EMMANUEL HOSPITAL ASSOCIATION ANNUAL REPORT

2016-2017 PAGES CONTENTS

03 About EHA 04 Vision, Mission, and Core Values 05 EHA Location Map 06 Year Summary 2016-2017 07 Chairman’s Remarks 08 Executive Director’s Report 12 Palliative Care Services 16 Disaster Management and Mitigation Unit 20 Community Health & Development 24 Partnership Projects 28 Nursing Services & Training 30 Research and Bioethics 34 Regional Directors’ Reports North-Eastern Region P-34 Eastern Region P-40 Central Region P-44 Northern Region P-46 North-Central Region P-48 53 Financial Highlights 54 Hospital Statistics 2016-2017 56 Directory PAGES CONTENTS

03 About EHA 04 Vision, Mission, and Core Values 05 EHA Location Map 06 Year Summary 2016-2017 07 Chairman’s Remarks 08 Executive Director’s Report 12 Palliative Care Services 16 Disaster Management and Mitigation Unit 20 Community Health & Development 24 Partnership Projects 28 Nursing Services & Training 30 Research and Bioethics 34 Regional Directors’ Reports North-Eastern Region P-34 Eastern Region P-40 Central Region P-44 Northern Region P-46 North-Central Region P-48 53 Financial Highlights 54 Hospital Statistics 2016-2017 56 Directory ABOUT EHA VISION, MISSION & CORE VALUES HOW WE SERVE The twenty years between 1950 and 1970 were the dark v EHA serves through health, development, HIV/AIDS ages of medical missions in . The large scale exodus and Disaster programs, investing in the health and of European missionaries left many medical missions well being of the poor. and churches in a crisis of leadership. It was in such a v EHA's comprehensive health services and approach milieu that the idea of a federation of mission hospitals integrates essential clinical services with primary came into being. In 1969 EHA was officially formed and We serve people and communities regardless of healthcare and community level engagement in OUR VISION registered under the Societies Registration Act, 1860. race, caste, creed or religion with a geographical order to address the health and development needs Fellowship for transformation through caring. Over the years, EHA has grown to be a medical focus of North, North-East and Central India. We of people in rural and semi-urban areas. missionary movement and a fellowship of Christian do this in the name and spirit of Jesus Christ so as v EHA works in partnership with the communities, health professionals, committed to bring about OUR MISSION to manifest Him through word and deed. churches, governments, and community based wholeness of life to the marginalized members of our EHA is a fellowship of Christian institutions and individuals organizations in the states, and NGOs both varied communities. that exists to transform communities through caring, with OUR CORE VALUES nationally and internationally, to deliver the services primary emphasis on the poor v We strive to be transformed people and effectively and efficiently. and the marginalized. fellowships WHO WE ARE v Our model is servant leadership Emmanuel Hospital Association is the largest Christian WHY WE SERVE WE CARE THROUGH v We value team-work non-government provider of healthcare in India, with EHA is committed to the transformation of v Provision of appropriate health care. v We exist for others especially the poor and 20 hospitals and 42+ community based projects in 14 communities. EHA transforms people in the name and v Empowering communities through health and marginalized states of India. spirit of Jesus Christ. development programs. v We strive for the highest possible quality in v Spiritual ministries. all our services WHO WE SERVE v Leadership development. v We maintain integrity at all levels EHA helps transform the lives of the poor and under- v We strive to be transparent organization privileged people in rural areas of North, North east v We focus on accountability and Central India. EHA serves people and communities, regardless of race, caste, creed, gender, ethnic background or religious belief. 3 4 ANNUAL REPORT 2016-2017 | ABOUT EHA ANNUAL REPORT 2016-2017 | VISION, MISSION & CORE VALUE ABOUT EHA VISION, MISSION & CORE VALUES HOW WE SERVE The twenty years between 1950 and 1970 were the dark v EHA serves through health, development, HIV/AIDS ages of medical missions in India. The large scale exodus and Disaster programs, investing in the health and of European missionaries left many medical missions well being of the poor. and churches in a crisis of leadership. It was in such a v EHA's comprehensive health services and approach milieu that the idea of a federation of mission hospitals integrates essential clinical services with primary came into being. In 1969 EHA was officially formed and We serve people and communities regardless of healthcare and community level engagement in OUR VISION registered under the Societies Registration Act, 1860. race, caste, creed or religion with a geographical order to address the health and development needs Fellowship for transformation through caring. Over the years, EHA has grown to be a medical focus of North, North-East and Central India. We of people in rural and semi-urban areas. missionary movement and a fellowship of Christian do this in the name and spirit of Jesus Christ so as v EHA works in partnership with the communities, health professionals, committed to bring about OUR MISSION to manifest Him through word and deed. churches, governments, and community based wholeness of life to the marginalized members of our EHA is a fellowship of Christian institutions and individuals organizations in the states, and NGOs both varied communities. that exists to transform communities through caring, with OUR CORE VALUES nationally and internationally, to deliver the services primary emphasis on the poor v We strive to be transformed people and effectively and efficiently. and the marginalized. fellowships WHO WE ARE v Our model is servant leadership Emmanuel Hospital Association is the largest Christian WHY WE SERVE WE CARE THROUGH v We value team-work non-government provider of healthcare in India, with EHA is committed to the transformation of v Provision of appropriate health care. v We exist for others especially the poor and 20 hospitals and 42+ community based projects in 14 communities. EHA transforms people in the name and v Empowering communities through health and marginalized states of India. spirit of Jesus Christ. development programs. v We strive for the highest possible quality in v Spiritual ministries. all our services WHO WE SERVE v Leadership development. v We maintain integrity at all levels EHA helps transform the lives of the poor and under- v We strive to be transparent organization privileged people in rural areas of North, North east v We focus on accountability and Central India. EHA serves people and communities, regardless of race, caste, creed, gender, ethnic background or religious belief. 3 4 ANNUAL REPORT 2016-2017 | ABOUT EHA ANNUAL REPORT 2016-2017 | VISION, MISSION & CORE VALUE LOCATION MAP YEAR SUMMARY 2016-2017 20 hospitals, 1 HIV Critical Care Centre, 1 sub-hospital of Makunda hospital at Tripura, 10 Palliative Care Services, 42 CHD projects, 5 HIV/Partnership projects, 7 Nursing Schools, 2 English Medium Schools north 832,807 96,791 23,531

PUNJAB PEOPLE PEOPLE PEOPLE HERBERTPUR CHANDIGARH gained access to health care through out-patient received appropriate health care and treatment in rural communities had access to safe and

SEOHARA service through Inpatient services. adequate hospital based maternity care services and had safe deliveries. NEW DELHI EHA HQ

UTRAULA ASSAM AGRA TEZPUR NAGALAND UTTAR PRADESH RAXAUL GUWAHATI DIMAPUR v 30,000 children had access to education. KACHHWA ALIPUR FATEHPUR MADHIPURA v 65,500 families gained access to safe water & sanitation. BIHAR MAKUNDAMAKUNDA ALLAHABAD CHHATARPUR v 53,650 persons received Food aid, nutrition. BARHARWA AMBASSA LALITPUR ROBERTSGANJ SATBARWA TRIPURA AIZAWL v 17,000 families received assistance to improve their crops & protect natural resources, creating RANCHI MIZORAM sustainable solutions to hunger. TTISGARH v CHHA 6.2 million 7,300 families received assistance to start & sustain small businesses. LAKHNADON CHAMPA v 91,000 persons accessed government entitlements like disability certificates, identity certificates, CHINCHPADA JAGDEESHPUR PEOPLE pensions etc. v MAHARASHTRA benefitted from projects that improve health 6,800 persons with disability were supported by assistive devices and therapeutic interventions. BASTAR and well-being: v 2,700 received treatment along – with assistance in form of care plans and house visits for severe mental disorders & common mental disorders. DAPEGAON v More than 4,20,000 persons accessed information that helped in generating community- led action for prevention of the spread of HIV/AIDS & harm reduction , TB, Malaria, other communicable diseases & also to community entitlements like roads, electricity etc.

30,916 28,918 678 PEOPLE PEOPLE PEOPLE people directly benefited through Disaster received surgical interventions. gained access to healthwith cancer and other incurable © 2017, EHA Management interventions. non-communicable diseases, and their family MAP NOT TO SCALE members, received wholistic care through palliative for representation purpose only care services. 5 6 ANNUAL REPORT 2016-2017 | EHA MAP ANNUAL REPORT 2016-2017 | YEAR SUMMARY LOCATION MAP YEAR SUMMARY 2016-2017 20 hospitals, 1 HIV Critical Care Centre, 1 sub-hospital of Makunda hospital at Tripura, 10 Palliative Care Services, 42 CHD projects, 5 HIV/Partnership projects, 7 Nursing Schools, 2 English Medium Schools north 832,807 96,791 23,531

PUNJAB PEOPLE PEOPLE PEOPLE HERBERTPUR CHANDIGARH LANDOUR DEHRADUN gained access to health care through out-patient received appropriate health care and treatment in rural communities had access to safe and

SEOHARA UTTARAKHAND service through Inpatient services. adequate hospital based maternity care services and had safe deliveries. NEW DELHI EHA HQ

UTRAULA ASSAM AGRA TEZPUR NAGALAND UTTAR PRADESH RAXAUL GUWAHATI DIMAPUR v 30,000 children had access to education. KACHHWA ALIPUR FATEHPUR MADHIPURA v 65,500 families gained access to safe water & sanitation. BIHAR MAKUNDAMAKUNDA ALLAHABAD CHHATARPUR v 53,650 persons received Food aid, nutrition. BARHARWA AMBASSA LALITPUR ROBERTSGANJ SATBARWA TRIPURA AIZAWL v 17,000 families received assistance to improve their crops & protect natural resources, creating RANCHI MADHYA PRADESH JHARKHAND MIZORAM sustainable solutions to hunger. TTISGARH v CHHA 6.2 million 7,300 families received assistance to start & sustain small businesses. LAKHNADON CHAMPA v 91,000 persons accessed government entitlements like disability certificates, identity certificates, CHINCHPADA JAGDEESHPUR PEOPLE pensions etc. v MAHARASHTRA benefitted from projects that improve health 6,800 persons with disability were supported by assistive devices and therapeutic interventions. BASTAR and well-being: v 2,700 received treatment along – with assistance in form of care plans and house visits for severe mental disorders & common mental disorders. DAPEGAON v More than 4,20,000 persons accessed information that helped in generating community- led action for prevention of the spread of HIV/AIDS & harm reduction , TB, Malaria, other communicable diseases & also to community entitlements like roads, electricity etc.

30,916 28,918 678 PEOPLE PEOPLE PEOPLE people directly benefited through Disaster received surgical interventions. gained access to healthwith cancer and other incurable © 2017, EHA Management interventions. non-communicable diseases, and their family MAP NOT TO SCALE members, received wholistic care through palliative for representation purpose only care services. 5 6 ANNUAL REPORT 2016-2017 | EHA MAP ANNUAL REPORT 2016-2017 | YEAR SUMMARY hospitals, more than 40 community Chairman’s Remarks EXECUTIVE DIRECTOR’S REPORT initiatives and partnership programs. The challenge in recent years has been to keep up with the rapidly changing healthcare scenario in the country, as Dear friends, standards and statutory requirements have Another year has gone by. The nation and the world looks different. It is impossible to continue with business-as-usual attitude. begun to gain in importance, and rightly so. Every sector of life is being affected and people from all walks are feeling the change. The world is more uncertain about it's The year gone by has been no exception – future than it has been in the last fifty years. yet despite the pressures of coping with the requirements, we have much to be Such conditions of hopelessness and uncertainty are not unprecedented in human history. It was in a similar situation of despair encouraged by and grateful for. and longing that the Bible says, ‘John appeared’ (Mark 1:4). John, the baptizer was the fulfilment of the Scripture and he came as the messenger who preceded the Messiah. The word ‘appeared’ is not as though something happened; but that it came into being or became. The emphasis is on the presence in the situation. In an environment of hopelessness, the messenger of God The medical work continued to progress, with a makes his appearance. In many ways, we too as the people of God, make our appearance, or make our presence, in the total of 929,000 patients being catered to through situations of despair. Emmanuel Hospital Association (EHA) is a messianic presence in the communities where they are placed the workforce of approximately 200 doctors and the sector in which they exist. (inclusive of 75 specialists), 950 nurses and a There are three significant characteristics of presence which I would like to highlight. First, the Appropriateness of presence. Dr. Joshua Sunil Gokavi thousand paramedical and clerical staff, apart The Scripture is clear that the messengers of God appear to respond to the cries that have reached the ears of God. EHA is not a from the invaluable help of our 400 non- stand-alone institution, but a response to the pleas of help from the people in the situation. professional workers. he Emmanuel Hospital Association has now The medical work Second is the Prophetic nature of such a presence. The appearance is both a condemnation of what is and an announcement continued to been in existence for 48 years – an progress, with a of what should be. Institutions of service are a rational critique of an environment of selfishness that is slowly eliminating total of 929,000 organization that originated as just a The development of the medical facilities patients being T compassion and justice. They also are the courageous alternative to ensure a just and compassionate society. In the health catered to through concept in the hearts and minds of a few, was and services in Chinchpada (Maharashtra) sector, EHA is both call and invitation. the workforce of approximately 200 considered untenable in a large consultation in has been particularly encouraging – from a doctors (inclusive of 75 specialists), 950 1968, and yet became a reality just a year later – a hospital with almost non-existent services to And finally, the characteristic of Limited presence. John was a pointer to the Messiah. He appeared to show the way. We too nurses and a thousand ‘miracle’ that in no uncertain terms reflects the a thriving surgical and acute medical care must recognise that He must increase and we must decrease. Much of mission sometimes presents itself as focused on their own paramedical and clerical staff, apart existence and their permanence. On the contrary our value in God’s kingdom is the turning of people towards Him in whose from the invaluable purposes of God in its establishment. From facility in a short span of two years name we serve. help of our 400 non- humble beginnings, it has progressively grown in professional v Of particular significance was the workers. size and reach, to continue to occupy a significant moving forward of two of the C B Samuel role in contributing to the health needs in rural Chairman, Emmanuel Hospital Association hospitals in Assam – in Tezpur and 7 8 central, north and North-East India, through its 20 Makunda – toward obtaining NABH ANNUAL REPORT 2016-2017 | CHAIRMAN’S REMARKS hospitals, more than 40 community Chairman’s Remarks EXECUTIVE DIRECTOR’S REPORT initiatives and partnership programs. The challenge in recent years has been to keep up with the rapidly changing healthcare scenario in the country, as Dear friends, standards and statutory requirements have Another year has gone by. The nation and the world looks different. It is impossible to continue with business-as-usual attitude. begun to gain in importance, and rightly so. Every sector of life is being affected and people from all walks are feeling the change. The world is more uncertain about it's The year gone by has been no exception – future than it has been in the last fifty years. yet despite the pressures of coping with the requirements, we have much to be Such conditions of hopelessness and uncertainty are not unprecedented in human history. It was in a similar situation of despair encouraged by and grateful for. and longing that the Bible says, ‘John appeared’ (Mark 1:4). John, the baptizer was the fulfilment of the Scripture and he came as the messenger who preceded the Messiah. The word ‘appeared’ is not as though something happened; but that it came into being or became. The emphasis is on the presence in the situation. In an environment of hopelessness, the messenger of God The medical work continued to progress, with a makes his appearance. In many ways, we too as the people of God, make our appearance, or make our presence, in the total of 929,000 patients being catered to through situations of despair. Emmanuel Hospital Association (EHA) is a messianic presence in the communities where they are placed the workforce of approximately 200 doctors and the sector in which they exist. (inclusive of 75 specialists), 950 nurses and a There are three significant characteristics of presence which I would like to highlight. First, the Appropriateness of presence. Dr. Joshua Sunil Gokavi thousand paramedical and clerical staff, apart The Scripture is clear that the messengers of God appear to respond to the cries that have reached the ears of God. EHA is not a from the invaluable help of our 400 non- stand-alone institution, but a response to the pleas of help from the people in the situation. professional workers. he Emmanuel Hospital Association has now The medical work Second is the Prophetic nature of such a presence. The appearance is both a condemnation of what is and an announcement continued to been in existence for 48 years – an progress, with a of what should be. Institutions of service are a rational critique of an environment of selfishness that is slowly eliminating total of 929,000 organization that originated as just a The development of the medical facilities patients being T compassion and justice. They also are the courageous alternative to ensure a just and compassionate society. In the health catered to through concept in the hearts and minds of a few, was and services in Chinchpada (Maharashtra) sector, EHA is both call and invitation. the workforce of approximately 200 considered untenable in a large consultation in has been particularly encouraging – from a doctors (inclusive of 75 specialists), 950 1968, and yet became a reality just a year later – a hospital with almost non-existent services to And finally, the characteristic of Limited presence. John was a pointer to the Messiah. He appeared to show the way. We too nurses and a thousand ‘miracle’ that in no uncertain terms reflects the a thriving surgical and acute medical care must recognise that He must increase and we must decrease. Much of mission sometimes presents itself as focused on their own paramedical and clerical staff, apart existence and their permanence. On the contrary our value in God’s kingdom is the turning of people towards Him in whose from the invaluable purposes of God in its establishment. From facility in a short span of two years name we serve. help of our 400 non- humble beginnings, it has progressively grown in professional v Of particular significance was the workers. size and reach, to continue to occupy a significant moving forward of two of the C B Samuel role in contributing to the health needs in rural Chairman, Emmanuel Hospital Association hospitals in Assam – in Tezpur and 7 8 central, north and North-East India, through its 20 Makunda – toward obtaining NABH ANNUAL REPORT 2016-2017 | CHAIRMAN’S REMARKS entry level certification, the exercise of which has v A new Intensive Care Unit in Champa Christian contributed greatly to the improvement in the Hospital (Chhattisgarh). Community initiatives have continued to impact fairly large quality of services offered. This has served as an v Completion of new Mother and Child facilities in segments of the populations we work with in more ways than one: encouraging example to be emulated by other Chhatarpur Christian Hospital (MP). units. v A separate ophthalmic theatre complex and v After being given the responsibility of an HIV testing and v wards in Prem Sewa Hospital, Utraula – a long- counseling program in the central prisons of Punjab, EHA v Nursing schools and services, the backbone of awaited need that finally became a reality was requested to extend the same program to those EHA, are growing from strength to strength, as v Much-needed renovation of the out-patient prisons in the state of Assam as well. recognition of the outcomes are appreciated in facility at the Duncan Hospital, Raxaul. v The unit in Lalitpur, where Palliative Care was birthed in the wider arena of the country. A recent nurse EHA, has now been recognized as a training centre for the leaders’ consultation served as a platform of IAPC (Indian Association for Palliative Care) course. encouragement and greater things to come. v The trust placed by the Uttarakhand government in Herbertpur Christian Hospital in taking up the re-vamping Besides the introduction and development of a few of Naari Niketan, a government home for over a 100 newer services, there has been significant progress in destitute women, has been more than realized, as the the infrastructural needs of some of our hospitals: contract was extended into the second year, with added responsibilities such as the nutrition of the inmates, etc. v The completion of the nursing hostel in v The Disaster Management & Mitigation unit, though a Herbertpur Christian Hospital (Uttarakhand), as small team, has accomplished much in the past year, well as a new in-patient facility with renovation of especially in terms of coordinating networking and the labour room. training in Nepal, following the devastating earthquake, v State-of-the-art facilities for labour patients and as well as being recognized as a credible resource for neonatal services in Makunda Christian Hospital inputs in national and international forums. As disaster in Assam, one of the most remote of EHA preparedness is becoming mandatory for institutions, the locations. demand for the training they offer has been high and well v The completion of a large nursing hostel in Baptist received. Christian Hospital, Tezpur v Mental health initiatives in the community have begun to v A modern operating theatre complex in gain ground, with a coordination mechanism within the Broadwell Christian Hospital, Fatehpur

9 10 ANNUAL REPORT 2016-2017 | EXECUTIVE DIRECTOR’S REPORT entry level certification, the exercise of which has v A new Intensive Care Unit in Champa Christian contributed greatly to the improvement in the Hospital (Chhattisgarh). Community initiatives have continued to impact fairly large quality of services offered. This has served as an v Completion of new Mother and Child facilities in segments of the populations we work with in more ways than one: encouraging example to be emulated by other Chhatarpur Christian Hospital (MP). units. v A separate ophthalmic theatre complex and v After being given the responsibility of an HIV testing and v wards in Prem Sewa Hospital, Utraula – a long- counseling program in the central prisons of Punjab, EHA v Nursing schools and services, the backbone of awaited need that finally became a reality was requested to extend the same program to those EHA, are growing from strength to strength, as v Much-needed renovation of the out-patient prisons in the state of Assam as well. recognition of the outcomes are appreciated in facility at the Duncan Hospital, Raxaul. v The unit in Lalitpur, where Palliative Care was birthed in the wider arena of the country. A recent nurse EHA, has now been recognized as a training centre for the leaders’ consultation served as a platform of IAPC (Indian Association for Palliative Care) course. encouragement and greater things to come. v The trust placed by the Uttarakhand government in Herbertpur Christian Hospital in taking up the re-vamping Besides the introduction and development of a few of Naari Niketan, a government home for over a 100 newer services, there has been significant progress in destitute women, has been more than realized, as the the infrastructural needs of some of our hospitals: contract was extended into the second year, with added responsibilities such as the nutrition of the inmates, etc. v The completion of the nursing hostel in v The Disaster Management & Mitigation unit, though a Herbertpur Christian Hospital (Uttarakhand), as small team, has accomplished much in the past year, well as a new in-patient facility with renovation of especially in terms of coordinating networking and the labour room. training in Nepal, following the devastating earthquake, v State-of-the-art facilities for labour patients and as well as being recognized as a credible resource for neonatal services in Makunda Christian Hospital inputs in national and international forums. As disaster in Assam, one of the most remote of EHA preparedness is becoming mandatory for institutions, the locations. demand for the training they offer has been high and well v The completion of a large nursing hostel in Baptist received. Christian Hospital, Tezpur v Mental health initiatives in the community have begun to v A modern operating theatre complex in gain ground, with a coordination mechanism within the Broadwell Christian Hospital, Fatehpur

