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"REVIEW AND REFLECTION

A closer look at the Guiding Philosophy
& Implementation of programmes
over the decade

CSI COUNCIL FOR HEALING MINISTRY



..

CONTENTS

a-

guiding
Review & Reflection - A closer look at the over the
of programmes
i ,
philosophy and implementation
C o un c i 1
pr
e
s
e
n
t
e
d
at
the
Paper
presented
at
the Inter
de cade

--(
13
Pages)
Consultation - 30th & 31st May 1994.

presented
a
a review & Reflection process (Pape r
Healing Ministry Consultation - Sth & 6th May
( 7 Pages)

T owards
at the
•1994)

Annexures

Two

questionnai res - seeking views of

a)

Health professionals ( S Pages)

b)

Church Leaders ( 3 Pages)

Perspective on operational policy

overview (38 Pages)
Small Project Fund (EZE) NO-86134 - An
(
Small Project Fund (EZE) NO.90082 "

I

Pages)

CSI COUNCIL FOR HEALING MINISTRY
REVIEW & REFLECTION
- A CLOSER LOOK AT THE GUIDING PHILOSOPHY
& IMPLEMENTATION OF PROGRAMMES
OVER THE DECADE

It may be recalled that review and evaluation
f orms an integral part of the 'management process', which
needs t o b e done periodically for effective management.
There are two basic questions which we need to address
our seives and these are "what it is today" and "what it
ought to be”, the former referring to our perf ormance and
the latter to the anticipated outcome which has been planned
for. From a wider perspective, review/evaluation should be
seen more as a process of search, examination, intuition,
critiquing, introspection and analysis. Obviously, some of
these are scientific as they are susceptible to quantificat­
ion and verification and others which are impressionistic,
and yet valuable in any process of review and evaluation.
CSI Council
Counci 1 for Healing Ministry as we know it
today, is an outcome
out come of the decisions arrived at a historic
consultation on ’Priorities for Mission of the Church' held
as early as 1981. However the Council actually assumed an
organisational form and structure only as late as 1984.

It i s a sad reckoning that in the past, almost all
the
world,
Healing Ministry was equated with medical
over
that
mostly
work and
confined to the network of hospitals
within the Dioceses. In the Indian context almost without
exception the hospitals were inherited as a legacy from the
erstwhile missionary societies; soon, the very purpose and
mission was lost sight of. The role of Healing Ministry
itself was
wa s i11-under stood or not taken seriously. The
ministry dimension was missed almost totally, I have attempand the
ted to do a critical analysis of the situation
changing perceptions during recent years and the specific
contribution of CSI in the ’quest for health and wholeness’
in
the
posi t i on
position
paper
presented
dur i ng
the
earlier
consultation (Towards review and reflection process P . 2 ,
Annexure-I)
Reference may here made to an agreement entered
into between EZE and CSI Synod in 1982 which helped
considerably to revitalise and augment activities of the
Council for Healing Ministry.
Areas of co-operation envisaged under the

agreem­

ent are;

Innovative community based primary health care progra­
mme .
ii. Improvement
of the exi sting
catering to the poor.

health

care

servi ces

. .2/-

-2Review and reflection of major activities was
initiated at a seminar held in Madras, Synod Secretariat on
Sth & 6th May 1994 where a multi-disciplinary team from
various Dioceses currently involved in the Healing Ministry
participated.
The team included Bishops, clergy, health
professionals, doctors and lay-leaders.

The focus was on the following aspects:
*

basic understanding about the Healing Ministry of the
Church and the role of the local congregations.

*

the Healing Ministry carried out through the network of
institutions - health care efforts as 'means of grace'
promoting healing.

•k

The process of community capability building as a
potent means to respond to the wide spectrum of health
care needs at the community level mostly unmet (eg.
PHC) specific reference to the Community Health Guides
Programme.

There was
The method employed was participatory,
discussed in
group work where each of the above areas was
depth.

The group responses are as follows:

Our understanding of 'Healing and wholeness1 that we want
to communicate to the 'Health Team' and to members of the
local congregation.

1.



Health is the Gift of God, but the responsibility to
accept it and maintain it rests with the individual.
However, the local community, of which he/she is a part
as well as the society at large, has a collective,
enabling responsibility to help the individual attain
and sustain his/her health to the best extent possible
in a given setting.

*

Healing refers to a state of ’wellness’ brought about
through the restoration of broken relationship with
God, man and nature.
Healing Ministry is ’wholistic',
in its understanding and its approach, visualising the
needs of the whole-person.
'Healing and Cure’ have
different connotations.
'Cure' in itself may not bring
about Healing.
Healing should become a reality even
when chances for a physical cure are remote or may not
exist as in the case of the chronically i 11/terminal ly
ill.

-3*

Healing is an act of God.
God.
The role of the local
healing team which includes the professionals, the
clergy and the laity is to facilitate the process.

The Church and the local congregation are called upon
to be partners in God’s mission to bring about Healing
and Wholeness.
The concepts stated above serving as the broad frame of
reference,
the
Groups
suggested
the
following
operational modalities and guidelines.
The healing team - Scope, undergirding philosophy,
activities composition.

range

of

The renewed understanding about the Health care needs
of individuals which are multi-dimensional,calls for a
^holistic response to bring about healing and wholeness
The composition of
the team has to be enlarged.
Besides the traditional group of professional workers,
with a wide range of expertise at varying levels of
competence, the team has to include:
Counsellors - both professional and lay-(barefoot
counsell ors) .

Clergy

- hospital chaplaincy - pastoral care/
pastoral counselling.

preparing the local congregation for
the ministry towards healing and
wholenes s.

Congregation

participating
in
the
spirit
of
'partnership in mission ’ facilitating
"healing at all levels.

Each member can be effective as an
instrument
or
channel
of
love,
demonstrating/witnessing Lord’s lovethrough compassionate action facili­
tating healing.
This is only a
reaffirmation of our basic faith in
response to our Lord's commission and
mandate to all His followers to be
’Healers’.
This, at once, points to
the Church’s inalienable role to
prepare and equip members of the
congregation for this '.-core?-ministry .
Among other things,
this
should
encourage the raising of resources

4
’sacrificial
giving’
in
through
order that the 'care' of the poor,
the sick and the disabled is made
possible.

PREPARING THE 'LOCAL HEALING TEAM’
The Clergy
and the
local
congregation

: Counselling training to all Pastors - (the
degree of professional competence can vary)
- Counselling services assume very great
relevance, in
responding to many of the
existing as well as emerging challenges.

eg. Substance - abuse, HIV/AIDS, broken
resol ution
families
conflict
intra-familiar, inter-family, etc.
Healing Ministry should find its rightful
place in the theological training and
formation of the Pastors. Healing Ministry
should be
in
the main-stream of
the
Church's Mission ensuring and enlisting
interdisciplinary participation and support
of existing organisational units such as
Women's
Fellowship,
Youth's
Fellowship,
etc.

The congregations active involvement and
participation in the healing Ministry would
necessarily call for resources' sharing.
Adoption
of
out-reach
Centres/rural
hospitals/hospital beds by congregation or
organisational
units
such
as
Women's
Fellowship,
Youth
Fellowship,.
Sunday
School, etc.
etc. or by families or individuals
sharing the cost of patient care, as a
means'
to'
it;
'Celebration of Healing
to
Ministry Week' - for spreading the good
news and for raising of resources. - , also
identifying and preparing local volunteers
to promote healing/health in diverse ways.
Retreats for Hospital Staff - Healing Team'

The
nurturing
of
health
professionals/trainees should be seen as a
major responsibility of the Church/Diocese
in order to encourage their meaningful
participation in the Healing Ministry.

5

The Health Care Team - within the institutional
setting

- Each member of the staff, despite the position or
professional identitity, is
equally vital for
fulfilling the Lord's mission of healing, in a
given setting.

It
is
recommended
ministry
personnel
appointment.

to
at

all heal ing
"induct H
their
the
time
of

As a part of an enabling proces s to nur tur e and
periodic
commitment to God,
'
strengthen their
retreats, cottage prayer, prayer cell of staff
be
should
campus)z
the
hospital
(within
encouraged.

- Updating of professional skills
through continuing education and
compromise on quality of services.

and knowledge
training-— No

- Preparatory to appointment, it is advised that
all persons should be given an orientation
training to facilitate a conceptual understanding
about the healing ministry and its relevance in
the social context.

- Healing Team has a new role to play as effective
communicators of Lord's Mission about health and
healing to individuals/family/community.
It should be our endeavour to ensure that each
staff member is physically fit and has a healthy
life style and positive attitudes on life in
order to be effective witnesses.

made
to
raise
Concerted
ef fort
effort
should
be
endowments
to
resources/Trust — funds/memorial
the
through
activities
ministry
support
hospitals.

The local team has a major responsibility in
be
preparing
the
local
congregations
to
transformed as caring/healing communities,
a wareness building programmes about emerging
eg. care of the elder citizens,
challenges
HIV/AIDS /substance abuse - children with special
needs etc. deserve priority attention.

6

2.

Healing Ministry - through the net-work of CSI hospitals
and Out-reach centres: How far EZE's assistance through
the Small Project Fund helped to strengthen the ministry
in.keeping with the mission and goals.
*

EZE's timely assistance to the Dioceses through CSI
Council
for
Healing
Ministry
has
helped
in
a
remarkable
way
to
revive/strengthen
several
languishing institutions,
This has resulted in the
virtual revival of almost one-third of the remotely
placed rural hospitals.



Considering the fact that more than 80% of CSI
Hospitals
are
rural- based / the
partnership
has
considerably helped to improve the quality of a wide
spectrum of health care services including direct
patient care to the rural ppcr and the marginalised in
keeping with the mission and goal of the church.



This has helped significantly both the local health
team as well as the local congregation to re-affirm
the church’s responsibility to cater to the needs of
the poor and the under-privileged amongst us.
The
process has brought about a conceptual rethinking
about church's
church's priorities in mission.
It also has
resulted in new understanding about the role of our
hospitals in the wider context of community health.
There has been considerable changes in the overall
planning, including realignment of priorities and mobi­
lisation of community's own resources.
that
It may be recalled/the assistance made available in the
form of Small Project Fund
(SPF) were meant for the
following:

(1) Essential items of equipment to hospitals;
(2) Repairs and renovation of hospital buildings; and

(3) Supportive services, eg. electrification
generation,
water
supply,
sewerage
and
disposal;

power
waste

the

group

The following
sessions:

observations

emerged

during

The minimum acceptable standards have been made
possible in diagnostic services. eg . Microscopy,
Bio-chemical investigations, radiography, untra sound

A
7

scanning.
This has helped largely to reduce both
gravity and the duration of illness, prompter relief,
shorter hospital stay and generally reduction or
avoidance of sequelae and complications.
- The
provision
of
improved
has
patient
care
considerably enhanced the image and credibility of
our hospitals within a short span of time.
It has
helped to enhance thteir status as referral centres.
This applies not only to major hospitals but even to
rural hospitals (consider the mushrooming of small
private
clinics
often
run
by
unregistered,
unqualified personnel with hardly any diagnostic or
patient care facilities,, in rural areas).
- Emergency and casualty care were made possible
because of inputs, such as ECG, X-ray, Cardiac
Monitors and life-saving measures made available in
almost all hospitals.
In regional hospitals/health
centres surgical interventions are possible - thanks
to the general support received for upgradation of
existing operation theatre facilities - Boyle’s
Machine, respirators, oxygen supply, etc.

- Labour theatres and equipment for obstetric care have
been given priority as part of "P.'H. care
. made
available even in rural centres.
Running
vater,
electricity, basic facilities for sterilization of
instruments
and patient's
stay facilities in
rural centres have considerably enhanced the quality
of maternal and child care services.
- The build up of local competences and infrastructure
has lessened the need for referrals
to
other
institutions at formidable cost to patients.

Rural
hospitals
have
been
assisted
to
make
significant contributions to take up programmes for
prevention of communicable diseases, eg. provision of
refrigerators has helped to maintain cold-chain for
effective vaccine storage.

- The cost of patient-care has considerably come down thanks to the saving of expenditure on capital
investment on major items of equipment,
This has
helped several of our hospitals to generate income
not only towards self-sustenance, but also to play a
major role to support existing as well as newly
initiated rural centres and generally to take up
Out-reach programmes.

8

- Improved bed-occupancy mainly on account of
bettfer .
quality
of
care
including
diagnostic
services,
maximum utilisation of available competences and
facilities, mobilisation of local resources, have all
assisted in contributing towards financial viability.

Provision of ambulances and tranport vehicles have
helped to enlarge the coverage of services including
follow-up services.
The Out-reach work has helped
not only in making available services to needy areas,
but also to bring down the cost of patient-care
;the poor and
services, which is affordable even to ^the
the
marginalised.
The
Out-reach
services
are
monitored by the rural hospital team.

Introduction of blood banks, HIV screening
counselling services are remarkable gains.

with

- Reference may be made about major inputs for Cancer
care made possible at International Cancer Centre,
Neyyoor (ICC) as a facility to be availed of by all
the Dioceses - thanks to EZE for their whole-hearted
support.
The ICC today has facilities for histo
pathological
studies
as
well.
There
are
possibilities at sight for introducing cancer care in
selected regional hospitals in collaboration with ICC
with minimal therepeutic inputs, faculty training and
supportive services.
4

- Community's acceptability and goodwill of church run
hospital health-care services have gained strength
Several new initiatives have cone up
considerably.
the
congregations.
The
material
mainly
from
assistance in the form of essential equipment to
sustain and strengthen these programmes has played a
catalyst role. Reference may also bemadeabout everalnew
training centres, (nurses/para-professionals) within
the dioceses,
- thanks to the strengthening of
regional hospitals.
Under the new dispensation, the CSI hospitals today,
have become a sign of hope for people who are desperately in
need of care.

