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J Watumull Global Hospital Research Centre Annual Report 2010-11 &
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J Watumull Global HospitalResearch Centre
Annual Report 2010-11
&
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Contact us
Wri te to us at :J Watumull Global Hospital& Research CentreDelwara RoadMt Abu 307501Rajasthan
Cal l :+91 (0) 2974 238347/8
F a x :+91 (0) 2974 238570
Ema i l :[email protected]
Contribute to ourwork:
Find us on GiveIndia.org
About thispublication
The Annual Report of JWatumull Global Hospital &Research Centre is anannual publication broughtout to share the hospitals’performance during theprevious year. Thepublication is disseminatedto donors and potentialdonors and well-wishers ofthe hospital. A soft copy ofthis report is also availableat our download site http://sites.google.com/site/ghrcabu/.
This annual report wasdesigned and written byCharu Bahri and printed atHoney Computronix,Jodhpur.
3 | InspiringMessages
Blessings from spiritual leaders andguides who are dear to us.
7 | ExecutiveSummary
How we performed, our futurevision, from our directors’ desk.
8 | Mt Abu Overview
Activity report of J Watumull GlobalHospital & Research Centre, Mt Abu.
16 | CommunityServices
Overview of the performance ofcommunity programmes.
22 | Branching Out
Activity reports of P C ParmarGlobal Hospital Eye Care Centre,Radha Mohan Mehrotra GlobalHospital Trauma Centre, G V ModiRural Health Care Centre, andShivmani Geriatric Home at AbuRoad; Brigadier Vora Clinic & JyotiBindu Diagnostic Centre, Barodaand BSES MG Hospital, Mumbai.
27 | HumanResource Matters
Consultants on rolls; staff trainingand conference participation; andevents facilitated by staff.
31 | EquipmentUpgrades
Investments in equipment andmedical technology made duringthe year.
32 | SpiritualConnection
More about the connectionbetween the Global Hospital &Research Centre and the PrajapitaBrahma Kumaris Ishwariya VishwaVidyalaya and its overseasbranches.
33 | Governance &Patronage
Details of the governing board anddonor agencies.
35 | FinancialOverview
Financial statements for the yearending 2010-11.
44 | CredibilityAlliance NormsCompliance Report
J Watumull Global Hospital &Research Centre holds DesirableNorms accreditation with respectto Governance, as per theCredibility Alliance norms, validfor five years w.e.f. 2011.
46 | How You CanHelp
Contribute to our work. Browseour wish-list and donate in cashor kind.
INSIDE?
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In Celebration of TwoDecades of Serving WithLove
Greetings of peace!
Since opening its doors to the public 20years ago Global Hospital and ResearchCentre has served hundreds of thousandsof people from the local community andoverseas.
Through the outreach programmes, it hasspread its arms to reach people inremote places. These may otherwise nothave had access to healthcare or to thehealth information provided by theseprogrammes.
Global Hospital offers high qualitymedical care and a unique spiritualatmosphere, which support both thoseunder treatment and their families. Thisis the fruit of the spiritual endeavour ofdoctors, nurses and staff.
Just as God is known as ‘Rahamdil’ - theOne with a Merciful Heart... so too, Hischildren have dedicated their lives tohealing and are working tirelessly in thisgreat cause.
My experience of nursing revealed to methe importance of understanding thepatient and of giving with compassion.Serving with love contributes profoundlyto the healing process and also bringshappiness to the one who is serving. Iwould encourage all health professionalsto continue to serve with compassionand with peace.
In the world, there is a great deal ofresearch into science and medicine, butthe continued research into inner peaceis essential. When I pursue my inner
MESSAGESresearch and emerge my qualities of loveand compassion only then can I offerthose to others. Filling one’s mind withpositive self-awareness creates anenvironment of love and care, which inturn helps others to regain physicalstrength.
Simple changes in the way we think andfeel can bring a deep change within theself and to a larger context in the world.This will secure a healthy and happyfuture for humanity.
In the remembrance of the Divine,
BK JankiAdministrative Head, Brahma KumarisPatron, Global Hospital & ResearchCentrePresident, The Janki Foundation ForGlobal Health Care
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Reaping Rewards fromServing with Pure &Altruistic Feelings
It is a pleasure to know that GlobalHospital & Research Centre is preparingits annual service report.