9 10 ANNUAL REPORT 2016-2017 | EXECUTIVE DIRECTOR’S REPORT The Palliative Care Service aims to improve PALLIATIVE CARE SERVICE the quality of life of patients with life limiting illnesses like cancer, HIV, organ failure and neurological deficits and their families by providing total, holistic care. The 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 home and surrounded by their loved ones. The home care team visits the homes of patients on a regular basis to provide needed care. Special attention is provided to In terms of internal capacity-building and system progressively instituted in the country are certainly family members and they are equipped to implementation, the focus was on implementing an ERP proving to be a major challenge for establishments like take care of their patient at home. across the organization, which is still in progress, having ours, as many of the requirements involve additional met with mixed success as challenges thrown up have qualified, experienced manpower as well as finances, been significant. Similarly, financial management has besides a paradigm shift in the way of functioning. Dr. Savita Duomai been streamlined to a large extent, which should augur Specific Objectives for the year: well for the organization. In the midst of these many uncertainties, we have time HA initiated its Palliative Care Service in and again been encouraged by the fact that this is much April 2010 following a needs assessment, 1. To provide holistic home based care for The Palliative Care patients with life limiting illnesses and their There is a perceived growing need to contextualize EHA more than a medical endeavor – EHA is a God-ordained Service aims to extensive planning and training at the first improve the quality E and its involvement in the health scenario of the country and God-sustained movement, seeking to be faithful to of life of patients site - HBM Hospital Lalitpur. During the year 2016 families. To offer support to these patients with life limiting – we have begun looking deeply into our structure, and the task at hand, while encouraging others to come illnesses like - 17, eleven Palliative Care services were and their families in all aspects of life – cancer, HIV, organ explore ways in which we can be more effective, alongside in fulfilling the call. We are challenged to failure and operational - at HBM Hospital Lalitpur, Broadwell physical, emotional, psychological, social neurological deficits strengthening the good and changing the irrelevant. embark on “such endeavours that are bound to fail if and their families by Christian Hospital Fatehpur, Prem Sewa Hospital and spiritual. providing total, We are grateful for a number of professionals who God were not in them”, and are quietly confident that the holistic care. Utraula, GM Priya Hospital Dapegaon, Shalom 2. To provide outpatient and inpatient medical recognize the role of EHA in the country and are assurance ‘He who began a good work in you will carry it Delhi, Baptist Christian Hospital Tezpur, Christian support at the EHA hospitals for these available to assist us in this journey of change. on to completion till the Day of Christ Jesus’ is very much Hospital Chhatarpur, Madhipura Christian patients. applicable to the Hospital Association that bears His Hospital, Nav Jivan Hospital Satbarwa, Lakhnadon 3. To raise awareness among the local The various medical legislative measures being Name! Christian Hospital and Chinchpada Christian population, nearby communities and 11 12 Hospital. medical practitioners about the scope of ANNUAL REPORT 2016-2017 | EXECUTIVE DIRECTOR’S REPORT The Palliative Care Service aims to improve PALLIATIVE CARE SERVICE the quality of life of patients with life limiting illnesses like cancer, HIV, organ failure and neurological deficits and their families by providing total, holistic care. The 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 home and surrounded by their loved ones. The home care team visits the homes of patients on a regular basis to provide needed care. Special attention is provided to In terms of internal capacity-building and system progressively instituted in the country are certainly family members and they are equipped to implementation, the focus was on implementing an ERP proving to be a major challenge for establishments like take care of their patient at home. across the organization, which is still in progress, having ours, as many of the requirements involve additional met with mixed success as challenges thrown up have qualified, experienced manpower as well as finances, been significant. Similarly, financial management has besides a paradigm shift in the way of functioning. Dr. Savita Duomai been streamlined to a large extent, which should augur Specific Objectives for the year: well for the organization. In the midst of these many uncertainties, we have time HA initiated its Palliative Care Service in and again been encouraged by the fact that this is much April 2010 following a needs assessment, 1. To provide holistic home based care for The Palliative Care patients with life limiting illnesses and their There is a perceived growing need to contextualize EHA more than a medical endeavor – EHA is a God-ordained Service aims to extensive planning and training at the first improve the quality E and its involvement in the health scenario of the country and God-sustained movement, seeking to be faithful to of life of patients site - HBM Hospital Lalitpur. During the year 2016 families. To offer support to these patients with life limiting – we have begun looking deeply into our structure, and the task at hand, while encouraging others to come illnesses like - 17, eleven Palliative Care services were and their families in all aspects of life – cancer, HIV, organ explore ways in which we can be more effective, alongside in fulfilling the call. We are challenged to failure and operational - at HBM Hospital Lalitpur, Broadwell physical, emotional, psychological, social neurological deficits strengthening the good and changing the irrelevant. embark on “such endeavours that are bound to fail if and their families by Christian Hospital Fatehpur, Prem Sewa Hospital and spiritual. providing total, We are grateful for a number of professionals who God were not in them”, and are quietly confident that the holistic care. Utraula, GM Priya Hospital Dapegaon, Shalom 2. To provide outpatient and inpatient medical recognize the role of EHA in the country and are assurance ‘He who began a good work in you will carry it Delhi, Baptist Christian Hospital Tezpur, Christian support at the EHA hospitals for these available to assist us in this journey of change. on to completion till the Day of Christ Jesus’ is very much Hospital Chhatarpur, Madhipura Christian patients. applicable to the Hospital Association that bears His Hospital, Nav Jivan Hospital Satbarwa, Lakhnadon 3. To raise awareness among the local The various medical legislative measures being Name! Christian Hospital and Chinchpada Christian population, nearby communities and 11 12 Hospital. medical practitioners about the scope of ANNUAL REPORT 2016-2017 | EXECUTIVE DIRECTOR’S REPORT palliative care. 5. Training and Capacity Building: b. Palliative Care for transgenders with HIV at Shalom Delhi by Dr. 4. To conduct training programs and workshops to a. Basic Course in Essentials of Palliative Care by Savita equip staff, volunteers and others to provide quality Indian Association of Palliative Care ( IAPC) was c. Poster presentation on factors considered important at the palliative care. held at HBM Hospital Laliltpur from June 6 – 10, end of life by a tribal population by Dr. Ashita 2016 for 7 doctors and 8 nurses, and from November 1-4, 2016 for 15 nurses. Key Achievements during the year: b. Dr. Ann Thyle was a resource person for the EHA Palliative Care Reporting Meeting Palliative Care Training Program at Faridabad and Farewell for Dr. Ann Thyle 1. Home care service was provided by the palliative organized by Lien Collaborative for Palliative care home care teams for 678 patients and for their Palliative Care teams from 8 EHA units and Shalom Project, along Care, Singapore for 16 doctors and 17 nurses family members. Bereavement care was offered to with the Central Palliative Care team met together for a Reporting from 5 cancer treatment centres in Delhi, families who had lost their loved ones. meeting from December 5 – 7, 2016 at Torch Bearers in Dehradun. Uttarakhand and Rajasthan. 2. Medical support was provided at EHA hospitals for The different units reported on their activities and impact, c. A Communication Skills Workshop was held the home care patients during 641 outpatient visits challenges faced and plans for the future. It was a time of learning, from November 7 -9 for 25 participants. and 126 in-patient admissions. sharing and encouraging one another. d. A Symptom Management Workshop was held 3. Awareness about cancer and palliative care was on March 3 and 4 for 21 participants. provided to 13,709 people in the communities There was a Farewell Program for Dr. Ann Thyle by the Palliative e. Palliative Care nurses Kim and Lorraine from St. served by the palliative care teams. Care Department on 6th December. Staff from each unit expressed Columba’s Hospice, UK spent 2 weeks at HBM 4. New Palliative Care Services were started in the their gratitude to Dr. Ann for investing in their lives and building hospital Lalitpur mentoring the palliative care following hospitals: them and their teams on a professional and personal level. EHA’s team. Palliative Care Service is grateful to Dr. Ann for her untiring service a. Chinchpada Christian Hospital started the and excellent leadership in pioneering Palliative Care in rural north palliative care service in April 2016. India and for developing the program to one that is internationally 6. EHA representation at the IAPC International b. Nav Jivan Christian Hospital, Satbarwa started 3. Palliative Care Conference at Coimbatore in recognized for its quality services to the poor and marginalized. the palliative care service in September 2016. February 2016: 5 doctors from EHA participated at c. Jiwan Jyoti Christian Hospital, Robertsganj - 4. the Conference. The following were the Specific Objectives for the year: training of staff was done and the service 5. presentations by EHA at the conference: commenced from May 2017. 1. Capacity building of all categories of staff in the palliative care teams across EHA. d. Duncan Hospital, Raxaul – initial planning and a. EHA’s model of provision of Palliative Care in rural 6. 2. Strengthen the psychosocial and spiritual training was done and the service commenced north India by Dr. Ann Thyle from May / June 2017 aspects of the holistic care provided by our teams. 13 14 ANNUAL REPORT 2016-2017 | PALLIATIVE CARE SERVICE palliative care. 5. Training and Capacity Building: b. Palliative Care for transgenders with HIV at Shalom Delhi by Dr. 4. To conduct training programs and workshops to a. Basic Course in Essentials of Palliative Care by Savita equip staff, volunteers and others to provide quality Indian Association of Palliative Care ( IAPC) was c. Poster presentation on factors considered important at the palliative care. held at HBM Hospital Laliltpur from June 6 – 10, end of life by a tribal population by Dr. Ashita 2016 for 7 doctors and 8 nurses, and from November 1-4, 2016 for 15 nurses. Key Achievements during the year: b. Dr. Ann Thyle was a resource person for the EHA Palliative Care Reporting Meeting Palliative Care Training Program at Faridabad and Farewell for Dr. Ann Thyle 1. Home care service was provided by the palliative organized by Lien Collaborative for Palliative care home care teams for 678 patients and for their Palliative Care teams from 8 EHA units and Shalom Project, along Care, Singapore for 16 doctors and 17 nurses family members. Bereavement care was offered to with the Central Palliative Care team met together for a Reporting from 5 cancer treatment centres in Delhi, families who had lost their loved ones. meeting from December 5 – 7, 2016 at Torch Bearers in Dehradun. Uttarakhand and Rajasthan. 2. Medical support was provided at EHA hospitals for The different units reported on their activities and impact, c. A Communication Skills Workshop was held the home care patients during 641 outpatient visits challenges faced and plans for the future. It was a time of learning, from November 7 -9 for 25 participants. and 126 in-patient admissions. sharing and encouraging one another. d. A Symptom Management Workshop was held 3. Awareness about cancer and palliative care was on March 3 and 4 for 21 participants. provided to 13,709 people in the communities There was a Farewell Program for Dr. Ann Thyle by the Palliative e. Palliative Care nurses Kim and Lorraine from St. served by the palliative care teams. Care Department on 6th December. Staff from each unit expressed Columba’s Hospice, UK spent 2 weeks at HBM 4. New Palliative Care Services were started in the their gratitude to Dr. Ann for investing in their lives and building hospital Lalitpur mentoring the palliative care following hospitals: them and their teams on a professional and personal level. EHA’s team. Palliative Care Service is grateful to Dr. Ann for her untiring service a. Chinchpada Christian Hospital started the and excellent leadership in pioneering Palliative Care in rural north palliative care service in April 2016. India and for developing the program to one that is internationally 6. EHA representation at the IAPC International b. Nav Jivan Christian Hospital, Satbarwa started 3. Palliative Care Conference at Coimbatore in recognized for its quality services to the poor and marginalized. the palliative care service in September 2016. February 2016: 5 doctors from EHA participated at c. Jiwan Jyoti Christian Hospital, Robertsganj - 4. the Conference. The following were the Specific Objectives for the year: training of staff was done and the service 5. presentations by EHA at the conference: commenced from May 2017. 1. Capacity building of all categories of staff in the palliative care teams across EHA. d. Duncan Hospital, Raxaul – initial planning and a. EHA’s model of provision of Palliative Care in rural 6. 2. Strengthen the psychosocial and spiritual training was done and the service commenced north India by Dr. Ann Thyle from May / June 2017 aspects of the holistic care provided by our teams. 13 14 ANNUAL REPORT 2016-2017 | PALLIATIVE CARE SERVICE 3. Leadership development within the palliative care DISASTER MANAGEMENT vision: …toward building disaster resilient teams of EHA. community with the following 3-fold 4. Expand the work to more hospitals within EHA. & MITIGATION UNIT strategic directions adopted since 2007- Better integration of palliative care with the work of 2008: i) Disaster Response, ii) Disaster the hospitals and community projects of EHA Units. TLM Preparedness in institutions and individuals Strengthen our current partnerships and build new through the Institute for DEEM & iii) Disaster ones. Risk Reductions, through the following activities undertaken during the reporting year:

Caring for Shiv Kumari DISASTER RESPONSE: Shiv Kumari (80) lived with her family in a village of 1. Flood Responses in Kishanganj and Fatehpur district. She was brought by her family to Begusarai between July to September Broadwell Christian Hospital, Fatehpur with a history of 2016, and a fire incident in Bakhotoli recurrent bouts of fever. At the hospital she was village, Kishangunj, Bihar with Ready to diagnosed to have periampullary duodenal cancer and eat meals; Dry Food Ration, Medical; was enrolled with the Palliative Care service. Hygiene and Dignity kits, Mosquito net, Recognizing her condition as the end of life stage, the Mr. Peniel Malakar Collapsible water jerry cans, Blankets, The Palliative Care team visited her in her home, where palliative care team counseled her family to spend time Family kits, Education and Games kits, they found her quite weak and unable to sit up or eat. with her and also fulfill her last wishes. Shiv Kumari he Focus of the year was to further align our The family was taught how to give her a liquid diet. passed away at home peacefully surrounded by her Water purifying tablets, Bleaching family and loved ones. The palliative care team Emergency work with the global framework: The Sendai powder and Shelter materials (Concrete Medicines were given to relieve physical symptoms like Response- EHA pain. Shiv Kumari opened herself up to the team and continued to support the family members during their has earned Framework 2015-2030. Therefore, we Pillar & CG sheet). This covered a total commendable T shared her thoughts and feelings with them. The next time of grief. experiences in the engaged to ensure that ‘No one left behind’; 3300 families or 16500 members disaster time the team visited her, they were pleasantly management field ‘proactively engaging the local stakeholders with approximately. A total amount of during the decade. surprised to see that she had started taking oral feeds As of now, EHA specific focus on people with disabilities’; and INR.61.26 lakhs was spent with support responded to as and was able to sit up. The team visited the family on a many as 39 disaster influencing a larger number of healthcare events from DVN, TAI & MCC. regular basis and supported and counseled them. approximately institutions toward making their hospitals safer, benefiting more 2. Adopting the strategic than 500,000 that includes a comprehensive hospital DRR recommendations made by the About four months after being enrolled with home care, Follow Us At: victims. program in Nepal. Executive Director and following the Shiv Kumari’s condition deteriorated considerably. f /eha.palliative.care.service deliberations during the RGB 2016, a As a 3-member team at the Central Office, we regional strategy for Response and 15 16 were able to progress towards achieving the Unit’s ANNUAL REPORT 2016-2017 | PALLIATIVE CARE SERVICE 3. Leadership development within the palliative care DISASTER MANAGEMENT vision: …toward building disaster resilient teams of EHA. community with the following 3-fold 4. Expand the work to more hospitals within EHA. & MITIGATION UNIT strategic directions adopted since 2007- Better integration of palliative care with the work of 2008: i) Disaster Response, ii) Disaster the hospitals and community projects of EHA Units. TLM Preparedness in institutions and individuals Strengthen our current partnerships and build new through the Institute for DEEM & iii) Disaster ones. Risk Reductions, through the following activities undertaken during the reporting year:

Caring for Shiv Kumari DISASTER RESPONSE: Shiv Kumari (80) lived with her family in a village of 1. Flood Responses in Kishanganj and Fatehpur district. She was brought by her family to Begusarai between July to September Broadwell Christian Hospital, Fatehpur with a history of 2016, and a fire incident in Bakhotoli recurrent bouts of fever. At the hospital she was village, Kishangunj, Bihar with Ready to diagnosed to have periampullary duodenal cancer and eat meals; Dry Food Ration, Medical; was enrolled with the Palliative Care service. Hygiene and Dignity kits, Mosquito net, Recognizing her condition as the end of life stage, the Mr. Peniel Malakar Collapsible water jerry cans, Blankets, The Palliative Care team visited her in her home, where palliative care team counseled her family to spend time Family kits, Education and Games kits, they found her quite weak and unable to sit up or eat. with her and also fulfill her last wishes. Shiv Kumari he Focus of the year was to further align our The family was taught how to give her a liquid diet. passed away at home peacefully surrounded by her Water purifying tablets, Bleaching family and loved ones. The palliative care team Emergency work with the global framework: The Sendai powder and Shelter materials (Concrete Medicines were given to relieve physical symptoms like Response- EHA pain. Shiv Kumari opened herself up to the team and continued to support the family members during their has earned Framework 2015-2030. Therefore, we Pillar & CG sheet). This covered a total commendable T shared her thoughts and feelings with them. The next time of grief. experiences in the engaged to ensure that ‘No one left behind’; 3300 families or 16500 members disaster time the team visited her, they were pleasantly management field ‘proactively engaging the local stakeholders with approximately. A total amount of during the decade. surprised to see that she had started taking oral feeds As of now, EHA specific focus on people with disabilities’; and INR.61.26 lakhs was spent with support responded to as and was able to sit up. The team visited the family on a many as 39 disaster influencing a larger number of healthcare events from DVN, TAI & MCC. regular basis and supported and counseled them. approximately institutions toward making their hospitals safer, benefiting more 2. Adopting the strategic than 500,000 that includes a comprehensive hospital DRR recommendations made by the About four months after being enrolled with home care, Follow Us At: victims. program in Nepal. Executive Director and following the Shiv Kumari’s condition deteriorated considerably. f /eha.palliative.care.service deliberations during the RGB 2016, a As a 3-member team at the Central Office, we regional strategy for Response and 15 16 were able to progress towards achieving the Unit’s ANNUAL REPORT 2016-2017 | PALLIATIVE CARE SERVICE Preparedness has been drafted for EHA for enhancing DISASTER RISK REDUCTION the emergency response program. The 2 years Himalayan Disability inclusive Disaster Risk Reduction Project (HDiDRR) project was completed in two phases DISASTER PREPAREDNESS (community and institutional approach) by March 2017. This THROUGH TRAINING & CAPACITY project was the follow up of the 25th April, 2015 Nepal Earthquake. BUILDING 1. We are happy to mention that a model comprehensive DRR The trainings covered participants from local program was successfully implemented at the Anandaban community to medical doctors to hospitals & Hospital in Nepal with TLM Nepal as our partners. The educational leaders. detailed report can be seen at this link: 1. 7216 were trained as first responders (First Aid; Fire http://ehadmmu.com/assets/uploads/downloads/20170608_ Safety; Basic Rescue Technique & Post Disaster 1496896647.pdf Psychosocial Counselling). 2. Currently we are exploring for a pilot program undertaking a 2. 370 healthcare leaders (using EHA’s HDPR modules) high disaster risk District in India for demonstration of the and 30 school teachers from Sriram School in Delhi Sendai Framework and our commitment at the first World and Duncan Academy in Raxaul. Humanitarian Summit (WHS commitment) organized by the 3. 230 leaders from the Disaster Response Network. UN. Please refer to this link for more on our WHS commitment: 4. In this effort we covered 12 hospitals in India and http://ehadmmu.com/assets/uploads/downloads/20170703_ Nepal, namely- Arogyovaram; Jorhat; 1499094769.pdf Vadathorasalur; Muzzaffarpur; Delhi; Tilda; Raxaul; 3. As part of the WHS commitment, EHA enhanced its existing Tezpur; Alipur & Lalitpur in India; Pokhara and Disaster Response Network (DRN) to Manipur, Lalitpur in Nepal. and Bihar and in Nepal engaging 248 organizations. 5. Developed several training video modules in Nepali. 4. An online initiative for baseline survey on hospital safety in 6. First Disaster Relief Management training for CHD India undertaken with specific focus on EHA. The survey staff in Delhi. outcome is supposed to help streamline, strategise and 7. Initiative toward standardizing (Total Quality prioritize EHA’s Hospital Safety program in the regional level. Management/TQM) existing First Responders The TLM India has already started up the program in 2016 and training modules- First Aid; Fire Safety; Basic Rescue now has queued for the rest of their Units. Techniques; PDPSC; HDPR. 17 18 ANNUAL REPORT 2016-2017 | DISASTER MANAGEMENT & MITIGATION UNIT Preparedness has been drafted for EHA for enhancing DISASTER RISK REDUCTION the emergency response program. The 2 years Himalayan Disability inclusive Disaster Risk Reduction Project (HDiDRR) project was completed in two phases DISASTER PREPAREDNESS (community and institutional approach) by March 2017. This THROUGH TRAINING & CAPACITY project was the follow up of the 25th April, 2015 Nepal Earthquake. BUILDING 1. We are happy to mention that a model comprehensive DRR The trainings covered participants from local program was successfully implemented at the Anandaban community to medical doctors to hospitals & Hospital in Nepal with TLM Nepal as our partners. The educational leaders. detailed report can be seen at this link: 1. 7216 were trained as first responders (First Aid; Fire http://ehadmmu.com/assets/uploads/downloads/20170608_ Safety; Basic Rescue Technique & Post Disaster 1496896647.pdf Psychosocial Counselling). 2. Currently we are exploring for a pilot program undertaking a 2. 370 healthcare leaders (using EHA’s HDPR modules) high disaster risk District in India for demonstration of the and 30 school teachers from Sriram School in Delhi Sendai Framework and our commitment at the first World and Duncan Academy in Raxaul. Humanitarian Summit (WHS commitment) organized by the 3. 230 leaders from the Disaster Response Network. UN. Please refer to this link for more on our WHS commitment: 4. In this effort we covered 12 hospitals in India and http://ehadmmu.com/assets/uploads/downloads/20170703_ Nepal, namely- Arogyovaram; Jorhat; 1499094769.pdf Vadathorasalur; Muzzaffarpur; Delhi; Tilda; Raxaul; 3. As part of the WHS commitment, EHA enhanced its existing Tezpur; Alipur & Lalitpur in India; Pokhara and Disaster Response Network (DRN) to Manipur, West Bengal Lalitpur in Nepal. and Bihar and in Nepal engaging 248 organizations. 5. Developed several training video modules in Nepali. 4. An online initiative for baseline survey on hospital safety in 6. First Disaster Relief Management training for CHD India undertaken with specific focus on EHA. The survey staff in Delhi. outcome is supposed to help streamline, strategise and 7. Initiative toward standardizing (Total Quality prioritize EHA’s Hospital Safety program in the regional level. Management/TQM) existing First Responders The TLM India has already started up the program in 2016 and training modules- First Aid; Fire Safety; Basic Rescue now has queued for the rest of their Units. Techniques; PDPSC; HDPR. 17 18 ANNUAL REPORT 2016-2017 | DISASTER MANAGEMENT & MITIGATION UNIT COMMUNITY HEALTH support from Joni and friend and local agencies. It was a unique opportunity to CROSS CUTTING AREAS & DEVELOPMENT spend time with People with disabilities (PWDs) and their families and it impacted 1. Engagement outside EHA: During the year, EHA was the lives of people working in Fatehpur invited as a resource in various govt, non-govt and Hospital. international organizations namely, NIPCCD, TNAI, ICMDA, AMCDRR, CMAI, US Embassy (OROF-CSIS ‘Lifestage approach’ curriculum was HADR), NDMA in India & HCF (in Nepal). developed and launched. Staff from EHA 2. Initiative to build an alliance of healthcare and other agencies enrolled in ‘Beyond institutions and practitioners as HEAL in South Asian Suffering program’ and it helped them to Region. The initiative kick-started in Nepal along develop deeper understanding about with WHO-NCO. Countries like , Bhutan, suffering. ‘Engage disability toolkit’ was Myanmar, Srilanka and India followed. launched for use by agencies to promote 3. The Unit (DMMU) has growing collaboration and inclusion within them. Following papers networking with organizations across national and were presented and published: various regional and global level organizations. Presented at: 4. EHA has asked the Sphere India to look at the Mr. Somesh Singh v 4-14 Window India summit, recently implemented post fire relief program in Bangalore Bihar with the Humanitarian Standards and to see if ear 2016-17 was marked by the completion v International Association for the the program could attempt to achieve its inherent The year was of 39 years of community health and Scientific Study of Intellectual and commitments on humanitarian standards, marked by increasing development work in EHA. The year was Developmental Disabilities (IASSIDD) specifically – Proactive participation of local challenges yet Y abundant God’s marked by increasing challenges yet abundant conference stakeholders; Real Time Response; None left behind strength was received to meet God’s strength was received to meet the same. We v Exclusion and Embrace: Disability, etc. the same. We made significant progress made significant progress in the area of disability, in the area of Justice and Spirituality conference disability, mental mental health; livelihoods and community based health; livelihoods and community response to human trafficking and child safety based response to Publications: human trafficking and were able to provide direct support to www.ehadmmu.com and child safety .. v BMC Health Services Research on 214,314 individuals. organizational change towards disability inclusive development This year in the area of disability, wheel chair v paper on RAD (in press) 19 20 distribution was undertaken in Fatehpur with ANNUAL REPORT 2016-2017 | DISASTER MANAGEMENT & MITIGATION UNIT COMMUNITY HEALTH support from Joni and friend and local agencies. It was a unique opportunity to CROSS CUTTING AREAS & DEVELOPMENT spend time with People with disabilities (PWDs) and their families and it impacted 1. Engagement outside EHA: During the year, EHA was the lives of people working in Fatehpur invited as a resource in various govt, non-govt and Hospital. international organizations namely, NIPCCD, TNAI, ICMDA, AMCDRR, CMAI, US Embassy (OROF-CSIS ‘Lifestage approach’ curriculum was HADR), NDMA in India & HCF (in Nepal). developed and launched. Staff from EHA 2. Initiative to build an alliance of healthcare and other agencies enrolled in ‘Beyond institutions and practitioners as HEAL in South Asian Suffering program’ and it helped them to Region. The initiative kick-started in Nepal along develop deeper understanding about with WHO-NCO. Countries like Bangladesh, Bhutan, suffering. ‘Engage disability toolkit’ was Myanmar, Srilanka and India followed. launched for use by agencies to promote 3. The Unit (DMMU) has growing collaboration and inclusion within them. Following papers networking with organizations across national and were presented and published: various regional and global level organizations. Presented at: 4. EHA has asked the Sphere India to look at the Mr. Somesh Singh v 4-14 Window India summit, recently implemented post fire relief program in Bangalore Bihar with the Humanitarian Standards and to see if ear 2016-17 was marked by the completion v International Association for the the program could attempt to achieve its inherent The year was of 39 years of community health and Scientific Study of Intellectual and commitments on humanitarian standards, marked by increasing development work in EHA. The year was Developmental Disabilities (IASSIDD) specifically – Proactive participation of local challenges yet Y abundant God’s marked by increasing challenges yet abundant conference stakeholders; Real Time Response; None left behind strength was received to meet God’s strength was received to meet the same. We v Exclusion and Embrace: Disability, etc. the same. We made significant progress made significant progress in the area of disability, in the area of Justice and Spirituality conference disability, mental mental health; livelihoods and community based health; livelihoods and community response to human trafficking and child safety based response to Publications: human trafficking and were able to provide direct support to www.ehadmmu.com and child safety .. v BMC Health Services Research on 214,314 individuals. organizational change towards disability inclusive development This year in the area of disability, wheel chair v paper on RAD (in press) 19 20 distribution was undertaken in Fatehpur with ANNUAL REPORT 2016-2017 | DISASTER MANAGEMENT & MITIGATION UNIT Publications v Case study of SHIFA program titled Community Mental Health Competencies Over 4000 people with mental distress and mental v A New Vision for Global Mental Health included in a book illness have registered and were supported with home Chapter published visits, community based rehabilitation and access to v The Palgrave Handbook of Socio-cultural Perspectives on psychiatric services through our five CHDP community Global Mental Health – February 2017 based mental health projects in the districts of v Garwhal Post - Opinion piece - When my son was mad – 10 Saharanpur (SHIFA), Bijnor (SHARE), Dehradun (Burans), October 2016 Raxaul (Duncan CHDP) and starting in Fatehpur v Scroll – Interview with EHA program manager (Broadwell CHDP). Many other patients had access to v 'People from scheduled castes and tribes are three times care through our three EHA psychiatrists and EHA more likely to be depressed' – January 2017 counselors working regularly in the following units: v Indian Express and multiple other national publications – Herbertpur, Landour, Fatehpur and Duncan. Significant v Inequality-driving-mental-health-problems-in-Uttarakhand growth in skills and knowledge among over 100 CHDP – December 2016 staff and community volunteers working in different Paper presented: CHDP projects. This was strengthened with a joint Presentation of EHA learning experiences and work as keynote or workshop for all community mental health teams in session speaker at national and international conferences by Dehradun in May 2016 with representation from SHIFA, invitation SHARE, Burans and Nae Roshni. This four-day training v Women, mental health and disability – Bapu Trust meeting – had a focus on building community capacity to Pune – April 2016 collectively advocate for access to services. All EHA v “Community mental health in India – Models of community CHDP teams have received at least three capacity mental health in EHA building visits of 2 - 10 days by mental health nurse v “ Department of Development studies, Sussex University - volunteer Helen Morgan and program manager May 2016 (by Skype) addressing alcohol abuse, counseling skills and v “The pathway forward for community mental health in India” rehabilitation, program planning, process Anjali - Mental health conclave – Kolkata documentation and support. v “Social inclusion of people with psychosocial disability” - International conference on Schizophrenia – Chennai 21 22 v We sit and talk to each other – building ANNUAL REPORT 2016-2017 | COMMUNITY HEALTH & DEVELOPMENT Publications v Case study of SHIFA program titled Community Mental Health Competencies Over 4000 people with mental distress and mental v A New Vision for Global Mental Health included in a book illness have registered and were supported with home Chapter published visits, community based rehabilitation and access to v The Palgrave Handbook of Socio-cultural Perspectives on psychiatric services through our five CHDP community Global Mental Health – February 2017 based mental health projects in the districts of v Garwhal Post - Opinion piece - When my son was mad – 10 Saharanpur (SHIFA), Bijnor (SHARE), Dehradun (Burans), October 2016 Raxaul (Duncan CHDP) and starting in Fatehpur v Scroll – Interview with EHA program manager (Broadwell CHDP). Many other patients had access to v 'People from scheduled castes and tribes are three times care through our three EHA psychiatrists and EHA more likely to be depressed' – January 2017 counselors working regularly in the following units: v Indian Express and multiple other national publications – Herbertpur, Landour, Fatehpur and Duncan. Significant v Inequality-driving-mental-health-problems-in-Uttarakhand growth in skills and knowledge among over 100 CHDP – December 2016 staff and community volunteers working in different Paper presented: CHDP projects. This was strengthened with a joint Presentation of EHA learning experiences and work as keynote or workshop for all community mental health teams in session speaker at national and international conferences by Dehradun in May 2016 with representation from SHIFA, invitation SHARE, Burans and Nae Roshni. This four-day training v Women, mental health and disability – Bapu Trust meeting – had a focus on building community capacity to Pune – April 2016 collectively advocate for access to services. All EHA v “Community mental health in India – Models of community CHDP teams have received at least three capacity mental health in EHA building visits of 2 - 10 days by mental health nurse v “ Department of Development studies, Sussex University - volunteer Helen Morgan and program manager May 2016 (by Skype) addressing alcohol abuse, counseling skills and v “The pathway forward for community mental health in India” rehabilitation, program planning, process Anjali - Mental health conclave – Kolkata documentation and support. v “Social inclusion of people with psychosocial disability” - International conference on Schizophrenia – Chennai 21 22 v We sit and talk to each other – building ANNUAL REPORT 2016-2017 | COMMUNITY HEALTH & DEVELOPMENT Anti-Human trafficking work was further strengthened villages. In addition, another 15 farmers also adopted PARTNERSHIP PROJECTS the SWI cultivation method on their land despite not in 8 locations through 10 projects. Focus was on making ASSAM AND PUNJAB BCM, BDM, ANM) and Volunteer- 1043 getting direct help from the CHDP or the government to village level child protection committees to function ( ANM, GNM/LT) for PPTCT program do so. without project support, and developing mechanism to across 14 districts of Assam in facilitate safe migration. Addressing root causes by coordination with NHM and ASACS. Community based response for responding to targeted identification of most vulnerable and v Facilitated formation of District hypertension and diabetes was developed and it strengthening their livelihoods continued. National Advisory Committee which includes depended on mobile technology for connecting conference of “India against Trafficking” was facilitated Joint Directors, District Program community workers, community and service providers. and its website launched. After revision and approval of Managers, District M&E Officer and child protection policy and communication policy, one Block Community Mobilizer in the We would like to thank God for His provisions, team of training of all child protection officers was organized. districts. dedicated project leaders who faithfully provided v Implement the Prison Intervention leadership and multi-tasked despite challenges and the EHA continued to work with different agencies and Project across all 9 Central Jails in team of jubilant community workers for making this contributed in their capacity building for responding to Punjab instead of initial phase wise journey joyful and fruitful. community needs in their areas. Some of the notable scale up plan. Completed “Risks and achievements are development of Sunday school Vulnerability Assessment” activities in curriculum focusing on Physical, Emotional, social and Mr. Victor Emmanuel coordination with Regional Medical Spiritual health; initiatives for peace building in Research Centre (RMRC) ICMR, community and setting up educational and skill building Dibrugarh. services for the poor. Celebrating the Lord’s goodness

Celebrating the Lord’s goodness: Implementation of 3 new projects - “Prison Challenges faced Within climate adaptation program 1500 families were Implementation of 3 new projects - Intervention Project” in state of Punjab; PPTCT supported under “Cash for Work”. The Cash for Work “Prison Intervention v Staff Recruitment was a great challenge as Project” in state of Project in 14 districts of Assam; and relationship was provided to selected families, from area’s affected Punjab; PPTCT there was shortage of people with Project in 14 and coordination with National and State level by drought leading to famine like situation due to the El- districts of Assam; expected essential qualifications and and relationship stakeholders. Providing good health and nino affect. Also “Standard Operating Procedures” for and coordination experience. with National and protection to all the staff . Cash for Work was developed. This year we were able to State level v Frequent transfer of Joint Director (Health) stakeholders.. and Jail Superintendent hampered the create a successful model in Wheat crop in Lalitpur, as Major Developments HBM CHDP Project helped 65 farmers for SWI flow of the program as most of the demonstration, covering 32.5 acres across the 15 project v Development of State Resource Team-41 activities needed approval. 23 24 member, District Resource Team- 379 ( BPM, ANNUAL REPORT 2016-2017 | COMMUNITY HEALTH & DEVELOPMENT Anti-Human trafficking work was further strengthened villages. In addition, another 15 farmers also adopted PARTNERSHIP PROJECTS the SWI cultivation method on their land despite not in 8 locations through 10 projects. Focus was on making ASSAM AND PUNJAB BCM, BDM, ANM) and Volunteer- 1043 getting direct help from the CHDP or the government to village level child protection committees to function ( ANM, GNM/LT) for PPTCT program do so. without project support, and developing mechanism to across 14 districts of Assam in facilitate safe migration. Addressing root causes by coordination with NHM and ASACS. Community based response for responding to targeted identification of most vulnerable and v Facilitated formation of District hypertension and diabetes was developed and it strengthening their livelihoods continued. National Advisory Committee which includes depended on mobile technology for connecting conference of “India against Trafficking” was facilitated Joint Directors, District Program community workers, community and service providers. and its website launched. After revision and approval of Managers, District M&E Officer and child protection policy and communication policy, one Block Community Mobilizer in the We would like to thank God for His provisions, team of training of all child protection officers was organized. districts. dedicated project leaders who faithfully provided v Implement the Prison Intervention leadership and multi-tasked despite challenges and the EHA continued to work with different agencies and Project across all 9 Central Jails in team of jubilant community workers for making this contributed in their capacity building for responding to Punjab instead of initial phase wise journey joyful and fruitful. community needs in their areas. Some of the notable scale up plan. Completed “Risks and achievements are development of Sunday school Vulnerability Assessment” activities in curriculum focusing on Physical, Emotional, social and Mr. Victor Emmanuel coordination with Regional Medical Spiritual health; initiatives for peace building in Research Centre (RMRC) ICMR, community and setting up educational and skill building Dibrugarh. services for the poor. Celebrating the Lord’s goodness

Celebrating the Lord’s goodness: Implementation of 3 new projects - “Prison Challenges faced Within climate adaptation program 1500 families were Implementation of 3 new projects - Intervention Project” in state of Punjab; PPTCT supported under “Cash for Work”. The Cash for Work “Prison Intervention v Staff Recruitment was a great challenge as Project” in state of Project in 14 districts of Assam; and relationship was provided to selected families, from area’s affected Punjab; PPTCT there was shortage of people with Project in 14 and coordination with National and State level by drought leading to famine like situation due to the El- districts of Assam; expected essential qualifications and and relationship stakeholders. Providing good health and nino affect. Also “Standard Operating Procedures” for and coordination experience. with National and protection to all the staff . Cash for Work was developed. This year we were able to State level v Frequent transfer of Joint Director (Health) stakeholders.. and Jail Superintendent hampered the create a successful model in Wheat crop in Lalitpur, as Major Developments HBM CHDP Project helped 65 farmers for SWI flow of the program as most of the demonstration, covering 32.5 acres across the 15 project v Development of State Resource Team-41 activities needed approval. 23 24 member, District Resource Team- 379 ( BPM, ANNUAL REPORT 2016-2017 | COMMUNITY HEALTH & DEVELOPMENT v High turnover of Out Reach Workers under PPTCT NURSING SERVICES & TRAINING Accreditation Board for Hospitals and project delayed the achievement of target in some Healthcare Providers [NABH] standards to Plans for the coming year districts. improve the quality of nursing and safety of v patients. Along with the quality team, the Important learnings Development of more District Resource Team for PPTCT for conducting cascading training till sub staff and students developed and v Process documentation of project activities is centers level implemented standard operating protocols helpful for motivating key stakeholders during v Training of all ICTC Counselors from all the districts in various departments of the hospital and advocacy meeting. in HCTS- HIV Counseling and Testing Services new thus contributed in the progress towards v Formation of oversight committee with key guidelines achieving accreditation. The quality team stakeholders increases ownership of the program. v Scale up of the project across the entire districts of has worked hard to train and equip all staff v Maintaining “Facilitator role” in strengthening the Assam with skills and knowledge to reach a level of existing System rather than duplicating the system v Exploring intervention in Haryana Central prisons excellence that could only be dreamed of. is realistic and more sustainable. v Phase Transition Plan development with PSACS We appreciate and laud the hard work done Overall Impact in the community and State Prison Department by them and the entire nursing staff. v Strengthening of post released linkages system v PPTCT SIMS monthly regular reporting percentage v Scaling up of PIP Assam to 5 remaining Central We conducted a workshop titled “A has increased from 28% to 60% prisons. paradigm shift in nursing care and v Functional HIV Screening Centres has increased Mr. Vinay John education” at the Herbertpur Christian from 113 at District Hospitals, Medical Colleges, Hospital. Dr. Robyn K. Hale, one of the main CHC, PHC and Sub Centres to 746 Centers. e praise God for the way He has speakers, talked about the magnet model of v Institutional deliveries are increasing all across the We thank God for sustained us in the year that has His provision and all nursing, shared governance, facilitating 14 districts. the EHA units, passed by. His protection and central office, W nurse-physician collaboration, community health blessings are quite evident in the way nursing in development transformational nursing leadership, and Progress on Quality Improvement program, nurses, EHA has functioned over the years. As we move lecturers, and audit based practices. Other topics covered v Developed system for Data quality checking which guests who have forward in our commitment for excellence in helped us. We included Integration of nursing education has been rolled out across the districts where express our nursing, we are overjoyed over the remarkable gratitude to all and practice, evidence based practice for PPTCT program is being implemented. donors/sponsors strides made in the last one year. from India and nurse leaders and educators, the leader and v Developed Monthly Progress Reporting format in abroad who have faithfully provided educator role in developing critical thinking consultation with NACO veries are increasing all support. Makunda Christian Leprosy & General Hospital among nurses and students, and current across the 14 districts. and Baptist Christian Hospital, Tezpur are issues in the practice of nursing, in EHA preparing for the implementation of National 25 26 ANNUAL REPORT 2016-2017 | PARTNERSHIP PROJECTS v High turnover of Out Reach Workers under PPTCT NURSING SERVICES & TRAINING Accreditation Board for Hospitals and project delayed the achievement of target in some Healthcare Providers [NABH] standards to Plans for the coming year districts. improve the quality of nursing and safety of v patients. Along with the quality team, the Important learnings Development of more District Resource Team for PPTCT for conducting cascading training till sub staff and students developed and v Process documentation of project activities is centers level implemented standard operating protocols helpful for motivating key stakeholders during v Training of all ICTC Counselors from all the districts in various departments of the hospital and advocacy meeting. in HCTS- HIV Counseling and Testing Services new thus contributed in the progress towards v Formation of oversight committee with key guidelines achieving accreditation. The quality team stakeholders increases ownership of the program. v Scale up of the project across the entire districts of has worked hard to train and equip all staff v Maintaining “Facilitator role” in strengthening the Assam with skills and knowledge to reach a level of existing System rather than duplicating the system v Exploring intervention in Haryana Central prisons excellence that could only be dreamed of. is realistic and more sustainable. v Phase Transition Plan development with PSACS We appreciate and laud the hard work done Overall Impact in the community and State Prison Department by them and the entire nursing staff. v Strengthening of post released linkages system v PPTCT SIMS monthly regular reporting percentage v Scaling up of PIP Assam to 5 remaining Central We conducted a workshop titled “A has increased from 28% to 60% prisons. paradigm shift in nursing care and v Functional HIV Screening Centres has increased Mr. Vinay John education” at the Herbertpur Christian from 113 at District Hospitals, Medical Colleges, Hospital. Dr. Robyn K. Hale, one of the main CHC, PHC and Sub Centres to 746 Centers. e praise God for the way He has speakers, talked about the magnet model of v Institutional deliveries are increasing all across the We thank God for sustained us in the year that has His provision and all nursing, shared governance, facilitating 14 districts. the EHA units, passed by. His protection and central office, W nurse-physician collaboration, community health blessings are quite evident in the way nursing in development transformational nursing leadership, and Progress on Quality Improvement program, nurses, EHA has functioned over the years. As we move lecturers, and audit based practices. Other topics covered v Developed system for Data quality checking which guests who have forward in our commitment for excellence in helped us. We included Integration of nursing education has been rolled out across the districts where express our nursing, we are overjoyed over the remarkable gratitude to all and practice, evidence based practice for PPTCT program is being implemented. donors/sponsors strides made in the last one year. from India and nurse leaders and educators, the leader and v Developed Monthly Progress Reporting format in abroad who have faithfully provided educator role in developing critical thinking consultation with NACO veries are increasing all support. Makunda Christian Leprosy & General Hospital among nurses and students, and current across the 14 districts. and Baptist Christian Hospital, Tezpur are issues in the practice of nursing, in EHA preparing for the implementation of National 25 26 ANNUAL REPORT 2016-2017 | PARTNERSHIP PROJECTS During these entire four years, EHA units have been today and India at large. A few nurse leaders presented EXCHANGE STUDENTS FROM THE UNIVERSITY OF their findings from research done during their degree involved, and following the completion of the course, a SASKATCHEWAN, CANADA AT THE HERBERTPUR courses. Dr. Joshua Sunil Gokavi, Executive Director, EHA thorough evaluation of the NeST program will be carried CHRISTIAN HOSPITAL answered questions on the future of nursing and nurse out. Sincere thanks to Dr. Abraham Ninan, President, education in EHA. The workshop was very informative EHA Canada for supporting the entire program. Since October 2016, EHA started an exchange program in and the participants were encouraged to return to their collaboration with Saskatchewan Institute of Applied Science and units as agents of change. Technology (SIAST), and the University of Regina [U of R], Canada. Two Canadian nurse tutors along with eight student nurses arrived NEONATAL SURVIVAL TRAINING PROGRAMME at the Herbertpur Christian Hospital for a nursing and community (NeST) health and development course lasting four weeks. The Neonatal Survival Training Program for advanced nurses and non-paediatric doctors was created in 2013, It was a unique experience for the students to adjust to the culture to focus exclusively on neonatal survival training and ethos of EHA and to experience the functioning of a unit in first program to reduce neonatal deaths in rural India. The person. The Canadian students approached their posting with main objective is to equip “all health care workers in EHA professionalism, enthusiasm and motivation and adapted to the hospitals to have the knowledge and skills to take care of difference in nursing protocols and equipment. They overcame neonatal problems and reduce neonatal deaths in the the language barrier with humour and made a valiant effort to learn geographic areas where EHA serves, and for EHA to be . leaders in providing neonatal care training to private and government health care facilities.” The Indian students also benefitted from the visit. They had to make an effort to speak English both on and off duty, thus leading This program has now reached its fifth year and will be to an improvement in their communication skills. It was fascinating completed in March 2018. This year a situation analysis to note how the Canadian students were more attuned to take will be conducted which will be a repeat of the one taken individual decisions while giving nursing care and also their in the inaugural year. This evaluation should ambitions for the future. This showed the Indian students a demonstrate an improvement following the different aspect of nursing, which is not too far on the horizon in implementation of the NeST program. Progress in NeST India, as the profession matures and evolves with time. training will be evaluated and faculty will review the contents so that relevant changes can be made for The two tutors lectured in the School of Nursing, thus benefitting future operations. 27 28 ANNUAL REPORT 2016-2017 | NURSING IN EHA During these entire four years, EHA units have been today and India at large. A few nurse leaders presented EXCHANGE STUDENTS FROM THE UNIVERSITY OF their findings from research done during their degree involved, and following the completion of the course, a SASKATCHEWAN, CANADA AT THE HERBERTPUR courses. Dr. Joshua Sunil Gokavi, Executive Director, EHA thorough evaluation of the NeST program will be carried CHRISTIAN HOSPITAL answered questions on the future of nursing and nurse out. Sincere thanks to Dr. Abraham Ninan, President, education in EHA. The workshop was very informative EHA Canada for supporting the entire program. Since October 2016, EHA started an exchange program in and the participants were encouraged to return to their collaboration with Saskatchewan Institute of Applied Science and units as agents of change. Technology (SIAST), and the University of Regina [U of R], Canada. Two Canadian nurse tutors along with eight student nurses arrived NEONATAL SURVIVAL TRAINING PROGRAMME at the Herbertpur Christian Hospital for a nursing and community (NeST) health and development course lasting four weeks. The Neonatal Survival Training Program for advanced nurses and non-paediatric doctors was created in 2013, It was a unique experience for the students to adjust to the culture to focus exclusively on neonatal survival training and ethos of EHA and to experience the functioning of a unit in first program to reduce neonatal deaths in rural India. The person. The Canadian students approached their posting with main objective is to equip “all health care workers in EHA professionalism, enthusiasm and motivation and adapted to the hospitals to have the knowledge and skills to take care of difference in nursing protocols and equipment. They overcame neonatal problems and reduce neonatal deaths in the the language barrier with humour and made a valiant effort to learn geographic areas where EHA serves, and for EHA to be Hindi. leaders in providing neonatal care training to private and government health care facilities.” The Indian students also benefitted from the visit. They had to make an effort to speak English both on and off duty, thus leading This program has now reached its fifth year and will be to an improvement in their communication skills. It was fascinating completed in March 2018. This year a situation analysis to note how the Canadian students were more attuned to take will be conducted which will be a repeat of the one taken individual decisions while giving nursing care and also their in the inaugural year. This evaluation should ambitions for the future. This showed the Indian students a demonstrate an improvement following the different aspect of nursing, which is not too far on the horizon in implementation of the NeST program. Progress in NeST India, as the profession matures and evolves with time. training will be evaluated and faculty will review the contents so that relevant changes can be made for The two tutors lectured in the School of Nursing, thus benefitting future operations. 27 28 ANNUAL REPORT 2016-2017 | NURSING IN EHA RESEARCH & BIOETHICS