The group also discussed the weaknesses within the
system which require prompt attention.
These are as follows:


Non-availability
of
trained
and
committed
health persosnnel for rural services.

9

*

There is a great need for creating an awareness
among local congregations who have a critical
role to play in the context of the healing
ministry. A new relationship between the local
congregations and the health-care institution
has to emerge out of this new understanding.
It has to be complementary and supportive.

*

The
need
for
introducing/strengthening
chaplaincy in our hospitals was felt - Pastoral
care / Pastoral counselling form an important
component of care.



Need for continuing education programmes for
all categories of staff to be organised within
Upgrade ti on
the region or at the Synod level,
of regional hospital and training centres for
the purpose should be taken as an item on
priority.

*

Need for central or
regional maintenance and
<
for
upkeep unit or technology development
speedy repair and maintenance of equipment.
Can CTVT come forward and meet the challenge?
Development of training capabilities for better
upkeep and utilisation of equipment should
provide a permanent answer.

*

Need
for
managerial
capability
building
covering areas such as - Human Resources
handling
Development
(HRD),
efficiency
in
material and money, These are major areas that
deserve concerted action.

*

There is need to encourage alternate systems of
medicine
wherever
feasible
and
relevant.
Herbal, naturopathy, homeopathy, Sydha, etc.

*

Growing threat of consumerism/commercialisation
of
health
care
should
be met with
all
seriousness.
Our
focus
should
be
on
introducing rational drug therapy, lowering of
patient-care cost through effective management
of resources.



Need for networking with likeminded voluntary
sector agencies/church-groups, especially in
critical areas, such as HIV/AIDS, subs tan ce
abuse, etc.

1

10

3.

Building Community's own Capability in Health and
Development in the Rural context - The Community
Health Guides Programme.
Strengths:
*

The initial short-duration training (one month)
problem-based and practice-oriented, has helped to
prepare CHGs with the required competences, ski Ils
and attitude.

*

The periodic update sessions have helped to
initiate them to newer problem areas/challenges.



CHG' s have been able to build strong rapport with
the local communities.

*

CHG' s have been playing effectively their
'change agents'.

role as



Local congregations have been helped to
their role in the healing ministry.

identify

*

Proved to be a real strength especially to Women's
Fellowship.

*

CHG's have proved to be effective communicators to
spread the good news of
'healing health and
wholeness'.

*

Attendance at the local church has improved thanks
to a new wave of local creativity and enthusiasm
among local congregations-made possible through
The CHG programme.

*

CHG' s have greatly helped to bring about health
awareness covering several crucial areas.
eg .
Diet and nutritional needs of vulnerable groups
especially growing children,
pregnant mothers,
family welfare planning etc.



Have helped to removej popular misconceptions and
superstitions about health,
1
sickness
and life
styles.



’Problem families' have been identified and the
information
shared
with
the
local
church
especially the women fellowship for appropriate
action.

11

*

*

*

CHG's have been able to provide first
crucial emergency care - 'life-saving
remotely placed rural areas.

aid and
in many

CHG's have been able to build effective links with
___ h Centre/Sub-Cent re
the
existing
Primary Health
effective
utilisation of
network which has led to <---by the local
the available services/resources
J-- —
communities.

of the community development programme
mandals
have
been
organised;
newer
initiatives include kitchen gardens in rural homes
e SS X supply and Sanitary aisposal of
Wattes promotional efforts have been taken up.

aa

cart

Some Suggestions:

the duration of training may be
For the new batches / broad-based, building on what they
extended - made more
have already learned.
sessions' for updating
Greater focus on the ’Review
(the role of the trainer knowledge and skills,
facilitator team)
- £n a
Greater involvement with
with the various existing groups
community to ensure lfuller partrcrpatron in organi-1sharing .
sational planning of programmes and resources
Greater role
role for the Local Congregation to make the CHG
of scope and
programme more effective - both in terms
content of care.
—> should be visualised as a core activity of
CHG Programme
Church where the clergy and the laity have a
the local
to play both in the planning and implemen
major role
Resource
mobilisation an important facet.
tation.

be
should
supply
of
medicines/accessories
Regular
Centre
The involvement of Local Hospital/Health
ensured.
technical inputs are concerned.
a 'must' as far as
CHG's to cover
Felt need for training more

needy

areas.

enhanced mainly through
The honorarium of CHG's to be
from the local
especially
raising of local resources
have a major
community/beneficlaries of service JW .F . z Y-F.
role in this task.

H

12

The above observations and recommendations have
emerged out of indepth discussions and group work of a
multi-disciplinary group currently engaged in the Healing
Ministry of CSI.
The findings are the outcome of a SWOT
analysis* which was carried out in all earnestness
earnestnes s and
openness.
The participants were able to identify <core
issues and problems which need to be looked into, in
order that the Ministry may be strengthened at all
levels.
Recommendations have been made to ove rc one
'weaknesses' which have been identified,
'Opportunity'
likewise, has been brought into sharper focus, The group
recommendations, at this stage, can serve as a ba sic
document which in fact reflects "pooled experiences" of a
multi-disciplinary group to help in future planning. The
greater value lies in their openness; the recommendations
are down right and practical.
At this stage let me attempt to point out certain
areas which relate to inter-council co-operations for our
consideration.
There
are
several
areas
were
the
Councils/Departments can play roles that can be mutually
supportive and complimentary.

CSI

CTVT (Considering the uniqueness of the orcjanisational structure that has strong roots in all the
dioceses, involved in rural development, the workers
at the grass root level can make significant
contributions
to strengthen
health and
healing­
activities through a process of co-ordination and
special preparation, The total inputs can be shared
to advantage.

Technical Assistance
The responsibility for upkeep
and maintenance of items of hospital equipment is an
area where CTVT can make major contributions.
The
training of hospital workers/technicians may be seen
as part of that process.

The production and supply of items of hospital
equipment is another area, taking the situational
needs into account,
Centainly joint planning is
required.
Several major avenues open
CSI COUNCIL FOR EDUCATION
'health
and healing'.
healing'.
Planned
for
introducing
programmes for health promotion, health awareness
building, prevention of disease and disabilities,
early detection and prompt treatment etc, can be
incorporated which can make major headway in the
Teaher's
care of children of school going-age.
be
taken
up
especially
orientation and training can
for CORPED Schools.

u
13
Periodic health check-up and follow-up action should
find its rightful place under the new dispensation.

communication in
’child
to
child'
Encouraging
be
a potent means
related
to
'health'
can
matters
building
community
health
awareness
- jo int
. towards
can
bring
great
dividends.
planning certainly
CONCLUSION

The exercise under reference, was an attempt mainly
of
introspection
and analysis.
Review and reflection
of
process that we engaged ourselves, in itself proved to be
edifying and rewarding. A beginning, has been made.
The
observations
are
mainly
subjective
and
based
on
impressions of those who are currently on the job and for
that reason alone, the outcome is most valuable.
The
group has covered three vital areas, infact three facets
of the Healing Ministry both the
'concept and the
practice', namely, 'Understanding the Healing Ministry',
The role of our Health Care institutions - a critique',
and thirdly, - the 'process of Building communities own
capability in the rural context and the role of the
Community Health Guides as an extended arm of the
Church'.
Above all, the role of the Local Congregations
in the Healing Ministry as 'partners in mission'.

Undoubtedly all these refer to the Mission of, the
Church covering issues of healing, personal and spiritual
growth, pastoral care and counselling and above all the
need for and relevance of the local congregation being a
As a
transformed as healing and caring communities.
group of believers, we were once again reminded about the
great task ahead of the Church to facilitate and enable
this virtual transformation, the spirit of God working in
us and through us.
•i -Be ye steadfast, unmovable,
always abounding in the work of the
lord, for as much as ye know that
your labour is not in vain in the Lord.
1 Cor 15:58

DR. GEORGE JOSEPH
Executive Director
CSI Council for Healing Ministry

u

CSI COUNCIL FOR HEALING MINISTRY
TOWARDS A REVIEW t REFLECTION PROCESS

We have met hene as an Inten-dlsclpllnany select gnoup
nepnesentlng the dengy, laity and the health pnofesslonal, fnom
the vanlous Dioceses with a vital task ahead of us, namely, to Initiate
a nevleiw and neflection pnocess focussing on the nange of activities
and penfonmances unden the Heating Mlnlstny and that fnom the widen
penspectlve of the mission of chunch. The penlod unden nefenence
Is almost a ' decade*. The canvas Is quite wide and the task appeans
fonmldable. Hene Is an Instance, whene the ’pn.oce^^1 Itself a66ume6
vilttcat Impontance Independent and exclusive of the anticipated
outcome, on. the * pnoduct*. Let us con^lden. the event a6 a 1 planned
nctn-cat' away fnom the hustle of a buAy dal£y schedule that each
one ofi u.4 t-6 u^ed to, bnought togethen to be engaged In a pnocess
o^ cnttlcat Intnospectlon and self-analysis, which can pnove to
be meaningful, and edifying. It often happens that In oun *busyness*
and "hunny" to do things** and that with all good Intentions, we end
,,me.6-6'CYig up” things! I often wonden whethen we have taken senlously
tho, pasitcng advice., oun Lond gave to the disciples befone His ascension
- *Tanny ... until you ane endued with powen fnom on high* (Luke
24:49}. The message Is loud and clean, that we need to wait on the
Lond seeking the guidance of the splnlt at all levels of planning
and decision making as well as pnognamme Implementation. We do not
lose sight of oun mission, missing the wood fon the tnees. This,
let us build Into the management pnocess Itself, that we do not
stnay away fnom oun onlglnal goals and objectives.
REVIEW t EVALUATION
- THE NEED FOR A CONCEPTUAL FRAME:

Before we take up the specific tatk aligned to u6, namely,
evolving a tollable pnocett and a feasible methodology of nevlew
and evaluation of effon.lt that have gone on within the
Vlocetet
- It will be helpful, to have an overview of the ven.y fpn.ocett of
management* - that we an.e enabled to atk the night questions.
Let us look at a famltlan scene as how a pnognamme/pnoject
comes Into being and Is openatlonailsed. It all slants with dneams
and visions of people coming out with nebulous, hazy Ideas. We have
gneat visions fon ounselves and fon the fellow-human-beings. In
oun 6pQ,eL^C
specific context,
COYltZXt, the object Is to see that heating, health
and wholeness become
becomes a neatlaty tn the lives of people thnough
judicious use
potentials,, nesounces and that on the basts of
u.6e, of potzntcaZA
pntonltles. It takes
tailed) the needs and asplnatlons of the community
and a&>o thtiji active. pantlclpatlqn and Involvement at all levels
of planning and Implementation. This needs onga.nlsa.tlon. We have
feel
and act Individually and collectively to achieve
to _think
,
and accomplish what we deslne. In fact the science and ant of thinking,
feeling and acting to achieve oun objectives Is called the pnocess
of management. Hene objectives Include dneams and vision, asplnatlons,
goals, Ideas and tangets. How do we mobilise and manage oun nesounces?
..2/-

u

2 -

Management Is about achieving objectives with limited time and limited
resources. It Is Important to remind ourselves that though we have
limited time, what we do now will have Its effect on succeeding
generations. We need to think beyond our time. Management Is about
acting with foresight and Insight. People are attempting to do great
things. In the processof achieving, we, gtiope., we, act, we, ZYiYLOvate,,
we commit mistakes, we learn and wc move ^onwattd. Management t-6
doing all this Intelligently. We mafic mtAtafieA, con^onte,d wtth
alternatives, we make wrong choices and wrong decisions. Management
Is about making fruitful choices and sound decisions. Management
Is about people and their happiness In changing circumstances and
situations.*
HEALING MINISTRy
- VISION i THE MISSION:
Paring the last several years Church of South India aptly
described as a 1 pilgrim church' or a 'church on the move' has been
engaged In serious, planned efforts to 'equip the local congregations
tn mtMton'
.
-- * This
aspect of Its work and witness has assumed great
/letevance tn the context o^ the Heattng MtntA&iy.
It may be recalled that there has been a marked revival
tntcn.c6t tn the Heating Ministry, almost unprecedented In the
accent decade*, towards the rediscovery and appropriation of the
LjA-Ql. ’ , the 'forgotten talent'. CSI was sensitive enough
'dt*placed gt^t
to recognise this as a core ministry, redefining the overall goats
and mission. The quest was for. a deeper understanding about 'healing
and wholeness' taking Into account the 'total' health care needs
of an Individual In the setting of his family and of the community.
Such a whott^ttc
‘ n
' pcfiApecttve about heattng and health brought about
a shift tn ^ocua faom 'tnAtttuttonA1 to the ’ community1. Tht-6 however
Is not to unden.-estimate the Importance o^ the rtch tn^tttuttonal
network
the, church run ho^pttal^/health care Institutions but
visualising a new role ^or them tn the wider context ofi community
health.
This would mean a series
o^
additional tasks and
responsibilities,
namely, Identifying the existing and emerging
challenges tn the area of health care, and also evolving feasible
ways iand means of catering to a wide spectrum of needs especially
of the poor, the marginalised and the socially disadvantaged communities
which are mostly unmet. Equipping the local congregations as partners
tn mission was found to be a possible approach, the congregations
being prepared to take up their role as 'caring communities'. The
professionals, naturally, would have a new role and Identify as
part of the local healing team; the hospital and the range of services
become 'means of grace' to bring about heating and wholeness. Obviously,
here one sees a clear distinction between 'cure' and 'heating',
which was strong biblical/theological foundations.