The hospital has been blessed by theDivine for being a hospital as well as aholy place, where both body and mind aregiven rest. The doctors, nurses,technicians and medical staff serve withsuch pure feelings, love and dedicationthat patients are inspired to leave with asmile on their faces. By not onlyproviding healthcare and treatment, butalso education and additional facililitesto the local poor, uneducated andunderprivileged citizens especially, thehospital has become worthy of receivinggood wishes from all.
It is my pure wish from the heart to seeall the doctors and staff always happy,and able to please the hearts of otherstoo. Continue to progress and supportothers in their progress too!
On Spiritual Service,
BK Hirday MohiniAdditional Administrative HeadBrahma Kumaris, Mt Abu
MESSAGES
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Much Gratitude to OurPatrons, Trustees and Well-Wishers
Dear Divine Sisters and Brothers,
Greetings of spiritual love and peace!
From the outset, Global Hospitals’consultants, doctors, nursing andadministrative staff as well as otherfunctionaries have lived up to the spiritof the hospital’s aim and objectives.
Tourists and the local population alikehave received maximum benefit fromhospital services made possible byfunds received by visitingphilanthropists from all over the world.
The Village Outreach Programme hasextended a hand of cooperation toresidents of distant villages since theinception of the hospital.
Our guiding lights - Rajyogini DadiJankiji and Rajyogini Dadi HirdayMohiniji, the trustees of the GlobalHospital & Research Centre trust,medical directors Dr Ashok Mehta and DrPartap Midha, medical superintendentsDr Satish Gupta and Dr NarayanKhandelwal have been extending theirwhole-hearted cooperation in deliveringexemplary services. The advanced bloodbanking services are supported by theRotary International. Other services areaided by benevolent individuals anddifferent organisations from India andabroad, especially the Janki FoundationFor Global Health Care, UK. These formthe back-bone of this charitablehospital.
All the Trustees join me in saluting theseindividuals and organisations. Best
MESSAGESwishes for their health and happiness andthe wellbeing of their families andfriends!
Going forward, we hope that we raise thebar on patient care. We also aspire toguide our trainee nurses and techniciansin attaining world class degrees ofexcellence in their learning pursuits.
With glowing tributes to the hospital’spatrons, trustees and well-wishers forthe keen support they extend to theneedy,
On Spiritual Service,
BK NirwairManaging TrusteeGlobal Hospital & Research Centre
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In Celebration of a LongInteresting & ChallengingJourney
Please accept my best wishes for uniquehealth related services rendered by JWatumull Global Hospital & ResearchCentre, Mount Abu, where it is mostneeded.
It is a great pleasure to send thismessage on the 20th anniversary of thehospital. It has been a long interestingand challenging journey. We look backwith satisfaction to have brought state-of-the-art medical services to thisdistant area. This is also the PlatinumJubilee year of our parent organisation,Prajapita Brahmakumaris IshwariyaVishwa Vidyalaya.
It is interesting that a large number oftotal knee replacements are beingperformed at J Watumull Global Hospital,Mount Abu by Dr Narayan Khandelwal ofBSES MG Hospital, Mumbai.
We have exciting plans for the future -to build a multispeciality hospital in AbuRoad which would cater to most of theproblems and thereby reduce thefrequent travel needed by patients toother cities.
Dr. Ashok MehtaTrustee,Global Hospital & Research Centre& Honorary Medical DirectorBSES MG Hospital, Mumbai& Honorary Medical DirectorJ Watumull Global Hospital & ResearchCentre, Mt Abu
MESSAGES
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An Eventful Year
A lot of positives emerged last year. Startingwith our donor-funded community projects,we launched two mobile clinics in associationwith the Vitol Charitable Foundation (page14). Another innovative project supportedby the Vitol Charitable Foundation aims atimproving the health status of childrenregistered with Mt Abu’s anganwadis, orgovernment-run infant care centres (page16). We also strengthened our partnershipwith Childrens Hope Inc, USA, by making ourschool health endeavours more focused toyield better returns, thus ensuring goodvalue for funds entrusted to us. We enteredthe Americares Foundation Spirit ofHumanity Awards 2011 for the first time,and were delighted that an earlier projectfor rural school children sponsored byChildrens Hope India, Inc. and the VitolCharitable Foundation was short-listed (top5) in the Child Nutrition category (page 16).
