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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
o£
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?-
'.T
‘ •
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
2.
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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: 2657 (2 views)