018: OPD 98941 patients, IP Center certification by the National accredi- 3. Construction of the academic block 13458 admissions, Major Surgeries The ANM school registered under tation Board for Hospitals and Health and hostel facilities for the Bsc College 2407 Minority Educational Institutions has Care providers in India. of Nursing 1. MCLGH has a branch Hospital in trained ANM nurses from various states ¢ The hospital canteen earned the 4 To conduct an external review of the Ambassa, Tripura which is a 12 of the North East since 2006, many of certificate from the Food Safety and impact assessment of the hospital bedded facility. whom continue to serve in remote rural Standards Authority of India, FSSAI. over the past 25 years. locations in the North East. To support Makunda Hospital write to [email protected]

P | 50 Annual Report 2017-18 | North-Eastern Region North-Eastern Region | Annual Report 2017-18 P | 51 more than 100 different areas and localities. Total No. of 11 free medical camps Burrows Memorial Christian Hospital The dental x-ray was installed in November sponsored by National Health Mission urrows Memorial Christian Hospital, Alipur continued the good work in the area of 2017. Out of the 996 visitations, 10.84 % (NHM) were held. were for consultations. The rest of the visits obstetrics, surgery and pediatrics. We praise God for adding more consultants to their About 1220 patients were given health Bteam including an obstetrician. Recognising their good work, the Govt. of Assam i.e. 89.16 %, were related to dental proce- check- ups and immunization. signed a public private partnership agreement for the care of high risk obstetric patients and dures. upgraded the infrastructure for obstetric and neonatal care. Mr. Johnson Singson and his Support Burrows Memorial Hospital team have persevered through hardships to keep the focus on fulfilling the vision of the Nursing Services - Total Staff– 21 Burrows Memorial Hospital needs funds hospital. PCBSC – 2, Nurse Anaesthetist 2, Nurse for their Nursing school upgradation, for Anaesthetist in Training 1, GNM 12, ANM medical equipment and hospital infra- ‘Dating back from 1935 Burrows Memorial infectious diseases like respiratory, gastroin- RCH 1 Christian Hospital, Alipur has been serving structure – To support write to: testinal and urinary infections, besides non [email protected] with utmost sincerity and dedication to the communicable diseases like diabetes and Through His Grace and Mercy our staff poorest of the poor. Needless to mention, hypertension. The department also caters to nurses have worked with utmost dedication the people of North-East India and Barak the needs of other specialties such as ENT, in caring for the patients. Because of their Baptist Christian Hospital, Tezpur Valley in particular have received tremen- ophthalmology and paediatrics. hard work patients prefer our hospital’. dous service and compassionate care -Miss. Uma Mery Roy Nursing he hospital is situated in Tezpur town, through the hospital’ - Mr. Johnson Obstetrics and Gynaecology Superintendent. headquarters of the Sonitpur District Singson, MBS, MBA, D.Min Senior Tof Assam, a 4 hour journey from Administrative Officer. The department is fully committed to deliver Guwahati. It is the most important town on health care services to Maternal and Child Nursing School the North Bank of river Brahmaputra. There are more than 200 villages and towns health and with gynaecological problems. ‘In today's healthcare arena, the unique in and around BMC Hospital, Lakhipur The labour room is well equipped with holistic perspective of nursing practice The Baptist Christian Hospital, Tezpur was circle-Cachar. The total population of Cardiotocographic Fetal Monitors and Baby mandates that nurses possess the knowl- the first in the family of the Emmanuel Cachar district was 17,36,319 as per 2011 Resuscitation equipments. We provide 24 edge and skills necessary to educated Hospital Association to be awarded the census. hrs emergency along with OT facility for various audiences in a variety of settings entry level accreditation of the NABH. This delivery and caesarean section. with efficiency and effectiveness. The is the result of hard work and perseverance Patient Statistics 2017–18 School of Nursing, Burrows Memorial of every member of the BCH Tezpur. Psychiatry Department OPD 25718, IP Admissions 2174, Christian Hospital has immense responsi- Outreach services 1451, General Last year we could provide both outpatient bility in conducting a good and effective A special thanks to Tata Trusts for their Surgeries 344, OB GYN surgeries 220, and inpatient care for psychiatry patients in nursing education programme to transform contribution in setting up a state of the art Deliveries 486, Allied Services- Total Lab BMCH. We could cater to patients ranging a young person into an efficient caring operating theater complex that will help tests 108681, X rays 2715, ECG 1721, from anxiety to schizophrenia to substance nurse.’ We achieved 100 % result in the provide excellent care to the poor and the Ultra Sound 1195. abuse. Along with pharmacological treat- council Examination of 2017 - 18. marginalized in this part of India. ments many patients were given psycho – Sanjay Bhatacharjee, Principal . The Medical team of BMCH consists of Dr. therapies and some were managed just on The hospital has earned the trust of the Sumit Singh MS, Dr. Vivek Thapa MD, Dr. non-pharmacological methods. Community Lay-Leaders Training community and the government of Assam Stanilla Salve Psychiatrist, Dr. Kanili Jimo, Certificate Course (CLHTC) and Arunachal Pradesh for empanelment MBBS MS, Dr. E. Yanthanin BDS, in addition to the government health schemes. Dental Depatment The outreach programmes have covered to a steady team of junior doctors. Partnerships with like-minded organiza- Free Oral and Dental screening was done in tea garden communities, school children, tions have helped us extend our reach into households and village people. This year 21 The majority of patients comprise those with the hospital. The total no of patients visited the community with health and develop- were 996. Patients have reported from persons receive CLHTC training. ment. Research continues to be a major

P | 52 Annual Report 2017-18 | North-Eastern Region North-Eastern Region | Annual Report 2017-18 P | 53 more than 100 different areas and localities. Total No. of 11 free medical camps Burrows Memorial Christian Hospital The dental x-ray was installed in November sponsored by National Health Mission urrows Memorial Christian Hospital, Alipur continued the good work in the area of 2017. Out of the 996 visitations, 10.84 % (NHM) were held. were for consultations. The rest of the visits obstetrics, surgery and pediatrics. We praise God for adding more consultants to their About 1220 patients were given health Bteam including an obstetrician. Recognising their good work, the Govt. of Assam i.e. 89.16 %, were related to dental proce- check- ups and immunization. signed a public private partnership agreement for the care of high risk obstetric patients and dures. upgraded the infrastructure for obstetric and neonatal care. Mr. Johnson Singson and his Support Burrows Memorial Hospital team have persevered through hardships to keep the focus on fulfilling the vision of the Nursing Services - Total Staff– 21 Burrows Memorial Hospital needs funds hospital. PCBSC – 2, Nurse Anaesthetist 2, Nurse for their Nursing school upgradation, for Anaesthetist in Training 1, GNM 12, ANM medical equipment and hospital infra- ‘Dating back from 1935 Burrows Memorial infectious diseases like respiratory, gastroin- RCH 1 Christian Hospital, Alipur has been serving structure – To support write to: testinal and urinary infections, besides non [email protected] with utmost sincerity and dedication to the communicable diseases like diabetes and Through His Grace and Mercy our staff poorest of the poor. Needless to mention, hypertension. The department also caters to nurses have worked with utmost dedication the people of North-East India and Barak the needs of other specialties such as ENT, in caring for the patients. Because of their Baptist Christian Hospital, Tezpur Valley in particular have received tremen- ophthalmology and paediatrics. hard work patients prefer our hospital’. dous service and compassionate care -Miss. Uma Mery Roy Nursing he hospital is situated in Tezpur town, through the hospital’ - Mr. Johnson Obstetrics and Gynaecology Superintendent. headquarters of the Sonitpur District Singson, MBS, MBA, D.Min Senior Tof Assam, a 4 hour journey from Administrative Officer. The department is fully committed to deliver Guwahati. It is the most important town on health care services to Maternal and Child Nursing School the North Bank of river Brahmaputra. There are more than 200 villages and towns health and with gynaecological problems. ‘In today's healthcare arena, the unique in and around BMC Hospital, Lakhipur The labour room is well equipped with holistic perspective of nursing practice The Baptist Christian Hospital, Tezpur was circle-Cachar. The total population of Cardiotocographic Fetal Monitors and Baby mandates that nurses possess the knowl- the first in the family of the Emmanuel Cachar district was 17,36,319 as per 2011 Resuscitation equipments. We provide 24 edge and skills necessary to educated Hospital Association to be awarded the census. hrs emergency along with OT facility for various audiences in a variety of settings entry level accreditation of the NABH. This delivery and caesarean section. with efficiency and effectiveness. The is the result of hard work and perseverance Patient Statistics 2017–18 School of Nursing, Burrows Memorial of every member of the BCH Tezpur. Psychiatry Department OPD 25718, IP Admissions 2174, Christian Hospital has immense responsi- Outreach services 1451, General Last year we could provide both outpatient bility in conducting a good and effective A special thanks to Tata Trusts for their Surgeries 344, OB GYN surgeries 220, and inpatient care for psychiatry patients in nursing education programme to transform contribution in setting up a state of the art Deliveries 486, Allied Services- Total Lab BMCH. We could cater to patients ranging a young person into an efficient caring operating theater complex that will help tests 108681, X rays 2715, ECG 1721, from anxiety to schizophrenia to substance nurse.’ We achieved 100 % result in the provide excellent care to the poor and the Ultra Sound 1195. abuse. Along with pharmacological treat- council Examination of 2017 - 18. marginalized in this part of India. ments many patients were given psycho – Sanjay Bhatacharjee, Principal . The Medical team of BMCH consists of Dr. therapies and some were managed just on The hospital has earned the trust of the Sumit Singh MS, Dr. Vivek Thapa MD, Dr. non-pharmacological methods. Community Lay-Leaders Training community and the government of Assam Stanilla Salve Psychiatrist, Dr. Kanili Jimo, Certificate Course (CLHTC) and Arunachal Pradesh for empanelment MBBS MS, Dr. E. Yanthanin BDS, in addition to the government health schemes. Dental Depatment The outreach programmes have covered to a steady team of junior doctors. Partnerships with like-minded organiza- Free Oral and Dental screening was done in tea garden communities, school children, tions have helped us extend our reach into households and village people. This year 21 The majority of patients comprise those with the hospital. The total no of patients visited the community with health and develop- were 996. Patients have reported from persons receive CLHTC training. ment. Research continues to be a major