Last year, Village Kalindri became thesecond village to be served by a VisionCentre, an eye clinic equipped to facilitate awide range of examinations for which thecommunity would otherwise have to travelafar (page 18).
As part of the tenth anniversary celebrationof the Smile Train, our sponsored cleft lipand palate reconstructive surgery projectreceived an orthopantomogram and fundsto meet the cost of orthodontic treatment forchildren (page 19).
Within the hospital premises, we now run aNational AIDS Control Organisation-accredited Integrated Counselling & TestingCentre. The newest of our out-patientclinics, a diabetes department headed byDr Shrimant Sahu is also holding regularcommunity awareness and screening events.It was disappointing that in spite of beingaccredited to offer post-graduate course infamily medicine, the programme did nottake off last year due to changes in theguidelines (page 11). Still, that makes itsomething to look forward to in the currentyear. We have also applied for permission to
SUMMARYoffer post-graduate studies inophthalmology.
Thanks to Dr Elie Joseph Chidiac, ananaesthesiologist in the field of regionalanaesthesia from Detroit Medical Centre, USAand Dr Shvetank Agarwal, cardiacanaesthesiologist from Detroit, we held aninformative hands-on training programme inUltrasound Guided Nerve Blocks on March 19and 20 (page 26). Also, on the request ofthe National Disaster Response Force, ourstaff trained 418 personnel and eightinstructors of the Swami Vivekanand Instituteof Mountaineering at Mt Abu. Some of theissues addressed were basic life support,cardiopulmonary resuscitation and themedical management of disasters (page 26).
Blood banking at the Radha Mohan MehrotraGlobal Hospital Trauma Centre isprogressing well. The Rotary InternationalGlobal Hospital Blood Bank now offerscomponents processing and banking. Aworkshop to sensitise local doctors about thenew services helped kick-start the facilities.A mega blood donation drive in Septemberyielded a whopping 1008 units of blood.Ophthalmology services rendered by the P CParmar Global Hospital Eye Care Centrecontinue to be well received by thecommunity. Eye donation drives are a regularpart of the hospitals’ activities.
The launch of Shivmani Geriatric Home inOctober was much awaited and represents amajor step forward for the trust - the start ofgeriatric services. We remain indebted topatron Mahesh Patel and his family whofunded the senior citizen establishment(page 22).
This year, we look forward to starting ournursing college. As I write this, the IndianNursing Council and the Rajasthan HealthSciences University have given us the nod togo ahead. That will be a big step forward!
Dr Partap MidhaDirector & TrusteeJ Watumull Global Hospital & Research Centre
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In 1991, the Brahma Kumaris, aworldwide socio-spiritualorganisation with its international
headquarters at Mt Abu,established J Watumull GlobalHospital & Research Centre at MtAbu.
Establishing the hospital would fill alacunae in existing health servicesfor residents of district Sirohi,Rajasthan, and especially for thelocal community of Mt Abu. Thehospital would also cater as anemergency medical centre for thethousands of guests attendingnational and internationalconferences and retreats organisedby the Brahma Kumaris at itscomplexes at Mt Abu and AbuRoad. A charitable trust, the GlobalHospital & Research Centre, wasregistered to manage the affairs ofthe hospital.
OVERVIEW
But first, a word about us! Our flagshiphospital at Mount Abu is where it allstarted...
Mission Statement
The hospitals of the Global Hospital& Research Centre Trust at MountAbu and Abu Road have adoptedthese guidelines as their statementof mission:
? Provide free consultation to alland free/subsidised treatment topoor patients.
? Plan, organise and implementmedical & surgical programmes inremote villages to enable theirinhabitants to access the hospital’sservices.
? Contribute to the economicdevelopment of the local communityby offering upcoming youthvocational training opportunities inthe fields of nursing, optometry andlaboratory technology.
? Conduct research in variousdisciplines of medicine, aiming tooffer an insight into the effects oflifestyle on wellbeing as well asstudy diseases impacting the healthof the local community.
? Offer positive thinking &Rajyoga meditation courses topatients and their relatives, therebycovering an essential holistic aspectof healthcare.
? Create a healthy and positivework environment.
Out-PatientDepartment
The out-patient departmentconsists of 21 clinics includingcardiology, dentistry, dermatology,dietetics & wellness, E.N.T.,gynaecology, medicine,neuropsychiatry, obstetrics,ophthalmology, orthopaedics(includes joint replacement surgery),paediatrics, physiotherapy, plasticsurgery, general surgery (includesurology surgery), surgicalgastroenterology and laparoscopicsurgery.