* Sr. Carol Huss & Co-authors,
Management process In Health Care

..3/-

u

3 -

The, aomcJi bwu.gli£ u.A to
the, rieattty that theAe, cuai
a grce,at need to >ie,a£tgn oua pKton.ttte,A tn o>tdeA to ^anetton and
iuZitt oua objeAttveA a& a 1 ca^tng commantty'. One. coatd no tonge.^.
be, conte.nt wtth what we. have. be.e.n dotng through the. e.x.t6ttng
tn^tttattonat ne.two^h AeAvtng tho^e, who catt on u.6.
HEALING MINISTRY - A PILGRIMAGE OVER
THE VECAVE - SOME MAJOR LANVMARKS:

The CSI Council ^on Heating MlnlAtny oweA ItA geneAlA
to centaln declAlonA ofa gneat conAequence taken at the CSI QonAuttatlon
on ’pnlonltleA ^on the mlAAlon o^ the chunch' held dunlng 1981.
It Ia now widely necognlAed that thlA hlAtonlc confienence mankA
a watenAhed In the tl^e o^ thlA pltgnlm chunch; It waA hene that
a majon policy declAlon waA taken to eAtabtlAh CouncltA to Atnengthen
and nevltatlAe the vanlouA InAtltutlonat mlnlAtnleA o^ the chunch.
The Council waA meant to neplace the Synodical Medical Bound, tn
exlAtence at that time, looAely conAtltuted to canny out fiuncttonA
that wene nathen lit-defined and notional.
Re.^e.^e.nce. may be. made, to a 6pe.ctat conAattatton whtch
heJtd dan.tng 1984 toward* e.vo£vtng a Atn.ate.gy and ptan o^ aatton
to e.xamtne.
e.x.amtne. the. e.meAgtng tne.ndA tn he.atth cane, and to have, a ctoAeA
took, at oan own pe.n^onmance.. We. ne.cogntAe. wtth gnatttu.de. the.
contntbattonA made, by On. Badat Se.n Gupta IEZE) and On. pnem Chandnan
John (ACHAN) whtch hetped to pnovtde. a bnoad conceptual ^name. ^on
e.votvtng a health cam Atnatzgy. The Wonktng Committee o^ the Council
which met tn June 1985 gave Ahape to a plan o^ action to openatlonatlAe
theAe conceptA and the pnoject on teadenAhlp development ^on building
community capability tn health and development emenged, which waA
appnoved by the Wonfzlng Committee o^ the Synod and necommended to
EZE ^on aAAlAtance.

The Council vlAuallAed a new nole ^on the CSI netwonk
o^ InAtttutlonA tn the context o^ the widen needA o^ the community.
ThlA waA Aeen ua an unpnecedented challenge begone the local chunch/
congnegatlon and the exlAtlng hoApltal/health centne to join handA
and play an excitingly new nole thnough elective pantnenAhlp tn
mlAAlon. ThlA bnought tn the tmpenatlve need to have * factual
Infionmatlon1 about the pnevalllng condltlonA, the AtnengtAA and
weakneAAeA ofi oun InAtttutlonA. It waA alAo neceAAany to know the
aAplnatlonA ofa the local community and theln penceptlonA about health
needA. It waA ^elt thene waA alAo an Imminent need to have a ^eed
back ^nom the chunch leadenAhlp about theln own penceptlonA. Two
AetA ofi queAtlonnalneA wene pnepaned and clnculated to Medical
SupenlntendentA ua well ua to BlAhopA (Appendix - 11(a) & 11(b).
..4/-

H

4 -

T/ie Atudy brought deepen
a* wJUt a4 th.z 'innate. pote,nttat6.

ZnZo Z44ue.4 and prtobZeM

The firAt thing that drew the attention of the Council
waA about the need f^or a ’’ direction
dtrectton’, a jre-de^tnttton o^ goatA and
objecttveA and above att a guiding
gutdtng phitoAophy,
phttoAophy, ^utty AenAtttve to
and tn tune wtth the church’A mtAAton. There waA a great need ^or
a conceptuat underAtandxng
underAtandtng about ’neattng
heattng ana
and neattn
heatth’ ana
and tne
the retevance
o^ .the Heattng MtntAtry tn the Aoctat context o^ today. Un^ortunatety,
according to prevaittng practice and tradttton, acttvitteA o^ the
the Heating MintAtry are equated with medteat work, and that too,
confined to a ^ew inAtttuttonA. The ’heating’ dtmenAion waA totatty
to At Aight o^, aided and abetted by advanceA tn Actence and'technotogy
and the incurAion ofi high-tech inputA. It had become the Aote preAerve
o^ a handout otf pro^eAAio notA. No wonder the ctergy and the congregatton
atmoAt withdrew ^rom the Acene, aA they had hardty any meaning^ut
contribution to make under Auch a diApenAation. O^ten the congregation’A
rote waA perceived aA paAAive recipientA ofi Aervice either given
f^ree or at a heavity AubAidiAed rate. More o^ten than not, even
the very name ’heating mtntAtry’ waA conveniently reptaced by the
term ’medicat mtAAton’. There waA the probtem about the prevaittng
dichotomy vtAuatiAing ’heating’ aA Aomethtng betonging to the exctuAive
Apirituat reatm, vtewecl in a narrow conAervative AenAe, and the
’medicat mtAAton’ aA betonging to the reatm o^ medicat Actence and
technotogy. The middle watt ofi partition had to be broken and the
pro^caaio nota and the church-leaderA hip had to be brought together.
It therefore became apparent to the Council that what the church
needed deAperatety waA to rediAcover itA rote in the vital miniAtry.
ThtA inter alia called ^or a clear underAtanding about the ’theology
o^ heating’ more than anything elAe. ThiA helped targety in reaffirming
our faith and realigning our prioritieA retfected in the ’Operational
Policy’ (Appendix I).


The. me.dtc.at tnbtttattonb too weAe. fiactng a c.nti>tt> dae.
to anc.eAtatnttte.4 o^ 6o^.t6. Re.-6ouAce. con6t^atnt6 and tack, o^ commtttcd
pc^onnet ujc^lc th^icatcntng thctn. vc^ty cxt^tcncc. TheAe. wat) a to tat
tack o^ vtAton and tn mo At tnAtanccA, fianctto natty and opc^catto natty,
thet^. c^on.tA degenerated tnto a Atraggte ^or extAtence.
The Connett voaA Aetzed o^ the church’ A reApo nA tbttttteA
tn meet_ the heatth care needA eApectatty o£ the poor and the
margtnattAed tn the remotety ptaced rurat areaA who have att atong
been dented even the baAtc Aoctat axnentttcA tnetudtng etementary
heatth care. It tA duty recogntAed that the extAttng organtAattonat
irame o^ the church waA pre-emtnentty Autted to take the goApet
o^ primary heatth care to thtA targety negtected group.
..5/-

5
The CoanctZ approached the Vtocetet to pat
ap tpect^tc propotaZt tn keeptng wtth the OperattonaZ
PoZtcy whtch wat approved by the Synod. The CoanctZ
aZto made project propotaZt on behaZ£ oi the Vtocetet,
covertng
two
major
areat:
FtrttZy,
’Leaderthtp
VeveZopment at the Vtocetan ZeveZ brtngtng together,
the cZergy, the Zatty and the pro ^etttonaZt tn the
deveZopment1.
h.Q,aZtk
and
SecondZy,
context

1Strengthentng o^ the exttttng network o^ hotpttaZt
tnttttatto nt
to
take
ap
catie.
and
heaZth
retponttbtZtttet tn commantty heaZth care1.

pnopotaZt
^om
The CoanctZ recetved 18
the Vtocetet whtch were tabjected to toiattny and
recommended to the Worktng Commtttee o^ the Synod.
VZocctct
the
The project propotaZt recetved firom
f^ortwartded
to EZE,
and the two ^rom the CoanctZ were
Bonn ^or tanetton.
We are tndeed grtatefiaV to EZE
f^or thetr ZtberaZ atttttance. Ftve Vtocetan pnojeett
to mach
were landed by EZE. At a CoanctZ, we owe
e^o/itt to rieactZvZte
to them ^or enabZtng at tn oart e^ontt
Vtocetet
cet et at vaitoat
the HeaZZng mZntttriy wtthtn the Oto
nameZy, the co ngsiegatto
ngsieqatto n,
tko.
the
ZnttttatZo n
ZeveZt,
and the commantty.
FRAME OF REFERENCE FOR
CO-OPERATION BETWEEN CSI £ EZE:
(RetoZatton WC 8 2/ 7 26 )
(Prietented
Amendment app>tova£ Aag 9 8 2 )

me

Ma/t

1 9 8 2/

5,

It tt perttnent to re^er to an agreement
CSI Synod entered tnto wtth EZE. The ancat oj cooperatton tn retpect o&
o
the Mtntttry
oi HcaZZng
are at gtven beZow:
hzaZth.

I.

1nnovatZv c communZty-bated
piognammet.

ZZ.

Improvement o^ exttttng heaZth
care
catertng to the poor (Appendtx. III).

p>t4.ma>iy

cate.

te^uZceA

commantty
bat cd
bated
psttma/iy
The
^ottowtng
The
heatth can.e p^iog/iammet we^te tanetto ned by EZE.
rtetpeettve Vto cet et ^.ecetve ^andt dt^eetty and nepont
ptiogfiett o worth, to EZE.

I. P^omoZZon o CommaviZty Health,
VZocete (Project No.86100).

\J andavatl.,

VcZZokc

tt. Commantty HeaZth Programmet ^or NegZected 1/tZZag et,
ChtngaZpatta, Madrat Vtocete (Project No.86097).*
ttt. Commantty Heatth P^iogramme - kttapiagada K.onda/ia,
(Project
No. 86099).*
K^itt hna-Go dauatit
Vtocete

tv. HeaZth care o^ raraZ commantttet tn KaZat ekharam,
Kanyakamart Vtocete (Project No.88125).
i


CompZctzd

1.
6 v. Commantty haaZth aana pnognamma, CheZaahavada, EaAt KanaZa
VtoaaAa (Pnojaat No.91331)
BUILVING COMMUNITY CAPABILITY IN
HEALTH & PEl/ELOPMENT IN THE RURAL
CONTEXT (Project No.86096 (Jan 1987)

Tht6 pnojaat
matnty to anaata aivanana66 aboat
tha Haattng MtntAtny wtthtn tha Vtoae.Aet*. A ^anta^ o^ Vtoae^an
Zave*. 6Qjntnan6/u)onk6hop6 coana heZd &on ^eZaatad gnoap o^
panttatpanti, tnaZadtng tha Btthop, the. Ptoaatan O^taanh and,
ondtnantZy, tan pno^a66tonaZ6, tan canton pattonA and tan ZayZaadant. Thamatta pnaAantattonA wana mada on tha btb'cZj.aaZ/
thaoZogtaaZ andanttandtng ofa tha HaaZx.ng Mtnt^tny. Tha nanaZ
haaZth ^aananto, tha pnavatZtng haaZth AyAtom and tha. natconaZ
and tha 6tata a^onti, tha gZantng panodozaA and dttpanttta*
tn tha avatZabtttty o^ ba^ta 6anvtaa6, nanaZ anban, and avan
batwaan nanaZ ntah/nanaZ poon.
The. pn.oje.at peAcatvaAi an tnattanabte. note. ^on. the.
haatth and whote.ne.AA1 a n.e.a£tty
congn.agatton6 to make. 'haattng,
1
tn the. ttve.* o^ pe.opta.

on the. pnamtAe. that andan the.
Tha pnojaat ivo.4 buttt
L
pnavatZtng atnaamAtanaaA,' tn a (aoantny Ztka oanA,. tha aZttmata
anAwan to pnobZamA
pnobteM o^ nanaZ
nanat haaZth
haatth ZtaA
tte.6 tn maktng tha nanaZ
aommantty AoZ^~noZtant, aA f^an aA
a* poAAtbZa,
po66tbta. tn mattanA neZatad
to thatn ocon haaZth. Tha noZa
tha aongnagattonA, than tn
tha aontax* ofi tha HaaZtng MtntAtny uioaZd ba to aAAtAt Aaah
aommantttaA aApaataZZy thoAa who hava Aa^anad totaZ nagZaat,
tnjaAttaa and AoctaZ dapnadatton aZZ aZong. Tha pnojaat andan
na^ananaa matnZy addnaAAad ttAeZ^ to thtA task. It waA matnZy
an awananaAA-batZdtng
pnognamma &on bntngtng aboat a naw
ontantatton and to pnapana tha ahanah to andanAtand and, aaaapt
a dt^anant noZa tn tha aontaxt o^ tha HaaZtng MtntAtny.
Appnopntata faZZow-ap maaAanaA wana andantaban at tha nagtonaZ,
anaa and tha aongnagattonaZ ZaveZA wtth thtA and tn vtew.
SMALL PROJECT EUNV FOR HEALTH CARE
INSTITUTIONS OF CSI (Pnojact No.86134)
(12.2.87) Badge* 2.025 rnttOton VM
(Re.patnA and nanovatton o^ hoApttat battdtngA
and pnoaan.ejne.nt o^ madtaat aqatpmant)

ItamA oft aAAanttaZ aqatpmant to 62 hoApttaZA wana
AappZtad. 42 hoApttaZA naaatvad aAAtAtanaa ^on napatnA and
nanooatton o^ batZdtngA. VatatZA o^ aAAtAtanaa to tndtvtdaaZ
hoApttaZA tn tha naApaattva dtoaaAaA gtvan aA annaxana.