P | 52 Annual Report 2017-18 | North-Eastern Region North-Eastern Region | Annual Report 2017-18 P | 53 focus with seven funded research projects School of Nursing currently underway. ‘School of Nursing comprises of 9 teaching EHA HOSPITALS STATISTICS FOR 2017-18 staff, 1 warden, 1 office assistant, 1 support ‘The General Administration and Finance staff and 113 students. We appreciate the Region Sl.No Hospital Beds Outpatients Inpatients Deliveries Surgeries play a vital role by providing necessary co-operation of everyone associated with infrastructure support and maintenance for this Institution who have strived best to mold North East 1 Makunda Christian Hospital 162 98,941 13,487 5,034 5,051 the smooth functioning of the hospital. our students to work hard to make their dreams come true’ - 2 Baptist Christian Hospital, Tezpur 120 85,432 16,680 331 3,046 With SOPs and Finance manuals in place, Eba Basumatary , Principal, School of Burrows Memorial Christian our financial system audit was well appreci- 3 70 25,718 2,174 486 564 Nursing Hospital, Alipur ated by external funding agencies like Tata Trust & Tear Fund UK’. - Jagdish Solanki, Eastern 4 Duncan Hospital, Raxaul 200 11,4184 1,4539 4,683 3,154 Managing Director, Tezpur Hospital. CHDP The Community Health & Development 5 Madhipura Christian Hospital 35 20,949 1,898 735 553 Program of the Baptist Christian Hospital 100 28,369 4,049 1,086 1,254 Hospital Statistics 2017–18 has been working in 3 districts of Assam 6 Nav Jivan Hospital, Satbarwa and parts of Arunachal Pradesh. Prem Jyoti Community Hospital, 30 10,274 1,975 944 469 Bed Strength 120, IP Admissions -16680, 7 Barharwa OPD 85432, Camps 853 ( Eye, Medical, Community Based 35 76,283 2,736 1,155 2,085 Surgical and Dental). Rehabilitation North-Central 8 Prem Sewa Hospital, Utraula Works on the rehabilitation of persons Jiwan Jyoti Christian Hospital, 9 100 71,943 4,543 508 3,685 Surgeries - General 755, OBGNY surgeries especially children with disability. During the Robertsganj year April 2017-March 2018 the program Broadwell Christian Hospital, 292, Orthopaedic 1253, OMFS Surgery 10 40 46,658 4,450 2,105 1,427 650, other surgeries 96. worked with 92 children with disabilities out Fatehpur Total Surgeries 3046 of which (Male-49 and Female-40) and 142 11 Kachhwa Christian Hospital 20 40,359 2,394 28 383 adult with disabilities out of which were 98 Maternal Services - Births 182, Caesarean males and 44 females. Northern 12 Herbertpur Christian Hospital 120 10,5054 5,707 1,115 2,476 Section ( LSCS ) 149 Other CHD programmes 13 Christian Hospital, Chhatarpur 120 55,896 7927 2,517 1,331

Allied Services - Laboratory 359798, X Harriet Benson Memorial Prevention of Human Trafficking and Child 30 12,496 1,068 194 228 14 Hospital, Lalitpur Ray 23955, Ultra sound 2359, CT Scan Abuse, Bio-Sand Filter project for safe 4077, Endoscopy 691, ECG 7451, EEG 14, drinking water, Eye screening camp, Health 15 Landour Community Hospital 35 21,720 1,227 110 915 PFT 46, OAE 327, Dental Procedures 2732 awareness programme, Computer classes, Badte Kadam Nai Disha Central 16 Champa Christian Hospital 75 21,920 4,234 1,604 1,255 Nursing Services programme. 17 Sewa Bhawan Hospital, ‘I am grateful to our Deputy Nursing Jagdeeshpur 50 9,057 2,809 831 693 Support BCH Tezpur Superintendent, Ward Managers, 18 Lakhnadon Christian Hospital 25 8,230 864 139 236 Incharges & Nursing Staff for their constant Tezpur Hospital needs support for a new support & encouragement. We will continue Operation Theatre, staff residences, a new 19 Chinchpada Christian Hospital 50 17,204 2,886 52 501 to strive for the highest quality in health care incinerator and a purchase of a new X ray services and research’- Mrs Vijaya machine. Please write to Mr. Jagdish TOTAL 1,417 8,70,687 95,647 23,657 29,306 Solanki, Nursing Superintendent. Solanki at [email protected] or [email protected]

P | 54 Annual Report 2017-18 | North-Eastern Region Hospitals Statistics | Annual Report 2017-18 P | 55 focus with seven funded research projects School of Nursing currently underway. ‘School of Nursing comprises of 9 teaching EHA HOSPITALS STATISTICS FOR 2017-18 staff, 1 warden, 1 office assistant, 1 support ‘The General Administration and Finance staff and 113 students. We appreciate the Region Sl.No Hospital Beds Outpatients Inpatients Deliveries Surgeries play a vital role by providing necessary co-operation of everyone associated with infrastructure support and maintenance for this Institution who have strived best to mold North East 1 Makunda Christian Hospital 162 98,941 13,487 5,034 5,051 the smooth functioning of the hospital. our students to work hard to make their dreams come true’ - 2 Baptist Christian Hospital, Tezpur 120 85,432 16,680 331 3,046 With SOPs and Finance manuals in place, Eba Basumatary , Principal, School of Burrows Memorial Christian our financial system audit was well appreci- 3 70 25,718 2,174 486 564 Nursing Hospital, Alipur ated by external funding agencies like Tata Trust & Tear Fund UK’. - Jagdish Solanki, Eastern 4 Duncan Hospital, Raxaul 200 11,4184 1,4539 4,683 3,154 Managing Director, Tezpur Hospital. CHDP The Community Health & Development 5 Madhipura Christian Hospital 35 20,949 1,898 735 553 Program of the Baptist Christian Hospital 100 28,369 4,049 1,086 1,254 Hospital Statistics 2017–18 has been working in 3 districts of Assam 6 Nav Jivan Hospital, Satbarwa and parts of Arunachal Pradesh. Prem Jyoti Community Hospital, 30 10,274 1,975 944 469 Bed Strength 120, IP Admissions -16680, 7 Barharwa OPD 85432, Camps 853 ( Eye, Medical, Community Based 35 76,283 2,736 1,155 2,085 Surgical and Dental). Rehabilitation North-Central 8 Prem Sewa Hospital, Utraula Works on the rehabilitation of persons Jiwan Jyoti Christian Hospital, 9 100 71,943 4,543 508 3,685 Surgeries - General 755, OBGNY surgeries especially children with disability. During the Robertsganj year April 2017-March 2018 the program Broadwell Christian Hospital, 292, Orthopaedic 1253, OMFS Surgery 10 40 46,658 4,450 2,105 1,427 650, other surgeries 96. worked with 92 children with disabilities out Fatehpur Total Surgeries 3046 of which (Male-49 and Female-40) and 142 11 Kachhwa Christian Hospital 20 40,359 2,394 28 383 adult with disabilities out of which were 98 Maternal Services - Births 182, Caesarean males and 44 females. Northern 12 Herbertpur Christian Hospital 120 10,5054 5,707 1,115 2,476 Section ( LSCS ) 149 Other CHD programmes 13 Christian Hospital, Chhatarpur 120 55,896 7927 2,517 1,331

P | 54 Annual Report 2017-18 | North-Eastern Region Hospitals Statistics | Annual Report 2017-18 P | 55 EHA as a whole. In difficult areas, with I am also very happy with EHA’s concern for limited resources and manpower, many of the poor. It came up in the statistics on the hospitals are rendering a service to charity, in stories about the poor being people, especially the poor in a way that is helped, bills being written off, projects nothing short of heroic. reaching out to them and exhortation on how we can help them. I was thrilled to find In addition, many hospitals have faced it mentioned in the document that the pressures from, angry mobs, internal strife Executive Director presented at the end of Emmanuel Hospital Association 2018 that is common to all such ventures, the meeting. With the poor named in the Sam Sidharth EMFI financial constraints, severe limitation of strategy for the coming years we can be human resource, especially of doctors, sure that ‘their Defender’, who is powerful paramedics etc. However, I was buoyed by will be with EHA. the infectious hope, which was the matrix, that each hospital and project presented Through deed and word, EHA is on the way When I was invited to take up the Devotions ful mixture of youth and experience. their work from. They were doing battle and of offering hope and transforming commu- in the Regional General Body Meetings of fighting a good fight. nities, especially the poor and marginalised the Emmanuel Hospital Association (EHA), I had the delightful opportunity to share from in the Name and Spirit of Jesus Christ. my initial reactions were a mixture of fear the ‘Word’ in the mornings and on practical The Community Health and Development and joy. How was I to minister to the saints day to day affairs of healthcare in the concern of EHA is striking. It is done who walk the talk? At the same time, I evenings. It was a blessing for me as I intentionally and systematically. The realised the wonderful opportunity before prepared, understanding the heart of our projects of EHA have entered into the me to be able to meet all the leaders of EHA wonderful Lord. nooks and crannies of healthcare. in one place, to listen to them and to Concerns like ‘Disability, Palliative Care and fellowship with them. I prayed and accepted Then came the business sessions and I Disaster Management are being done with the invitation and it proved to be a very attended most of them. Starting from 9 am utmost care and commitment. blessed time of learning and sharing for me they extended on to 6 pm and sometimes and has opened up avenues for more we had late night sessions too. I was In one EHA Hospital the Government had intense partnership between EHA and amazed at the capacity of EHA staff to sit for asked the team to take care of the EMFI. long hours actively involved in the delibera- tions. healthcare of the labourers of the tea estates and local communities. In two My first impression of the gathering was of States, the Government had opened doors wonder. Here were gathered the battle- Each hospital presented stories of the Lord’s to projects from EHA to help in the care of scarred veterans of the frontlines of health goodness and the challenges that they those infected with HIV. Again, in another care in areas of poverty, need and of poor encountered and those that they see before State the Government had handed over the access. They came from each of the them. This was followed by the presentation management of Home for the Destitute to hospitals of EHA, Managing Directors, of ‘Business Matters’. As I sat listening to be taken over by the CHD team. Miracles! Senior Administrative officers, Medical one session after another the big story of Superintendents, Nursing Superintendents, EHA unfolded before me. I am amazed at the scope of EHA. If one Nurses, Administrators, Project Managers, holds together the work of the twenty or so Accountants etc. Some of them were very I myself had been the SAO of one of the EHA hospitals and the forty projects of EHA, one young having joined the team recently and hospitals. But now with the vantage of a gets the thought, that there is, may be, others nearing retirement. It was a wonder- relative outsider I was able to see the work of nothing like this in the world of Organised Christian Healthcare.