Global Hospital also offerscomplementary medicine therapiessuch as acupressure, acupuncture,ayurveda, homoeopathy, magnettherapy and yoga therapy.
Pathology Laboratory
A fully equipped computerisedlaboratory provides 24x7 servicesunder stringent external andinternal quality controls.
Last year, the laboratory served16661 patients. Of these, 4821were paying patients, 10373 werefree patients and 1467 were
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patients who were offeredconcessions on the applicablecharges.
Biochemistry: Equipped with semiautomated biochemistry analyser,fully automated electrolyte analyserand fully automated blood gasanalyser. This section conductsroutine tests, such as lipid profiles,liver function tests and cardiacfunction profiles. Specialexaminations such as serumcalcium, magnesium, phosphorous
and uric acid, and hormone profilesare also available.
Clinical pathology: Conductsroutine urine, stool, semen andbody fluid analysis.
Haematology: Uses fullyautomated analyser for completeblood counts along with a full rangeof haematology tests.
Microbiology: Performs aerobic,microaerophilic, anaerobic and
Orthopaedics 4800
Casualty 1905 Paediatrics 6423
Dentistry 13869 Physiotherapy 520
Dermatology 2420 Plastic surgery 869
Diabetes 3126 Surgery 4950
Dietetics & Wellness 94
E.N.T. 5282 Acupuncture & Acupressure 313
Gynaecology 838 Ayurveda & Panchkarma 1703
Medicine 14387 Homoeopathy 2593
Neuropsychiatry 3881 Magnet therapy 5485
Obstetrics 4385 Yoga therapy 10
Ophthalmology 8463
Out-Patient Statistics
“Very, very clean andtidy. Learnt, serviceprovided in super-speciality surgerywith minimumcharges and morethan 60 to 65 percentpatients from nearbydistricts beingtreated free.Dedication,commitment andsincerity in thefaculty is the essenceof the strength of thisvisit. We, inparticular medicalfaculty have manythings to learn andfollow tips fromhere.”
Dr A H Shivayogi Swamy, MLC,Government Chief Whip,
Karnataka Legislative Council
fungus cultures of all specimens.
Serology: An Elisa reader andautomatic Elisa well washer areused to test blood for HIV andHepatitis B and C. Other serologicaltests are also available.
Cytology: Offers fine needleaspiration cytology (FNAC) and otherexaminations of any sample.
Histopathology: Fully equippedwith automatic tissue processor,microtome and automated knifesharpener to handle allhistopathology examinations.
Blood Bank
The licensed blood bank (RAJ 1874)attached to the pathology laboratoryis a source of life saving blood forthe trauma and road accident casesoccurring in the hilly terrain in andaround Mount Abu. It is also a life
Dialysis unit
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support measure for surgery andanaemia patients who seek indoortreatment.
The blood bank is fully equippedwith collection monitors, tube sealerand temperature regulatedrefrigerators.
Global Hospitals’ Blood Bankdepends mainly on voluntary blooddonations. In order to comply withthe stringent regulations controllingthe supply of safe and good qualityblood, blood donors are fullyexamined and blood is screened toexclude presence of HIV, HBsAg,HCV, syphilis and malaria parasiteprior to transfusions. Monthly andannual reports of the blood bankare sent to government officials.Regular donor motivation and donorcare are given special attention.
Imaging, Cardiology,Neuropsychiatry &Other Services
The backbone equipment for
imaging services includes an x-raymachine, mobile 100mA x-raymachine, C-arm, ultrasonographymachine, Philips Envisor colourdoppler and mammographymachine.
Services offered by the departmentof imaging include:
? Routine abdominal, obstetrics,soft tissues ultrasound examination
? Routine X-rays, also specialprocedures like barium study ofGIT, intravenous urography andmyelography
? Ultrasound guided interventionslike liver abscess drainage
The department of ENT conducted353 audiometry investigationsduring the year. The immunisationclinic in the out-patient area served3292 patients.
Dressings performed by thedepartment of surgery for out-patients numbered 1269.