..7/-

u.
7 -

COMBINED PROJECT OF HOSPITAL REPAIRS
SUPPLY OF
EQUIPMENT - SMALL PROJECT FUNV PHASE II I BUILVING
COMMUNITY CAPABILITY IN HEALTH & VEVELOPMENT IN THE
RURAL CONTEXT (PfiOje.et No.90082) (BadgeX 2 MMton VM)
E66e.nttat ttem*
hoApttat Q.qiLtpme,nt tve^.e made, avattabte.
to 95 ho^pttatA (6e.e. amiexuAe.)
Gnant 0^ a^^Z^tance ^oh. n.epaZ^/n.enovatZoYi6 amoantZng
to Ra. 34, 13,349/- hat been made auaZZabZe ah o^ date to 77
hohpZtaZh. Undent thLh project, the Zong awaZted ' CommanZty
HeaZth GaZdeh P^.og^ammet hah come Znto e^ect (baZZdZng commanZty
eapabZZZty Zn heaZZh and development). 10 CHGh pen. OZocehe
wene tnaZned and pohZtZoned Zn theZn. own vZZZage hettZngh.
Each OZocehe hah a co-on.dZnaton. ^on the pnognamme.

A/EIV PROJECTS SANCTIONED

Re,g£cma£ MuZiZpuApoAe.
the. £oua £angactge.-ste.gtcm6 .

(fJo/iko.^

TtiaZYUMg

CQ,nt^6

Zn

KeAata - CSI HotpZtaZ, Kastakonam
TamtZnada - St. Lake.16 Ho^pttaZ, Nazan.e.th
Kasmataka - Matty CaZveAt HoZd^o^th Mejno/tZaZ HotpZtaZ, Ml/60/iq..
Andhra - CSI HotpZtaZ, Me.dak

LOCAL CONTRIBUTION:

Ah pen agneement wZth EZE, the ZnhtZtatZonh n.eceZvZng
ahhZhtance have to make a contnZbatZon eqaZvaZent to 33.3 pen.
cent o^ the EZE-gnant of^ ahhZhtance. The nehponhe ^nom the
necZpZent ZnhtZtatZonh have been encoanagZng.
CONCLUSION:

The above neZateh maZnZy to the Znpath. It Z6 60^1
ah now to nevZew/evaZaate how ^an. thehe have. he£pe.d Zn
htnengthenZng the HeaZZng MZnZhtny o^ the Cha^ch wtthZn the.
VZoceheh. What yandhtZck woaZd one ahe /to me.aAax.e. the. Zmpact?
Zn the. agenda o^ the ZoeaZ
Voeh HeaZZng MZnZhtny f^Znd a pZace.
j
congn.egatZon? How ^an the poon, the mangZnaZZhed and the
dZhpohhehhed been caned ^on? Thehe ane onZy home ofi the qaehtZonh
one woaZd ZZke to naZhe. Thene ane many othenh. It Zh ^on thZh
aagaht gnoap wZth nZch and vanZed expenZenceh to Zook at the
Zhhaeh objectZveZy.

(DR. GEORGE JOSEPH)
EXECUTIVE DIRECTOR

u ■

CSI COUNCIL FOR HEALING MINISTRY
"Towadds evolving a. new health-eade stdategy”
VIEWS OF THE HEALTH PROFESSIONALS

Name
the Placese:
Name
the Institution:
Name ofi Priced:

nation:

TotoS yeads of sedvlce
YeadS of sedvlce' In the Plocese
VeadS of sedvlce In the pdesent Institution
1.

Hlstodlcal back-gdound. of the institution (Please attach a bdlef
note giving factual details. This will go as a pedmanent decodd)

2.

Genedal Infodmatlon about the Institution:

2.1

Plstdlbutlon of beds
unded existing units

2. 2

pan.tic.udLa^:

SpzQ'lattty

Genedal

?wpa>LZ a btatunznt AhouM.ng the. fioUowtng:
Categodies, numbed o£ Incumbents unded each with theld names,
age, qualifications and special tdalnlng If any (specify subject
adea and dudatlon)
Scale,

pay and ^aZa^iy d'lawn at p'te.te.nt (6pe.clfiy allowance.)

Expedience

a. Total yeadS of sedvlce
o. Yeads of sedvlce In the Plocese
c. Yeads of sedvlce In <.he pdesent Institution.

2.3 E^^entcat hospital 6tatl6ttc6 (tome gatdettne6)
New

Pally avedage O.P. attendance:

Old

Total O.P. (1983)
Total I.P. (1983)

Avedage bed occupancy ped month

Avedage dudatlon of stay In hospital
Which ade the units whede thede Is a gdeated demand?
Numbed of dellvedles conducted ped month
Total dellvedles conducted dudlng 1983

Numbed of opedatlons pedfodmed dudlng 1983
Numbed of stedllzations pedfodmed I
dudlng 1983 :
I

Male

Majod

Mlnod
Female

2.4 Highlight some of the majod achievements of youd Institution

(each unit head od senlod staff membed may be requested to make
a bdlef statement about hls/hed unit's wodh dudlng 1993 and the
yead unded deview (ten months of 1983) and the offlced's own
contdlbuti.on to the ovedall sedvlce pdogdamme of the Institution.

.. 2!-

H
2 -

Factual Information will be highly valuable eg. number of t regnant
women examined, peripheral clinics conducted, Tubectomies/caeserlan
sections performed, eye camps/school clinics conducted, staff
training programme organised/participated, assistance offered In
general administration etc.etc.)

2.5

Brte^ty *tate the ex.t*ttng ^acttttte* tn yoar tn*tttu.tton ^or
tnve-6tagatton-6 and Aapporttve management

2.6

Provide tl*t o^ A.he major item* o^ equipment (and their pre*ent
condition - whether ^anctlonat or not)

2.7

Make a brte^ statement about the overatt acttvttte* o^ the ho*pttat
Inctadtng the strength* and weaknette*.

2.8

Have you at any time ^elt that the quality o^ patient-care
*u^ered ^or want o^ resources eg. an essential Item ofi equipment
In the lab or theature, a technical hand, say, a part-ilme
anaethetist or u. lab technician competent to do certain blo-chemlcal
estimations, some modernization o^ the labour room or ensuring
structural stability o^ an old building through repairs etc.

2.9

Ptea*e tl*t out your requirement* tn term* o^ the ’absolute
essential*1 taking Into account your Institution’s priorities a*
well as goals and commitments.

3.

Re^zvant ^n^owiatiovi about tho. a^a and the, pzopto.:

3.1

A/iea
Please enclose a map o£ the region, Indicating revenue district(s)
C.V. Block(s) ^hlch are served by your Institution directly. Show
major land marks Including roads, rail roads and communication
net-work Institution church-related and other* etc.

Ptca-6c rc^cr to the topography and ettmate e.g. htlty terratn,
drought prone etc.
3.2

Vesnogtiaphtc. chaiac.teAtAttc.6 (tome, gatdcttne.6)

3.2.1 Total population of town/C.V. Block(s) or panchayat* served by
the hospital (mention under each)

3.2.2 Popatatton deMtty
3.2.3 RuAot-uAban ^atto
3.2.4 Rzttgton: PopuZatton proposition H.

M.

C.

othe-U

3.2.5 Major aornmu.nttle.-6 tnatadtng Sahadutad Catted and Trtbe.<5

3.2.6 Proportion o^ Chrt6tlan-6 tn aaah o£ the. above.
3.3

l/ttat *tatl*tlc* - birth rate, death rate, I.M.R.,
expectation o^ tl^e (you. may quote pubtl*hed Data. Ptea*e
give reference)

3-4

Soato-Eaonomta 6tatu.-6:

3.4.1 Lttaraay

Ge.ne.rat

Fejnate.

3.4.2 Major occupation*
..3!-

u
3 -

majori CAOp4

3.4.3

Ag^hiuZtuAe.

3.4.4

kven.age AZze o^ Zand hoZdZng I
^on. van.ZouA Zncome gn.oupA
I

3.4.5

PnevaZZZng AyAtem o^ Zand tenancy
Re^en. to ApecZaZ pn.obZemA Z^ any, eg, bonded Zaboun.

3.4.6

Land Zau)A Zn open.atZon Zn the ctate (?)

3.4.7

Hat tt ^tgYit^tcaYit^y helped the, tandte,** poo ft tn yoan. an.ea?

3.5

ve,mgc pen. captta wageA pen. dacj

3.5.1

kgrti.cuttuAoZ ZabouAQA

FmiZe.

ChM

(?)

3.5.2

Ccl^lloZ ZabouACA

Female,

ChZtd

J?)

3.6

GZve a bn.Ze£ deAcnZptZon about the ZZ^e-AtyZe o^ the peopZe,
eApecZaZZy ofi the nunaZ popuZatZon Aen.ved by youn. ZnAtZtutZon.
PZeaAe make a ApecZaZ n.e£en.ence to the AocZaZZy dZAadvantaged
gnoupA, pan.tZcuZan.Zy the ScheduZed CaAteA and tn.ZbaZ popuZatZon.

3.7

HZghZZght the cuZtun.aZ pnactZceA that have a beanZng on heaZth
(age at man.n.Zage, average ^ajnZZy Atze, dZetany and chZZd
neanZng pnactZceA, AyAtemA o^ medZcZneA pnevaZent, ZocaZ heaZenA
ZncZudZng bZn.th attendantA, ZocaZ heaZth ^acZZitZeA (GovennmentaZ
and othen.A) and the extent o^ theZn. utZZZAatZon}

4.1

What haA been the chuAch'A contn.Zbu.tZon towandA genenaZ
deveZopment o^ the an,ea Zn the paAt?

4.1.2

Moste. 6pc.ci^C(Mi/, 'ivi the. ^tztd

4.2

Houj do you vZAaaZZAe the chan.ch’a n.oZe n
AtatuA oft the peopZe anden. ZtA ZnfiZaence?

4.3

Vo you. Au.bAcn.Zbe to 4,he concept that 'hea£th-can.e' doeA not
neceAAan.ZZy mean AenvZceA nendened thn.ou.gh hoApZtaZA and cZZnZcA
and thn.ou.gh the handA o^ the doctonA and the othen. pn.o^eAAZonaZ.A?

4.4

Vo you. enutsage a n.oZe ^on. tnaZned voZu.nteen.6 to aA^ZAt Zn the
pnoeeAA o^ Zmpn.ovZYtg heaZth can.e o^ c.ommu.nZtZeA?

4.5

What do you. conAtden. an.e the majon. heaZth pn.ob£ejn<s tn youA an.ea?
(You may u.Ae the ho^pttaZ mon.bt2tty AtattAttcA,
you. Ao det>Zn.e,
to Au.ppon.t yoan. vZew^)

4.6

Vo you eonAZden. that the exZAtZng chun.ch net-u)on.k pn.ovZdeA a
AuZtabZe onganZAatZonaZ £n.ame ^on. ex.tendZng heaZth can.e to the
homeA. EnZe^Zy Atate youn. vZewA.

Loiv

HZgh

Poort

Ao, AZnce when?

hzatth-cam 6cn.vtce.6?

mpmvtng the, he,atth

.4/-

A?-

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‘ •

H
4 -

4.7

Hou) do you. pe,n.c.eJ,ve, the, chuJich'A ftote, tn the, ztght o£ the,
Gotpet,?

4.8

Voe.A tht6 he£p a6 tn tde,ntt^ytng oua p^ito^ttte,^ and qua goatA?

4.9

Ane. you. wttttng to of^eA the, w,quAAe,d te,ade,^htp to tntttate,
a p^tog^amme, boteJty {^on the. puApo^e, o^ e.x.te.ndtng the. mu.c.h-ne.e.de.d
pntAWAy he.atth-oafie, to Jie. ^e/note. vtttage.6 on. among thote. ttvtng
tn the. pe.nt-unban ane.a6 on AtamA e.votvtng Auttabte. Atnate.gte.6
uttng the. eoctAttng ho^pttat net>ounce.* and even t^ tt tnvotve* a
centatn amount o{ pen*onat. *acnt^tce ^n youn pant?

5.1
PZea*e 6tate bnte^Zy the tnhenent weak.ne**e* tn oun pne*ent
heaZth-cane *y*tem wtth panttcuZan nefienence to youn tn*tttutton

eg. methodology, *ty£e o^ ^unettontng, pen*onne£, ne*ounce
con*tnatnt*, too ntgtd con*tttutton, tntenfienence inom above
tn nouttne wonk, Ztne o^ contnoZ not defitned, attttude o^
authonttte* not heZp^uZ etc.etc.

the, p^e,6e,yit ^tnanctat potttton

5.2.1

What

5.2.2

Ane you abZe to match the expendttune wtth the tncome?

5.2.3

Vo you get any ^tnanctaZ heZp finom the Vtoce*e on any othen
agency? (PZea*e encZo*e'a *tatement on monthZy account duntng
one o^ the avenage month* duntng the cunnent yean]

5.2.4

Vo you pnepane a budget e*ttmate taktng tnto account youn
tmmedtate and frj.tunt*ttc need*?