P | 56 Annual Report 2017-18 | Sam Sidharth EMFI Sam Sidharth EMFI | Annual Report 2017-18 P | 57 EHA as a whole. In difficult areas, with I am also very happy with EHA’s concern for limited resources and manpower, many of the poor. It came up in the statistics on the hospitals are rendering a service to charity, in stories about the poor being people, especially the poor in a way that is helped, bills being written off, projects nothing short of heroic. reaching out to them and exhortation on how we can help them. I was thrilled to find In addition, many hospitals have faced it mentioned in the document that the pressures from, angry mobs, internal strife Executive Director presented at the end of Emmanuel Hospital Association 2018 that is common to all such ventures, the meeting. With the poor named in the Sam Sidharth EMFI financial constraints, severe limitation of strategy for the coming years we can be human resource, especially of doctors, sure that ‘their Defender’, who is powerful paramedics etc. However, I was buoyed by will be with EHA. the infectious hope, which was the matrix, that each hospital and project presented Through deed and word, EHA is on the way When I was invited to take up the Devotions ful mixture of youth and experience. their work from. They were doing battle and of offering hope and transforming commu- in the Regional General Body Meetings of fighting a good fight. nities, especially the poor and marginalised the Emmanuel Hospital Association (EHA), I had the delightful opportunity to share from in the Name and Spirit of Jesus Christ. my initial reactions were a mixture of fear the ‘Word’ in the mornings and on practical The Community Health and Development and joy. How was I to minister to the saints day to day affairs of healthcare in the concern of EHA is striking. It is done who walk the talk? At the same time, I evenings. It was a blessing for me as I intentionally and systematically. The realised the wonderful opportunity before prepared, understanding the heart of our projects of EHA have entered into the me to be able to meet all the leaders of EHA wonderful Lord. nooks and crannies of healthcare. in one place, to listen to them and to Concerns like ‘Disability, Palliative Care and fellowship with them. I prayed and accepted Then came the business sessions and I Disaster Management are being done with the invitation and it proved to be a very attended most of them. Starting from 9 am utmost care and commitment. blessed time of learning and sharing for me they extended on to 6 pm and sometimes and has opened up avenues for more we had late night sessions too. I was In one EHA Hospital the Government had intense partnership between EHA and amazed at the capacity of EHA staff to sit for asked the team to take care of the EMFI. long hours actively involved in the delibera- tions. healthcare of the labourers of the tea estates and local communities. In two My first impression of the gathering was of States, the Government had opened doors wonder. Here were gathered the battle- Each hospital presented stories of the Lord’s to projects from EHA to help in the care of scarred veterans of the frontlines of health goodness and the challenges that they those infected with HIV. Again, in another care in areas of poverty, need and of poor encountered and those that they see before State the Government had handed over the access. They came from each of the them. This was followed by the presentation management of Home for the Destitute to hospitals of EHA, Managing Directors, of ‘Business Matters’. As I sat listening to be taken over by the CHD team. Miracles! Senior Administrative officers, Medical one session after another the big story of Superintendents, Nursing Superintendents, EHA unfolded before me. I am amazed at the scope of EHA. If one Nurses, Administrators, Project Managers, holds together the work of the twenty or so Accountants etc. Some of them were very I myself had been the SAO of one of the EHA hospitals and the forty projects of EHA, one young having joined the team recently and hospitals. But now with the vantage of a gets the thought, that there is, may be, others nearing retirement. It was a wonder- relative outsider I was able to see the work of nothing like this in the world of Organised Christian Healthcare.

P | 56 Annual Report 2017-18 | Sam Sidharth EMFI Sam Sidharth EMFI | Annual Report 2017-18 P | 57 COMMUNITY HEALTH & DEVELOPMENT PROGRAMME Dr Pratibha Esther Singh, BDS, MPH

he year 2017-18 marked 40 years of the Community Health and Development Department’s walk with the Tcommunities. It was a joyous year of “jubilee” to celebrate Gods faithfulness with the communities, and with so many who have walked along with us on this journey.

On Women’s Day March 2018, during a visit to a community, we were greeted by the sight of two old women, their heads covered by their saris, faces not visible, standing under a tree on a piece of rocky land outside the village. On drawing near we heard their stories of struggle and survival. The joy on their faces as they greeted us was incomparable, as they told us that this very land they were standing on, had been reclaimed for them with the help of the Community Health and Development team of EHA at Lalitpur, in Uttar Pradesh. They were widows, and finally had claim on a piece of land that to them was their identity, security and future. The EHA team had helped them with constructing water retaining structures and clearing the land, and they were preparing to sow on it as soon as the monsoons arrived.”

Highlights of 2017-2018 ¢ Working in 14 States and 65 districts and reaching out to more than 1 million marginalized people, through interventions to build community capacity for sustainable development through initiatives on disability, mental health, child protection, community led prevention of human trafficking, climate change, watershed, livelihoods, non- communicable diseases, skill building and maternal and child health, palliative care and Tuberculosis. ¢ Miss. Jubin Varghese, Thematic Head of Disability, EHA, received an award from the Minority Commission through Chief Minister of Uttarakhand Shri Trivender Singh Rawat, for her excellent work on disability. ¢ The Consortium on Climate Change & Natural Environment, of which EHA is a member, organised a conference, entitled ‘National Conference on Building Communities Resilient to Climate Change’, at New Delhi. The objectives of the conference was to: Create a platform for knowledge sharing, related to best practices in climate change, mitigation and adaptation from the selected sectors. ¢ EHA initiated a national response to human trafficking through India Against Trafficking Movement.

Community Health & Development | Annual Report 2017-18 P | 59 COMMUNITY HEALTH & DEVELOPMENT PROGRAMME Dr Pratibha Esther Singh, BDS, MPH

Community Health & Development | Annual Report 2017-18 P | 59 ¢ EHA also initiated a national response accessed counselling sessions. ¢ 957 awareness programs were causes, signs and symptoms, to disability through the ‘Engage ¢ 349 persons with disability above the conducted for school children. prevention of bed sore and detection Disability’ network of which EHA is a age of 19 have generated income for ¢ 27 cases were reported within the of mouth breast and cervical cancer. founding member households. project. 51 missing cases were ¢ 11 awareness programs were ¢ 390 persons with mental illness reported. conducted;1188 students were Disability Programme reported reduction in use of abusive ¢ 24 cases reported to police involved language in communities. ¢ 6 missing people returned home. ¢ 30 awareness programs were ¢ 206 DPG (Disabled People’s Group) ¢ 345 families (poorest of the poor) conducted on chronic illness in 20 formed Reproductive Maternal, New born, Child supported for livelihoods and income villages; a total of 1891 people ¢ 1626 assistive devices were given to & Adolescent Health generation participated. persons with disabilities ¢ Linkages facilitated between students ¢ Training on causes and prevention of ¢ 793 Village Health Workers, Auxiliary ¢ Community based rehabilitation unions, village child protection cancer was given to 180 Nurse Midwife (ANM), Accredited programs in 6 rural locations catering committees, CWC’s, police and Panchayatiraj institution members. Social Health Activities Worker’s to 50000 persons with disabilities. district authorities. ¢ 146 follow up visits were done for 118 (ASHA) and Anganwadi Workers ¢ 34099 home visits. patients. (AWW)) have been trained and are ¢ 10 Learning centers and therapy ¢ 14 screening camps were held in functioning as required. Climate Change and Disaster Risk centres for specially abled children in Reduction Programme which 2719 people were screened. Tezpur, Herbertpur, Raxaul, Satbarwa. ¢ 1090 Groups trained in Nae Disha and Badhte Kadam Curriculum. (Nae ¢ 247 disabled persons were assisted ¢ 90 villages have access to safe with economic micro-enterprises for Disha and Badhte Kadam modules drinking water during dry season and livelihood have carefully selected topics and flood period in a year 2017-18 has been a year of transition participatory methods of training, to ¢ 327 persons with disability were made ¢ 66 villages have access and availability and as we look ahead with the leaders in their communities, making a stimulate adolescents to engage with of water for farming challenging and exciting contexts we significant contribution to the well- key issues that facilitate acquiring ¢ 2578 families whose household strive to strengthen our core of who we being of the community etc. knowledge to build mental health income has increased through are ‘fellowship for transformation resilience, critical thinking and ¢ 55 children with disabilities enrolled in agriculture and horticulture through caring’. Rapidly changing regular schools. promoting attitudes, for overall ¢ 688 families whose household income contexts calls for innovation and a shift development and informed decision has increased through non-timber in paradigm for us to be relevant, making.) Mental Health Programme products sustainable and impactful in all that we ¢ 6834 children below 5 years of age ¢ 1017 farmers practicing resource do, while continuing to walk alongside ¢ 4870 people received MH awareness. group fully vaccinated. efficient agriculture the most “unseen, unheard” ¢ 107 PPSD who started meds this year ¢ 11450 community based ¢ 723 farmers practicing climate communities, giving them a voice, ¢ 630 PPSD received counselling and organizations engaged in maternal sensitive agriculture shining a light on them so they are seen family support this year and child health issues ¢ 99 household are using Solar energy and are able continue on this exciting ¢ 179 young people completed youth as electricity journey of transformation. resilience course Prevention of Human Trafficking & ¢ 1110 household women are using ¢ 220 PPSD back to income generation Child Abuse energy efficient and smokeless stove, work Bio gas for cooking ¢ 242 functional migration facilitation ¢ 541 Person with Psycho-Social and support units started at the origin Disability have used medication Non -communicable diseases ¢ 199 awareness programs for ¢ 1924 people identified with ‘Person communities were organized on Child ¢ 80 ASHAs, 23 ANMs and 96 child with Psycho-Social Disability’ Protection. development workers were trained on

P | 60 Annual Report 2017-18 | Community Health & Development Community Health & Development | Annual Report 2017-18 P | 61 ¢ EHA also initiated a national response accessed counselling sessions. ¢ 957 awareness programs were causes, signs and symptoms, to disability through the ‘Engage ¢ 349 persons with disability above the conducted for school children. prevention of bed sore and detection Disability’ network of which EHA is a age of 19 have generated income for ¢ 27 cases were reported within the of mouth breast and cervical cancer. founding member households. project. 51 missing cases were ¢ 11 awareness programs were ¢ 390 persons with mental illness reported. conducted;1188 students were Disability Programme reported reduction in use of abusive ¢ 24 cases reported to police involved language in communities. ¢ 6 missing people returned home. ¢ 30 awareness programs were ¢ 206 DPG (Disabled People’s Group) ¢ 345 families (poorest of the poor) conducted on chronic illness in 20 formed Reproductive Maternal, New born, Child supported for livelihoods and income villages; a total of 1891 people ¢ 1626 assistive devices were given to & Adolescent Health generation participated. persons with disabilities ¢ Linkages facilitated between students ¢ Training on causes and prevention of ¢ 793 Village Health Workers, Auxiliary ¢ Community based rehabilitation unions, village child protection cancer was given to 180 Nurse Midwife (ANM), Accredited programs in 6 rural locations catering committees, CWC’s, police and Panchayatiraj institution members. Social Health Activities Worker’s to 50000 persons with disabilities. district authorities. ¢ 146 follow up visits were done for 118 (ASHA) and Anganwadi Workers ¢ 34099 home visits. patients. (AWW)) have been trained and are ¢ 10 Learning centers and therapy ¢ 14 screening camps were held in functioning as required. Climate Change and Disaster Risk centres for specially abled children in Reduction Programme which 2719 people were screened. Tezpur, Herbertpur, Raxaul, Satbarwa. ¢ 1090 Groups trained in Nae Disha and Badhte Kadam Curriculum. (Nae ¢ 247 disabled persons were assisted ¢ 90 villages have access to safe with economic micro-enterprises for Disha and Badhte Kadam modules drinking water during dry season and livelihood have carefully selected topics and flood period in a year 2017-18 has been a year of transition participatory methods of training, to ¢ 327 persons with disability were made ¢ 66 villages have access and availability and as we look ahead with the leaders in their communities, making a stimulate adolescents to engage with of water for farming challenging and exciting contexts we significant contribution to the well- key issues that facilitate acquiring ¢ 2578 families whose household strive to strengthen our core of who we being of the community etc. knowledge to build mental health income has increased through are ‘fellowship for transformation resilience, critical thinking and ¢ 55 children with disabilities enrolled in agriculture and horticulture through caring’. Rapidly changing regular schools. promoting attitudes, for overall ¢ 688 families whose household income contexts calls for innovation and a shift development and informed decision has increased through non-timber in paradigm for us to be relevant, making.) Mental Health Programme products sustainable and impactful in all that we ¢ 6834 children below 5 years of age ¢ 1017 farmers practicing resource do, while continuing to walk alongside ¢ 4870 people received MH awareness. group fully vaccinated. efficient agriculture the most “unseen, unheard” ¢ 107 PPSD who started meds this year ¢ 11450 community based ¢ 723 farmers practicing climate communities, giving them a voice, ¢ 630 PPSD received counselling and organizations engaged in maternal sensitive agriculture shining a light on them so they are seen family support this year and child health issues ¢ 99 household are using Solar energy and are able continue on this exciting ¢ 179 young people completed youth as electricity journey of transformation. resilience course Prevention of Human Trafficking & ¢ 1110 household women are using ¢ 220 PPSD back to income generation Child Abuse energy efficient and smokeless stove, work Bio gas for cooking ¢ 242 functional migration facilitation ¢ 541 Person with Psycho-Social and support units started at the origin Disability have used medication Non -communicable diseases ¢ 199 awareness programs for ¢ 1924 people identified with ‘Person communities were organized on Child ¢ 80 ASHAs, 23 ANMs and 96 child with Psycho-Social Disability’ Protection. development workers were trained on

P | 60 Annual Report 2017-18 | Community Health & Development Community Health & Development | Annual Report 2017-18 P | 61 DISASTER MANAGEMENT & MITIGATION UNIT Peniel Malakar, DMMU Head

2017 has been a year of reckoning with the history of EHA’s initiative on humanitarian efforts moving into another decade.