both staff and students alike with their vast knowledge CROSS CUTTING AREAS DUNCAN HOSPITAL, RAXAUL: and experience. We hope that this program will 1. Nurse-patient ratio to be maintained. continue in the future. 1. The first Streptococcal pneumonia 2. Meeting all the standards and norms of Indian isolate from Bihar has made its way to Nursing Council and State Nursing Council with the BIOETHICS FOR NURSES the CMC Vellore (WHO reference limited resources available. laboratory for S. pneumonia) where its 3. Availability of skills laboratories and suitable serotype was determined. This was A workshop titled “Bioethics for Nurses”was held at the equipment as per the INC requirements. followed the next month by a second Herbertpur Christian Hospital for the nurse leaders. The 4. Reviving of professional development program isolate. Duncan Hospital is a passive site sessions were presented by Dr. Jameela George and Dr. [PDP] for all categories of nursing staff. of a multi-centric study on Invasive Roopa Verghese, and included an introduction on The 5. Nurse’s ex-change program between EHA units and Pneumococcal Disease(BASIS – Baseline Centre for Bioethics [TCB]and its history, and conducted abroad. Assessment of Streptococcus lectures on the sanctity of life, professionalism, justice & 6. Implementation of NABH protocols for improving pneumonia in India Serotypes) equity, euthanasia and the hospital ethics committee. nursing standards. 2. The next highlight has been the There were lively discussions on various issues with 7. Attracting students of good caliber yet providing completion of the Community different viewpoints which were brought forward thus opportunities for students from poor backgrounds. Dr. Jameela George Snakebite Study, final analysis of which highlighting the need to produce some nursing 8. Enhancement of shared decision making and better will be compared with the National protocols about the issues discussed. All the participants role models as practitioners and teachers. t is wonderful to see how research in EHA has Snakebite Study where the hospital data were asked to assimilate the fourteen points of a self- 9. Pursuing for the minority status. The research in become an integral component of the was collected at the same time as the declaration form and to practice nursing according to EHA is growing steadily. Six organization. Six Hospitals and Community community data. these points. Hospitals and I Community Health Health projects are doing a total of 22 research 3. Cervical Dilatation on Admission We thank God for His provision and all the EHA units, projects are doing a total of 22 research projects which are useful not only in the local (CDOA) to Labour Room as a public central office, community health development program, projects which are useful not only in context, but also throughout India. The EHA health tool for measuring timely arrival nurses, lecturers, and guests who have helped us. We the local context, but also throughout Institutional Ethics Committee which met of mothers for delivery was done. Give your hands to Serve and express our gratitude to all donors/sponsors from India India. regularly has been very supportive to promote your hearts to Love and abroad who have faithfully provided support. 4. A study on barriers to receiving ongoing research. The Intensive Bioethics workshop has treatment for pulmonary and extra -Mother Teresa been the first of its kind in EHA. pulmonary TB was also done.

29 30 “ANNUAL REPORT 2016-2017 | NURSING IN EHA RESEARCH & BIOETHICS both staff and students alike with their vast knowledge CROSS CUTTING AREAS DUNCAN HOSPITAL, RAXAUL: and experience. We hope that this program will 1. Nurse-patient ratio to be maintained. continue in the future. 1. The first Streptococcal pneumonia 2. Meeting all the standards and norms of Indian isolate from Bihar has made its way to Nursing Council and State Nursing Council with the BIOETHICS FOR NURSES the CMC Vellore (WHO reference limited resources available. laboratory for S. pneumonia) where its 3. Availability of skills laboratories and suitable serotype was determined. This was A workshop titled “Bioethics for Nurses”was held at the equipment as per the INC requirements. followed the next month by a second Herbertpur Christian Hospital for the nurse leaders. The 4. Reviving of professional development program isolate. Duncan Hospital is a passive site sessions were presented by Dr. Jameela George and Dr. [PDP] for all categories of nursing staff. of a multi-centric study on Invasive Roopa Verghese, and included an introduction on The 5. Nurse’s ex-change program between EHA units and Pneumococcal Disease(BASIS – Baseline Centre for Bioethics [TCB]and its history, and conducted abroad. Assessment of Streptococcus lectures on the sanctity of life, professionalism, justice & 6. Implementation of NABH protocols for improving pneumonia in India Serotypes) equity, euthanasia and the hospital ethics committee. nursing standards. 2. The next highlight has been the There were lively discussions on various issues with 7. Attracting students of good caliber yet providing completion of the Community different viewpoints which were brought forward thus opportunities for students from poor backgrounds. Dr. Jameela George Snakebite Study, final analysis of which highlighting the need to produce some nursing 8. Enhancement of shared decision making and better will be compared with the National protocols about the issues discussed. All the participants role models as practitioners and teachers. t is wonderful to see how research in EHA has Snakebite Study where the hospital data were asked to assimilate the fourteen points of a self- 9. Pursuing for the minority status. The research in become an integral component of the was collected at the same time as the declaration form and to practice nursing according to EHA is growing steadily. Six organization. Six Hospitals and Community community data. these points. Hospitals and I Community Health Health projects are doing a total of 22 research 3. Cervical Dilatation on Admission We thank God for His provision and all the EHA units, projects are doing a total of 22 research projects which are useful not only in the local (CDOA) to Labour Room as a public central office, community health development program, projects which are useful not only in context, but also throughout India. The EHA health tool for measuring timely arrival nurses, lecturers, and guests who have helped us. We the local context, but also throughout Institutional Ethics Committee which met of mothers for delivery was done. Give your hands to Serve and express our gratitude to all donors/sponsors from India India. regularly has been very supportive to promote your hearts to Love and abroad who have faithfully provided support. 4. A study on barriers to receiving ongoing research. The Intensive Bioethics workshop has treatment for pulmonary and extra -Mother Teresa been the first of its kind in EHA. pulmonary TB was also done.

29 30 “ANNUAL REPORT 2016-2017 | NURSING IN EHA SHALOM PROJECT, DELHI: BURANS PROJECT, DEHRADUN: 1. Outcomes of empirical deworming in People Living with HIV This project works extensively on mental health and is (PLWHA). doing the following research: 2. Cognitive Markers of Multi-layered Stigma among 1. The dynamics of a recovery oriented mental health Transgender Communities Living with HIV in Delhi, India. approach in northern India, Social inclusion for 3. Outcome evaluation of an empowerment program for women young people affected by psychosocial disability in affected by HIV/AIDS in Delhi. Uttarakhand, India 4. Beyond the virus: Bridging the structural and cultural 2. Prospective study of effectiveness of a community determinants for health with the everyday experiences of HIV based mental health project among people with affected widows in poverty in Delhi. mental disorders and their caregivers in 3. Decision Maker Led Implementation Research with CHHATARPUR CHRISTIAN HOSPITAL: Government of Uttarakhand titled “Implementation 1. “A comparative study on the stress level of neonate in double of Epilepsy Control program in Uttarakhand: A Pilot surface and single surface phototherapy” was done. Study” supported by Public Health Foundation of 2. A comparative study on the temperature recording by Infrared India. Thermometer on different parts of the body with Axillary 4. “Social inclusion for young people affected by Digital Thermometer was done to determine the best site to psychosocial disability in Uttarakhand, India” use Non- Contact Infrared Thermometer (NCIT). supported under Disability Research Initiative Grants 2016 of University of Melbourne BAPTIST CHRISTIAN HOSPITAL, TEZPUR:

1. A national study of snake envenomation syndrome-species NAV JIWAN HOSPITAL, SATBARWA: correlation and clinical outcomes of snake bite has been “Study of barriers and enablers to inclusion of people completed. with psychosocial disability in rural India” in 2. ATTEND trial Family –led rehabilitation after stroke in India has collaboration with TEAR Australia. also been completed

31 32 ANNUAL REPORT 2016-2017 | RESEARCH & BIOETHICS SHALOM PROJECT, DELHI: BURANS PROJECT, DEHRADUN: 1. Outcomes of empirical deworming in People Living with HIV This project works extensively on mental health and is (PLWHA). doing the following research: 2. Cognitive Markers of Multi-layered Stigma among 1. The dynamics of a recovery oriented mental health Transgender Communities Living with HIV in Delhi, India. approach in northern India, Social inclusion for 3. Outcome evaluation of an empowerment program for women young people affected by psychosocial disability in affected by HIV/AIDS in Delhi. Uttarakhand, India 4. Beyond the virus: Bridging the structural and cultural 2. Prospective study of effectiveness of a community determinants for health with the everyday experiences of HIV based mental health project among people with affected widows in poverty in Delhi. mental disorders and their caregivers in Dehradun district 3. Decision Maker Led Implementation Research with CHHATARPUR CHRISTIAN HOSPITAL: Government of Uttarakhand titled “Implementation 1. “A comparative study on the stress level of neonate in double of Epilepsy Control program in Uttarakhand: A Pilot surface and single surface phototherapy” was done. Study” supported by Public Health Foundation of 2. A comparative study on the temperature recording by Infrared India. Thermometer on different parts of the body with Axillary 4. “Social inclusion for young people affected by Digital Thermometer was done to determine the best site to psychosocial disability in Uttarakhand, India” use Non- Contact Infrared Thermometer (NCIT). supported under Disability Research Initiative Grants 2016 of University of Melbourne BAPTIST CHRISTIAN HOSPITAL, TEZPUR:

1. A national study of snake envenomation syndrome-species NAV JIWAN HOSPITAL, SATBARWA: correlation and clinical outcomes of snake bite has been “Study of barriers and enablers to inclusion of people completed. with psychosocial disability in rural India” in 2. ATTEND trial Family –led rehabilitation after stroke in India has collaboration with TEAR Australia. also been completed