5.2.5

Vo you have a *y*tojn o^ ^ntennaZ a* weZZ a* ex.tenna£ audtt o^
youn account*?

5.3.1

How do you ^nocune youn dnug* and othen e**enttaZ *uppZte*?

5.3.2

I* thene a puncha*e poZtcy?

5.3.3

Ane you confident that onZy 'e^^enttaZ1 dnug* ane ondened?
Vo you con*tden the 'co*t fracton' a* cnuctaZZy tmpontant,
o^ coun*e not *acnt^tctng quaZtty?

5.3.4

Vo you, a* a poZtcy, keep the 'totaZ need*' o{ the pattent*
tn tmmedtate pen*pecttve when you pne*cntbe on onden tnve*ttgatton*?

5.4.1

A'te you/i 6ta^ mejnbe,^ happy wtth the, managejne,nt?

5.4.2

A/te you happy wtth youA 6ta^?

5.4.3

What ane, the, ^octat ^e,c,un.tty me,a6u.^e,6 avattabte, to Aafie,guM.d
thet^. tnte,^.e.6t?

5.4.4

Have, you. any 6ta^-de,ve.topme,nt

5.4.5

What ane, the, pne,6e,nt channel ope,n to you.n u}on.ke,^ to pat
^owand the,t^. ne,e,d*>, ctatms and dejnand^S?

youA tn^tttLLtton?

/tognamme, at p^e.6e.nt?

..5/-

i1
5 5.5.1

Have you. any ttme fictt the need fan. a htghen degn.ee o£
competence tn the ovenatt admtntstnatton and management 0^ yoan.
tnstttatton and mone spectfacatty wtth negand to:
-

mate^itat management
fananctat management
pe^onat management

5.5.2

Vo you have at pfietent any t^atned pennon to a^^t^t you. tn the
above?

5.6

^e, you. wttttng to undergo Aho^it o^iteyitattoyi t^cUntng tn
ho^pttat admtntA&iatton and management t^ ^acttttte^ an.e made
avattabte?

6.1

Vo you have a constitution and/on by-taws fan youn tnstttution?

6.2

Ane the diocesan Institutions govenned by the same constitution
and by-taws?

6.5

Voes the constitution 0^ the dtocese >i.etp u.nd asstst tn the
smooth fancttontng ofi yoan. tnstttution? (Enctose copy 0^
netevant sections 0^ <.he diocesan constitution fan nefanence).

6.4.1

Have you at any time ^ett that centatn pnovtstons wtthtn the
constitutions o& the dtocese ane not heitpfat. fan the smooth
fancttontng 0^ the hospttat? Ptease nefan to the pnovtstonls} ?

6.4.2 Have you even f^ett that some 0^ the ex.tsting pnovtstons need
modi^cation? PZe.a.60,
to the. p^ovt^ton (4)?
6.4.5 Have you f^o^tt that centatn pnovtstons ane oat-moded and have to
be deleted? Ptease nefan -jo he pnovtstonls] ?

6.4.4 Have you. j^tt the need fan. kuttabte amendments to accommodate the
tncneastng comptextttes tn admtntstnatton and management tn
today's content? Ptease nefan to the spectfac tssu.e(s} you. have
tn mtnd.
7.1

Who t6 sieAponAtbte fa^. o^igant^tng the ^cttgtou.6 acttvttteA ofi
youA hoApttat?

7.2

A/te you eon^tdent that the hoipttat U abte to project an ove^att
tmage ofi Ch^t^ttan tove tn actton worthy 0^ Zt-6 eatLing?

7.5

\n.e you. happy wtth yous. own teade^htp tn tht* tmpoitant £acet
o£ teivtee?

7.4

Ane you haPPy wtth the note ptayed by the senton stafa?

7.5

Is the tocat paston tnvotved tn the afaatns ofi the hospttat?
so how?

7.6
7.7

Have the membens 0^ the pantsh any note?
What ts ovenatt contntbutton 0^ the Chanch?
7.8.1 Gtve an account o£ the nettgtoas ttfa wtthtn the hospttat campus.
7.8.2 Gtve yoan suggestions to enhance tts tmage.

Ii
CSI COUNCIL FOR HEALING MINISTRY

’’Towards evolving a new health-care strategy”
VIEWS OF CHURCH LEADERS
Years of association:
with Diocese:

Name of the Diocese:

Name of the interviewee:

Date:

Name of the interviewer:

A.

Basic informat on about the area and the people
Map of the region showing roads and communication net—work,
revenue division, CD Blocks, institutions, church-related and
others.
*
Demographic characteristics:
Population density, rural-urban ratio,

Religion - population proportion - H M C Others
Major communities including scheduled castes and tribes

Proportion of Christians in each
Socio-economic status:

Literacy rate

Female

General

Major occupations
Agriculture - major crops
Average size of land holding

(income groups): High-Middle-Low-Poor

Prevailing system of land-tenancy
Since when ?

Land laws in operation in the State?

Average per-capita wages per day:

(a) Agriculture labourer

Male

Female

Child

(b) Casual labourer

-do-

-do-

-do-

Average number of days of employment in a month for (a)

(?)

(b)

Brief description about the living status of the rural population
of the Diocese in general and of the different congregations.
(Please refer to special problem-areas eg. Tribal, if any)
Please refer to economic standards, housing, water supply (prone
to drought?) civic amenities available or not etc.

..2/-

u
- 2 B. What has been the church’s contribution towards general development
in the past?
More specifically, in the fields of:

Education
Health-care services

Socio-economic development

Do you have any plans at present for enhancing our contribution in
the above or any other
Has the Diocese made any significant contribution to any of the
three areas mentioned above after 1947? (Provide information
separately under each area for the following periods)

1947 - 57

1958 - 67

1978 - 84

1968-77

Education
Health-care

Development

Do we have a strategy and an approved plan for the Diocese, say, for
the next 5 years in terms of the above?
What are the Diocese’s priorities at present?

C. How do you visualise the church’s role in improving the health
status of the people under its influence?
Do you subscribe to the concept that ’health-care’ does not
necessarily mean services rendered through hospitals and clinics
and through the hands of the doctors and other professionals?

Do you envisage a role for trained volunteers to assist in the
process of improving health-care of communities?

What do you consider are the major health problems in your area?
Do you consider that the existing church net-work provides; a
to our homes?
suitable organisational frame for extending health-care t_
Briefly state your views.

How do you perceive the church’s role in
the light of the Gospel?

he Healing Ministry in

Does this help us in identifying our priorities and our goals?.
If you subscribe to the above view, please highlight the existing
potential within the organisation as you see them, and the in-built
advantages of such an approach.
Are you willing to offer the required leadership to initiate a
programme solely for the purpose of extending the much needed primary
health care to the remote villages, evolving appropriate strategies
suitable to your Diocese and using Diocesan’s resources?
..3/-

u
- 3 -

D. Please state briefly the inherant weaknesses in our present health­
care system with particular reference to our own institutions.

eg. methodology, style of functioning, personnel, resource
constraints or any other - give your suggestions for improving
the above.
Are you actively involved in Ihe affairs
-- (including
administration)
of the health-care institutions of the Diocese at present?
Briefly mention the organisational frame.

E. Do you have a budget provision to support the ongoing work of your
institutions and/or o extend its activities to new areas?
(If so, give figures for the past two years.)
Mention how this has been utilised.

Does the existing Diocesan constitution permit and encpurage smooth
functioning of the institutions. If not, give reasons.
How often do you meet the heads of the institutions?

Do they approach you often for help and or guidance?
When did you visit the hospital(s) last?

Is the local pastor involved in the affairs of the hospital?
If so, how?

Have the members of the parish any role?
Who is responsible for the religious activities of the hospital?

What is the contribution of the local church in
facet of our activities?

his important

CSI COUNCIL FOR HEALING MINISTRY
PERSPECTIVE ON OPERATONAL POLICY

The Council reaffirms that the Ministry of Healing is
as vital to the life and witness of the Church together with Preaching
and Teaching. It forms an important aspect of church’s life. These
three—fold functions under the Divine Commission are complementary.
The Bible proclaims that God is the source of all life. Health is
both God’s will and gift to the creation. The aim of the Ministry
is to help bringing about healing, health and wholeness in individuals,
families, communities, and nations. The whole creation is eagerly
awaiting for its fulfilment through the act of its Creator, Sustainer
and Redeemer, who will bring in reconciliation between the fallen
humanity, nature and Himself.

In carrying out this mission, we recognise the multi­
dimensional health needs of men and women - physical, mental, social
spiritual and inter-personal. Humani sickness is not only individual
or personal but also collective. The Bible speaks of the disease
of the people in its collective, ethical and spiritual dimensions.
Social, economic and political structures that exploit and alienate
people and the exploitation of natural resources for selfish and
destructive purposes are all symptoms of this malaise. God is the
Healer of the societal sickness. Jesus's healing meant - being healed,
made whole, saved and forgiven, restoring the relationship in the
community and being reconciled with God, man and nature. The church
is called upon to participate with God in bringing about justice,
peace and integrity of creation.
a human-right
and
health
The
Council
recognises
as
global
strategy,
as
responsibility and therefore considers
the

Health
for
All
by
2000
propounded by World Health Organisation, of
AD’ and the practice of Primary health care as a means of it, as
the supreme challenge that faces the ministry today.
Church’s
involvement
in health programmes should also
be addressed to other larger issues of social and economic disparity,
denial of basic necessities for the larger portion of our population,
and work towards a more equitable, just and wholesome society.

The existing health care institutions of the Church should
be strengthened in terms of staff training and better equipment,
to meet adequately the above objectives. They should be committed
and more sensitive to the growing human needs, serving the poor
and hapless in our society, as expressions of Christ’s love, compassion
and power. These institutions should enter into the needy areas
of service and care that have hitherto been neglected as well as
to the newly emerging health problems. They should also assume their
rightful role in the organisation and management of health care
services at various levels of competence within the community.
..2/-

h

\
1*

- 2

of
We
recognise
that
the
existing
church-network
congregations and institutions is eminently suitable for engaging
in primary health care. It should be our concerted endeavour initially
to develop a nucleus of health workers, trained and motivated, to
serve the community even in the remotest areas, enabling the community
in essential promotive and preventive health care actions, with
its primary approach of preventing mortality and morbidity particularly
among the vulnerable groups. This has to be achieved through identifying
and training local leadership and promoting local initiatives. We
reaffirm the importance of the role of the local congregations in
this Ministry in the spirit of sharing, caring and serving and being
agents of healing as part of its total mission.

As a religious agency, fully committed to the cause of
health and wholeness, our aim will be to Integrate our work with
National health efforts and those of other voluntary agencies, giving
special emphasis on the neglected and left out areas.
Through His command to heal, Jesus calls His Church to
be a ’healing community' bringing justice, love, harmony, reconciliation
and total well-being. In this the church in every place is engaged
in the mission of God in bringing about His Kingdom.

(DR. GEORGE JOSEPH)
EXECUTIVE DIRECTOR

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1

C.S.I. COUNCIL FOR HEALING MINISTRY

'Small Project “
Fund■’ -for health care
o-f
institutions c. Church
--- - o-f South India
(No.86134)

Supported by

evangelische zentralstelle
FUR ENTWICKLUNGSHILFE E.U (EZE)

IJ

CSI COUNCIL FOR HEALING MINISTRY
- - REPORT OF THE PROJECT NO. 86134 - EZE
SMALL PROJECT FUNV FOR HEALTH CARE INSTITUTIONS OF
THE CHURCH OF SOUTH INVIA

PREAMBLE .
It Ea conte.xtu.cLE and ncEe.vant at thEA Atage. aA one.
■ EookA back, to
to a acaEca o£ Synod EeveE conAuEtatEonA
o^ganEAcd by the CoancEE duAEng 1985 - 1986 whEch heEpzd to
b/iEng de.cpen. EnAEght both about the unden.-gE^dEng phEJEoAophy
aA weEE aA the opeAatEonaE goaEA orf the HeaEEng MEnEAtAyCo^
the Church. ThEA Eed to a new undenttandEng about the exEAtEng
EnAtEtutEonaE network aA a lEch Eegacy/taEentA Eefit to the ChuAch

to be put to beAt uac ^on. ^aE^EEEEng the onEgEnaE goaEA and
objectEveA, nameE-y catenEng to the heaEth can.e needA o^ the
poon. and the man.gEnaEEAed. AdmEXtedEy, thEA paved the way ^on.
a new pen.ceptEon about the n.oEe o^ oun. hoApEtcuEA not onEy aA
pnovEden.A o^ 1 caEaEa can.e1 tendEng to thoAe who Aeek qua AewEceA
but aA ' agentA o^ change1 En the wEden context o& 1 heaEth1 o^
the communEty unden. EtA En^Euence.
THE PROCESS
VitsiEng th.0. Apo.cEaE eonAu.EtatEonAconvQ.nQ.d
the. pu-^pdAQ,, the. fioEEoujEng pn.Eo^EtEe.A ive/te Ede.ntE(±Ee.d
^on. At^e.ngthe.nEng the. EnAtEtu.tEonaE mEnEAt^y. The.Ae.
cve/te.
- Improvement o£ the quaEEty
dEagnoAtEc
iacEEEtEeA / reEevant En ‘a gEven AettEng- - ' z
(equEpmeht and acXL^AAorteAf]
--

Iznp/to vemen-t
exZitZng ^acZZZ^Ze<5
pa-tZcnt ca/te and 4tippo^ZZve. ^e^vZce^.

io/t

g

Room/T
La.bou.ri
g o.nc.^cLE
PnovEaEon
Eyic.Eu.dEng
EtzmA
e<54 znEEaE
Opz^atEoYi
Theatre
oequEpment and acceAAorEeA .
- Eaa entEaE n.epaEAA
eEectn.E ^EcutEo n.

buEE.dEng, waten. AuppEy and

VetaEEed pn.o^on.ma waA A ent to gathen
En^o nmatEo n ^n.om EndEvEduaE EnA tEtutEo nA whEch wene
compEEed and coEEatted by the VEoceAeA and recommended
to the CouncEE. On the Apot vEAEtA were made by
the CouncEE team to heEp En the aAAeAAment o^ needA
aA on prEorEty. The requeAtA firom the vartouA VEoccaca

. . H-

I

Ii
I

2
we,re, s cratlnls e,d and modi£le,d to bring the.se. within
the. bu.dge.tary provision. The. project was £orme.rty
pre.s e.nte.d ^or approval o^ the. Working Committe.e.
oi the. Synod and which was recommended to EZE ^or
sanction.