Looking forward, EHA’s Disaster Management & Mitigation Unit (DMMU) is now focussing on collaborative networking and partnership with organizations having similar levels of commitment.

The team works broadly on the following 3-pronged strategic directions with the main objective to ‘alleviate sufferings of the disaster victims’. The activities are briefly highlighted below –

Disaster Response Assam Flood Relief 2017 in 2 phases with ¢ Components: Dignity, Water, supports from Plan India/Govt. Of Hygiene kits, Warm clothes; Shelter Honkong. & Mosquito nets. Phase I: ¢ Period: 2 months in September/ ¢ Cost: 3.5 million rupees October ¢ Beneficiaries: 7320 ¢ Components: Water, Hygiene, Shelter, Child Friendly Services DISASTER PREPAREDNESS: ¢ Period: 12 days in July Deem Training Institute Phase II: 1. Total number of training conducted ¢ Cost: 11.6 million rupees during the year = 64 ¢ Total Beneficiaries: 13500 2. Total number of beneficiaries = 1669 ¢ Components: Kits – Water, Hygiene, Dignity & Shelter kits ¢ Training conducted for 7 Units ¢ Period: 19 days in September (including Central Office in Delhi) – 297 Bihar Storm & Floods Relief 2017 with ¢ Training conducted for 11 institutes support from AmeriCares. Implementing outside EHA (7 States and Nepal) – DRN partner FWBS. 1104 ¢ Cost: 3.5 million rupees ¢ Training conducted for 3 government ¢ Total Beneficiaries: 5500

Disaster Management & Mitigation Unit | Annual Report 2017-18 P | 63 DISASTER MANAGEMENT & MITIGATION UNIT Peniel Malakar, DMMU Head

2017 has been a year of reckoning with the history of EHA’s initiative on humanitarian efforts moving into another decade.

Looking forward, EHA’s Disaster Management & Mitigation Unit (DMMU) is now focussing on collaborative networking and partnership with organizations having similar levels of commitment.

The team works broadly on the following 3-pronged strategic directions with the main objective to ‘alleviate sufferings of the disaster victims’. The activities are briefly highlighted below –

Disaster Management & Mitigation Unit | Annual Report 2017-18 P | 63 departments/State (Govt. Of Bihar, continued its effort toward agenda 4B. ¢ First Responders training – First Aid, Upcoming Plan Bureau of Police Research & Anticipate; do not wait, for crises. Fire Safety, Basic Rescue Development, National Institute of Techniques, Basic Disaster ¢ Work on developing institutional Public Cooperation and Child & Women The Emmanuel Hospital Association has Response, Psychosocial First Aid Disaster Management strategies of Development) – 268 been engaged in developing disaster ¢ Advance training – Disaster Relief EHA- response networks (DRN) across India Management; Hospital Disaster l Initiative to develop regional level 3. Number of States/locations = 25 engaging local community interacting Management; Post Disaster Psycho disaster management strategies in 4. Introducing Master Trainer’s program for closely and understanding ways or Social Care EHA regions Hospital Executives: approaches to effectively and efficiently l Regional level training in Hospital Under the DEEM Training course the respond to disaster situations keeping the Disaster Management & Disaster First module for the Master Trainer’s Disaster Risk Reduction local context in mind. The link below has the Relief Management program program for Hospital Disaster The project HEAL-SAR (Health updated reports with the Agenda for doctors, nurses, administrators Management was introduced. The first Emergency Alliance South Asian Region) Humanity: and projects managers in EHA . training using the modules was done in concept was further crystallized with an ¢ Strengthen the concept of West Bengal. enhanced participation of 4 more countries To know more visit- volunteerism across India in the region – Sri Lanka, Myanmar, Bhutan http://ehadmmu.com/assets/uploads/do ¢ Continued efforts toward enhancing The Master Trainer’s program is of 56 & Bangladesh. wnloads/20170703_1499094769.pdf collaborative networking and strategic Hours - partnership – ü Basic training 20 hours India & Nepal was already active. Challenges Confronting Healthcare l Continue to work on Disaster ü Qualified potential trainers attend Institutions is another new initiative to Response Network Master Trainer’s program 24 hours The Consultative meeting @Kolkata in constantly engage important stakeholders l Continued efforts to enhance ü Project dissertation (participants to March 2018 was participated by across the country. This was organized with South Asian Regional Health undertake a topic from the hospital the objective to enhance and strengthen Emergency Alliance (HEAL-SAR) he/she represents) ¢ Total # leaders participated – 30 the existing collaboration and networking ü Compliance program 12 hours/audit ¢ Participating countries – 9 (SriLanka, initiative. following PD Nepal, Bangladesh, Bhutan, ü Entire program need to be completed Netherlands, USA, Germany, India, 75 senior level leaders participated in the within 6 months from the end of MTs Myanmar) first consultation meeting scheduled from program ¢ Participants from Indian States – 8 24-26 August 2017 with a very large pool of (Assam, Nagaland, Manipur, Bihar, resources drawn from across various 5 Volunteerism WB, Delhi, Karnataka, Meghalaya) important stakeholders, nationally as well Local volunteers are our strength for faster ¢ Participating Institutions (hospitals, as globally. and effective response to a disaster situa- non-hospital orgs) – 15 tion. 31 hospitals from across 14 States of India CROSS CUTTING AREAS and from Nepal and Sri Lanka. Under EHA’s DEEM Training Institute, we have trained more than 36000 volunteers AGENDA FOR HUMANITY – More details available in the link: Relief work since 2007 from across various profession- a global level commitment http://ehadmmu.com/assets/uploads/do als from India and Nepal. It has been our EHA actively participated in the global wnloads/20170728_1501226059.pdf continued initiative for strengthening commitment during the World Humanitarian volunteerism through Instructor’s program Summit @Istanbul in the year 2016. across the nation. The focus is on – Following the commitment, the organization

P | 64 Annual Report 2017-18 | Disaster Management & Mitigation Unit Disaster Management & Mitigation Unit | Annual Report 2017-18 P | 65 departments/State (Govt. Of Bihar, continued its effort toward agenda 4B. ¢ First Responders training – First Aid, Upcoming Plan Bureau of Police Research & Anticipate; do not wait, for crises. Fire Safety, Basic Rescue Development, National Institute of Techniques, Basic Disaster ¢ Work on developing institutional Public Cooperation and Child & Women The Emmanuel Hospital Association has Response, Psychosocial First Aid Disaster Management strategies of Development) – 268 been engaged in developing disaster ¢ Advance training – Disaster Relief EHA- response networks (DRN) across India Management; Hospital Disaster l Initiative to develop regional level 3. Number of States/locations = 25 engaging local community interacting Management; Post Disaster Psycho disaster management strategies in 4. Introducing Master Trainer’s program for closely and understanding ways or Social Care EHA regions Hospital Executives: approaches to effectively and efficiently l Regional level training in Hospital Under the DEEM Training course the respond to disaster situations keeping the Disaster Management & Disaster First module for the Master Trainer’s Disaster Risk Reduction local context in mind. The link below has the Relief Management program program for Hospital Disaster The project HEAL-SAR (Health updated reports with the Agenda for doctors, nurses, administrators Management was introduced. The first Emergency Alliance South Asian Region) Humanity: and projects managers in EHA . training using the modules was done in concept was further crystallized with an ¢ Strengthen the concept of West Bengal. enhanced participation of 4 more countries To know more visit- volunteerism across India in the region – Sri Lanka, Myanmar, Bhutan http://ehadmmu.com/assets/uploads/do ¢ Continued efforts toward enhancing The Master Trainer’s program is of 56 & Bangladesh. wnloads/20170703_1499094769.pdf collaborative networking and strategic Hours - partnership – ü Basic training 20 hours India & Nepal was already active. Challenges Confronting Healthcare l Continue to work on Disaster ü Qualified potential trainers attend Institutions is another new initiative to Response Network Master Trainer’s program 24 hours The Consultative meeting @Kolkata in constantly engage important stakeholders l Continued efforts to enhance ü Project dissertation (participants to March 2018 was participated by across the country. This was organized with South Asian Regional Health undertake a topic from the hospital the objective to enhance and strengthen Emergency Alliance (HEAL-SAR) he/she represents) ¢ Total # leaders participated – 30 the existing collaboration and networking ü Compliance program 12 hours/audit ¢ Participating countries – 9 (SriLanka, initiative. following PD Nepal, Bangladesh, Bhutan, ü Entire program need to be completed Netherlands, USA, Germany, India, 75 senior level leaders participated in the within 6 months from the end of MTs Myanmar) first consultation meeting scheduled from program ¢ Participants from Indian States – 8 24-26 August 2017 with a very large pool of (Assam, Nagaland, Manipur, Bihar, resources drawn from across various 5 Volunteerism WB, Delhi, Karnataka, Meghalaya) important stakeholders, nationally as well Local volunteers are our strength for faster ¢ Participating Institutions (hospitals, as globally. and effective response to a disaster situa- non-hospital orgs) – 15 tion. 31 hospitals from across 14 States of India CROSS CUTTING AREAS and from Nepal and Sri Lanka. Under EHA’s DEEM Training Institute, we have trained more than 36000 volunteers AGENDA FOR HUMANITY – More details available in the link: Relief work since 2007 from across various profession- a global level commitment http://ehadmmu.com/assets/uploads/do als from India and Nepal. It has been our EHA actively participated in the global wnloads/20170728_1501226059.pdf continued initiative for strengthening commitment during the World Humanitarian volunteerism through Instructor’s program Summit @Istanbul in the year 2016. across the nation. The focus is on – Following the commitment, the organization

P | 64 Annual Report 2017-18 | Disaster Management & Mitigation Unit Disaster Management & Mitigation Unit | Annual Report 2017-18 P | 65 PALLIATIVE CARE SERVICE Dr Savita Duomai, DGH, MD Community Medicine, Master in OLM

HA’s Palliative Care Services has proved to be one of the most successful programmes of EHA. In spite of Einnumerable obstacles in the growth of Palliative care like population density, geographical diversity, poverty, work force development at base level, lack of institutional interest in palliative care, we have made a steady progress in the last 8 years. We have also made appreciable changes in the mindsets of health care providers and policy makers towards the need of Palliative Care in India. Palliative Care is a highly structured process from the diagnosis to death and then the bereavement within the family.