31 32 ANNUAL REPORT 2016-2017 | RESEARCH & BIOETHICS REGIONAL DIRECTORS’ REPORT One can measure performance by looking at INSTITUTIONAL ETHICS COMMITTEE: the numbers, but at the same time these 3. A community based delivery of comprehensive NORTH-EASTERN REGION numbers also represent every person who The EHA IEC continues to encourage and support those HBV care in Arunachal Pradesh, India - Population visited the hospital or was part of the who showed interest in doing research. The committee Screening and Linkage to care. 4200 participants community engagement and who had an met 7 times during the year and reviewed 13 research recruited. Linked 100 patients to care with opportunity to experience Christ’s Love. protocols. All the protocols reviewed were approved. subsidized treatment and specialty & GI clinic More numbers means more opportunity to serve, share, care and influence people and started in Tezpur to provide care for these patients INTENSIVE BIOETHICS WORKSHOP: 4. STROKE UNIT ongoing with CMC Ludhiana is communities. In God’s big picture and divine looking at improvement in patient care by The Intensive Bioethics workshop was held in plan, He loves the people living in the North- establishing a stroke unit with specialized training from October 3 - 4, 2016. 16 doctors from various EHA east part of the country, and He has led to nurses. In this stroke manual, which has detailed hospitals participated in the same. Dr. Roopa Verghese, leaders to EHA to work in these hospitals instructions for nursing care is followed. 80 patients Dr. Ashita Singh and Dr. Jameela George facilitated the and programs. The present and future have been recruited. sessions on Short History of Bioethics, Ethical dilemmas generation of leaders and staff need to have 5. Establishment of the Indian Stroke Clinical Trial in clinical practice, Reproductive Ethics, Justice & Equity, a deep sense of purpose and fulfillment. A Network (INSTRUCT) for the 1st time in India, by 20 TCB & Just Med Modules, Autonomy in the Indian brief update of each hospital and institutions. ICMR is the funder. CMC Ludhiana and Context, Adapting Beneficence, Professionalism, partnership project in the North-east region SCTIMST provide technical input. We are the only Hospital Ethics Committee & Case Consultation, Mr. Victor Emmanuel over the last one year is given below. Approaches to ART and Limitation of Treatment, AND vs secondary hospital. All others are medical colleges. As we grapple with the issue of relevance of Euthanasia. The participants were actively engaging with 6. Evaluation of dietary, conventional and genetic risk he Lord was faithful throughout the year, in mission hospitals in the present changing the ethical issues under consideration and stated that a factors of primary Intra cerebral Hemorrhage: A every aspect of the clinical work and context of generational change towards longer duration would be beneficial. There are many case control study from Assam State is done with reasons to celebrate the Lord’s community engagement carried out missions, use of new technology, cut throat faithfulness – I T CMC Ludhiana and ICMR is going on. 20 patients thank God for the through the EHA hospitals and programs in North competition, challenges in health care have been recruited and DNA lab has been set up. CONCLUSION: stable leadership, teams and every East Region. There are many reasons to celebrate practices and increasing/demanding 7. INternational ORthopaedic MUl ticenter Study The research in EHA is growing steadily. A number of staff member who contributed towards the Lord’s faithfulness – especially the teams and expectation from the communities, one (INORMUS) in Fracture Care with George institute. researches done are of national importance. The fulfilling the mandate that the staff who carried out their responsibilities needs to always hold on to the basics and 120 participants were recruited. This study will help Institutional Ethics Committee has continued to be very Lord gave. faithfully inspite of the various challenges and the vision the Lord has given. to identify causes of complications, secondary to supportive in promoting Research in EHA. The Intensive limitations. I thank God for the stable leadership, management of fractures. Bioethics workshop is the first of its kind in EHA, teams and every staff member who contributed May the Lord help EHA and every leader to sensitizing the participants to various aspects of towards fulfilling the mandate that the Lord gave. continue to be relevant and progressive Bioethics with respect to patient care. without diluting or losing the primary 33 34 objective. Collective wisdom and efforts are ANNUAL REPORT 2016-2017 | RESEARCH & BIOETHICS REGIONAL DIRECTORS’ REPORT One can measure performance by looking at INSTITUTIONAL ETHICS COMMITTEE: the numbers, but at the same time these 3. A community based delivery of comprehensive NORTH-EASTERN REGION numbers also represent every person who The EHA IEC continues to encourage and support those HBV care in Arunachal Pradesh, India - Population visited the hospital or was part of the who showed interest in doing research. The committee Screening and Linkage to care. 4200 participants community engagement and who had an met 7 times during the year and reviewed 13 research recruited. Linked 100 patients to care with opportunity to experience Christ’s Love. protocols. All the protocols reviewed were approved. subsidized treatment and specialty & GI clinic More numbers means more opportunity to serve, share, care and influence people and started in Tezpur to provide care for these patients INTENSIVE BIOETHICS WORKSHOP: 4. STROKE UNIT ongoing with CMC Ludhiana is communities. In God’s big picture and divine looking at improvement in patient care by The Intensive Bioethics workshop was held in Mussoorie plan, He loves the people living in the North- establishing a stroke unit with specialized training from October 3 - 4, 2016. 16 doctors from various EHA east part of the country, and He has led to nurses. In this stroke manual, which has detailed hospitals participated in the same. Dr. Roopa Verghese, leaders to EHA to work in these hospitals instructions for nursing care is followed. 80 patients Dr. Ashita Singh and Dr. Jameela George facilitated the and programs. The present and future have been recruited. sessions on Short History of Bioethics, Ethical dilemmas generation of leaders and staff need to have 5. Establishment of the Indian Stroke Clinical Trial in clinical practice, Reproductive Ethics, Justice & Equity, a deep sense of purpose and fulfillment. A Network (INSTRUCT) for the 1st time in India, by 20 TCB & Just Med Modules, Autonomy in the Indian brief update of each hospital and institutions. ICMR is the funder. CMC Ludhiana and Context, Adapting Beneficence, Professionalism, partnership project in the North-east region SCTIMST provide technical input. We are the only Hospital Ethics Committee & Case Consultation, Mr. Victor Emmanuel over the last one year is given below. Approaches to ART and Limitation of Treatment, AND vs secondary hospital. All others are medical colleges. As we grapple with the issue of relevance of Euthanasia. The participants were actively engaging with 6. Evaluation of dietary, conventional and genetic risk he Lord was faithful throughout the year, in mission hospitals in the present changing the ethical issues under consideration and stated that a factors of primary Intra cerebral Hemorrhage: A every aspect of the clinical work and context of generational change towards longer duration would be beneficial. There are many case control study from Assam State is done with reasons to celebrate the Lord’s community engagement carried out missions, use of new technology, cut throat faithfulness – I T CMC Ludhiana and ICMR is going on. 20 patients thank God for the through the EHA hospitals and programs in North competition, challenges in health care have been recruited and DNA lab has been set up. CONCLUSION: stable leadership, teams and every East Region. There are many reasons to celebrate practices and increasing/demanding 7. INternational ORthopaedic MUl ticenter Study The research in EHA is growing steadily. A number of staff member who contributed towards the Lord’s faithfulness – especially the teams and expectation from the communities, one (INORMUS) in Fracture Care with George institute. researches done are of national importance. The fulfilling the mandate that the staff who carried out their responsibilities needs to always hold on to the basics and 120 participants were recruited. This study will help Institutional Ethics Committee has continued to be very Lord gave. faithfully inspite of the various challenges and the vision the Lord has given. to identify causes of complications, secondary to supportive in promoting Research in EHA. The Intensive limitations. I thank God for the stable leadership, management of fractures. Bioethics workshop is the first of its kind in EHA, teams and every staff member who contributed May the Lord help EHA and every leader to sensitizing the participants to various aspects of towards fulfilling the mandate that the Lord gave. continue to be relevant and progressive Bioethics with respect to patient care. without diluting or losing the primary 33 34 objective. Collective wisdom and efforts are ANNUAL REPORT 2016-2017 | RESEARCH & BIOETHICS very essential and important at all levels to hold on to Major Developments Progress on Quality Improvement: Preparing for non-negotiable factors, at the same time to do all that NABH accreditation has helped in streamlining many v New labor room and pediatric ward was inaugurated we need to do to meet statutory requirements, improve systems and in improving quality in many areas. Applied which has improved quality of care to the patients quality, develop staff who are key stake holders, and for entry level NABH accreditation in 2017 and received v CR imaging system introduced. This has helped in fulfill the Vision and Mission the Lord has given us. positive assessment report. Waiting for final process to improving radiology services quality complete. v Research publications made from the Department of Commitment and togetherness of leadership at all levels Biodiversity documentation and wild life preservation is critical for EHA to remain relevant and be a replicable Plans for the coming year model in the healthcare mission movement in our Challenges faced v Upgrade hospital to a 152 bedded hospital country. v Make functional the second labour room and v Lack of consultants in the department of Obstetrics and NICU , donated by the generous gift of Inspire Pediatrics International MAKUNDA CHRISTIAN HOSPITAL v Lack of accommodation for new staff/ trainees v Initiate work of the new OPD complex, partially Celebrating the Lord’s goodness v Reduced patient numbers due to bad roads after floods funded by the Assam Government v v Makunda will be celebrating 25 years since its Important learnings Starting of microbiology services incorporation into Emmanuel Hospital Association. v Archival of patient images and records v v Drs Ann Miriam and Dr Vijay Anand Ismavel were High quality care is possible in health care institutions v Research of patients presenting with unexplained awarded the prestigious Paul Harrison award by with a primary focus on the poor and the marginalized. peripheral neuropathy v Christian Medical College, Vellore for their Importance of formulating a clear strategic plan in v Initiate surgical services in branch hospital, contribution to the work at Makunda. moving forward Ambassa, Tripura v v The hospital has applied for entry level NABH Engagement with the Government v Expand the work of the Department of Biodiversity accreditation as part of its endeavor to be a high Overall Impact in the community through documentation and wild life preservation through quality health care facility in the region. hospital services research and training v The Makunda Christian Higher Secondary School v Partnered with World Vision to serve as a nutritional achieved a milestone with its first batch of Class XII Revenue Budget for 17-18 rehabilitation center for inpatient management of Science stream passing out. Budgeted Income: 14,60,90,000/- severely acute malnourished children. v Makunda is privileged to be one of 8 global centers Budgeted Expenses: 12,82,02,704/- v Partnership with the Royal Dutch Tropical Institute as a where graduates of the Doctor in International Capital Requirements for 17-18 center for training in resource poor settings. The first Health and Tropical Medicine course, offered by Infrastructure: 1,19,47,500/- the Royal Dutch Tropical Institute have their 6 batch of graduates, Dr Juul and Dr Judith are Medical Equipment’s: 82,23,856/- months practical exposure. currently working in Ethiopia and South Sudan IT/Communication: 3,20,000/- 35 36 respectively. Vehicles & Electrical: 14,00,000/- ANNUAL REPORT 2016-2017 | NORTH-EASTERN REGION very essential and important at all levels to hold on to Major Developments Progress on Quality Improvement: Preparing for non-negotiable factors, at the same time to do all that NABH accreditation has helped in streamlining many v New labor room and pediatric ward was inaugurated we need to do to meet statutory requirements, improve systems and in improving quality in many areas. Applied which has improved quality of care to the patients quality, develop staff who are key stake holders, and for entry level NABH accreditation in 2017 and received v CR imaging system introduced. This has helped in fulfill the Vision and Mission the Lord has given us. positive assessment report. Waiting for final process to improving radiology services quality complete. v Research publications made from the Department of Commitment and togetherness of leadership at all levels Biodiversity documentation and wild life preservation is critical for EHA to remain relevant and be a replicable Plans for the coming year model in the healthcare mission movement in our Challenges faced v Upgrade hospital to a 152 bedded hospital country. v Make functional the second labour room and v Lack of consultants in the department of Obstetrics and NICU , donated by the generous gift of Inspire Pediatrics International MAKUNDA CHRISTIAN HOSPITAL v Lack of accommodation for new staff/ trainees v Initiate work of the new OPD complex, partially Celebrating the Lord’s goodness v Reduced patient numbers due to bad roads after floods funded by the Assam Government v v Makunda will be celebrating 25 years since its Important learnings Starting of microbiology services incorporation into Emmanuel Hospital Association. v Archival of patient images and records v v Drs Ann Miriam and Dr Vijay Anand Ismavel were High quality care is possible in health care institutions v Research of patients presenting with unexplained awarded the prestigious Paul Harrison award by with a primary focus on the poor and the marginalized. peripheral neuropathy v Christian Medical College, Vellore for their Importance of formulating a clear strategic plan in v Initiate surgical services in branch hospital, contribution to the work at Makunda. moving forward Ambassa, Tripura v v The hospital has applied for entry level NABH Engagement with the Government v Expand the work of the Department of Biodiversity accreditation as part of its endeavor to be a high Overall Impact in the community through documentation and wild life preservation through quality health care facility in the region. hospital services research and training v The Makunda Christian Higher Secondary School v Partnered with World Vision to serve as a nutritional achieved a milestone with its first batch of Class XII Revenue Budget for 17-18 rehabilitation center for inpatient management of Science stream passing out. Budgeted Income: 14,60,90,000/- severely acute malnourished children. v Makunda is privileged to be one of 8 global centers Budgeted Expenses: 12,82,02,704/- v Partnership with the Royal Dutch Tropical Institute as a where graduates of the Doctor in International Capital Requirements for 17-18 center for training in resource poor settings. The first Health and Tropical Medicine course, offered by Infrastructure: 1,19,47,500/- the Royal Dutch Tropical Institute have their 6 batch of graduates, Dr Juul and Dr Judith are Medical Equipment’s: 82,23,856/- months practical exposure. currently working in Ethiopia and South Sudan IT/Communication: 3,20,000/- 35 36 respectively. Vehicles & Electrical: 14,00,000/- ANNUAL REPORT 2016-2017 | NORTH-EASTERN REGION BURROWS MEMORIAL CHRISTIAN HOSPITAL v Avail every opportunity to learn new things and help Celebrating the Lord’s goodness others too. v v Committed and mission minded Staff and in Build our Staff & value their services. particular the Doctors who have joined. Overall Impact in the community through v The numbers of OPD patients have gone up hospital services significantly. v More number of people have benefitted through the work of v The support and cooperation which we have received the hospital & JSY schemes. from the Government Officials and our Central Office. v Impacting communities near and far through CLHTC program Major Developments in collaboration with CMC Vellore. v Being a witness for Christ to everyone who comes to the v Availability of full time Surgeon, Psychiatrist, and hospital. Physician. Revenue Budget for 17-18 v Improvement in O.T infrastructure and Obstetric Progress on Quality Improvement Budgeted Income: 4,01,00,000/- Budgeted Expenses: 3,88,16,821/- services. v Hospital Management System (Vikas Software) was v Renovation of old staff quarters and staff hostel. introduced officially. Capital Requirements for 17-18 Challenges faced v We are covered under CMC Vellore program for external Infrastructure: 6,01,37,499/- quality control (Clin QC EQAS). Medical Equipment’s: 14,50,000/- v To fulfill all the mandatory Government v "May I help you counter" has been a great success with the IT/Communication: 3,00,000/- requirements. patients for better services. BAPTIST CHRISTIAN HOSPITAL, TEZPUR v To get funds to start Nursing School building construction. Plans for the coming year v Lack of Junior Doctors. Celebrating the Lord’s goodness v Plan for a blood storage center v Frequent equipment/maintenance breakdowns. v Upgradation of facilities to offer better patient care like v Protection of staff and equipment during fire Important learnings ventilator, thrombolysis, etc accident v Focus on arranging funds for the nursing school building v Enabling all the staff to go through change v The Lord answers our prayers, when we all join our v Send our Nursing Staff for short duration to other units for management hearts together and ask of Him by faith. learning new skills in patient management. v Togetherness of a young team – learning to v Maintain healthy relationship with the Govt. Officials celebrate differences while working together by visiting them regularly and share with them about towards a common goal our ministry. 37 38 ANNUAL REPORT 2016-2017 | NORTH-EASTERN REGION BURROWS MEMORIAL CHRISTIAN HOSPITAL v Avail every opportunity to learn new things and help Celebrating the Lord’s goodness others too. v v Committed and mission minded Staff and in Build our Staff & value their services. particular the Doctors who have joined. Overall Impact in the community through v The numbers of OPD patients have gone up hospital services significantly. v More number of people have benefitted through the work of v The support and cooperation which we have received the hospital & JSY schemes. from the Government Officials and our Central Office. v Impacting communities near and far through CLHTC program Major Developments in collaboration with CMC Vellore. v Being a witness for Christ to everyone who comes to the v Availability of full time Surgeon, Psychiatrist, and hospital. Physician. Revenue Budget for 17-18 v Improvement in O.T infrastructure and Obstetric Progress on Quality Improvement Budgeted Income: 4,01,00,000/- Budgeted Expenses: 3,88,16,821/- services. v Hospital Management System (Vikas Software) was v Renovation of old staff quarters and staff hostel. introduced officially. Capital Requirements for 17-18 Challenges faced v We are covered under CMC Vellore program for external Infrastructure: 6,01,37,499/- quality control (Clin QC EQAS). Medical Equipment’s: 14,50,000/- v To fulfill all the mandatory Government v "May I help you counter" has been a great success with the IT/Communication: 3,00,000/- requirements. patients for better services. BAPTIST CHRISTIAN HOSPITAL, TEZPUR v To get funds to start Nursing School building construction. Plans for the coming year v Lack of Junior Doctors. Celebrating the Lord’s goodness v Plan for a blood storage center v Frequent equipment/maintenance breakdowns. v Upgradation of facilities to offer better patient care like v Protection of staff and equipment during fire Important learnings ventilator, thrombolysis, etc accident v Focus on arranging funds for the nursing school building v Enabling all the staff to go through change v The Lord answers our prayers, when we all join our v Send our Nursing Staff for short duration to other units for management hearts together and ask of Him by faith. learning new skills in patient management. v Togetherness of a young team – learning to v Maintain healthy relationship with the Govt. Officials celebrate differences while working together by visiting them regularly and share with them about towards a common goal our ministry. 37 38 ANNUAL REPORT 2016-2017 | NORTH-EASTERN REGION v Hospital Received Registration of Major developments REGIONAL DIRECTORS’ REPORT the X-Ray equipment from v Infrastructure development EASTERN REGION Government of Indian Atomic Through Hospital Services - Recognition of the v NABH training and implementation energy regulatory Board certifying hospital for its quality care and services in the v Research in a difficult situation radiation for 400 MA X-ray community and district authorities. Patient feedback– “I v New areas of intervention in Community Health Machine, 60 MA Portable X-ray decided to come to your hospital because I know that I and Development Machine, C-arm and Dental X- ray will receive good care and ethical treatment” machine. Challenges faced Progress on quality improvement: Preparing for v Renovation & inauguration of NABH has helped in streamlining many systems and v Ultrasound services had to be shut down due to Champapur Clinic to provide clinical improving quality in many areas. Applied for entry level non-availability of personnel services to a rural area on a regular NABH accreditation in 2017 and received positive v Irregular reimbursement of government insurance basis assessment report. Waiting for final process to schemes v Waste Management system was complete. v Payment for appeal against the IT demand raised introduced in the campus and Plans for the coming year hospital, with wet and dry waste Important learnings v Complete NABH accreditation and maintain the segregation systems in place as a v Proper documentation of HR requirement process first step towards a green campus. v Allowing staff to report errors freely and fearlessly v Explore alternative sources of funding Dr. Ashok Chacko v Many of the old buildings in the v Insisting on proper documentation in all areas of v Intensive recruitment and starting new training residential campus were renovated the hospital work programs and allotted to staff. DUNCAN HOSPITAL MADHEPURA CHRISTIAN HOSPITAL Thanks to the Overall impact in the community through Revenue Budget for 17-18 generous MADHIPURA CHRISTIAN HOSPITAL contribution from Change in leadership: Dr Prabhu L Joseph took hospital services Budgeted Income: 27,36,51,000/- EMMS UK, the Change in Leadership: Nurses Hostel for charge as Medical Director, Dr Philip Finny as Completed 10 years of work in the community Budgeted Expenses: 20,32,69,869/- 25 nurses and the The S.A.O and M.S. Dr. Timothy Chelliah has Staff Quarters for 4 Deputy Medical Director, Mrs Poonam Lakra as families are nearing gone on a long leave. Mr. Chandreshwar v Malaria deaths were nil in the last year Capital Requirements for 17-18 completion... Nursing Superintendent, and Mrs Ester Bai Khura as v Community action for prevention of child abuse Infrastructure: 6,71,71,131/- Vice Principal - School of Nursing. Singh from Duncan Hospital was deputed as and trafficking Medical Equipment’s: 55,00,000/- the new S.A.O. Dr. Ilangovan P took over as Specific achievements: v PwD’s reach out to neighboring districts and IT/Communication: 5,20,000/- the Acting M.S. v New Services added: Physical Medicine & mobilize them Vehicles & Electrical: 28,90,000/- New Services added: Rehabilitation OPD was inaugurated and v Women DPO formed functioned with Dr. Vijay Manda as the new v A new semi-auto-analyser and 39 40 specialist. electrolyte analyzer have been ANNUAL REPORT 2016-2017 | NORTH-EASTERN REGION v Hospital Received Registration of Major developments REGIONAL DIRECTORS’ REPORT the X-Ray equipment from v Infrastructure development EASTERN REGION Government of Indian Atomic Through Hospital Services - Recognition of the v NABH training and implementation energy regulatory Board certifying hospital for its quality care and services in the v Research in a difficult situation radiation for 400 MA X-ray community and district authorities. Patient feedback– “I v New areas of intervention in Community Health Machine, 60 MA Portable X-ray decided to come to your hospital because I know that I and Development Machine, C-arm and Dental X- ray will receive good care and ethical treatment” machine. Challenges faced Progress on quality improvement: Preparing for v Renovation & inauguration of NABH has helped in streamlining many systems and v Ultrasound services had to be shut down due to Champapur Clinic to provide clinical improving quality in many areas. Applied for entry level non-availability of personnel services to a rural area on a regular NABH accreditation in 2017 and received positive v Irregular reimbursement of government insurance basis assessment report. Waiting for final process to schemes v Waste Management system was complete. v Payment for appeal against the IT demand raised introduced in the campus and Plans for the coming year hospital, with wet and dry waste Important learnings v Complete NABH accreditation and maintain the segregation systems in place as a v Proper documentation of HR requirement process first step towards a green campus. v Allowing staff to report errors freely and fearlessly v Explore alternative sources of funding Dr. Ashok Chacko v Many of the old buildings in the v Insisting on proper documentation in all areas of v Intensive recruitment and starting new training residential campus were renovated the hospital work programs and allotted to staff. DUNCAN HOSPITAL MADHEPURA CHRISTIAN HOSPITAL Thanks to the Overall impact in the community through Revenue Budget for 17-18 generous MADHIPURA CHRISTIAN HOSPITAL contribution from Change in leadership: Dr Prabhu L Joseph took hospital services Budgeted Income: 27,36,51,000/- EMMS UK, the Change in Leadership: Nurses Hostel for charge as Medical Director, Dr Philip Finny as Completed 10 years of work in the community Budgeted Expenses: 20,32,69,869/- 25 nurses and the The S.A.O and M.S. Dr. Timothy Chelliah has Staff Quarters for 4 Deputy Medical Director, Mrs Poonam Lakra as families are nearing gone on a long leave. Mr. Chandreshwar v Malaria deaths were nil in the last year Capital Requirements for 17-18 completion... Nursing Superintendent, and Mrs Ester Bai Khura as v Community action for prevention of child abuse Infrastructure: 6,71,71,131/- Vice Principal - School of Nursing. Singh from Duncan Hospital was deputed as and trafficking Medical Equipment’s: 55,00,000/- the new S.A.O. Dr. Ilangovan P took over as Specific achievements: v PwD’s reach out to neighboring districts and IT/Communication: 5,20,000/- the Acting M.S. v New Services added: Physical Medicine & mobilize them Vehicles & Electrical: 28,90,000/- New Services added: Rehabilitation OPD was inaugurated and v Women DPO formed functioned with Dr. Vijay Manda as the new v A new semi-auto-analyser and 39 40 specialist. electrolyte analyzer have been ANNUAL REPORT 2016-2017 | NORTH-EASTERN REGION purchased for the laboratory. Program, strengthening of livelihood took place our nurses have been trained to prepare the SOPs & case v After the generous donation of a CO2 insufflator by through agriculture. As a result, 150 small and sheets. a well-wisher of the hospital, laparascopic surgery marginalized farmer families achieved regular income Significant changes: has been restarted at MCH. New infusion pumps for through the Milk Producers Group. 130 small farmers’ v Palliative care service started. the ICUs were purchased. families produced more than double the usual v NICU which was closed has been reopened. v 3 television sets have been donated to the hospital, production in more than 200 acre land. The result of v We have seen changes in the lives of staff. and placed in the OPD and wards. Aimed at keeping increasing agricultural productivity and regular v Regular house visits and counselling has made a big patients occupied while waiting, they play income lead to positive economic benefits to the difference in the community. continuously Christian videos and films, as well as families, which contributed to their family health, v Applied for NABH-Entry level accreditation. films on social themes (anti child marriage, "She is children’s education and other social aspects, reducing Precious", etc) and health education (immunization, vulnerability to human trafficking. INJOT PROJECT, KHUNTI DIST, JHARKHAND nutrition, importance of antenatal check up, etc). Injot Project is an initiative of Emmanuel Hospital NAVJIWAN HOSPITAL Association and Gossner Evangelical Lutheran Church and New Construction: There was no change in leadership. was started in 2011 with a focus on Children at risk in Karo Thanks to the generous contribution from EMMS UK, region of Khunti district. The goal is Empowered the Nurses Hostel for 25 nurses and the Staff Quarters At the beginning of the year the hospital had a good communities provide safe and growth oriented for 4 families are nearing completion. number of new patients but slowly the number decreased. environment to its members, with special focus on its The patients who could afford better treatment looked for Specific Achievements: most vulnerable members. better options and the real poor were willing to be v In partnership with World Vision, the hospital was Purpose admitted, and much charity was given to them as they were able to begin screening of adolescent girls for not in position to clear the bill. Inspite of the financial crises, 1. To strengthen community led action for reducing anemia. In addition, their blood group and Rh was the hospital continued to be in the forefront of the trafficking and abuse of children/adolescent & identified, and they were given health education on compassionate medical care which is well recognized by youth. nutrition, and prevention and treatment of anemia. the people and the government. 2. Vulnerable families in target villages have v The hospital continued to partner with the sustainable livelihood opportunities through Government of Bihar to provide training to Skilled During the reporting year, one of the main responsibilities partnership by the end of 2018. Birth Attendants. was to get NABH -Entry Level accreditation for the Hospital. 3. To increase income of marginalized farmers through v Orientation and training was given to an MSc With the help of the Jhpiego team—an affiliate of Johns improved agricultural practices & mini-watershed. (Paeds) nurse working with CARE, Bihar, in the Hopkins University, State NRHM & Health Directorate, all To establish national network along-with global management of patients in NICU. 4. ‘Stop The Traffic’ for initiating national & regional v Through the Community Health and Development advocacy and collaboration against menace of 41 42 trafficking. ANNUAL REPORT 2016-2017 | EASTERN REGION purchased for the laboratory. Program, strengthening of livelihood took place our nurses have been trained to prepare the SOPs & case v After the generous donation of a CO2 insufflator by through agriculture. As a result, 150 small and sheets. a well-wisher of the hospital, laparascopic surgery marginalized farmer families achieved regular income Significant changes: has been restarted at MCH. New infusion pumps for through the Milk Producers Group. 130 small farmers’ v Palliative care service started. the ICUs were purchased. families produced more than double the usual v NICU which was closed has been reopened. v 3 television sets have been donated to the hospital, production in more than 200 acre land. The result of v We have seen changes in the lives of staff. and placed in the OPD and wards. Aimed at keeping increasing agricultural productivity and regular v Regular house visits and counselling has made a big patients occupied while waiting, they play income lead to positive economic benefits to the difference in the community. continuously Christian videos and films, as well as families, which contributed to their family health, v Applied for NABH-Entry level accreditation. films on social themes (anti child marriage, "She is children’s education and other social aspects, reducing Precious", etc) and health education (immunization, vulnerability to human trafficking. INJOT PROJECT, KHUNTI DIST, JHARKHAND nutrition, importance of antenatal check up, etc). Injot Project is an initiative of Emmanuel Hospital NAVJIWAN HOSPITAL Association and Gossner Evangelical Lutheran Church and New Construction: There was no change in leadership. was started in 2011 with a focus on Children at risk in Karo Thanks to the generous contribution from EMMS UK, region of Khunti district. The goal is Empowered the Nurses Hostel for 25 nurses and the Staff Quarters At the beginning of the year the hospital had a good communities provide safe and growth oriented for 4 families are nearing completion. number of new patients but slowly the number decreased. environment to its members, with special focus on its The patients who could afford better treatment looked for Specific Achievements: most vulnerable members. better options and the real poor were willing to be v In partnership with World Vision, the hospital was Purpose admitted, and much charity was given to them as they were able to begin screening of adolescent girls for not in position to clear the bill. Inspite of the financial crises, 1. To strengthen community led action for reducing anemia. In addition, their blood group and Rh was the hospital continued to be in the forefront of the trafficking and abuse of children/adolescent & identified, and they were given health education on compassionate medical care which is well recognized by youth. nutrition, and prevention and treatment of anemia. the people and the government. 