Regarding the local contributions, as t
per understanding a formal agreement format was
prepared' and approved by EZE. The agreement was
signed by the respective Medical Superintendent
the Treasurer o^ the Diocese and countersigned by
the Bishop o£ the the Diocese.
The above mentioned project was sanctioned
^or 2025000 VM vide EZE's letter o^ approval No.
PL/h dt. 12.2.S7. The schedule obudgeted cost ?
were as follows:

1.

SPF ^or health care institution
o^ CSl ^or renovation, repairs
and pro curement ofi medical
VM 1, 72, 500
equipment

2. Co-ordination

PM

45,000

5. O^Zce Expen4e4

PM

57,000

4.

VM 2,00,000

Re.4 o.r\jQ.

Actual expenditure
upto 31.12.93
PA. 32,97,708.24
R2: J,21,80,580.4$
PS.
6,41,712.91

1,61,20,001.61

The CSI I ns tltutlo ns/hospitals which
were languishing hitherto and were about to be closed

needed through overhauling in physical terms. The
SPF envisaged lifting up the sagging image o^ the
CSl institutions by
1 . Ensuring/improving the quality o^ patient care
servlces.
2. Providing and apdating the, diagnostic. ^ac.llltte,s.

or renovating the hospital buildings,
ensure minimum patient care amenities including
provision oproper/adequate water supply and
sanitation.
Tnsplte. o^ many we.ak.ne.ss e. A in the. system
the, assistance, glve.n by EZE in the. £orm o Smalt
Project Fand, some, o the. notable, gains made, by
the, institu-tlons are, give.n be.tow:

..5/-

I j

3

- T/ie. mZnZmLtm accopZabZo 6ta.nda.^d6 have, been
made potAt-bZe Zn dZagno^ZZc 4c/ivZce<s, eg.
MZcao4 copy, Bsto- chem4.ea£ A.Yive^t'igati.o Yi^ ,
fiadlogn.aph.y, aZt^a^oiiYid Acann^ng. Thi* ha*
helped tangety to >tedaee both gnavtty avid the
datiattoYi o^ tttYie**, promptest ^ette^, Ahonte*.
ho *pttat *tay and g ene^atty ziedactto n on. av otdance
o^ tegaeZae and compZZcatZon*.

- The 'pnovZ*Zon ofi Zmpnoved pattent can.e ha*
co n*ZdenabZe enhanced the Zmage and cn.edZbZZZty
o^ oan. ho*pttaZ* wtthtn a *hon.t *pan o ttme.
It ha* heZped to enhance thetn *tata* a* ne^en.naZ
centre*. Tht* appZZe* not onZy to majon. ho*pttaZ*
bat even to n.anaZ ho*pttaZ* (con*Zden. the
ma*hn.oomtng o *maZZ pntvate cZZntc* o^ten
n.an by ann.egt*ten.ed, anqaaZZ^Zed pen.*onneZ
wtth han.dZy any dZagno*ttc on. pattent can.e
^acZZZtte*, tn n.an.aZ anea*).

- Emengency and ca*aaZtty can.e wene made po**tbZe
becaa*e o^ tnpat*, *ach a* ECG, X-nay, Candtac
Montton.* and Zt^e-*avtng mea*ane* made avatZabZe
tn aZmo*t aZZ ho*pttaZ*. In negtonaZ ho*pttaZ*/^
heaZth centre* *an.gtcaZ tntenventton* ane po**tbZe
- thank* to the genenaZ *appont necetved £on.
apgnadatton oext*ttng openatton theatre
^actZttte* - BoyZe’* Machtne, n.e*ptnaton*, oxygen
*appZy etc.

- Labour theatres and equipment for obstetric care have
been given priority as part of "P .'H. care
. made,
available even in rural centres.
Running
^ter,_
electricity, basic facilities for sterilization oz
instruments
■ ancl patients
^ef-| Z*/.
rural centres have considerably enhanced the quality
of maternal and child care services.
- The build up’of local competences> and infrastructure
referrals
to
ether
the need . for
has lessened
institutions at formidable cost to patients.

assisted
to
make
been
Rural
hospitals
have
up
programmes
for
significant contributions to take
prevention of communicable diseases, eg . pro vision of
to maintain cold-chain for
refrigerators has helped
1 \
effective vaccine storage.
- The cost of patient-care has considerably come down thanks to the saving of expenditure on capital
This has ■,
investment on major items of equipment,
to generate income
helped several of
of our
our hospitals
1
self-sustenance
,
but also to play a
not only towards
existing
as well as newly
major role to support
initiated rural centres and generally to take up
Out-reach programmes .__

"i i

better .
- Improved bed-occupancy mainly on account of
services,
quality
of
care
including
diagnostic
maximum utilisation of available competences and
facilities, mobilisation of local resources, have all
assisted in contributing towards financial -viability.
Provision of ambulances and tranport vehicles have
helped to enlarge the coverage of services including
follow-up services.
The Out-reach work has helped
not only in making available services to needy areas,
but also to bring down the cost of patient-care
services, which is affordable even to the poor and
are
services
the
marginalised.
The
Out-reach
monitored by the rural hospital team.

Introduction of blood banks, HIV screening
counselling services -are remarkable gains.

Y

with

- Reference may be made about major inputs for Cancer
care made possible at International Cancer Centre,
Neyyoor (ICC) as a facility to be availed’ of by all
the Dioceses - thanks to EZE for their whole-hearted
■ support.
The ICC today has facilities for histo
pathological
studies
as
well.
There
are
possibilities at sight for introducing cancer care in
selected regional hospitals in collaboration with ICC
with minimal therapeutic inputs, faculty training and
supportive services.

- Community’s acceptability and goodwill of church run
hospital health-care services have gained strength
Several new initiatives have ccme up
considerably.
the
congregations.’
The
material
mainly
from
assistance in the form of essential equipment to
sustain and strengthen these programmes has played a
catalyst role. Reference may also be made about’Ze v era Ine.
training centres, (nurses/para-professionals) within
the dioceses,
- thanks to the strengthening of
regional hospitals.
Under the new dispensation/ the CSI hospitals today,
have become a sign of hope for people who are desperately in
fr.eed of care.
The detatt* o£ ttemA o^ eqatpment and the qaantam

ofi monetary a^^t^tance gtven ^ok K.epatK.6 and Kenovatto n
hoApttatA battdtngA to each othe tn6tttatton/ho 6pttat
- VtocetewtAe - t6 encto^ed a^s AnnexaKe - I.
A4
c.o ncLZtZo n a tZpu.£a.te,d by EZE
th.0, C/iu>c/i oi South. Indta tn* ittutto n* whtah.
the.
a.66t6ta.yic.e.
EZE have, to make, ap a tocat co nt Kt batt o n
e.qaatant to h o^ the co ntKtbatto n made by EZE. A statement
thowtng the to cat co ntttbatto n made by the vaKtoaA
tn^6tttatton6 daKtng the opeKattonat peKtod oSmatt PKoject
Fand Mo. 86 1 34 t6 enctoAed ^ok tn^OKmatton a6 Annex.aK.e~ 111
. . 5/ -

Ii
5

A Zt*t o^ name.6 o^ the. hotpttaZ u)htch u)e,n.e, >ie,vtve.d
wtth the. a66t6tance. o^ EZE t6 e.nc.Zoz>e.d tn Axinexu/te-111.
It maybe, >ie,Ze,vant to me,ntton he,n.e, that the,Ae, tn^tttatton
u)he,fie, on the, ve,>ige, o^ c.Zo^an.e, on. cZo6e,d f^on. want o £ ade.qu.ate,
6u.ppon.t finom the. ZoeaZ Vtoc.e.Ae.4 to ke.e,p the.m aZtve,.
The, Zate,6t au.dtte,d 6tate.me,nt ^on. tht* pn,oje.c.t
t6 e.ncZo6e,d ah Annextt^e-1U.

We. p£a.ce,d on ttzcoid oiin. de.e.p 6e.n6e. o Q^at^tade.
to EZE ^on. the, tnva.tu.abte, at AtAtance. to the. Cou.nc.tt tn
the, tiue, Apt^itt o & pantne^Ahtp tn mtAAton. We. have. onZy
me.nttone,d a ^e.u) o the. be,ne,&ttA acc.ftu.e,d dae, to the, EZE
at At^tance,. The.ste. a^te. many mo>te, whtch a^te, not au.a ce.pttbZe,
o any me,a&an.e,me,nt^.

(VR. GEORGE JOSEPH)
EXECUTIVE VIRECTOR

Ii

v
CSI HOSPITAL, KANCHIPURAM

MADRAS

HI

RUPEES

EQUIPMENT

BUILDING CONST

50000.00

X-RAY MACHINE

98457.00

FOETAL MONITOR

5625.50

ECG MONITOR

9090.00

HOSPITAL COTS

•100000.00
TOTAL

CSI KALYANI HOSPITAL

263172.50

MADRAS
RUPEES

EQUIPMENT

ECG MONITOR

9829.87

HOSPITAL COTS

9820.00

FLAME PHOTOMETER

•15125.00

MICROSCOPE BINO

5899.00

CENTRIFUGE

•1763.00

CYLINDER

1545.00

REFRIGERATOR

4743.94

MAHINDRA JEEP

■110769.33
TOTAL

159495.14

H2

HEALTH CENTRE SHOLAVARAM

MADRAS

EQUIPMENT




H3

RUPEES

--j ™ ~

~



~

x:: ™



™ r- ™

BUILDING CONST

40000.00

ECG MONITOR

9829.87

HOSPITAL COTS

8120.00

MICROSCOPE MONO

8348.00

OPERATION TABLE

18820.00

THEATER LAMP

8420.00

VACUUME EXTRACTOR

1283.85

STRETCHER TROLLY

1540.00

MATADOR JEEP

81058.43

SUCTION APPARATUS

38110.90

VIEWER

875.50

INSURANCE

211.85

INSTALLATION

1500.00

FREIGHT CHARGES

1277.00

=----- = = = ~ = - = ~ = =

="==

.“==-=:== = == ====x=^:

TOTAL

CSI HOSPITAL NAGARI



xx

215173.20

MADRAS

===========2-i--™T___
RUPEES
----- ==================^== ==-===_===_=;:=;=;

X-RAY MACHINE

198092.92

HOSPITAL COTS

7952.40

MICROSCOPE BINO

5899.57

REFRIGERATOR

4982.43

GENERATOR

53092.80

BOYLES APPARATUS

20110.10

== = = = = = =:=:=;
TOTAL

290110.02

H4

Ii

CSX HOSPITAL DHARAPURAM

TRICHY TANJORE

EQUIPMENT

RUPEES

BUILDING CONST

73000.00

FOETAL MONITOR

6047.40

HOSPITAL COTS

15000.00

REFRIGERATOR

9501 ..54

STRETCHER TROLLY

•1540.00

STEPLISER

3009.72 '

WEIGHING BALANCE

804.00

WHEEL CHAIR

2195.00

DRUMBS & BINS

1320.46
TOTAL

•112418.12

1-1

IJ

SUB CENTRE UDUMELPET

TRICHY TANJORE

RUPEES

EQUIPMENT

BUILDING CONST

8000.00

CYLINDERS

8840.75

THEATER LAMP

4760.00

SUCTION APPARATUS

4760.00
TOTAL

CSI HOSPITAL KARUR

25760.75

TRICHY TANJORE
RUPEES

EQUIPMENT

BUILDING CONST

70000.00

RAY MACHINE

36288.00

X

1Z

TOTAL

•106288.00

IS

i i
COIOMBATORE

CSI. HOSPITAL ERODE
EQUIPMENT
~~ rjx



N1

RUPEES

“ xr: zr:r_~

~ :::x

~

=: jx r." ”

E15985.96

X RAY MACHINE
FOETAL MONITOR

6047.40

FLAME PHOTOMETER

14081.39

OPERATION TABLE

31380.00

SUCTION APPARATUS

3180.00

STEPLISER

12440.00

AUTOCLAVE

28143.01

556.00 '

DRUMS A BINS

TOTAL

RURAL HEALTH CENTRE CHENNIMALAI

311813.76

COIMBATORE
RUPEES

EQUIPMENT

BUILDING CONST

50000.00

X RAY MACHINE

68721.51

HOSPITAL COTS

5000.00

MICROSCOPE MONO

4174.00

CYLINDERS

1545.45

REFRIGERATOR

3822.99

MATADOR JEEP

80923.88

STERLISER

2520.00

WEIGHING BALANCE

2600.00

DRUMS & BINS

476.00

TOTAL

219783.83

N2

11

——————

=

==

~.t

= = = =:=

RUPEES
~tt: —~ r.:::

r™ ™ ux == ™

BUILDING CONST

20000.00

MICROSCOPE BINO

5899.57
93665.75

MATADOR JEEP

4895.17

PE COLORIMETER
-- -•■

™. z:z —

“ “ —:

— --

zz: ~

: =•-

::::

—: —-------- -- —:

------- ;

~

TOTAL

124460.49

RUPEES

EQUIPMENT
~ ~ ™ r-" ™~

~

~

~™

~

xr

~



™™

X RAY MACHINE

•198225.15

MAHINDRA JEEP

111840.96

™ — z~: ~.z

rjr.