The WHO defined palliative care as “an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial, and spiritual. This is why it is best administered by an interdisciplinary, multi-dimensional team, comprising doctors, nurses, counselors, social workers, and volunteers.

EHA palliative care service uses a home care model, with access to inpatient and outpatient services as needed at the base hospital. This enables patients to be cared for in the comfort of their own homes and surrounded by their loved ones.

Over the past year, across 14 of EHA’s Hospitals, dedicated staff of our palliative care team has cared for numerous patients and families with life limiting illnesses. It has been humbling, and a privilege for our teams to serve these families, to be invited to share in their suffering and to be a part of a sacred chapter in their lives. Our teams have visited patients and families at their homes, befriended them, listened, encouraged, counseled, eased pain and brought comfort.

Key Achievements of the year ¢ 5520 home visits were done. 319 2017 -18: patients died in the course of the year, and their families were offered ¢ 1005 patients along with their bereavement care. families received home care ser- ¢ 912 family training sessions were vices. conducted to equip family members

Palliative Care Unit & Shalom Delhi | Annual Report 2017-18 P | 67 PALLIATIVE CARE SERVICE Dr Savita Duomai, DGH, MD Community Medicine, Master in OLM

Palliative Care Unit & Shalom Delhi | Annual Report 2017-18 P | 67 to care for their patients at home. ¢ Symptom Management Workshop ¢ 1804 outpatient visits were given for 16 doctors and nurses at New medical support by EHA Hospitals as Delhi from 19 – 20 February. part of the home care programme. ¢ 2 nurses are currently doing the Caring for Mr Sandeep* ¢ 5.421 in-patient admissions took National Fellowship in Palliative Mr. Sandeep (45) lives with his family in a village in Uttar Pradesh. A few months place of the home care patients at Nursing ( Distance Education ) by ago, he had dental pain and noticed a lesion in his mouth. He was referred to the EHA Hospitals Institute of Palliative Medicine and Cancer Hospital where he was diagnosed to have Cancer of the tongue. In spite of ¢ 22,829 people were given awareness Christian Medical Association of surgery and chemotherapy, the cancer spread to other parts of his mouth. about cancer and palliative care India. during 715 awareness programs in The Palliative Care team from HBM, Lalitpur has been visiting Sandeep’s family the communities served by the Plans for the next year: regularly for the past few months. They have been counselled about the illness, palliative care teams. a. Strengthening of Home Care teams in and helped to come to terms with it. The team spends time to be with the family ¢ 228 networking meetings on pallia- Units that have newly started Palliative members. Pain and other symptoms are managed and Sandeep’s wife has been tive care were held. Care. taught how to dress the open wound to prevent infections and also prepare a b. Ongoing Capacity Building of staff liquid diet for him. c. Leadership development New Palliative Care services were d. Work towards Integrated Seamless Oral morphine was started to ease his pain and help him to work for the family. started in the following hospitals: Cancer Care e. Start a Pain and Palliative Clinic at His wife and he know that his cancer is progressing and that his life span is limited. a. Jiwan Jyoti Christian Hospital Landour, Mussoorie Sandeep is committed to fulfilling his responsibilities as a husband, father and son b. Duncan Hospital f. Equip and involve more volunteers to for as long as he is alive. His family and he are grateful to the Palliative Care team c. Sewa Bhawan Hospital provide care for patients and families for the support that they receive from them. d. Champa Christian Hospital *Name changed Shalom Delhi Training and Capacity Building: Shalom in Delhi is a Palliative Care Unit of ¢ Basic Course in Essentials of EHA that provides holistic care for patients Palliative Care by Indian Association with HIV and terminal cancer. Its various Home Based Care HIV Program: of Palliative Care ( IAPC) was held at components include a hospital clinic with 8 Ladies were trained in the Livelihood 149 patients with HIV cared for during HBM Hospital Laliltpur from June 6 – inpatient and outpatient facility, Home care Program. 9, 2017 for 10 nurses and 1 doctor. programs for patients with HIV and cancer, 761 home visits. ¢ Palliative Care Cross Learning Event an Adolescent Program, Support groups We are grateful to our funders for support- Home Based Care Cancer and NCD from November 2 – 4 at Torch and a Livelihood Program. ing our work, encouraging us and partner- Program: Bearers, Dehra Dun attended by 30 ing with us. 63 patients cared for, 362 home visits, participants. To support Palliative Care through EHA, 125 family training sessions. ¢ Continuing Nurse Education Statistics for the year: please write to- Workshop for 14 nurses at HBM [email protected] Hospital Care: Other programmes: Lalitpur from 5 – 9 February. 249 inpatient admissions, 1284 outpatient ¢ Communication Skills Workshop for 14 Support group meetings, 2 aware- visits, 1662 lab investigations. 205 new ness programs for 345 participants. 18 participants at HBM Lalitpur from patients enrolled in the year. 13 – 14 February. 20 Adolescents enrolled the Character Development and Life Skills program.

P | 68 Annual Report 2017-18 | Palliative Care Unit & Shalom Delhi Palliative Care Unit & Shalom Delhi | Annual Report 2017-18 P | 69 to care for their patients at home. ¢ Symptom Management Workshop ¢ 1804 outpatient visits were given for 16 doctors and nurses at New medical support by EHA Hospitals as Delhi from 19 – 20 February. part of the home care programme. ¢ 2 nurses are currently doing the Caring for Mr Sandeep* ¢ 5.421 in-patient admissions took National Fellowship in Palliative Mr. Sandeep (45) lives with his family in a village in Uttar Pradesh. A few months place of the home care patients at Nursing ( Distance Education ) by ago, he had dental pain and noticed a lesion in his mouth. He was referred to the EHA Hospitals Institute of Palliative Medicine and Cancer Hospital where he was diagnosed to have Cancer of the tongue. In spite of ¢ 22,829 people were given awareness Christian Medical Association of surgery and chemotherapy, the cancer spread to other parts of his mouth. about cancer and palliative care India. during 715 awareness programs in The Palliative Care team from HBM, Lalitpur has been visiting Sandeep’s family the communities served by the Plans for the next year: regularly for the past few months. They have been counselled about the illness, palliative care teams. a. Strengthening of Home Care teams in and helped to come to terms with it. The team spends time to be with the family ¢ 228 networking meetings on pallia- Units that have newly started Palliative members. Pain and other symptoms are managed and Sandeep’s wife has been tive care were held. Care. taught how to dress the open wound to prevent infections and also prepare a b. Ongoing Capacity Building of staff liquid diet for him. c. Leadership development New Palliative Care services were d. Work towards Integrated Seamless Oral morphine was started to ease his pain and help him to work for the family. started in the following hospitals: Cancer Care e. Start a Pain and Palliative Clinic at His wife and he know that his cancer is progressing and that his life span is limited. a. Jiwan Jyoti Christian Hospital Landour, Mussoorie Sandeep is committed to fulfilling his responsibilities as a husband, father and son b. Duncan Hospital f. Equip and involve more volunteers to for as long as he is alive. His family and he are grateful to the Palliative Care team c. Sewa Bhawan Hospital provide care for patients and families for the support that they receive from them. d. Champa Christian Hospital *Name changed Shalom Delhi Training and Capacity Building: Shalom in Delhi is a Palliative Care Unit of ¢ Basic Course in Essentials of EHA that provides holistic care for patients Palliative Care by Indian Association with HIV and terminal cancer. Its various Home Based Care HIV Program: of Palliative Care ( IAPC) was held at components include a hospital clinic with 8 Ladies were trained in the Livelihood 149 patients with HIV cared for during HBM Hospital Laliltpur from June 6 – inpatient and outpatient facility, Home care Program. 9, 2017 for 10 nurses and 1 doctor. programs for patients with HIV and cancer, 761 home visits. ¢ Palliative Care Cross Learning Event an Adolescent Program, Support groups We are grateful to our funders for support- Home Based Care Cancer and NCD from November 2 – 4 at Torch and a Livelihood Program. ing our work, encouraging us and partner- Program: Bearers, Dehra Dun attended by 30 ing with us. 63 patients cared for, 362 home visits, participants. To support Palliative Care through EHA, 125 family training sessions. ¢ Continuing Nurse Education Statistics for the year: please write to- Workshop for 14 nurses at HBM [email protected] Hospital Care: Other programmes: Lalitpur from 5 – 9 February. 249 inpatient admissions, 1284 outpatient ¢ Communication Skills Workshop for 14 Support group meetings, 2 aware- visits, 1662 lab investigations. 205 new ness programs for 345 participants. 18 participants at HBM Lalitpur from patients enrolled in the year. 13 – 14 February. 20 Adolescents enrolled the Character Development and Life Skills program.

P | 68 Annual Report 2017-18 | Palliative Care Unit & Shalom Delhi Palliative Care Unit & Shalom Delhi | Annual Report 2017-18 P | 69 NURSING SERVICES & TRAINING Vinay John, Nursing Facilitator

In EHA, we focus on three nursing disciplines; Education, Services and Upgradation on programmes.

Nursing Education Currently, in seven EHA nursing schools there are 439 students, wiith 374 in General Nurse & Midwifery [GNM] and 65 in Auxiliary Nurse Midwifery [ANM] programme.

A total of 47 faculty are working in the nursing schools, most of them are Masters in Nursing [M.Sc.] and Bachelors in Nursing [Post Basic B.Sc./B.Sc.], helping bring good results and also transforming the lives of students.

Every October we see a bunch of fresh nursing students become a part of the EHA family to be trained as certified nurses.

This amazing change requires the acknowledgement of God’s immense grace, perseverance of the faculty, the team effort of the EHA hospitals, and, of course the students who were willing to be molded into what they are today.

Nursing Services The department of nursing services strives To foster collaboration between nursing to ensure that all patients receive the services and education, few of the EHA highest possible quality care during their hospitals appoint M.Sc. nurses to illness and are also educated on health coordinate the overall services of the care, thus fulfilling the vision of “Transform- respective clinical areas [Medical- ing People through Education and Care”. Surgical/Paediatric/Obstetrics/Community ]. This helps and further supports the ward A total of 843 nurses are presently working in-charges to organize and improve day to in EHA Hospitals. There are currently 34 day functioning of the clinical areas. M.Sc., 111 PB B.Sc. / B.Sc., 423 GNM and 275 ANM Staff Nurses. EHA Nursing Services provided professional support to nurses from other Our nurses are trained to have compassion institutions/organizations by permitting to enable holistic care and minimize the them as visitors/observers to update them sufferings of the ill. in the areas like Neonatal, Obstetrics,

Nursing Services & Training | Annual Report 2017-18 P | 71 NURSING SERVICES & TRAINING Vinay John, Nursing Facilitator

In EHA, we focus on three nursing disciplines; Education, Services and Upgradation on programmes.