2. Vulnerable families in target villages have v The hospital continued to partner with the sustainable livelihood opportunities through Government of Bihar to provide training to Skilled During the reporting year, one of the main responsibilities partnership by the end of 2018. Birth Attendants. was to get NABH -Entry Level accreditation for the Hospital. 3. To increase income of marginalized farmers through v Orientation and training was given to an MSc With the help of the Jhpiego team—an affiliate of Johns improved agricultural practices & mini-watershed. (Paeds) nurse working with CARE, Bihar, in the Hopkins University, State NRHM & Health Directorate, all To establish national network along-with global management of patients in NICU. 4. ‘Stop The Traffic’ for initiating national & regional v Through the Community Health and Development advocacy and collaboration against menace of 41 42 trafficking. ANNUAL REPORT 2016-2017 | EASTERN REGION Achievement REGIONAL DIRECTORS’ REPORT transition with the departure of Mr Jone v 30 adolescent Clubs were formed in the community, Wills and Dr Joseph who were stalwarts in and one adolescent annual camp was organized CENTRAL REGION EHA. However Sister Manjula has been able reasons. They had completed 20 years of yeoman v 18 village child protection committees (VCPC) have to do a commendable job of getting the service to the Malto people, starting as the Prem Jyoti been formed in target areas. All VCPC are in the team together and making things work. Community project which trained many of the CHVs in formation stage. Challenges have been some of the sub primary health care, thus significantly reducing maternal v Income generation activities – Through seed grants judicial matters which have been pending & infant mortality. from the project 20 most vulnerable families were for years. We have been able to have helped. 9 families started backyard poultry. Two Dr.Benedict Joshua, a young surgeon has taken over the favourable verdicts in most of these. Dr SHGs groups started eatery shops in the market, and reins of the hospital along with his wife Pauline. Dr. Vikram also has moved out and the medical one group cultivated paddy and vegetables. 38 Samuel an anesthetist friend of Benedicts joined them team will again have a transition with Dr groups were linked with JSLPS and each group got for most of the year & assisted in setting up a high Ashish having completed his service Rs. 15000/- as a revolving fund, while 10 SHGs got Rs. dependency unit at the hospital. obligation and moving on for higher studies. 50000/- each as a loan for Income Generation We request earnest prayers for the on-going Projects. General surgery services, nursery services & care of sick work at Champa. v 10 Farmers clubs were formed to develop agriculture patients was initiated this year. in the area. 18 farmers started using new cropping method and 5 farmers cultivated paddy using a new New equipment purchased included an anesthesia work Dr. Deepak Samson Singh SEWA BHAWAN HOSPITAL method of systemic rice intensification method. 38 station, patient monitors, syringe pumps, oxygen JAGDEESHPUR concentrator , ELISA reader & an ISC electrolyte farmers cultivated wheat and nuts. he central region of EHA has been the hub Dr Vinod and the team have been doing a machine, enabling them to provide high quality great job of revitalizing a sick unit. Over the Impact – The livelihood initiatives led to reduced The central region of activity. We praise God for the wonderful secondary care to this remote tribal population. of EHA has been last year we have seen a number of missing and trafficked children in the project villages. the hub of activity. way in which He has led us and provided for Taking advantage of a govt. scheme, we applied for a We praise God for T improvements. More patients are accessing In the year 2012-13, 58 missing children were the wonderful way us in the central region. We have seen many loan to purchase 15KVa solar panels which has come as a in which He has led the services, there has been addition of reported while in the year 2016-17 only 2 missing us and provided for developments and have been able to move cases were reported. real boon for the hospital, taking care of most of the us in the central equipment. The Ophthalmology work is region. We have forward in a lot of areas. hospital’s electricity needs. seen many developments and seeing some gain. However major have been able to challenges remain with the availability of PREM JYOTI COMMUNITY HOSPITAL The community program has helped many women’s move forward.. CHAMPA CHRISTIAN HOSPITAL consultants, loco regional factors, the access self-help groups to grow & start managing their own Leadership: The year was one of transition as we bid With the installation of a senior nurse as an SAO and many medical facilities nearby. Mrs money collectively, giving small loans to each other. adieu to Drs. Isac & Vijila, the pioneer founders of this we have seen many wonderful things happening. Merin Thomas has joined as new hospital who moved on to south India for family As with any directional change there have also administrator and we hope that there would 43 44 been challenges. There has been a major be a greater understanding within the team ANNUAL REPORT 2016-2017 | EASTERN REGION Achievement REGIONAL DIRECTORS’ REPORT transition with the departure of Mr Jone v 30 adolescent Clubs were formed in the community, Wills and Dr Joseph who were stalwarts in and one adolescent annual camp was organized CENTRAL REGION EHA. However Sister Manjula has been able reasons. They had completed 20 years of yeoman v 18 village child protection committees (VCPC) have to do a commendable job of getting the service to the Malto people, starting as the Prem Jyoti been formed in target areas. All VCPC are in the team together and making things work. Community project which trained many of the CHVs in formation stage. Challenges have been some of the sub primary health care, thus significantly reducing maternal v Income generation activities – Through seed grants judicial matters which have been pending & infant mortality. from the project 20 most vulnerable families were for years. We have been able to have helped. 9 families started backyard poultry. Two Dr.Benedict Joshua, a young surgeon has taken over the favourable verdicts in most of these. Dr SHGs groups started eatery shops in the market, and reins of the hospital along with his wife Pauline. Dr. Vikram also has moved out and the medical one group cultivated paddy and vegetables. 38 Samuel an anesthetist friend of Benedicts joined them team will again have a transition with Dr groups were linked with JSLPS and each group got for most of the year & assisted in setting up a high Ashish having completed his service Rs. 15000/- as a revolving fund, while 10 SHGs got Rs. dependency unit at the hospital. obligation and moving on for higher studies. 50000/- each as a loan for Income Generation We request earnest prayers for the on-going Projects. General surgery services, nursery services & care of sick work at Champa. v 10 Farmers clubs were formed to develop agriculture patients was initiated this year. in the area. 18 farmers started using new cropping method and 5 farmers cultivated paddy using a new New equipment purchased included an anesthesia work Dr. Deepak Samson Singh SEWA BHAWAN HOSPITAL method of systemic rice intensification method. 38 station, patient monitors, syringe pumps, oxygen JAGDEESHPUR concentrator , ELISA reader & an ISC electrolyte farmers cultivated wheat and nuts. he central region of EHA has been the hub Dr Vinod and the team have been doing a machine, enabling them to provide high quality great job of revitalizing a sick unit. Over the Impact – The livelihood initiatives led to reduced The central region of activity. We praise God for the wonderful secondary care to this remote tribal population. of EHA has been last year we have seen a number of missing and trafficked children in the project villages. the hub of activity. way in which He has led us and provided for Taking advantage of a govt. scheme, we applied for a We praise God for T improvements. More patients are accessing In the year 2012-13, 58 missing children were the wonderful way us in the central region. We have seen many loan to purchase 15KVa solar panels which has come as a in which He has led the services, there has been addition of reported while in the year 2016-17 only 2 missing us and provided for developments and have been able to move cases were reported. real boon for the hospital, taking care of most of the us in the central equipment. The Ophthalmology work is region. We have forward in a lot of areas. hospital’s electricity needs. seen many developments and seeing some gain. However major have been able to challenges remain with the availability of PREM JYOTI COMMUNITY HOSPITAL The community program has helped many women’s move forward.. CHAMPA CHRISTIAN HOSPITAL consultants, loco regional factors, the access self-help groups to grow & start managing their own Leadership: The year was one of transition as we bid With the installation of a senior nurse as an SAO and many medical facilities nearby. Mrs money collectively, giving small loans to each other. adieu to Drs. Isac & Vijila, the pioneer founders of this we have seen many wonderful things happening. Merin Thomas has joined as new hospital who moved on to south India for family As with any directional change there have also administrator and we hope that there would 43 44 been challenges. There has been a major be a greater understanding within the team ANNUAL REPORT 2016-2017 | EASTERN REGION and we would see major improvements in the work at year after year, in the face of all odds, makes Jagdeeshpur. REGIONAL DIRECTORS’ REPORT it all worth the while – and the past year has NORTHERN REGION been no exception. LAKHNADON CHRISTIAN HOSPTIAL Dr Divya and Mr Neeti Raj are holding the fort at There were significant changes in senior Lakhnadon. There was a major transition with Dr Chering leadership at different times in each of the leaving and the closure of the community work. There is units, and we are grateful for a smooth a dearth of availability of Junior medical officers and transition in each of them – Dr. Christopher consultants. With a good acute care unit in place a Lasrado, surgeon and long-standing Senior medical specialist would be able to do a great deal. This Administrative Officer of the hospital in is an area of concern. We hope to see more specialists Chhatarpur took leave of absence, and joining in the coming year so that the work and care at subsequently resigned to be available to Lakhnadon can be strengthened. care for his ailing parents. Similar illness in the family necessitated the resignation of G.M. PRIYA HOSPITAL DAPEGAON Dr. Jewel and Roopa (anaesthetist and Dr Vijay from the believer’s church in Cochi had joined obstetrician) from Landour, while the work at Dapegaon in November in the hope that opportunity through EHA to gain things would turn around. The work had seen some Dr. Joshua Sunil Gokavi experience abroad saw Dr. Daniel Rajkumar, progress for a while but there has been a downward surgeon and Managing Director of the trend. The central team then decided to scale down the Herbertpur hospital leave for a time. The he hospitals in this region comprise work and continue a rudimentary clinic with Dr Jaishree latest change was the leaving of Mr. Biju Each hospital has Christian Hospital, Chhatarpur (MP), Harriet Chouguley in charge. We are so grateful for the life and its own unique Mathew, Senior administrative Officer in has had a great impact on the community around us. A flavor and Benson Memorial Hospital in Lalitpur (UP), Lalitpur, on a 3-year break. work of Dr Jaishree who has laboured without much challenges, with the T lot of people with terminal illnesses and their families major issues of and two of our units in the state of Uttarakhand – reward for the last 20 years, almost single handedly in a human resource have found dignity at a very difficult time in their lives. and finances often Landour Christian Hospital in Mussoorie and Infrastructure development was significant very difficult and dry place. dominating the We are grateful for the palliative care team headed by Dr picture. Yet the in some of the units – good housing in the opportunity to see Herbertpur Christian Hospital (near Dehradun). Ashita, comprising of Mr Daniel and his wife Jerusha, and experience Lalitpur campus (courtesy Mission Direct), CHINCHPADA CHRISTIAN HOSPITAL God at work in ably joined by Mrs Sharda Gamit, and Mrs Marylena sustaining and the completion and commissioning of the blessing the units Each hospital has its own unique flavor and The work at Chinchpada continues to grow. We have Kumar. There has been a major input into our year after year.. challenges, with the major issues of human Mother & Child facility in Chhatarpur (aided additions to the team. There has been an upward trend equipment with the addition of an UGI endoscope and resource and finances often dominating the by Living Truth ministry in Canada and in the patients accessing our services. We are grateful for other essential items. The ICU is well utilized and we picture. Yet the opportunity to see and experience EMMS), and the inauguration of renovated the staff for their commitment. The Palliative care work praise God for the many people who have received God at work in sustaining and blessing the units in-patient facilities for obstetric and general healing in spite of being very sick. 45 46 patients as well as the completion of a new ANNUAL REPORT 2016-2017 | CENTRAL REGION and we would see major improvements in the work at year after year, in the face of all odds, makes Jagdeeshpur. REGIONAL DIRECTORS’ REPORT it all worth the while – and the past year has NORTHERN REGION been no exception. LAKHNADON CHRISTIAN HOSPTIAL Dr Divya and Mr Neeti Raj are holding the fort at There were significant changes in senior Lakhnadon. There was a major transition with Dr Chering leadership at different times in each of the leaving and the closure of the community work. There is units, and we are grateful for a smooth a dearth of availability of Junior medical officers and transition in each of them – Dr. Christopher consultants. With a good acute care unit in place a Lasrado, surgeon and long-standing Senior medical specialist would be able to do a great deal. This Administrative Officer of the hospital in is an area of concern. We hope to see more specialists Chhatarpur took leave of absence, and joining in the coming year so that the work and care at subsequently resigned to be available to Lakhnadon can be strengthened. care for his ailing parents. Similar illness in the family necessitated the resignation of G.M. PRIYA HOSPITAL DAPEGAON Dr. Jewel and Roopa (anaesthetist and Dr Vijay from the believer’s church in Cochi had joined obstetrician) from Landour, while the work at Dapegaon in November in the hope that opportunity through EHA to gain things would turn around. The work had seen some Dr. Joshua Sunil Gokavi experience abroad saw Dr. Daniel Rajkumar, progress for a while but there has been a downward surgeon and Managing Director of the trend. The central team then decided to scale down the Herbertpur hospital leave for a time. The he hospitals in this region comprise work and continue a rudimentary clinic with Dr Jaishree latest change was the leaving of Mr. Biju Each hospital has Christian Hospital, Chhatarpur (MP), Harriet Chouguley in charge. We are so grateful for the life and its own unique Mathew, Senior administrative Officer in has had a great impact on the community around us. A flavor and Benson Memorial Hospital in Lalitpur (UP), Lalitpur, on a 3-year break. work of Dr Jaishree who has laboured without much challenges, with the T lot of people with terminal illnesses and their families major issues of and two of our units in the state of Uttarakhand – reward for the last 20 years, almost single handedly in a human resource have found dignity at a very difficult time in their lives. and finances often Landour Christian Hospital in Mussoorie and Infrastructure development was significant very difficult and dry place. dominating the We are grateful for the palliative care team headed by Dr picture. Yet the in some of the units – good housing in the opportunity to see Herbertpur Christian Hospital (near Dehradun). Ashita, comprising of Mr Daniel and his wife Jerusha, and experience Lalitpur campus (courtesy Mission Direct), CHINCHPADA CHRISTIAN HOSPITAL God at work in ably joined by Mrs Sharda Gamit, and Mrs Marylena sustaining and the completion and commissioning of the blessing the units Each hospital has its own unique flavor and The work at Chinchpada continues to grow. We have Kumar. There has been a major input into our year after year.. challenges, with the major issues of human Mother & Child facility in Chhatarpur (aided additions to the team. There has been an upward trend equipment with the addition of an UGI endoscope and resource and finances often dominating the by Living Truth ministry in Canada and in the patients accessing our services. We are grateful for other essential items. The ICU is well utilized and we picture. Yet the opportunity to see and experience EMMS), and the inauguration of renovated the staff for their commitment. The Palliative care work praise God for the many people who have received God at work in sustaining and blessing the units in-patient facilities for obstetric and general healing in spite of being very sick. 45 46 patients as well as the completion of a new ANNUAL REPORT 2016-2017 | CENTRAL REGION reporting year. A process of laying down Drnursing Vinod hostel, and the thanks team to have Living been Truth doing and a thegreat Rothens job of We are grateful for the opportunity to continue to REGIONAL DIRECTORS’ REPORT standard operating protocols for revitalizingfrom Switzerland. a sick unit. Other Over buildings the last year are we in progresshave seen in a impact individual lives, families and communities as we Herbertpur are expansion of the Anugrah project continue to strive to establish high levels of NORTH-CENTRAL REGION patients in line with NABH guidelines (children with disability) facility and the chapel, with compassionate care to the sick and suffering in the were attempted which has made a good construction of a brand new in-patient facility scheduled region. impact on several systems at the to start after waiting years for permission for the same! hospital. Alongside, new systems for domestic waste disposal were started In keeping with the commitment in EHA to focus on and the boundary wall all around the service to the marginalized, the hospitals in the region hospital was elevated to prevent waste saw the introduction of a few new services like a from out of the campus. community based mental health program in Chhatarpur, where a large number of cases of attempted v The community health department that suicide are seen, and a palliative care program, besides has been working in 19 peri-urban slums continuing the MCH and disability programs. In Lalitpur, for the past 6 years saw some major the place of origin of the EHA palliative care program, a results during the reporting year with significant step forward was the recognition of the unit construction of concrete roads in 7 as a national centre for training in the field. slums, electrical connectivity in 4 slums Dr. Saira Paulose and installation of clean drinking water The inevitable challenges faced revolved around the facilities in 10 slums. During the year, the demonetization toward the end of 2016, which focus was shifted more towards livelihood and several people were significantly affected patient access to hospital services, The year gone by BROADWELL CHRISTIAN HOSPITAL as well as regulatory restrictions where specialists are has been a helped with seed money to start new challenging, v The year at Broadwell Christian Hospital, was a required to deliver services that practically all our exciting, at times a initiatives. Adolescent groups and boys stressful one, but year of major up-gradation in terms of the doctors were adept at providing – this directly affected has been groups were trained in various skills and underlined by a facilities offered by the hospital. A newly built the patient flow and the financial stability of the units deep sense of many school drop outs rejoined school. satisfaction and theatre complex comprising of 4 theatres, of affected. In an attempt to minimize expense and gratefulness Many women were empowered through towards the which one was a modular theatre for maximize available resources within these constraints, amazing help from health care committees, mothers’ the Almighty... orthopedics was completed. The new services an unique ‘twinning’ program has been instituted very groups, gender forums and as health of orthopedics, psychiatry and physiotherapy recently, where the hospitals in Lalitpur and Chhatarpur workers while couple workshops were were gradually increasing in number over the are sharing human and financial resources to best build initiated at village level during the reporting year. The hospital had a record each other up. reporting year which made a major number of 1938 deliveries during the 47 48 ANNUAL REPORT 2016-2017 | NORTHERN REGION reporting year. A process of laying down Drnursing Vinod hostel, and the thanks team to have Living been Truth doing and a thegreat Rothens job of We are grateful for the opportunity to continue to REGIONAL DIRECTORS’ REPORT standard operating protocols for revitalizingfrom Switzerland. a sick unit. Other Over buildings the last year are we in progresshave seen in a impact individual lives, families and communities as we Herbertpur are expansion of the Anugrah project continue to strive to establish high levels of NORTH-CENTRAL REGION patients in line with NABH guidelines (children with disability) facility and the chapel, with compassionate care to the sick and suffering in the were attempted which has made a good construction of a brand new in-patient facility scheduled region. impact on several systems at the to start after waiting years for permission for the same! hospital. Alongside, new systems for domestic waste disposal were started In keeping with the commitment in EHA to focus on and the boundary wall all around the service to the marginalized, the hospitals in the region hospital was elevated to prevent waste saw the introduction of a few new services like a from out of the campus. community based mental health program in Chhatarpur, where a large number of cases of attempted v The community health department that suicide are seen, and a palliative care program, besides has been working in 19 peri-urban slums continuing the MCH and disability programs. In Lalitpur, for the past 6 years saw some major the place of origin of the EHA palliative care program, a results during the reporting year with significant step forward was the recognition of the unit construction of concrete roads in 7 as a national centre for training in the field. slums, electrical connectivity in 4 slums Dr. Saira Paulose and installation of clean drinking water The inevitable challenges faced revolved around the facilities in 10 slums. During the year, the demonetization toward the end of 2016, which focus was shifted more towards livelihood and several people were significantly affected patient access to hospital services, The year gone by BROADWELL CHRISTIAN HOSPITAL as well as regulatory restrictions where specialists are has been a helped with seed money to start new challenging, v The year at Broadwell Christian Hospital, was a required to deliver services that practically all our exciting, at times a initiatives. Adolescent groups and boys stressful one, but year of major up-gradation in terms of the doctors were adept at providing – this directly affected has been groups were trained in various skills and underlined by a facilities offered by the hospital. A newly built the patient flow and the financial stability of the units deep sense of many school drop outs rejoined school. satisfaction and theatre complex comprising of 4 theatres, of affected. In an attempt to minimize expense and gratefulness Many women were empowered through towards the which one was a modular theatre for maximize available resources within these constraints, amazing help from health care committees, mothers’ the Almighty... orthopedics was completed. The new services an unique ‘twinning’ program has been instituted very groups, gender forums and as health of orthopedics, psychiatry and physiotherapy recently, where the hospitals in Lalitpur and Chhatarpur workers while couple workshops were were gradually increasing in number over the are sharing human and financial resources to best build initiated at village level during the reporting year. The hospital had a record each other up. reporting year which made a major number of 1938 deliveries during the 47 48 ANNUAL REPORT 2016-2017 | NORTHERN REGION KACCHWA CHRISTIAN HOSPITAL v Dr Vinodimpact. and The the palliative team have care beenteam doingcontinued a great to make job of a The hospital started palliative care initiatives in the community. revitalizingdeep impact a sick inunit. the Over lives the of last several year wehidden have people seen a KCH continues to be a partner of project Axshya, which is an with end stage cancer by identifying them, giving initiative by the government for universal access to treatment symptom based relief and through counseling and and control of Tuberculosis along with community wound care and during the reporting year, the participation. v government PHC doctors highly appreciated the KCH was involved in flood relief and conducting medical camps work done by the team and helped by supplying free during the floods in 2016 in Kachhwa. v medications to the team. Many local church Vocational training classes in electrical repairs and mobile volunteers also joined the team during the year phone repairs continued for the youth in the community. Many which added to the love that they could have found jobs in various cities as a result of this training. And demonstrate to the people. Through Project Axshya, for the ladies in the community along with sewing classes, large community awareness programs, mid media beauticians training course has been added. v events and house to house screening of Spiritual training and renewal continues to be a core emphasis communities for tuberculosis was arranged. along-side all the activities carried out. v Community based rehabilitation was also launched JIWAN JYOTI CHRISTIAN HOSPITAL during the reporting year along with the v The year gone by has been a challenging, exciting, at times a physiotherapy department. One of the major stressful one, but has been underlined by a deep sense of highlights of the year was the Wheels for the world- satisfaction and gratefulness towards the amazing help from India program done with Joni and friends, Equip the Almighty. 2016 will always remain a very important year in India and friends from Herbertpur Christian Hospital the history of JJCH as the NICU (Neonatal Intensive Care Unit) in the month of October 2016, in which 204 wheel caught fire and everything in NICU was charred into ashes chairs, 18 canes and 28 crutches were custom-made within few minutes on 27th of April. Though there was no on site and distributed to people who needed them casualty but the property loss was enormous. Within six months over a week. Several people were blessed with this the NICU was renovated and became operational. program and have testified that they would want to v The OG department became operational and with the Physician do something with their lives since God had joining the General side of the hospital became lively. preserved their lives. 49 50 ANNUAL REPORT 2016-2017 | NORTH-CENTRAL REGION KACCHWA CHRISTIAN HOSPITAL v Dr Vinodimpact. and The the palliative team have care beenteam doingcontinued a great to make job of a The hospital started palliative care initiatives in the community. revitalizingdeep impact a sick inunit. the Over lives the of last several year wehidden have people seen a KCH continues to be a partner of project Axshya, which is an with end stage cancer by identifying them, giving initiative by the government for universal access to treatment symptom based relief and through counseling and and control of Tuberculosis along with community wound care and during the reporting year, the participation. v government PHC doctors highly appreciated the KCH was involved in flood relief and conducting medical camps work done by the team and helped by supplying free during the floods in 2016 in Kachhwa. v medications to the team. Many local church Vocational training classes in electrical repairs and mobile volunteers also joined the team during the year phone repairs continued for the youth in the community. Many which added to the love that they could have found jobs in various cities as a result of this training. And demonstrate to the people. Through Project Axshya, for the ladies in the community along with sewing classes, large community awareness programs, mid media beauticians training course has been added. v events and house to house screening of Spiritual training and renewal continues to be a core emphasis communities for tuberculosis was arranged. along-side all the activities carried out. v Community based rehabilitation was also launched JIWAN JYOTI CHRISTIAN HOSPITAL during the reporting year along with the v The year gone by has been a challenging, exciting, at times a physiotherapy department. One of the major stressful one, but has been underlined by a deep sense of highlights of the year was the Wheels for the world- satisfaction and gratefulness towards the amazing help from India program done with Joni and friends, Equip the Almighty. 2016 will always remain a very important year in India and friends from Herbertpur Christian Hospital the history of JJCH as the NICU (Neonatal Intensive Care Unit) in the month of October 2016, in which 204 wheel caught fire and everything in NICU was charred into ashes chairs, 18 canes and 28 crutches were custom-made within few minutes on 27th of April. Though there was no on site and distributed to people who needed them casualty but the property loss was enormous. Within six months over a week. Several people were blessed with this the NICU was renovated and became operational. program and have testified that they would want to v The OG department became operational and with the Physician do something with their lives since God had joining the General side of the hospital became lively. preserved their lives. 49 50 ANNUAL REPORT 2016-2017 | NORTH-CENTRAL REGION containers have been placed according to color v Installed Fire Safety devices as per National Building coding. v Construction Rule – 2005 Bethel Children’s Home (Creche) was opened for v Completed the civil structure of the P&O staff children (Prosthetics & Orthotics) workshop v Purchased new equipment to offer better quality treatment to the patients – like Dental Chair, A-SCAN machine, ECG machine, Baby Warmer, etc R PREM SEWA HOSPITAL A v 2016 was a year of jubilee, and the hospital N celebrated the goodness of God and His mercy over D the last 50 years, with the founding members and O other overseas and Indian guests who were associated with PSH. M v The much needed eye OT and ward complex was completed by God’s grace. The hospital is able to P give quality care to patients. An Optical shop was H started through which affordable spectacles are provided to the needy patients, and which also O helps to support the palliative care patients. T v A community health initiative was started for O Mother and Child health. Over 235 persons with S disability from around 83 villages were identified and enrolled into the organization. v In Palliative Care department 66 new patients were enrolled. Currently the hospital serves 85 patients. Oral Cancer is the highest with 33 patients. v A New initiative was taken to follow Bio Medical Waste Management. The Biomedical Waste ANNUAL REPORT 2016-2017 | PHOTOS 51 ANNUAL REPORT 2016-2017 | NORTH-CENTRAL REGION containers have been placed according to color v Installed Fire Safety devices as per National Building coding. v Construction Rule – 2005 Bethel Children’s Home (Creche) was opened for v Completed the civil structure of the P&O staff children (Prosthetics & Orthotics) workshop v Purchased new equipment to offer better quality treatment to the patients – like Dental Chair, A-SCAN machine, ECG machine, Baby Warmer, etc R PREM SEWA HOSPITAL A v 2016 was a year of jubilee, and the hospital N celebrated the goodness of God and His mercy over D the last 50 years, with the founding members and O other overseas and Indian guests who were associated with PSH. M v The much needed eye OT and ward complex was completed by God’s grace. The hospital is able to P give quality care to patients. An Optical shop was H started through which affordable spectacles are provided to the needy patients, and which also O helps to support the palliative care patients. T v A community health initiative was started for O Mother and Child health. Over 235 persons with S disability from around 83 villages were identified and enrolled into the organization. v In Palliative Care department 66 new patients were enrolled. Currently the hospital serves 85 patients. Oral Cancer is the highest with 33 patients. v A New initiative was taken to follow Bio Medical Waste Management. The Biomedical Waste ANNUAL REPORT 2016-2017 | PHOTOS 51 ANNUAL REPORT 2016-2017 | NORTH-CENTRAL REGION FINANCIAL HIGHLIGHTS Abhishek Lyall EHA HOSPITALS STATISTICS FOR 2016-2017