02

VELLORE

SCUDDER MEMORIAL HOSPITAL

r- —• — ~

01

VELLORE

JOTHI NILAYAM RURAL HOSPITAL
•—• ——•• *•••
EQUIPMENT

-r. r.z: ~ r:"

zz: zz: “ x:: ~~ ~

TOTAL

~ z~ ” “X “ _=

x::

---------- =---------

310066.11

Li

ST.LUKES HOSPITAL NAZARETH

TIRUMELVELI
RUPEES

EQUIPMENT
~ -Z

= zz:

zz:

-z =z

~

Ml

zz: -



=::: „ — =r.:

- ~z=: — “

™ zz: -=

BUILDING CONST

•10000.00

X RAY MACHINE

•1982E5.14

FOETAL MONITOR

6047.40

FLAME PHOTOMETER

13553.73 '

CENTRIFUGE

•1931.49

INCUBATOR

13771.00

THEATER LAMP

6000.00

BOYLES APPARATUS

41061.00

SUCTION APPARATUS

6734.25

STEPLIZER

3012.50

P E COLORIMETER

4755.13

WATEF? STEILL

1500.00

CELL COUNTER

999.00

ANALYTICAL BALANCE:

3195.72
™ ““ ™

TOTAL



~™~~

310786.36

~ ~ ==

u

ST.RAPHELS HOSPITAL SAWYERPURAM

TIRUNELVELI

M4

RUPEES

___ EQUIPMENT

==_=--------------==========“====================== ==========:==;==

BUILDING CONST

130000.00

X RAY MACHINE

68656.30

ECG MACHINE

8526.42

MICROSCOPE MONO

4174.00

CENTRIFUGE

1914.16

CYLINDERS

1545.45

OPERATION TABLE

17120.00

THEATER LAMP

15840.00

SUCTION APPARATUS

3180.00

STERLISER

2925.19

P E COLORIETER

7634.95

AUTO CLAVE

10106.90

WATER STILL

1500.00

CELL COUNTER

999.00

ANALYTICAL BALANCE

3344.11

—==-================= ====:============================:==;==;
TOTAL
277466.48

ST.BARNABAS HOSPITAL NAGALAPURAM
EQUIPMENT

TIRUNELVELI
RUPEES
= = = = =: = =; = = =:===::=::

BUILDING CONST

•15000.00

HOSPITAL COTS

10000.00

CENTRIFUGE

■1913.28

THEATER LAMP

4760.00

SUCTION APPARATUS

3'130.00

WATER STILL

1500.00
:--- = = = = =

TDTAL

36353.28

M2

IL

CSI HOSPITAL NEYYOOR

KANYAKUMARI

EQUIPMENT

P-1

RUPEES

BUILDING CONST

25000.00

X RAY MACHINE

335997.55

TOTAL.

360997.55

CSI HOSPITAL MARTHANDAM

KANYAKUMARI

EQUIPMENT

RUPEES

P2

----------- ------------------ ~~==~ = ~“-~~~ = = = ~~=—~ = = = ==~-”“=n:“~ = :==::=.“=x=x:==== = -==

BUILDING CONST

40000.00

WATER SUPPLY COST

•10000.00

X RAY MACHINE

68656.30

HOSPITAL COTS

19360.00

FLAME PHOTOMETER

15626.00

MICROSCOPE BINO

5548.50

MICROSCOPE MONO

8348.00

CENTRIFUGE

•1935.45

P E FOLORIMETER

5529.22

CELL COUNTER

2654.41
TOTAL

177657.88

0^7
:


SbK.

UMn

NG

L 1

EQUIPMENT
=

=

=

==

=

P3

KANYAKUMARI

CSI HOSPITAL WAGERCOIL

RUPEES
===

=

===

=”==



BUILDING CONST

70000.00

WATER SUPPLY COST

50000.00

X RAY MACHINE

■104682. EQ­

MICROSCOPE BI NO

5899.57

MICROSCOPE MONO

4714.00

CENTRIFUGE

1935.45 '

GENERATOR

™ ™ nz; 2c:

53092.60

TOTAL

290323.86

CSI HOSPITAL KULASEKARAM

KANYAKUMARI

EQUIPMENT

RUPEES
~

::: z." ~

WATER SUPPLY COST

85000.00

X RAY MACHINE

198190.01

FLAME PHOTOMETER

13586.50

MICROSCOPE BINO

5895.57

CENTRIFUGE

1822.56

GENERATOR

53092.60

TOTAL,

357587.24

P4

Ii

CPML HOSPITAL. COLACHEL

KAMYAKUMARI

EQUIPMENT

RUPEES

BUILDING CONST

7'5000.00

HOSPITAL COTS

20000o00

CYLINDER

1545.45

STEPLISER

2520.00

AUTOCLAVE

12440.00

DRUMS & BINS

556.00

TOTAL

•112061.45

ICC NEYYOOR

KANYAKUMAR I
RUPEES

EQUIPMENT
™~ " x: ™ -.-z :z::~

P5

u--™

~



urn

z.~ ™

™-- ~~ xr

™ xc ~ ~ ™ r.~

HOSPITAL COTS

30000.00

ULTRASOUND SCANNER

187220.00
TOTAL-

217220. 00

P6

h
CHRISTIAN MISSION HOSP MADURAI
.... M.. M... —
... ....
<eM> . ... .

MADURAI RAMMAD

E Q UIP M E N T

R U P EES

——r-----™ — — ™ ™

2-_

G-l

=-:™

~

™ ~ =-t: ="—• ™



~

x:

=r.

MAHINDRA JEEP

•1-10872. 16

ULTRASOUND SCANNER

190225.00
r_"

~

:r::— rj;™---- ™™

TOTAL

ST.MARTINS HOSPITAL RAMNAD
EQUIPMENT

MADURAI RAMNAD

160000.00

CYLINDERS

1545.45

SUCTION APPARATUS

6673.21

AUTO CLAVE

35332.89

TOTAL

r-

301097.16

RUPEES

WATER SUPPLY COST

~

203551.55

G2

h

RURAL HEALTH CENTRE KILANJUNAI

MADURAI RAHMAD

RUPEES

EQUIPMENT

MATADOR JEEP
~ — xx

z~ x:: zz: — — ™

81069.50
zx x:: xx zx ~ =x xx xx: xx

rx: rx: ~ xx rx x:: xx zx xx xx xx: xx: ~ nr:

TOTAL

xx

~ — zx ~

xx r.x ~ :x

81069.50

HEALTH CENTRE PASUMALAI

MADURAI RAMMAD

EQUIPMENT
— xx ~™

G3

RUPEES

™ ™™ —• ~™~ •—~ "r~

--::z ~ ™

~ :::r —•■— ~

BUILDING CONST

45000.00

MICROSCOPE DINO

5899.57

centrifuge:

1911.69

REFRRIGERATOR

4835.40

SUCTION APPARATUS

4084.40
TOTAL

61731.06

~ ™ --

G4

H

CSX HOSPITAL CODACAL
EQUIPMENT

NORTH KERALA

RUPEES

BUILDING' CONST

50000.00

WATER. SUPPLY COST

30000.00

FOETAL MONITOR

6047.40

HOSPITAL COTS

•15000.00

FLAME PHOTOMETER

13867.45

REFRIGERATOR

4822.04

MATADOR JEEP

87986.15

SUCTION APPARATUS

3180.00

STEPLISER

7560.00

P E COLORIMETER

4441.41

DEFIBRILLATOR
X" zx "z

~ zz: ~ ~

“z

~ zx z“ xz ”

79622.25
zz: zz: zz: zz: zz: zzz zz: zz: zz: z:z zz: zz: ™ zz: zz: zz: zz: :z: zz: zz: zz: rzz zz: zx zz: zz: z:z zz: z:z zz: zz: ~~ z:z zz:

TOTAL

302526.70

Q-1

u
CS.I HOSPITAL KIRSHNAPURAM

MADHYA KERALA

EQUIPMENT

RUPEES

FOETAL MONITOF^

6047.40

HOSPITAL COSTS

•10000.00

MATADOR JEEP

88232.28

GENERATOR

53092.60

SUCTION APPARATUS

3180.00

STERLISER

5040.00

P E COLORIMETER

4895.17

AUTOCLAVE

12440.00

DRUMS & BINS

R1

556.00
TOTAL

183483.45

HUMS HOSPITAL KODUKULANJI

MADHYA KERALA

EQUIPMENT

RUPEES

BUILDING CONST

35000.00

WATER SUPPLY COST

24000.00

MICROSCOPE BINO

5899.57

REFRIGERATOR

4960.70

MATADOR JEEP

88232.28

ULTRASOUND SCANNER

190225.00

TOTAL

348317.55

R2

u
CSI HOSPITAL PUNNAKKAD

MADHYA KERALA

EQUIPMENT

RUPEES

REFRIGERATOR

4960.70

OPERATION TAELE

•17120.00

THEATER LAMP

4760.00

SUCTION APPARATUS

6360.00

AUTO CLAVE

5200.00

DRUMS & BINS

476.00

DEFIBRILLATOR

45496.82
TOTAL

84373.52

CSI HOSPITAL, MALLAPALLY

MADHYA KERALA

EQUIPMENT

RUPEES

X RAY MACHINE

198155.78

MATADOR JEEP

88232.28

DEFIBRILLATOR

79622.25
TOTAL

R4

366010.31

R5

H
CSX HOSPITAL MUNDIAPALLY

MADHYA KERALA

EQUIPMENT
— —. = =: zz:



™™

RUPEES
™ zzz zr:r- ™ xx ™

~



—■ zz -- ~ ,
t" ":r

——————

50000.00

X RAY MACHINE

68700.57

MICROSCOPE BINO

5899.57

REFRIGERATOR

5023.10

BOYLES APPARATUS

20110.19

STERLISER

8098.70

P E COLORIMETER

4895.17

THOMAS HOSPITAL THIDANAD

equipment
= =:= = =: = = ^=:~~:=:;=::=::=:;=:; ___

MADHYA KERALA
RUPEES

WATER SUPPLY COST

70000.00

X RAY MACHINE

68693.83

HOSPITAL COTS

3000.00

MICROSCOPE BINO

5899.57

CENTRIFUGE

1906.74

CYLINDERS

■1545.45

P E COLORIMETER
=

™ ™ ~-r.

BUILDING CONST

ST.

4895. 17

=========—=========================:====

________________

R6

TOTAL

155940.76

R3

u

CSI HOSPITAL PALLOM

MADHYA KERALA

RUPEES

EQUIPMENT
= = ™ —= === — == ====== =s^==: ====== = == sx===3a:== ===s:x:xs-' — ssss

2=^ ==== = =;=;==

BUILDING const

•15000 a 00

HOSPITAL COTS

3900.00

MICROSCOPE BIMO

5899.57

CENTRIFUGE

1975.20

REFRIGERATOR

4820.35

MATADOE JEEP

88245.36

GENERATOR

53092.60

SUCTION APPARATUS

3180.00

STERILISER

2600.00

P E COLORIMETER

4895.17

AUTOCLAVE

9560.00

DRUMS & BINS

476.00

TOTAL

193644.25

R7

u
CHRISTIAN MISSION HOSP QUILON

EQUIPMENT

SOUTH KERALA

RUPEES

MICROSCOPE BINO

5899.57

REFRIGERATOR

4960.70

MATADOR JEEP

88310.17

SUCTION APPARATUS

3180.00

STEPLISER

5040.00

AUTO CLAUEZ

•12440.00

DRUMS & BINS

556.00

TOTAL

LMS BOYS BRIGADE HOSP KUNDARA
EQUIPMENT

S-1

•120386.44

SOUTH KERALA

RUPEES

BUILDING COST

25000.00

ECG MONITOR

9090.00

FLAME PHOTOMETER

•13621.25

MICROSCOPE BINO

5899.57

CENTRIFUGE

•1914.16

INCUBATOR

•16741.57

MAHINDRA JEEP

111048.57

BOYLES APPARATUS

41061.00

P E COLORIMETER

4682.6-I

LAPROSCOPE

60000.00

S2

CSI HOSPITAL ATTINGAL

SOUTH KERLA

EQUIPMENT
~~ ™

— ™ zz:

™ ™ ™~





S3

RUPEES
“ "■

™™

~ ™ ™ zz ™ ™ ~ ~



™ ~~

~

BUILDING CONST

35000.00

FOETAL MONITOR

6047.40

ECG MONITOR

9839.87

HOSPITAL COTS

5000.00

MICROSCOPE BINO

5899.57

CENTRIFUGE

•1913.26

SUCTION APPARATUS

3180.00

STERILISER

7560.00

AUTO CLAVER

12440.00

CELL COUNTER

2653.64

DRUMS & BINS

556.00

MUSCLE STIMULATOR

5257.08

CSI HOSPITAL KALAYAPURAM

SOUTH KERALA

EQUIPMENT

RUPEES

WATER SUPPLY

20000.00

X RAY MACHINE

68632.28

FLAME PHOTOMETER

13626.25

MICROSCOPE BINO

5399.57

CYLINDERS

1500.00

THEATER LAMP

4760.00

SUCTION APPARATUS

3000.00

P E COLORIMETER

5000.00

AUTO CLAVE

10000.00

DRUMS & BINS

5000.00
=

~

TOTAL

~ = —■ — — — ~ — — — “

------------------------------------------- :

:

•1374'18.1

S4

u
CSX HOSPITAL KAZHAKOOTAM

SOUTH KERLA

EQUIPMENT

RUPEES

BUILDING CONST

•10000.00

FOETAL MONITOR

6047.40

HOSPITAL COTS

4620.00

FLAME PHOTOMETER

15626.25

MICROSCOPE BINO

5899.57

CENTRIFUGE

1914.16

MATADOR JEEP

88457.62

SUCTION APPARATUS

3180.00

STERILISER

5040.00

P E COLORIMETER

5525.15

AUTO CLAVE

12440.00

CELL COUNTER

2649.08

eDRUMS A BINS

556.00

:™:-™ ™ ™~ ™ z" ~~:::::~

™z: r.::: tz:::::: z-

TOTAL

:™ zz ::z “ ":zz z" ::zzr. z~z:: :z:~~ zz ::z zz _z z:: z" — z::

161955.23

CSI HOSPITAL KARAKONAM

SOUTH KERALA

EQUIPMENT

RUPEES

BUILDING CONST

30000.00

HOSPITAL COTS

15015.00

OPERATION TABLE

17120.00

THEATER LAMP

15840.00

BOYLES APPARATUS

41061.00

STERILISER

5040.00

AUTO CLAVE

12440.00

DRUMS 6 BINS

556.00

TOTAL

S5

137072.00

S6

REDFERN MEMORIAL HOSPITAL HASSAN

SOUTH KARNATAKA

EQUIPMENT

RUPEES

REFRIGERATOR

9640.70

SHORTWAVE DIATHERM

•18700.00

CARDIAC MONITOR

E8440■00

-- :

--------- :

:— ™

~ ™ ™ "• ~

J-1

~ ~ ~ xr:

TOTAL

LOMBARD MEMORIAL HOSPITAL UDIPI

EQUIPMENT

™~

x::

r-





~

56780.70

SOUTH KARNATAKA
RUPEES

BUILDING CONST

50000.00

X RAY MACINE

68632.28

FLAME' PHOTOMETER

•16078.00

TOTAL

x:“

•134710.28

J8

u
HOLDSWORTH MEMORIAL HOSPITAL MYSORE SOUTH KARNATAKA
EQUIPMENT

RUPEES

X RAY MACHINE

38807. •IN­

MICROSCOPE DINO

5899.57

MICROSCOPE MONO

4174.00

MAHINDRA JEEP

•111697.85

ULTRASOUND SCANNER

193175.30

TOTAL

353753.86 '

4

J3

CSI HOSPITAL BANGALORE

CENTRAL KARNATAKA

EQUIPMENT

K-1

RUPEES

ECG MONITOR

9829.87

MATADOR JEEP

93832.98

SHORTWAVE DIATHERM

39569.57

MUSCLE STIMULATOR

8000.00

LAPROSCOPE

60000.00

ELECTRONIC TRAJJNIT

7500.00
-- -- -- — —

— —— — " =



218732.42

CSI HOSPITAL CHIKBALLAPUR

EQUIPMENT

CENTRAL KARNATAKA
RUPEES

BUILDING CONST

100000.00

X RAY MACHINE

68632.28

OPERATION TABLE

•17120.00

SUCTION APPARATUS

3180.00

STERILISER

2520.00

P E COLORIMETER

2398.00
TOTAL

193850.28

K2

r
(

CSI HOSPITAL CHENNAPATNA

CENTRAL KARNATAKA

RUPEES

EQUIPMENT

BUILDING CONST

•15000.00

GENERATOR

30493.S3
TOTAL

45493.88

K3

h (

CSI BASAL MISS HOSP GADAG BETGERI

NORTH KARNATAKA

L1

RUPEES

EQUIPMENT
BUILDING CONST

50000.00

ECG MONITOR

9829-60

GENERATOR

53092.60

SUCTION APPARATUS

3-180.00

P E COLORIMETER

4895.17
TOTAL

HEALTH CENTRE MOTIBENNUR
EQUIPMENT

120997.37

NORTH KARNATAKA
RUPEES

X RAY MACHINE

68721.51

MICROSCOPE MONO

4174.00

CENTRIFUGE

1897.00

STERILISER

2520.00

CELL COUNTER

999.00
TOTAL

78311.51

L2

H; C
(

CSI HOSPITAL DUDGAON

C

MEDAK
RUPEES

EQUIPMENT

BUILDING .CONST

•100000.00

X RAY MACHINE

68632.28

FOETAL MONITOR

6047.40

MAHINDRA JEEP

109854.09

(

F3

TOTAL

284533.77

(

(

(

CSI HOSPITAL RAMAYAMPET

MEDAK

RUPEES

EQUIPMENT

BUILDING CONST

20000.00

X RAY MACHINE

68721.51

ECG MONITOR

8526.42

MICROSCOPE BINO

5400.00

OPERATION TABLE

30830.85

THEATER LAMP

6500.00

MATADOR JEEP

92532.20

SUCTION APPARATUS

3275.00

STERILISER

2520.00

P E COLORIMETER

6666.00

TOTAL

244971.98

F4

H c
r
C;

MEDAK

CSI HOSPITAL MEDAK

F1

RUPEES

EQUIPMENT
BUILDING CONST

40000.00

X RAY MACHINE

•198-155.79

ECG MACHINE

8526.42

SUCTION APPARATUS

520.65

BOYLES APPARATUS

4743.30

TOTAL

251946.1<>

(

CSI HOSPITAL LUXETTIPET

MEDAK
RUPEES

EQUIPMENT

BUILDING CONST

20000.00

X RAY MACHINE

68632.28

ECG MACHINE

8526.42

HOSPITAL COTS

5000.00

MICROSCOPE MONO

4174.00

CYLINDERS

1545.45

REFRIGERATOR

4343.46

MAHINDRA JEEP

109854.48

P E COLORIMETER

7634.95
TOTAL

229711.04

F2

H

>

MLL HOSPITAL MADANAPALLE

RAYALASEEMA

EQUIPMENT

RUPEES

BUILDING CONST

46465.00

X RAY MACHINE

64482.00

FOETAL MONITOR

6047.40

VACUUMS EXTRACTOR

8125.00

MATADOR JEEP

87684.61

SUCTION APPARATUS

4260.99

SHORTWAVE DIATHERM

18670.00.

MUSCLE STIMULATOR

5236.76

CARDIAC MONITOR

28440.00

C02 REBRATHER

593.00
TOTAL

CSI HOSPITAL JAMMALAMUDUGU
EQUIPMENT

Bl

270004.76

RAYALASEEMA

RUPEES

BUILDING CONST

100000.00

•FOETAL MONITOR

6047.40

ECG MONITOR

9829.87

MICROSCOPE BINO

5899.57

INCUBATOR

16770.00

MAHINDRA JEEP

109643.50

BOYLES APPARATUS

20103.15

SUCTION APPARATUS

4131.91

AUTO CALVE

28142.97

B2

u
ST. MARYS HOSPITAL KHAMMAM
EQUIPMENT

DORNAKAL

A1

RUPEES

BUILDING CONST

40000.00

X RAY MACHINE

198155.79

ECG MONITOR

9829.87

MICROSCOPE BINO

5899.57

MATADOR JEEP

86995.79

TOTAL

CSI WHITEHEAD HOSPITAL DORNAKAL
EQUIPMENT

340881.02

DORNAKAL

RUPEES

BUILDING CONST

29000.00

X RAY MACHINE

88856.30

ECG MACHINE

9829.37

MICROSCOPE BINO

5899.57

REFRIGERATOR

4962.44

OPERATION TAELE

17120.00

THEATER LAMP

15840.00

MATADOR JEEP

87026.24

GENERATOR

40000.00

BOYLES APPARATUS

20110.19

SUCTION APPARATUS

3296.00

STERILISER

2520.00

AUTO CLAVE

2600.00

DRUMS 8 BINS

476.00

TOTAL

307336.61

A2

u

x?..

c
CSI EMILY RANK HOSPITAL KARIMNAGAR
EQUIPMENT

KARIMNAGAR

RUPEES

BUILDING CONST

200000.00

CYLINDER

5000.00

OPERATION TABLE

36038.08

TOTAL

241038.08

El

ANANTHAM HOSPITAL VIJAYAWADA
EQUIPMENT

KRISHNA GODAVARI

RUPEES

BUILDING CONST

40000.00

X RAY MACHINE

68632.28

ECG MACHINE

9697.85

MICROSCPE BINO

5899.57

CYLINDER

-1545.45

MAHINDRA JEEP
SUCTION APPARATUS

i -1 1159.85
4181.23 *

C1

ST. WERBURGHS HOSPITAL NANDYAL

NANDYAL

D1

RUPEES

EQUIPMENT

BUILDING CONST

E6000.00

X RAY MACHINE

•104645.61

MAHINDRA JEEP

111044.91

THEATER LAMP

19589.76

BOYLES APPARATUS

20103.15

AUTO CLAVE

28142.96'

TOTAL

ST. RAPHELS HOSPITAL GIDDALUR

EQUIPMENT

309526.39

NANDYAL
RUPEES

BUILDING CONST

100000.00

WATER SUPPLY

42000.00

X RAY MACHINE

68721.51

CENTRIFUGE

1915.51

CYLINDER

8240.75

REFRIGERATOR

4343.46

SUCTION APPARATUS

3300.00

STERILISER

2884.11

P E COLORIMETER

7634.95

AUTO CLAVE

10006.00

TOTAL

249046.29

D2

ANANTHAM HOSPITAL VIJAYAWADA

KRISHNA GODAVARI

BUILDING CONST

40000.00

X RAY MACHINE

68632.28

ECG MACHINE

9697.85

MICROSCPE BINO

5899.57

CYLINDER

1545.45

MAHINDRA JEEP

111159.85

SUCTION APPARATUS

4181.23
— —~ — “ — " —

---------------------------------------- ~ — —

TOTAL

24-1 •1-16.23

~—

C-1

CSI COUNCIL FOR HEALING MINISTRY.

SMALL PROJECT FUND NO.90082 (EZE)
The first project namely Small Project Fund No.861o4 was
sanctioned' for 2025000 D.M vide EZE’s letter of approval No.
PL/h dt 12.02.87

The major portion of the project was implemented during
1987,-1988,1989 &
period of the
project,
ope rat i onal1
the
implementation
the
first
phase
of the project,
During :
•1990.
received
various
items
of
essential
a b o u t 60 hospitals have
have
essential
repairs
and
renovation
work
also
equipment5
the
in many hospitals.
The
details of
been
completed
Also
assistance given to each hospital is given in annexure
is
completed
a brief
re port old SPF 86*134 which is almost
en closed.
.j
close of the project 86*134 it was felt that
Towards the
in
care
facilities
towards provision patient
efforts
our
the
should
so
that
institution
should be
be_ continued,
diocesan
and
far
through
SPF
may
be
consolidated
benefits accured so
the
kept up.
With a new understanding about
t h e momenturn hospitals in the context
health
of
community
of
the
role
that the institutions are
r
it
assumes
greater
importance
care
of
required assistance towards modernisation
given
the
the i r
_
_
enable
to
f
u
11
f
i
1
so
that
they are
facilities,
: □ needs of the community­ unde r
to
meet
health
care
obligations
leadership role at that.
their purview and playing a
Kg/ho
to our
letter
o u r request EZE vide thir
response
SPF
r ova1
dated 15/05/90
^riy:»h.Vo.aMpPpKXo
,."r "".
of
The “aXn.
No.90082 for a
be
1
ow
s
break up of the cost of the project is given
•1700000 D.M
renovation & equipment
Hospital repairs &

In

Building communityy Capability in h e a 11 h
and rural context

96000

D.M

■125000

D.M

79000

D.M

2000000

D.M

Co-Ordination and O-f-fice expenses
Reserve
nr:

Cont..2

z
• -' i an extract from the
As regards the financial position
90082
for the period ending 31st
audit report of EZE on SPFs
December 1993 is given belows

Adminstrati on

Rs .

3,65x 078 u 75

Bui 1 ding

Rs .

37,47,635.62

Rs.1,78,61,819.33
13,06,199.16

Equipment (through CASA & Local)
4-

Rs. 2,27, SO, 722 ..86

Total

means. contribution
This is besides the CSVs owft means,
asses
m
ent
of
the
audtors.
Rs.92,38,008.00 as per

of

details of assistance in the form of supply of
and grant for repairs and renovation of t h e
hospital buildings in the given annexure.

The
equi prnent

The
project
implementation.

is

now

near ing

in

f ina1

phase

of

DR.GEORGE JOSEPH
EXECUTIVE DIRECTOR

4

Position: 4641 (1 views)