Nursing Education Currently, in seven EHA nursing schools there are 439 students, wiith 374 in General Nurse & Midwifery [GNM] and 65 in Auxiliary Nurse Midwifery [ANM] programme.

Every October we see a bunch of fresh nursing students become a part of the EHA family to be trained as certified nurses.

Nursing Services & Training | Annual Report 2017-18 P | 71 Future Plans ¢ There is a great need of Nurse Practitioners in Midwifery/Neonatal to provide quality maternity and neonatal care within and outside EHA hospitals. ¢ To upgrade the ANM and GNM Schools to B.Sc. College of Nursing. The Government has plans to phase-out both ANM and GNM schools and use B.Sc. graduate nurses as the primary nursing personnel in secondary and tertiary levels hospitals. ¢ We have plans to re-start RCH [reproductive and child health care] and EmOC [emergency obstetric care] training for staff of EHA units and in future local government and private hospitals. ¢ Forming an Alumni association for all students who pass out from EHA nursing schools. ¢ Well established skills laboratories in all the nursing schools ¢ Empower nurses professionally and spiritually

We would like to express our gratitude to all the donors/sponsors from India and abroad who so faithfully provided support. We thank God for His provision and all EHA / units / CHDP / nurses / visiting lecturers/guests who have helped us. Medical and Operating Room to benefit B. Community College their institutions/organizations. So then, as we have the opportunity, let us “Do not neglect to do good and to share The motto of our Community colleges is what you have, for such sacrifices are pleasing to God” Hebrews 13:16 ‘Including the excluded and giving the best Nurse Up-Gradation Programme to the least.’ Mr. Vinay John and Miss. Jasper Damaris Nursing Facilitators A. Neonatal Survival Training Community colleges have been developed Programme [NeST] as an alternative system of education aimed A study was conducted to see if there is any at empowerment and employment of low improvement following the implementation income groups and the underprivileged of the NeST programme. communities through appropriate skill development, thus making them “fit for life, Knowledge of the staff nurses has improved fit for job”. by 32% from the last assessment scores - an indication that frequent and intensive The Makunda Christian Community College courses on neonatal care are highly desired. for Diploma in Health Assistants was started in collaboration with Indian Centre for More NeST training needs to be organised Research and Community Education for better retention of the skills acquired and [ICRDCE], Chennai, a Non-Governmental improve performances during neonatal Organization. resuscitation, identification of early warning signs and revive neonatal care. This is Health Assistants are currently employed as essential for improving survival rates of staff in the hospital to strengthen the nursing newborn babies. services.

P | 72 Annual Report 2017-18 | Nursing Services & Training Nursing Services & Training | Annual Report 2017-18 P | 73 Future Plans ¢ There is a great need of Nurse Practitioners in Midwifery/Neonatal to provide quality maternity and neonatal care within and outside EHA hospitals. ¢ To upgrade the ANM and GNM Schools to B.Sc. College of Nursing. The Government has plans to phase-out both ANM and GNM schools and use B.Sc. graduate nurses as the primary nursing personnel in secondary and tertiary levels hospitals. ¢ We have plans to re-start RCH [reproductive and child health care] and EmOC [emergency obstetric care] training for staff of EHA units and in future local government and private hospitals. ¢ Forming an Alumni association for all students who pass out from EHA nursing schools. ¢ Well established skills laboratories in all the nursing schools ¢ Empower nurses professionally and spiritually

P | 72 Annual Report 2017-18 | Nursing Services & Training Nursing Services & Training | Annual Report 2017-18 P | 73 RESEARCH & BIOETHICS Dr Jameela George, MBBS, MIRB

uring the last year a total of 26 research studies have been carried out in seven hospitals and one commu- Dnity health project of EHA. The advantages of conducting research relevant to the population served are palpable. The interest, motivation and eagerness to do more research is increasing, thereby adding an academic dimension to hospital work. Given below are details from some of our Hospitals/Projects of EHA.

Chinchpada: Dr. Ashita Singh Lalitpur: Mr. Andy Eicher During the reporting period three research Title - Improving Service Quality in Rural studies were going on and three articles Health Care: Tracking Service Quality in a have been published. small charitable mission hospital in Central Œ National Surveillance System for India Enteric Fever in India Study with CMC Vellore (Ongoing data collection) ‘Mr. Biju Mathew has expressed to us that Antimicrobial Stewardship Project. he was greatly helped by the rigorous An Exploratory Study to Understand inputs from the research ethics committee - the Challenges and Barriers to and the professors and fellow presenters at Implementing Antibiotic Stewardship BITS Pilani commented on the ethical Measures in Outpatient and Inpatient inputs and overall rigor that his research Settings of Secondary Level Hospitals project had’. in India. Ž Sickle Cell Disease Study Duncan: Dr. Sheena Gnanraj “Research promotes an academic environ- We did - ment in the Hospital, leads to improved Œ A study on Prevalence of Depression knowledge and better patient care. It also and Help Seeking Behavior among provides foundation for advocacy for the Scheduled Caste and Other poor, helps improving capacity and infra- Communities in Raxaul Block Northern structure to provide low cost high quality Bihar. facilities for the patients. Provides opportu- Snakebite related wounds, a prospec- nity for collaboration with the Government tive study and facilitates cross learning from experts in Ž National Surveillance System for Enteric various fields nationally and internationally”. Fever in India

Research and Bioethics | Annual Report 2017-18 P | 75 RESEARCH & BIOETHICS Dr Jameela George, MBBS, MIRB

Research and Bioethics | Annual Report 2017-18 P | 75 The Study of Organized Stroke Care Ž Cognitive Markers of Multilayered Burans Project: Ms. Pooja Pillai with the hospital administration and field Across Income-Levels (OSCAIL) Stigma Among Transgender & Mr. Varadharajan visits to villages facilitated by Dr. Vandana ‘The NSSEFI study has helped improve our Communities Living with HIV in Delhi, Kanth along with Mr. Nitin Tonk of Invisible India. Œ Scaling evidence and social innovation Child Project has resulted in obtaining Microbiology department. This will also in global mental health contribute to the national knowledge of An Ethnographic Evaluation of Kiran, a funds for Child Sponsorship Program at profile of acute febrile illnesses and typhoid Development Program at Shalom for “Research exposes us as an organization Duncan. Also, this has initiated gender- prevalence and resistance patterns. We Women Living with HIV. to multidisciplinary research, improves based violence screening and promotion of hope that the OSCAIL study will help us Benefits of conducting Research have been, qualitative research skills, helps in learning, contraception to decrease feticides. review and standardize our stroke manage- “Able to build partnerships with academic and opens opportunity to get connected and partner with institutions and research- ment”. organizations like Wheaton College and Conclusion Howard University. It facilitated capacity ers on an international platform, like the A number of Healthcare professionals in building of our staff and improved the South Asia Director of University of Makunda: Dr. Roshine EHA are actively involved in carrying out quality of our Programs. Helped promote Edinburgh”. We did - research projects in their units. EHA has the work of Shalom among a larger audi- benefitted by the capacity building and infra Œ A study on Prevalence of Depression ence and was beneficial while applying for Bioethics structure enhancement that has happened. and Help Seeking Behavior among funding”. Scheduled Caste and Other In the month of July 2017, The Centre for In the field of Bioethics, engaging with Communities in Raxaul Block Northern Bioethics was introduced to 140 leaders Bioethical issues in patient care and Bihar. Tezpur: Dr. William Songate from EHA with an overview of the main application of the knowledge and skills Snakebite related wounds, a prospec- Our research work was focused at- areas of function and activities. The show signs of enhanced patient care. healthcare professionals were encouraged tive study Œ Hospital based Rotavirus and Norovirus to become Life Members of The Centre for Ž National Surveillance System for Enteric surveillance study in Secondary care Bioethics. Fever in India hospital in Assam 4. The Study of Organized Stroke Care Rotavirus Vaccine Impact Assessment Across Income-Levels (OSCAIL) and Intussusceptions surveillance in Follow up of Intensive Bioethics workshop: ‘The NSSEFI study has helped improve our India A number of doctors and nurses who Microbiology department. This will also “Getting involved in research projects has participated in the Intensive Bioethics contribute to the national knowledge of benefited the hospital in many ways. Based Workshop have been using the knowledge profile of acute febrile illnesses and typhoid on results from previous studies, our and skills obtained, in patient care. For prevalence and resistance patterns. We management of patients with diseases like example, in Duncan Hospital Raxaul, as hope that the OSCAIL study will help us Japanese encephalitis, Cerebrovascular and when they have difficult decisions to review and standardize our stroke manage- accidents, etc. has changed. Research with make regarding patients with terminal ment”. relevant information, helps the hospital to illnesses, a team decides on the issue and move forward scientifically. This makes us a relieves the individual doctor of the burden Shalom Delhi: Dr. Savita Duomai more credible and reliable institution, from a of difficult decision making. Four research projects were going on: patient's perspective, where they gain a Youth inclusion discussion group Œ Comorbidities and Opportunistic better understanding of their condition, Addressing gender - based discrimination: thus, leading to real benefits. Infections Among HIV-Positive Patients Female feticide, female infanticide and at Shalom Delhi in New Delhi, India. gender discrimination are found in Raxaul. Research is vital for a hospital that seeks to Outcomes of empirical deworming in An explorative visit to Raxaul, discussions People Living with HIV (PLWHA). be relevant and affordable to the community.”