Region Sl.No Hospital Beds Outpatients Inpatients Deliveries Surgeries

(In INR Lakhs) (In INR Lakhs) North East 1 Makunda Christian Hospital 132 84,557 11,296 4,213 4,576 Revenue Source 2016-2017 2015-2016 2 Baptist Christian Hospital, 120 74,678 15,657 179 2,244 Grants & Donations 2,779.38 2,500.00 Tezpur Interest Income 114.10 153.07 Total Revenue 2,893.48 2,653.07 Burrows Memorial Christian 3 Hospital, Alipur 70 20,391 2,169 419 648

Operating Expenditure 2016-2017 2015-2016 Eastern 4 Duncan Hospital, Raxaul 200 1,22,820 13,541 4,973 3,437 Program 3,002.86 2,900.01 Management & General 265.04 275.74 Total Operating Expenses 3,267.90 3,175.75 5 Madhipura Christian Hospital 35 19,878 2,342 837 641

6 Nav Jivan Hospital, Satbarwa 100 26,866 3,682 967 1,057

View our Financial Statement online at eha-health.org Prem Jyoti Community 30 9,856 2,036 870 535 7 Hospital, Barharwa Prem Sewa Hospital, Utilisation of funds North-Central 8 35 73,253 2,986 1,135 2,258 Utraula Administration Jiwan Jyoti Christian 9 100 62,577 4,587 332 3,538 33.95% Hospital, Robertsganj Broadwell Christian 8.11% 91.89% 30.94% HIV Projects 10 50 47,278 4,648 1,940 1,321 1.53% Hospital Development Hospital, Fatehpur 4.95% Community Health Projects 20.51% Other Projects 11 Kachhwa Christian Hospital 20 32,619 1,763 3 454 Disaster Management 53 54 FINANCIAL HIGHLIGHTS Abhishek Lyall EHA HOSPITALS STATISTICS FOR 2016-2017

Region Sl.No Hospital Beds Outpatients Inpatients Deliveries Surgeries

(In INR Lakhs) (In INR Lakhs) North East 1 Makunda Christian Hospital 132 84,557 11,296 4,213 4,576 Revenue Source 2016-2017 2015-2016 2 Baptist Christian Hospital, 120 74,678 15,657 179 2,244 Grants & Donations 2,779.38 2,500.00 Tezpur Interest Income 114.10 153.07 Total Revenue 2,893.48 2,653.07 Burrows Memorial Christian 3 Hospital, Alipur 70 20,391 2,169 419 648

Operating Expenditure 2016-2017 2015-2016 Eastern 4 Duncan Hospital, Raxaul 200 1,22,820 13,541 4,973 3,437 Program 3,002.86 2,900.01 Management & General 265.04 275.74 Total Operating Expenses 3,267.90 3,175.75 5 Madhipura Christian Hospital 35 19,878 2,342 837 641