P | 76 Annual Report 2017-18 | Research and Bioethics Research and Bioethics | Annual Report 2017-18 P | 77 The Study of Organized Stroke Care Ž Cognitive Markers of Multilayered Burans Project: Ms. Pooja Pillai with the hospital administration and field Across Income-Levels (OSCAIL) Stigma Among Transgender & Mr. Varadharajan visits to villages facilitated by Dr. Vandana ‘The NSSEFI study has helped improve our Communities Living with HIV in Delhi, Kanth along with Mr. Nitin Tonk of Invisible India. Œ Scaling evidence and social innovation Child Project has resulted in obtaining Microbiology department. This will also in global mental health contribute to the national knowledge of An Ethnographic Evaluation of Kiran, a funds for Child Sponsorship Program at profile of acute febrile illnesses and typhoid Development Program at Shalom for “Research exposes us as an organization Duncan. Also, this has initiated gender- prevalence and resistance patterns. We Women Living with HIV. to multidisciplinary research, improves based violence screening and promotion of hope that the OSCAIL study will help us Benefits of conducting Research have been, qualitative research skills, helps in learning, contraception to decrease feticides. review and standardize our stroke manage- “Able to build partnerships with academic and opens opportunity to get connected and partner with institutions and research- ment”. organizations like Wheaton College and Conclusion Howard University. It facilitated capacity ers on an international platform, like the A number of Healthcare professionals in building of our staff and improved the South Asia Director of University of Makunda: Dr. Roshine EHA are actively involved in carrying out quality of our Programs. Helped promote Edinburgh”. We did - research projects in their units. EHA has the work of Shalom among a larger audi- benefitted by the capacity building and infra Œ A study on Prevalence of Depression ence and was beneficial while applying for Bioethics structure enhancement that has happened. and Help Seeking Behavior among funding”. Scheduled Caste and Other In the month of July 2017, The Centre for In the field of Bioethics, engaging with Communities in Raxaul Block Northern Bioethics was introduced to 140 leaders Bioethical issues in patient care and Bihar. Tezpur: Dr. William Songate from EHA with an overview of the main application of the knowledge and skills Snakebite related wounds, a prospec- Our research work was focused at- areas of function and activities. The show signs of enhanced patient care. healthcare professionals were encouraged tive study Œ Hospital based Rotavirus and Norovirus to become Life Members of The Centre for Ž National Surveillance System for Enteric surveillance study in Secondary care Bioethics. Fever in India hospital in Assam 4. The Study of Organized Stroke Care Rotavirus Vaccine Impact Assessment Across Income-Levels (OSCAIL) and Intussusceptions surveillance in Follow up of Intensive Bioethics workshop: ‘The NSSEFI study has helped improve our India A number of doctors and nurses who Microbiology department. This will also “Getting involved in research projects has participated in the Intensive Bioethics contribute to the national knowledge of benefited the hospital in many ways. Based Workshop have been using the knowledge profile of acute febrile illnesses and typhoid on results from previous studies, our and skills obtained, in patient care. For prevalence and resistance patterns. We management of patients with diseases like example, in Duncan Hospital Raxaul, as hope that the OSCAIL study will help us Japanese encephalitis, Cerebrovascular and when they have difficult decisions to review and standardize our stroke manage- accidents, etc. has changed. Research with make regarding patients with terminal ment”. relevant information, helps the hospital to illnesses, a team decides on the issue and move forward scientifically. This makes us a relieves the individual doctor of the burden Shalom Delhi: Dr. Savita Duomai more credible and reliable institution, from a of difficult decision making. Four research projects were going on: patient's perspective, where they gain a Youth inclusion discussion group Œ Comorbidities and Opportunistic better understanding of their condition, Addressing gender - based discrimination: thus, leading to real benefits. Infections Among HIV-Positive Patients Female feticide, female infanticide and at Shalom Delhi in New Delhi, India. gender discrimination are found in Raxaul. Research is vital for a hospital that seeks to Outcomes of empirical deworming in An explorative visit to Raxaul, discussions People Living with HIV (PLWHA). be relevant and affordable to the community.”

P | 76 Annual Report 2017-18 | Research and Bioethics Research and Bioethics | Annual Report 2017-18 P | 77 PARTNERSHIP PROJECTS Dr. Rebecca Sinate, MBBS, MCH (Delhi)

nder the Partnership Projects the following 3 Projects have been implemented which are supplementing the UNational AIDS Control Programme in close coordina- tion with the respective State AIDS Control Society.

^ Prison HIV Intervention Project (PIP) at Punjab, Haryana and Chandigarh funded by Aids Funds, the Netherland. ^ Prison HIV Intervention Project ( PIP) at Guwahati, Assam funded by Family Health International ( FHI-360) ^ Prevention of Parent To Child Transmission of HIV/AIDS ( PPTCT) funded by Plan India.

The main goal of the Prison HIV Intervention Project is: “Improving HIV testing services and enhancing access to treatment and other essential health services for people living in prison settings” We are currently implementing 15 Prison HIV Intervention Projects as follows:

Name of State Number of Prisons covered Number of prison inmates

Punjab 9 17446 Chandigarh 1 926 Haryana 4 8218 Assam 1 1200

Highlights of some of the key achievements in 2017-18 are: ¢ Across the 9 Central Prisons in 1459 inmates in Chandigarh, 960 in Punjab the number of prison inmates Assam and 2221 in Haryana. registered throughout the year has ¢ Across the 9 Central Prisons in been more than the slotted prison Punjab the number of prison inmates capacity. We managed to screen registered throughout the year has 37938 inmates in spite of the been more than the slotted prison increased numbers. We screened capacity. We managed to screen

Partnership Projects | Annual Report 2017-18 P | 79 PARTNERSHIP PROJECTS Dr. Rebecca Sinate, MBBS, MCH (Delhi)

Name of State Number of Prisons covered Number of prison inmates

Punjab 9 17446 Chandigarh 1 926 Haryana 4 8218 Assam 1 1200

Partnership Projects | Annual Report 2017-18 P | 79 37938 inmates in spite of the Future Action Plan increased numbers. We screened FINANCIAL STATEMENTS 1459 inmates in Chandigarh, 960 in ¢ Enhance intervention in district jails Abhishek Lyall, Finance Director Assam and 2221 in Haryana. and other close settings such as correction homes, shelter homes etc. ¢ 626 of HIV detected cases were CONSOLIDATED ACCOUNT OF which are vulnerable for HIV/ AIDS CONSOLIDATED ACCOUNT OF linked to HIV treatment centres for MEMBER UNITS AND EHA and other related infections. MEMBER UNITS AND EHA Anti Retro Viral Therapy (ART) in SOCIETY Punjab and 31 in Chandigarh. Only 9 ¢ Train personnel in each intervention SOCIETY sites for continuity of Prison HIV Abridged Income and Expenditure Account cases in Assam were linked to ART Abridged Balance Sheet as at for the Year Ended 31st March 2018 due to logistic constraints. We are Intervention Programmes. 31st March, 2018 advocating with Assam State AIDS Control Society and State Prison Particulars As at 31 March 2018 Particulars For the Year ended The main Goal of Prevention of Parent To 31 March 2018 Department to initiate the ART centre Child Transmission of HIV/AIDS ( PPTCT) in the prison infirmary. SOURCES OF FUNDS (In INR) (In INR) ¢ Facilitated setting up of 1 HIV testing ‘Improved access to PPTCT facility in Guwahati Central Jail, General fund INCOME Reserve and Surplus 1,20,04,84,334 Income from Hospital- 1 ,12,64,34,194 Assam and 9 HIV testing facilities in services for pregnant women in 14 priority districts of Assam Designated Fund 6,37,35,435 Operations Punjab Central Jails. Grants and Donations 32,28,93,970 ¢ 4 Link ART centers were started at where present PPTCT services Unrestricted Fund Other Income 6,70,67,826 Faridkot, Amritsar, Bathinda and is low’ Project fund 11,88,31,968 TOTAL 1,51,63,95,990 Hoshiarpur Central Jails for easy Loans/Borrowings accessibility and treatment. Highlights of some of the key Secured 8,22,991 EXPENSES Unsecured ¢ Formed State Oversight Committee achievements in 2017-18 2,27,96,581 Establishment Expenses 5 4,61,99,019.50 with respective State Prison Current Liabilities & Department and State AIDS Control ¢ HIV screening facilities increased from Administrative Expenses 113 to 746 in health care delivery Provisions HRD Expenses 5,65,87,908 to review the performance of the Sundry Creditors 3,29,48,485 Hospital Supplies 29,97,99,236 Project. units across 14 districts of Assam. Other Payable 8,41,67,851 ¢ 451752 (86%) of 523749 registered Maintenance Expenses 5,05,53,879 ¢ Trained prison inmates as ‘Peer Vehicle Expenses pregnant women across 14 PPTCT 72,58,919 Counselors’ - 52 in Punjab, 47 in TOTAL 1,52,37,87,646 Utility 4,47,22,133 Assam and 3 in Chandigarh. programs were tested for HIV. Taxes 48,18,307 ¢ 111 (92%) of 120 HIV positive ¢ EHA Prison Intervention Team APPLICATION OF FUNDS Nursing School 4,11,96,167 participated in National Consultation pregnant women received ART Eye Expenses 72,43,977 for development of Manual for treatment. ASSETS Dental Expenses 5,53,758 ¢ Agencies from other states were Fixed Assets 1 ,05,32,17,876 Other Expenses 7,56,24,054 Standard Operating Procedure for School Expenses given exposure to the PPTCT 55,26,030 Prisons. Project Expenses 23,51,92,111 CURRENT ASSETS ¢ EHA PIP Projects contributed in program. Depreciation 8,65,12,491 Inventories 3,12,55,076 setting up the NACO Monthly If you wish to support the Prison HIV Sundry Receivables 4 ,23,38,598 Centralized Management TOTAL 1,46,17,87,991 Intervention Projects, you may write to Cash and cash equivalents 31,60,80,540 Information System for Prison Short-term loans and advances 5,13,40,039 [email protected] Intervention Project. TDS Recoverable 2,32,61,113 Security Deposits 62,94,405 Balance being excess of Income over Expenditure 5,46,07,999 TOTAL 1,52,37,87,646

P | 80 Annual Report 2017-18 | Partnership Projects 37938 inmates in spite of the Future Action Plan increased numbers. We screened FINANCIAL STATEMENTS 1459 inmates in Chandigarh, 960 in ¢ Enhance intervention in district jails Abhishek Lyall, Finance Director Assam and 2221 in Haryana. and other close settings such as correction homes, shelter homes etc. ¢ 626 of HIV detected cases were CONSOLIDATED ACCOUNT OF which are vulnerable for HIV/ AIDS CONSOLIDATED ACCOUNT OF linked to HIV treatment centres for MEMBER UNITS AND EHA and other related infections. MEMBER UNITS AND EHA Anti Retro Viral Therapy (ART) in SOCIETY Punjab and 31 in Chandigarh. Only 9 ¢ Train personnel in each intervention SOCIETY sites for continuity of Prison HIV Abridged Income and Expenditure Account cases in Assam were linked to ART Abridged Balance Sheet as at for the Year Ended 31st March 2018 due to logistic constraints. We are Intervention Programmes. 31st March, 2018 advocating with Assam State AIDS Control Society and State Prison Particulars As at 31 March 2018 Particulars For the Year ended The main Goal of Prevention of Parent To 31 March 2018 Department to initiate the ART centre Child Transmission of HIV/AIDS ( PPTCT) in the prison infirmary. SOURCES OF FUNDS (In INR) (In INR) ¢ Facilitated setting up of 1 HIV testing ‘Improved access to PPTCT facility in Guwahati Central Jail, General fund INCOME Reserve and Surplus 1,20,04,84,334 Income from Hospital- 1 ,12,64,34,194 Assam and 9 HIV testing facilities in services for pregnant women in 14 priority districts of Assam Designated Fund 6,37,35,435 Operations Punjab Central Jails. Grants and Donations 32,28,93,970 ¢ 4 Link ART centers were started at where present PPTCT services Unrestricted Fund Other Income 6,70,67,826 Faridkot, Amritsar, Bathinda and is low’ Project fund 11,88,31,968 TOTAL 1,51,63,95,990 Hoshiarpur Central Jails for easy Loans/Borrowings accessibility and treatment. Highlights of some of the key Secured 8,22,991 EXPENSES Unsecured ¢ Formed State Oversight Committee achievements in 2017-18 2,27,96,581 Establishment Expenses 5 4,61,99,019.50 with respective State Prison Current Liabilities & Department and State AIDS Control ¢ HIV screening facilities increased from Administrative Expenses 113 to 746 in health care delivery Provisions HRD Expenses 5,65,87,908 to review the performance of the Sundry Creditors 3,29,48,485 Hospital Supplies 29,97,99,236 Project. units across 14 districts of Assam. Other Payable 8,41,67,851 ¢ 451752 (86%) of 523749 registered Maintenance Expenses 5,05,53,879 ¢ Trained prison inmates as ‘Peer Vehicle Expenses pregnant women across 14 PPTCT 72,58,919 Counselors’ - 52 in Punjab, 47 in TOTAL 1,52,37,87,646 Utility 4,47,22,133 Assam and 3 in Chandigarh. programs were tested for HIV. Taxes 48,18,307 ¢ 111 (92%) of 120 HIV positive ¢ EHA Prison Intervention Team APPLICATION OF FUNDS Nursing School 4,11,96,167 participated in National Consultation pregnant women received ART Eye Expenses 72,43,977 for development of Manual for treatment. ASSETS Dental Expenses 5,53,758 ¢ Agencies from other states were Fixed Assets 1 ,05,32,17,876 Other Expenses 7,56,24,054 Standard Operating Procedure for School Expenses given exposure to the PPTCT 55,26,030 Prisons. Project Expenses 23,51,92,111 CURRENT ASSETS ¢ EHA PIP Projects contributed in program. Depreciation 8,65,12,491 Inventories 3,12,55,076 setting up the NACO Monthly If you wish to support the Prison HIV Sundry Receivables 4 ,23,38,598 Centralized Management TOTAL 1,46,17,87,991 Intervention Projects, you may write to Cash and cash equivalents 31,60,80,540 Information System for Prison Short-term loans and advances 5,13,40,039 [email protected] Intervention Project. TDS Recoverable 2,32,61,113 Security Deposits 62,94,405 Balance being excess of Income over Expenditure 5,46,07,999 TOTAL 1,52,37,87,646