6 Nav Jivan Hospital, Satbarwa 100 26,866 3,682 967 1,057

View our Financial Statement online at eha-health.org Prem Jyoti Community 30 9,856 2,036 870 535 7 Hospital, Barharwa Prem Sewa Hospital, Utilisation of funds North-Central 8 35 73,253 2,986 1,135 2,258 Utraula Administration Jiwan Jyoti Christian 9 100 62,577 4,587 332 3,538 33.95% Hospital, Robertsganj Broadwell Christian 8.11% 91.89% 30.94% HIV Projects 10 50 47,278 4,648 1,940 1,321 1.53% Hospital Development Hospital, Fatehpur 4.95% Community Health Projects 20.51% Other Projects 11 Kachhwa Christian Hospital 20 32,619 1,763 3 454 Disaster Management 53 54 DIRECTORY IN NORTHERN REGION CHRISTIAN HOSPITAL CHHATARPUR Mr. Jone Wills, Managing Director HOSPITALS Mahoba Road, Chhatarpur, Madhya Pradesh - 471 001 MOBILE 09685902333 Herbertpur Christian EMAIL : [email protected] Northern 120 97,220 6,248 1,088 2,454 12 Hospital IN NORTH-CENTRAL REGION HARRIET BENSON MEMORIAL HOSPITAL Christian Hospital, BROADWELL CHRISTIAN HOSPITAL Mr. Andreas Daud Eicher, SAO 13 150 68,492 9903 3,403 1,227 Chhatarpur Dr. Sujith Varghese Thomas, SAO/MS Civil Line, Lalitpur, Uttar Pradesh - 284 403 Collectorganj, Fatehpur, Uttarpradesh - 212601 PHONE: 05176-273230 Harriet Benson Memorial PHONE: 05180-224487 (O), 225021 (R) EMAIL : [email protected] 14 40 13,102 2,497 338 221 EMAIL : [email protected] Hospital, Lalitpur HERBERTPUR CHRISTIAN HOSPITAL Landour Community 15 Dr. Mathew Samuel, Managing Director Hospital 35 28,444 1,823 402 1,263 JIWAN JYOTI CHRISTIAN HOSPITAL P.O, Herbertpur, District Dehradun, Mrs. Ava Topno, Managing Director Uttarakhand - 248 142 Robertsganj, Sonbhadra District, PHONE: 01360-250260 Central 16 Champa Christian Hospital 75 24907 5320 1633 1734 Uttar Pradesh - 231 216 EMAIL : [email protected] PHONE: 0544-4224497 EMAIL : [email protected] 17 Sewa Bhawan Hospital, 50 4,472 2,337 585 711 [email protected] LANDOUR COMMUNITY HOSPITAL Mrs. Margaret Kurian, SAO Landour, Mussoorie, Uttarakhand - 248 179 Lakhnadon Christian 18 25 7,824 1,169 163 275 KACHHWA CHRISTIAN HOSPITAL Uttar Pradesh - 231 216 Hospital Mr. Shankar Ramachandran, Administrator PHONE: 0135-2632053, 2632541, 2632666 EMAIL: [email protected] Chinchpada Christian Kachhwa, Mirzapur District, 19 50 13,573 2,787 51 324 Uttar Pradesh - 231 501 Hospital MOBILE 09793866689, 08795818670 EMAIL : [email protected] 20 G M Priya Hospital, 0 0 0 0 0 IN CENTRAL REGION PREM SEWA HOSPITAL CHAMPA CHRISTIAN HOSPITAL Dr. George Varghese, SAO Mrs. Manjula Deenam, SAO P.O. Utraula, District Balrampur, P.O.Champa, Janjgir-Champa District, Uttar Pradesh – 271604 Chhattisgarh - 495 671 PHONE: 05265 – 252004 PHONE: 07819-244370; 07819-245142 MOBILE: 09838076202 EMAIL : [email protected] EMAIL : [email protected] 55 56 ANNUAL REPORT 2016-2017 | STATISTICS DIRECTORY IN NORTHERN REGION CHRISTIAN HOSPITAL CHHATARPUR Mr. Jone Wills, Managing Director HOSPITALS Mahoba Road, Chhatarpur, Madhya Pradesh - 471 001 MOBILE 09685902333 Herbertpur Christian EMAIL : [email protected] Northern 120 97,220 6,248 1,088 2,454 12 Hospital IN NORTH-CENTRAL REGION HARRIET BENSON MEMORIAL HOSPITAL Christian Hospital, BROADWELL CHRISTIAN HOSPITAL Mr. Andreas Daud Eicher, SAO 13 150 68,492 9903 3,403 1,227 Chhatarpur Dr. Sujith Varghese Thomas, SAO/MS Civil Line, Lalitpur, Uttar Pradesh - 284 403 Collectorganj, Fatehpur, Uttarpradesh - 212601 PHONE: 05176-273230 Harriet Benson Memorial PHONE: 05180-224487 (O), 225021 (R) EMAIL : [email protected] 14 40 13,102 2,497 338 221 EMAIL : [email protected] Hospital, Lalitpur HERBERTPUR CHRISTIAN HOSPITAL Landour Community 15 Dr. Mathew Samuel, Managing Director Hospital 35 28,444 1,823 402 1,263 JIWAN JYOTI CHRISTIAN HOSPITAL P.O, Herbertpur, District Dehradun, Mrs. Ava Topno, Managing Director Uttarakhand - 248 142 Robertsganj, Sonbhadra District, PHONE: 01360-250260 Central 16 Champa Christian Hospital 75 24907 5320 1633 1734 Uttar Pradesh - 231 216 EMAIL : [email protected] PHONE: 0544-4224497 EMAIL : [email protected] 17 Sewa Bhawan Hospital, 50 4,472 2,337 585 711 [email protected] LANDOUR COMMUNITY HOSPITAL Mrs. Margaret Kurian, SAO Landour, Mussoorie, Uttarakhand - 248 179 Lakhnadon Christian 18 25 7,824 1,169 163 275 KACHHWA CHRISTIAN HOSPITAL Uttar Pradesh - 231 216 Hospital Mr. Shankar Ramachandran, Administrator PHONE: 0135-2632053, 2632541, 2632666 EMAIL: [email protected] Chinchpada Christian Kachhwa, Mirzapur District, 19 50 13,573 2,787 51 324 Uttar Pradesh - 231 501 Hospital MOBILE 09793866689, 08795818670 EMAIL : [email protected] 20 G M Priya Hospital, 0 0 0 0 0 IN CENTRAL REGION PREM SEWA HOSPITAL CHAMPA CHRISTIAN HOSPITAL Dr. George Varghese, SAO Mrs. Manjula Deenam, SAO P.O. Utraula, District Balrampur, P.O.Champa, Janjgir-Champa District, Uttar Pradesh – 271604 Chhattisgarh - 495 671 PHONE: 05265 – 252004 PHONE: 07819-244370; 07819-245142 MOBILE: 09838076202 EMAIL : [email protected] EMAIL : [email protected] 55 56 ANNUAL REPORT 2016-2017 | STATISTICS CHINCHPADA CHRISTIAN HOSPITAL MADHIPURA CHRISTIAN HOSPITAL Dr. Deepak S. Singh, SAO / MS Mr. Chandreshwar Singh, SAO COMMUNITY HEALTH Chinchpada, Taluka Navapur, Nandurbar District, Madhipura, Madhipura District, Bihar - 852 113 Maharashtra - 425 417 PHONE: 06476-222040 PROJECT PHONE: 02569-243226 EMAIL: [email protected] MOBILE: 07030163778 INJOT CHD PROJECT EMAIL : [email protected] NAV JIVAN HOSPITAL Mr. Jacob Gwal, Project Manager [email protected] Mrs. Helen Paul, SAO HRDC, GEL Church Compound, DUNCAN CHD PROJECT Tumbagara Village, Satbarwa Post, Main Road, Ranchi, Jharkhand - 834 001 Dr. Vandana Kant, Associate Project Director LAKHNADON CHRISTIAN HOSPITAL Palamu District, Jharkhand - 822 126 MOBILE: 08986884541 The Duncan Hospital, Raxaul, Dr. Divya V.S, SAO/MS PHONE: 06562-254215, 254515 EMAIL: [email protected] East Champaran District, Bihar - 845 305 Lakhnadon P.O, Seoni District, Madhya Pradesh - 480 886 MOBILE: 09412050487 [email protected] MOBILE: 09431204772 PHONE: 07690-240130, 240331 EMAIL: [email protected] EMAIL: [email protected] EMAIL : [email protected] BASTAR CHD PROJECT PREM JYOTI COMMUNITY HOSPITAL Mr. Prabodh Kujur, Project Manager FATEHPUR CHD PROJECT Dr. Benedict Joshua, SAO c/o Zubairul Hasan Dr. Sunita Varghese, Project Director SEWA BHAWAN HOSPITAL Chandragodda, P.O. Baramasia, Sahibganj District, Rajib Gandhi Ward, Broadwell Christian Hospital, Collectorganj, Fatehpur Dr. Vinod Joshua John, SAO Jharkhand - 816 102 Frezerpur, Near Gupta Bhawan, Uttar Pradesh - 212 601 Jagdeeshpur, Via Basna, Mahasamund District, MOBILE: 07321982864; 08294104120 Jagdalpur, Bastar, Chhattisgarh - 494 001 MOBILE: 09721150369 Chhattisgarh - 493 555 EMAIL: [email protected] EMAIL: [email protected] EMAIL: [email protected] PHONE: 07724-272129 [email protected] EMAIL : [email protected] MUSSOORIE CHD PROJECT IN NORTH-EASTERN REGION Mr. Rajkumar, Project Manager HERBERTPUR CHD PROJECT Mr Godwin Jose Kallath, Project Manager Mr. Raj Kamal , Project Manager G.M. PRIYA HOSPITAL BAPTIST CHRISTIAN HOSPITAL Landour Community Hospital, Landour, Mussoorie, Herbertpur Christian Hospital, P. O. Herbertpur, Dr. Jayshree, SAO / MS Dr. Koshy C George, Managing Director Uttarakhand - 248 179 Dehradun District, Uttarakhand - 248 142 Dapegaon, TQ. Ausa, Latur District, Mission Chariali, Tezpur, Assam - 784 001 PHONE: 01352630280 MOBILE: 09458344431 Maharashtra - 413 572 PHONE: 03712-255152, 237962 EMAIL: [email protected] EMAIL: [email protected] PHONE: 02383-226069, 226070 FAX: 03712-237896 [email protected] EMAIL: [email protected] MOBILE: 08888741665 CHAMPA CHD PROJECT EMAIL : [email protected] Mr. J Baswaraj, Project Manager KACHHWA CHD PROJECT BURROWS MEMORIAL CHRISTIAN HOSPITAL Champa Christian Hospital, P.O. Champa, Project Manager Mr. Johnson Singson, SAO Janjgir Champa District, Chhattisgarh - 495 671 Kachhwa Christian Hospital, Kachhwa, P.O., Banskandi, Cachar District, Assam - 788 101 MOBILE: 07697605008 Mirzapur District, Uttar Pradesh - 231 501 IN EASTERN REGION PHONE: 03842-256427, 256732 EMAIL: [email protected] MOBILE: 09793866689 EMAIL: [email protected] EMAIL: [email protected] THE DUNCAN HOSPITAL JAGDEESHPUR CHD PROJECT Dr. Uttam Mohapatra, Managing Director Dr. Vinod Joshua John, Project In-charge Raxaul, East Champaran District, Bihar - 845 305 MAKUNDA CHRISTIAN HOSPITAL LALITPUR CHD PROJECT Dr. Vijay Anand Ismavel, SAO Sewa Bhawan Hospital Jagdeeshpur, Via Basna PHONE: 06255-220653, 222641 At,Mahasamund District , Chhattisgarh - 493 555 Mr. Andreas Daud Eicher, Project Director FAX: 06255-221120 Bazaricherra, Karimganj District, Assam - 788 727 Harriet Benson Memorial Hospital, PHONE: 03843-287868 PHONE: 07724-272230 EMAIL: [email protected] MOBILE: 07587167208 Civil Line, Lalitpur, Uttar Pradesh - 284 403 [email protected] EMAIL: [email protected] MOBILE: 09321112065 [email protected] EMAIL: [email protected] 57 58 EMAIL: [email protected] ANNUAL REPORT 2016-2017 | DIRECTORY CHINCHPADA CHRISTIAN HOSPITAL MADHIPURA CHRISTIAN HOSPITAL Dr. Deepak S. Singh, SAO / MS Mr. Chandreshwar Singh, SAO COMMUNITY HEALTH Chinchpada, Taluka Navapur, Nandurbar District, Madhipura, Madhipura District, Bihar - 852 113 Maharashtra - 425 417 PHONE: 06476-222040 PROJECT PHONE: 02569-243226 EMAIL: [email protected] MOBILE: 07030163778 INJOT CHD PROJECT EMAIL : [email protected] NAV JIVAN HOSPITAL Mr. Jacob Gwal, Project Manager [email protected] Mrs. Helen Paul, SAO HRDC, GEL Church Compound, DUNCAN CHD PROJECT Tumbagara Village, Satbarwa Post, Main Road, Ranchi, Jharkhand - 834 001 Dr. Vandana Kant, Associate Project Director LAKHNADON CHRISTIAN HOSPITAL Palamu District, Jharkhand - 822 126 MOBILE: 08986884541 The Duncan Hospital, Raxaul, Dr. Divya V.S, SAO/MS PHONE: 06562-254215, 254515 EMAIL: [email protected] East Champaran District, Bihar - 845 305 Lakhnadon P.O, Seoni District, Madhya Pradesh - 480 886 MOBILE: 09412050487 [email protected] MOBILE: 09431204772 PHONE: 07690-240130, 240331 EMAIL: [email protected] EMAIL: [email protected] EMAIL : [email protected] BASTAR CHD PROJECT PREM JYOTI COMMUNITY HOSPITAL Mr. Prabodh Kujur, Project Manager FATEHPUR CHD PROJECT Dr. Benedict Joshua, SAO c/o Zubairul Hasan Dr. Sunita Varghese, Project Director SEWA BHAWAN HOSPITAL Chandragodda, P.O. Baramasia, Sahibganj District, Rajib Gandhi Ward, Broadwell Christian Hospital, Collectorganj, Fatehpur Dr. Vinod Joshua John, SAO Jharkhand - 816 102 Frezerpur, Near Gupta Bhawan, Uttar Pradesh - 212 601 Jagdeeshpur, Via Basna, Mahasamund District, MOBILE: 07321982864; 08294104120 Jagdalpur, Bastar, Chhattisgarh - 494 001 MOBILE: 09721150369 Chhattisgarh - 493 555 EMAIL: [email protected] EMAIL: [email protected] EMAIL: [email protected] PHONE: 07724-272129 [email protected] EMAIL : [email protected] MUSSOORIE CHD PROJECT IN NORTH-EASTERN REGION Mr. Rajkumar, Project Manager HERBERTPUR CHD PROJECT Mr Godwin Jose Kallath, Project Manager Mr. Raj Kamal , Project Manager G.M. PRIYA HOSPITAL BAPTIST CHRISTIAN HOSPITAL Landour Community Hospital, Landour, Mussoorie, Herbertpur Christian Hospital, P. O. Herbertpur, Dr. Jayshree, SAO / MS Dr. Koshy C George, Managing Director Uttarakhand - 248 179 Dehradun District, Uttarakhand - 248 142 Dapegaon, TQ. Ausa, Latur District, Mission Chariali, Tezpur, Assam - 784 001 PHONE: 01352630280 MOBILE: 09458344431 Maharashtra - 413 572 PHONE: 03712-255152, 237962 EMAIL: [email protected] EMAIL: [email protected] PHONE: 02383-226069, 226070 FAX: 03712-237896 [email protected] EMAIL: [email protected] MOBILE: 08888741665 CHAMPA CHD PROJECT EMAIL : [email protected] Mr. J Baswaraj, Project Manager KACHHWA CHD PROJECT BURROWS MEMORIAL CHRISTIAN HOSPITAL Champa Christian Hospital, P.O. Champa, Project Manager Mr. Johnson Singson, SAO Janjgir Champa District, Chhattisgarh - 495 671 Kachhwa Christian Hospital, Kachhwa, P.O., Banskandi, Cachar District, Assam - 788 101 MOBILE: 07697605008 Mirzapur District, Uttar Pradesh - 231 501 IN EASTERN REGION PHONE: 03842-256427, 256732 EMAIL: [email protected] MOBILE: 09793866689 EMAIL: [email protected] EMAIL: [email protected] THE DUNCAN HOSPITAL JAGDEESHPUR CHD PROJECT Dr. Uttam Mohapatra, Managing Director Dr. Vinod Joshua John, Project In-charge Raxaul, East Champaran District, Bihar - 845 305 MAKUNDA CHRISTIAN HOSPITAL LALITPUR CHD PROJECT Dr. Vijay Anand Ismavel, SAO Sewa Bhawan Hospital Jagdeeshpur, Via Basna PHONE: 06255-220653, 222641 At,Mahasamund District , Chhattisgarh - 493 555 Mr. Andreas Daud Eicher, Project Director FAX: 06255-221120 Bazaricherra, Karimganj District, Assam - 788 727 Harriet Benson Memorial Hospital, PHONE: 03843-287868 PHONE: 07724-272230 EMAIL: [email protected] MOBILE: 07587167208 Civil Line, Lalitpur, Uttar Pradesh - 284 403 [email protected] EMAIL: [email protected] MOBILE: 09321112065 [email protected] EMAIL: [email protected] 57 58 EMAIL: [email protected] ANNUAL REPORT 2016-2017 | DIRECTORY MADHIPURA CHD PROJECT SAHYOG CHD PROJECT Mr Johnson D, Project Manager Mr. Kuldeep Singh, Project Director HIV & PARTNERSHIP Madhipura Christian Hospital, SAHYOG Project 231A, Pocket F, GTB Enclave, NURSING SCHOOL Madhipura District, Bihar - 852 113 Dilshad Garden, New Delhi - 110 093 PROJECTS PHONE: 06476-224045 MOBILE: 09818074736; 09899447007 BAPTIST CHRISTIAN HOSPITAL EMAIL: [email protected] EMAIL: [email protected] [email protected] SCHOOL OF NURSING PPTCT PROJECT Ms. Eba Basumathary SATBARWA CHD PROJECT SHARE CHD PROJECT Dr. Rebecca Sinate, Project Director Principal - School of Nursing CBCNEI Mission Compound, Pan Bazaar, Mr. George Kutty, Project Manager Mr. David Abraham, Project Manager Baptist Christian Hospital Guwahati, Assam - 781001 Nav Jivan Hospital, Tumbagara Village, Railway Line Paar, Village Fazailapur, PO Seohara, Mission Chariali, Tezpur, Assam - 784 001 PHONE: 0361-2730911 Satbarwa Post, Bijnor District, Uttar Pradesh - 248 746 EMAIL: [email protected] FAX: 0361-2730912 Palamu District, Jharkhand - 822 126 MOBILE: 09759074710 Email: [email protected] MOBILE: 09430322940 EMAIL: [email protected] BURROWS MEMORIAL HOSPITAL EMAIL: [email protected] SCHOOL OF NURSING [email protected] SPANDANA CHD PROJECT PRISON HIV INTERVENTION PROJECT Mr. Sanjay Bhattacharjee Dr. Divya VS, Project In-Charge Dr. Rebecca Sinate, Project Director Principal-School of Nursing Lakhnadon Christian Hospital, Lakhnadon P.O, Burrows Memorial Christian Hospital PREM JYOTI CHD PROJECT Emmanuel Hospital Association Seoni District, Madhya Pradesh - 480 886 C/O PSACS, Third floor, Prayaas Building P.O., Banskandi, Cachar District, Assam - 788 101 Dr. Benedict Joshua, Project Director MOBILE: 07247375003 Sector 38-B, Pin code- 160047 EMAIL: [email protected] Prem Jyoti Community Hospital, Chandragodda, EMAIL: [email protected] PHONE: 0172-434551 P.O. Baramasia, Sahibganj District, Jharkhand - 816 102 Email: [email protected] CHHATARPUR SCHOOL OF NURSING MOBILE: 07321982864; 088294104120 Ms. Rekha John EMAIL: [email protected] PRERANA CHD PROJECT Mr. Prabudutt Nayak, Project Manager PROJECT AXSHAYA Principal - School of Nursing [email protected] Christian Hospital Chhatarpur Christian Hospital Chhatarpur, Mahoba Road, Dr. Pratibha Singh, Deputy Director CHD Mahoba Road, Chhatarpur, Madhya Pradesh - 471 001 TEZPUR CHD PROJECT Chhatarpur, Madhya Pradesh - 471 001 808/92 Deepali Building, MOBILE: 08103461711 PHONE: 07682-249317 Ms. Christina Mochahari, Project Director Nehru Place, New Delhi - 110019 EMAIL: [email protected] EMAIL : [email protected] Baptist Christian Hospital, Mission Chariali, MOBILE: 09971083077 Tezpur, Assam - 784 001 EMAIL: [email protected] MOBILE: 09706763789 BURANS PROJECT HERBERTPUR CHRISTIAN HOSPITAL EMAIL: [email protected] Dr. Kaaren Mathias, Project Director SHALOM DELHI AIDS PROJECT SCHOOL OF NURSING KHW Premises, Rajpur, KHW 193/1 Dr. Savita Duomai, Project Director Mr. Shailendra Ghosh KISHANGARH CHD PROJECT Rajpur Road, Dehradun D-167, Gali No: 2, Near Libaspur Bus Stand, Principal - School of Nursing Mr. Prabhu Saran, Project Manager Uttarakhand - 248 009 Burari Road, Swaroop Nagar, New Delhi - 110 042 P.O, Herbertpur, District Dehradun Christian Hospital Chhatarpur, Mahoba Road, MOBILE: 08755105391 PHONE: 011-27811173 Uttarakhand - 248142 Chhatarpur, Madhya Pradesh - 471 001 EMAIL: [email protected] EMAIL: [email protected] MOBILE: 08755004362 MOBILE: 09425879171 [email protected] EMAIL: [email protected] EMAIL: [email protected] URBAN HEALTH CHD PROJECT Mr. Somesh P Singh, Project Director SHALOM MIZORAM AIDS PROJECT DUNCAN SCHOOL OF NURSING ROBERTSGANJ CHD PROJECT Emmanuel Hospital Association Dr. Chawng Lung Muana, Project Director Ms. Dorcas Lepcha Mr. Vinod Mehta, Project In-Charge B-19, Pratap Nagar, H. No. 7/ABC, H.L. Thasawta Building Principal - School of Nursing, Jiwan Jyoti Christian Hospital, Robertsganj, Behind Jaipur House MULCO Rd. Thuampui, Aizawl. Duncan Hospital, Raxaul, East Champaran District, Sonbhadra District, Uttar Pradesh - 231 216 Agra, Uttar Pradesh - 282 002 PHONE: 0389-2316911; 2317325; 2351754 Bihar - 845 305 MOBILE: 08853894526 MOBILE: 0562 2810053 EMAIL: [email protected] PHONE: 06255-224145 EMAIL: [email protected] EMAIL: [email protected] 60 [email protected] MOBILE: 09431616056 [email protected] 59 EMAIL: [email protected] MADHIPURA CHD PROJECT SAHYOG CHD PROJECT Mr Johnson D, Project Manager Mr. Kuldeep Singh, Project Director HIV & PARTNERSHIP Madhipura Christian Hospital, SAHYOG Project 231A, Pocket F, GTB Enclave, NURSING SCHOOL Madhipura District, Bihar - 852 113 Dilshad Garden, New Delhi - 110 093 PROJECTS PHONE: 06476-224045 MOBILE: 09818074736; 09899447007 BAPTIST CHRISTIAN HOSPITAL EMAIL: [email protected] EMAIL: [email protected] [email protected] SCHOOL OF NURSING PPTCT PROJECT Ms. Eba Basumathary SATBARWA CHD PROJECT SHARE CHD PROJECT Dr. Rebecca Sinate, Project Director Principal - School of Nursing CBCNEI Mission Compound, Pan Bazaar, Mr. George Kutty, Project Manager Mr. David Abraham, Project Manager Baptist Christian Hospital Guwahati, Assam - 781001 Nav Jivan Hospital, Tumbagara Village, Railway Line Paar, Village Fazailapur, PO Seohara, Mission Chariali, Tezpur, Assam - 784 001 PHONE: 0361-2730911 Satbarwa Post, Bijnor District, Uttar Pradesh - 248 746 EMAIL: [email protected] FAX: 0361-2730912 Palamu District, Jharkhand - 822 126 MOBILE: 09759074710 Email: [email protected] MOBILE: 09430322940 EMAIL: [email protected] BURROWS MEMORIAL HOSPITAL EMAIL: [email protected] SCHOOL OF NURSING [email protected] SPANDANA CHD PROJECT PRISON HIV INTERVENTION PROJECT Mr. Sanjay Bhattacharjee Dr. Divya VS, Project In-Charge Dr. Rebecca Sinate, Project Director Principal-School of Nursing Lakhnadon Christian Hospital, Lakhnadon P.O, Burrows Memorial Christian Hospital PREM JYOTI CHD PROJECT Emmanuel Hospital Association Seoni District, Madhya Pradesh - 480 886 C/O PSACS, Third floor, Prayaas Building P.O., Banskandi, Cachar District, Assam - 788 101 Dr. Benedict Joshua, Project Director MOBILE: 07247375003 Sector 38-B, Pin code- 160047 EMAIL: [email protected] Prem Jyoti Community Hospital, Chandragodda, EMAIL: [email protected] PHONE: 0172-434551 P.O. Baramasia, Sahibganj District, Jharkhand - 816 102 Email: [email protected] CHHATARPUR SCHOOL OF NURSING MOBILE: 07321982864; 088294104120 Ms. Rekha John EMAIL: [email protected] PRERANA CHD PROJECT Mr. Prabudutt Nayak, Project Manager PROJECT AXSHAYA Principal - School of Nursing [email protected] Christian Hospital Chhatarpur Christian Hospital Chhatarpur, Mahoba Road, Dr. Pratibha Singh, Deputy Director CHD Mahoba Road, Chhatarpur, Madhya Pradesh - 471 001 TEZPUR CHD PROJECT Chhatarpur, Madhya Pradesh - 471 001 808/92 Deepali Building, MOBILE: 08103461711 PHONE: 07682-249317 Ms. Christina Mochahari, Project Director Nehru Place, New Delhi - 110019 EMAIL: [email protected] EMAIL : [email protected] Baptist Christian Hospital, Mission Chariali, MOBILE: 09971083077 Tezpur, Assam - 784 001 EMAIL: [email protected] MOBILE: 09706763789 BURANS PROJECT HERBERTPUR CHRISTIAN HOSPITAL EMAIL: [email protected] Dr. Kaaren Mathias, Project Director SHALOM DELHI AIDS PROJECT SCHOOL OF NURSING KHW Premises, Rajpur, KHW 193/1 Dr. Savita Duomai, Project Director Mr. Shailendra Ghosh KISHANGARH CHD PROJECT Rajpur Road, Dehradun D-167, Gali No: 2, Near Libaspur Bus Stand, Principal - School of Nursing Mr. Prabhu Saran, Project Manager Uttarakhand - 248 009 Burari Road, Swaroop Nagar, New Delhi - 110 042 P.O, Herbertpur, District Dehradun Christian Hospital Chhatarpur, Mahoba Road, MOBILE: 08755105391 PHONE: 011-27811173 Uttarakhand - 248142 Chhatarpur, Madhya Pradesh - 471 001 EMAIL: [email protected] EMAIL: [email protected] MOBILE: 08755004362 MOBILE: 09425879171 [email protected] EMAIL: [email protected] EMAIL: [email protected] URBAN HEALTH CHD PROJECT Mr. Somesh P Singh, Project Director SHALOM MIZORAM AIDS PROJECT DUNCAN SCHOOL OF NURSING ROBERTSGANJ CHD PROJECT Emmanuel Hospital Association Dr. Chawng Lung Muana, Project Director Ms. Dorcas Lepcha Mr. Vinod Mehta, Project In-Charge B-19, Pratap Nagar, H. No. 7/ABC, H.L. Thasawta Building Principal - School of Nursing, Jiwan Jyoti Christian Hospital, Robertsganj, Behind Jaipur House MULCO Rd. Thuampui, Aizawl. Duncan Hospital, Raxaul, East Champaran District, Sonbhadra District, Uttar Pradesh - 231 216 Agra, Uttar Pradesh - 282 002 PHONE: 0389-2316911; 2317325; 2351754 Bihar - 845 305 MOBILE: 08853894526 MOBILE: 0562 2810053 EMAIL: [email protected] PHONE: 06255-224145 EMAIL: [email protected] EMAIL: [email protected] 60 [email protected] MOBILE: 09431616056 [email protected] 59 EMAIL: [email protected] EHA INDIA

MAKUNDA SCHOOL OF NURSING NAV JIVAN SCHOOL OF NURSING Mrs. K. Paulin Priyadharsini Mrs. Chandra Kana Lepcha HEAD OFFICE Principal - School of Nursing Principal - School of Nursing, Makunda Dr. Joshua Sunil Gokavi, Executive Director Makunda Christian Leprosy and General Hospital Nav Jivan Hospital, Tumbagara Village, Satbarwa Post, Contact Person Bazaricherra, Karimganj District, Assam - 788 727 Palamu District, Jharkhand - 822 126 Address EHA, 808/92, Nehru Place, PHONE: 03843-287937 Phone: 06562-254215, 254515 New Delhi – 110 019, India EMAIL: [email protected] Email [email protected] [email protected] Telephone 00-91-11-30882008, 30882009 Emmanuel Fax 00-91-11-30882019 Website www.eha-health.org Hospital Association INTERNATIONAL SUPPORT GROUPS

EMMS INTERNATIONAL, UK EMMANUEL HOSPITAL ASSOCIATION, CANADA Contact Person James Wells, Chief Executive Contact Person Dr. Abraham Ninan Charitable Registered Society Layout & Graphic Designed by: Address 7 Washington Lane, Address 8-115 Meadows, Blvd., Registered Under Society Regn. Act 1860 Suanlian Tangpua Edinburgh Eh11 2HA, UK Saskatoon, SK., S7V 0E6, Canada Registration No. 4546/1970-71 dated 18-05-1970 Email [email protected] Email [email protected] Registered to receive Foreign Contributions Compiled & Edited By: Telephone 0131 313 3828 Telephone 00-1-306 954 0922 Under Foreign Contribution (Regulation) Act 1976 FC(R)A Website www.ehacanada.org Sarah Victor Registration No. 231650016 Bank Account No. to receive Foreign Contributions EMMANUEL HOSPITAL ASSOCIATION, USA Published & Distributed by: Account Number : A/C No. 50100092666453 Contact Person Mr. Robb Hansen, Executive Director The Emmanuel Hospital Association, New Name of the Bank and Address : HDFC Bank Ltd, FRIENDS OF EHA, AUSTRALIA Address 215 N Arlington Heights Road, Delhi B-54 A, Greater Kailash - Part - 1, New Delhi - 110048 Suite 102, Arlington Heights, Contact Persons Dr. Renu John © eha, August 2017 Swift Code: HDFCINBB; IFSC Code: HDFC0000092 Registered U/S 12 A (A) Income Tax Act: DLI © (X-207)/74-75 IL 600004, USA [email protected] Email [email protected] Dr. Nathan Grills Telephone 00-1-847 623 1170 [email protected] Fax 00-1-847-577-8354 Dr. Sabu Thomas [email protected] *Photographs used throughout the book are from various EHA Hospitals and Projects. **Vector Graphics including India Map are drawn by the designer. Do not reproduce anywhere without the consent of the organisation. ***No Cases were filed under the Sexual Harassment of Women at Workplace (Prevention, Prohibition & 61 Redressal) Act, 2013 EHA INDIA

MAKUNDA SCHOOL OF NURSING NAV JIVAN SCHOOL OF NURSING Mrs. K. Paulin Priyadharsini Mrs. Chandra Kana Lepcha HEAD OFFICE Principal - School of Nursing Principal - School of Nursing, Makunda Dr. Joshua Sunil Gokavi, Executive Director Makunda Christian Leprosy and General Hospital Nav Jivan Hospital, Tumbagara Village, Satbarwa Post, Contact Person Bazaricherra, Karimganj District, Assam - 788 727 Palamu District, Jharkhand - 822 126 Address EHA, 808/92, Nehru Place, PHONE: 03843-287937 Phone: 06562-254215, 254515 New Delhi – 110 019, India EMAIL: [email protected] Email [email protected] [email protected] Telephone 00-91-11-30882008, 30882009 Emmanuel Fax 00-91-11-30882019 Website www.eha-health.org Hospital Association INTERNATIONAL SUPPORT GROUPS

EMMS INTERNATIONAL, UK EMMANUEL HOSPITAL ASSOCIATION, CANADA Contact Person James Wells, Chief Executive Contact Person Dr. Abraham Ninan Charitable Registered Society Layout & Graphic Designed by: Address 7 Washington Lane, Address 8-115 Meadows, Blvd., Registered Under Society Regn. Act 1860 Suanlian Tangpua Edinburgh Eh11 2HA, UK Saskatoon, SK., S7V 0E6, Canada Registration No. 4546/1970-71 dated 18-05-1970 Email [email protected] Email [email protected] Registered to receive Foreign Contributions Compiled & Edited By: Telephone 0131 313 3828 Telephone 00-1-306 954 0922 Under Foreign Contribution (Regulation) Act 1976 FC(R)A Website www.ehacanada.org Sarah Victor Registration No. 231650016 Bank Account No. to receive Foreign Contributions EMMANUEL HOSPITAL ASSOCIATION, USA Published & Distributed by: Account Number : A/C No. 50100092666453 Contact Person Mr. Robb Hansen, Executive Director The Emmanuel Hospital Association, New Name of the Bank and Address : HDFC Bank Ltd, FRIENDS OF EHA, AUSTRALIA Address 215 N Arlington Heights Road, Delhi B-54 A, Greater Kailash - Part - 1, New Delhi - 110048 Suite 102, Arlington Heights, Contact Persons Dr. Renu John © eha, August 2017 Swift Code: HDFCINBB; IFSC Code: HDFC0000092 Registered U/S 12 A (A) Income Tax Act: DLI © (X-207)/74-75 IL 600004, USA [email protected] Email [email protected] Dr. Nathan Grills Telephone 00-1-847 623 1170 [email protected] Fax 00-1-847-577-8354 Dr. Sabu Thomas [email protected] *Photographs used throughout the book are from various EHA Hospitals and Projects. **Vector Graphics including India Map are drawn by the designer. Do not reproduce anywhere without the consent of the organisation. ***No Cases were filed under the Sexual Harassment of Women at Workplace (Prevention, Prohibition & 61 Redressal) Act, 2013 Note Note Note Note We Care

EMMANUEL HOSPITAL ASSOCIATION 808/92 DEEPALI BUILDING, NEHRU PLACE, NEW DELHI - 110019