P | 80 Annual Report 2017-18 | Partnership Projects

HERBERTPUR CHRISTIAN HOSPITAL SCHOOL OF NURSING Mr. Shailendra Ghosh NURSING SCHOOLS Principal - School of Nursing EMMANUEL HOSPITAL ASSOCIATION P.O, Herbertpur, District Dehradun Uttarakhand - 248142 HEAD OFFICE DUNCAN SCHOOL OF NURSING MOBILE: 08755004362 Ms. Dorcas Lepcha EMAIL: [email protected] Address EHA, 808/92, Nehru Place, Principal - School of Nursing, Duncan Hospital, Raxaul, East Champaran District, New Delhi – 110 019, India Bihar - 845 305 NAV JIVAN SCHOOL OF NURSING Email [email protected] PHONE: 06255-224145 Mrs. Chandra Kana Lepcha MOBILE: 09431616056 Principal - School of Nursing Telephone 00-91-11-30882008, EMAIL: [email protected] Nav Jivan Hospital, Tumbagara Village, Satbarwa Post, Fax 30882009 Palamu District, Jharkhand - 822 126 Website 00-91-11-30882019 BAPTIST CHRISTIAN HOSPITAL MOBILE: 09421513938 EMAIL: [email protected] www.eha-health.org SCHOOL OF NURSING [email protected] Ms. Eba Basumathary Principal - School of Nursing MAKUNDA SCHOOL OF NURSING Baptist Christian Hospital Ms. Denling Khartu Mission Chariali, Tezpur, Assam - 784 001 Principal - School of Nursing, Makunda Layout & Graphic Designed by: Charitable Registered Society EMAIL: [email protected] Makunda Christian Leprosy and General Hospital Suanlian Tangpua Registered Under Society Regn. Act 1860 Bazaricherra, Karimganj District, Assam - 788 727 Registration No. 4546/1970-71 dated 18-05-1970 PHONE: 03843-287937 BURROWS MEMORIAL HOSPITAL Compiled & Edited By: Registered to receive Foreign Contributions SCHOOL OF NURSING CHHATARPUR SCHOOL OF NURSING Under Foreign Contribution (Regulation) Act 1976 FC(R)A Mr. Sanjay Bhattacharjee Ajit Eusebius Ms. Rekha John Registration No. 231650016 Principal-School of Nursing Principal - School of Nursing Burrows Memorial Christian Hospital Bank Account No. to receive Foreign Contributions Christian Hospital Chhatarpur Published & Distributed by: P.O., Banskandi, Cachar District, Assam - 788 101 Account Number : A/C No. 50100092666453 Mahoba Road, Chhatarpur, Madhya Pradesh - 471 001 EMAIL: [email protected] The Emmanuel Hospital PHONE: 07682-249317 Name of the Bank and Address : HDFC Bank Ltd, EMAIL : [email protected] Association, B-54 A, Greater Kailash - Part - 1, New Delhi - 110048 New Delhi, Swift Code: HDFCINBB; IFSC Code: HDFC0000092 © eha, August 2018 Registered U/S 12 A (A) Income Tax Act: DLI © (X-207)/74-75 INTERNATIONAL SUPPORT GROUPS *Photographs used throughout the book are from various EHA Hospitals and Projects. EMMS INTERNATIONAL, UK EMMANUEL HOSPITAL ASSOCIATION, Contact Person James Wells, Chief Executive Address 7 Washington Lane, CANADA **Vector Graphics including India Map are drawn by the designer. Do not reproduce Edinburgh Eh11 2HA, UK Contact Person Dr. Abraham Ninan Email [email protected] Address 8-115 Meadows, Bvld., anywhere without the consent of the organisation. Telephone 0131 313 3828 Saskatoon, SK., S7V 0E6, Canada Email [email protected] Telephone 00-1-306 954 0922 ***Reporting under Sexual Harassment of Women at Workplace (Prevention, EMMANUEL HOSPITAL Prohibition & Redressal) Act 2013. ASSOCIATION, USA FRIENDS OF EHA, AUSTRALIA Contact Person Mr. Robb Hansen Contact Persons Dr. Renu John All the incorporate societies under EHA and the EHA Central Office have their respective Executive Director [email protected] Internal Complaints Committees. All the staff members are made aware of and sensitized Address 215 N Arlington Heights Road, Dr. Nathan Grills Suite 102, Arlington Heights, [email protected] about this policy. IL 600004, USA Dr. Sabu Thomas Email [email protected] [email protected] During the year 2017-18 a total of five cases were reported and were dealt with as per the Telephone 00-1-847 623 1170 said Act. Fax 00-1-847-577-8354

P | 86 Annual Report 2017-18 | Directory Contact | Annual Report 2017-18 P | 87 HERBERTPUR CHRISTIAN HOSPITAL SCHOOL OF NURSING Mr. Shailendra Ghosh NURSING SCHOOLS Principal - School of Nursing EMMANUEL HOSPITAL ASSOCIATION P.O, Herbertpur, District Dehradun Uttarakhand - 248142 HEAD OFFICE DUNCAN SCHOOL OF NURSING MOBILE: 08755004362 Ms. Dorcas Lepcha EMAIL: [email protected] Address EHA, 808/92, Nehru Place, Principal - School of Nursing, Duncan Hospital, Raxaul, East Champaran District, New Delhi – 110 019, India Bihar - 845 305 NAV JIVAN SCHOOL OF NURSING Email [email protected] PHONE: 06255-224145 Mrs. Chandra Kana Lepcha MOBILE: 09431616056 Principal - School of Nursing Telephone 00-91-11-30882008, EMAIL: [email protected] Nav Jivan Hospital, Tumbagara Village, Satbarwa Post, Fax 30882009 Palamu District, Jharkhand - 822 126 Website 00-91-11-30882019 BAPTIST CHRISTIAN HOSPITAL MOBILE: 09421513938 EMAIL: [email protected] www.eha-health.org SCHOOL OF NURSING [email protected] Ms. Eba Basumathary Principal - School of Nursing MAKUNDA SCHOOL OF NURSING Baptist Christian Hospital Ms. Denling Khartu Mission Chariali, Tezpur, Assam - 784 001 Principal - School of Nursing, Makunda Layout & Graphic Designed by: Charitable Registered Society EMAIL: [email protected] Makunda Christian Leprosy and General Hospital Suanlian Tangpua Registered Under Society Regn. Act 1860 Bazaricherra, Karimganj District, Assam - 788 727 Registration No. 4546/1970-71 dated 18-05-1970 PHONE: 03843-287937 BURROWS MEMORIAL HOSPITAL Compiled & Edited By: Registered to receive Foreign Contributions SCHOOL OF NURSING CHHATARPUR SCHOOL OF NURSING Under Foreign Contribution (Regulation) Act 1976 FC(R)A Mr. Sanjay Bhattacharjee Ajit Eusebius Ms. Rekha John Registration No. 231650016 Principal-School of Nursing Principal - School of Nursing Burrows Memorial Christian Hospital Bank Account No. to receive Foreign Contributions Christian Hospital Chhatarpur Published & Distributed by: P.O., Banskandi, Cachar District, Assam - 788 101 Account Number : A/C No. 50100092666453 Mahoba Road, Chhatarpur, Madhya Pradesh - 471 001 EMAIL: [email protected] The Emmanuel Hospital PHONE: 07682-249317 Name of the Bank and Address : HDFC Bank Ltd, EMAIL : [email protected] Association, B-54 A, Greater Kailash - Part - 1, New Delhi - 110048 New Delhi, Swift Code: HDFCINBB; IFSC Code: HDFC0000092 © eha, August 2018 Registered U/S 12 A (A) Income Tax Act: DLI © (X-207)/74-75 INTERNATIONAL SUPPORT GROUPS *Photographs used throughout the book are from various EHA Hospitals and Projects. EMMS INTERNATIONAL, UK EMMANUEL HOSPITAL ASSOCIATION, Contact Person James Wells, Chief Executive Address 7 Washington Lane, CANADA **Vector Graphics including India Map are drawn by the designer. Do not reproduce Edinburgh Eh11 2HA, UK Contact Person Dr. Abraham Ninan Email [email protected] Address 8-115 Meadows, Bvld., anywhere without the consent of the organisation. Telephone 0131 313 3828 Saskatoon, SK., S7V 0E6, Canada Email [email protected] Telephone 00-1-306 954 0922 ***Reporting under Sexual Harassment of Women at Workplace (Prevention, EMMANUEL HOSPITAL Prohibition & Redressal) Act 2013. ASSOCIATION, USA FRIENDS OF EHA, AUSTRALIA Contact Person Mr. Robb Hansen Contact Persons Dr. Renu John All the incorporate societies under EHA and the EHA Central Office have their respective Executive Director [email protected] Internal Complaints Committees. All the staff members are made aware of and sensitized Address 215 N Arlington Heights Road, Dr. Nathan Grills Suite 102, Arlington Heights, [email protected] about this policy. IL 600004, USA Dr. Sabu Thomas Email [email protected] [email protected] During the year 2017-18 a total of five cases were reported and were dealt with as per the Telephone 00-1-847 623 1170 said Act. Fax 00-1-847-577-8354

P | 86 Annual Report 2017-18 | Directory Contact | Annual Report 2017-18 P | 87 We Care