Total donors 400Voluntary donors 382
Replacement donors 21Units transfused 415Units given to other hospitals
73
Units issued that were not cross matched
Nil
Transfusionreactions
1
Date expired units 5
Unused units due to HbsAg positive
2
Unused units (HIV +’ve)
Nil
Unused units (HCV +’ve)
2
Unused units (VDRL +’ve)
1
Performance ofBlood Bank
Consultant generalsurgeon Dr DigantPathak examines apatient Senior consultant ophthalmologist Dr Sudhir Singh
sees a patient
Physician & intensivist Dr Sachin looks on a patientin the ICU
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Eleven years ago, Anita Saini, then amother of an infant, visited a doctorfor severe stomach ache. She wasprescribed painkillers that gave hertemporary relief. In time, the painworsened and she was advised tohave a sonography. This investigationrevealed a small tumour. Anita wastold she would have to undergo surgery. Anita, who is a widow, hadno means of income. She knocked on the doors of another doctor,hoping to be treated sans surgery. Different doctors prescribed herdifferent painkillers that gave her temporary relief. But the tumour inher stomach kept growing.
W hen Anita’s neighbour finally brought her to Global Hospital, thetumour weighed 1.5kg. Gynaecologist Dr. Saurabhi Singh operated onher for free as Anita’s monthly income is only Rs.1000.
In-Patient Department
The hospitals’ bed strength is 102beds spaciously allocated in ageneral ward, twin-sharing rooms,single occupancy air-conditioned,non-AC rooms as well as deluxesuites. At present, 82 beds arefunctional.
Poor patients are offered intensivenursing care irrespective of theirpaying capacity. Resident doctorsare available to augment nursingcare round-the-clock.
Another Global Hospital speciality isits emphasis on holistic healthcare.This entails offering Positive Thinkingand Rajyoga meditation courses topatients and their families. Severalhospital staff members are alsotrained in the Janki Foundations’Values In Healthcare: A SpiritualApproach modules aiming atenhancing patient care within thehospital premises.
Xray 2550 1571 4121
Orthopantomogram 144 137 281
Ultrasonography 1952 1305 3257
Mammography 15 23 38
ECG (computerised) 1382 1425 2807
TMT 44 34 78
Colour Doppler 46 30 76
2D Echo 104 65 169
EEG 112 29 141
Biofeedback 521 3 524
Spirometry 37 36 73
E.N.T. 84 313 397
Gynaecology & Obstetrics
84 26 110
Medicine 527 575 1102
Neuropsychiatry 62 8 70
Ophthalmology 163 408 571
Orthopaedics 92 44 136
Others (dentistry pluscomplementarymedicine)
23 2 25
Paediatrics 80 91 171
Plastic Surgery 78 431 509
Surgery 180 153 333
In-patient statistics
Pathologylaboratorystatistics`
Haematology 84632
Biochemistry 32447
Clinical Pathology 3664
Microbiology 1041
Serology 5140
Cytology 143
Histopathology 242
Performance of imaging, cardiology &neuropsychiatry diagnostics `
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Operation Theatre
Both major and minor surgeries areperformed in the operation theatrecomplex. Statistics representing theuse of scopes and surgeriesperformed are as follows:
Gastroscopy 151
DL scopy 0
Colonoscopy 4
Nasal endoscopy 36
FOL scopy 50
Sigmoidscopy 7
Cystoscopy 5
Bronchoscopy 2
Video Fluoroscopy 0
ENT 344
Gynaecology/Obstetrics(Includes normal delivery cases)
60
Ophthalmology 569
Orthopaedics 132
Others 1
Plastic surgery 477
Surgery 158
ENT 53
Gynaecology/Obstetrics 27
Ophthalmology 59
Orthopaedics 48
Others 7
Plastic surgery 135
Skin 26
Surgery 156
A young man from a poor family was rushed to the hospital withcomplaints of severe abdominal pain. An x-ray showed that pieces ofa stainless steel shaving blade had lodged in his abdomen. Since hewas inebriated, he could not narrate what had happened. But doctorsmanaged to fathom that he had attempted to commit suicide.Surgeons Dr Digant Pathak, Dr Sanjay Varma and surgical registrar DrNabajyoti transferred the patient for surgery without any delay. Anendoscopic study of his intestine revealed seven pieces of a blade.Subsequent laparoscopic surgery helped remove the damaging pieceswith minimal harm to the intestine and finally, the patient was declaredto be out of danger.
Opining about the case, director Dr Partap Midha said, “What mattersin such cases is to save the person’s life not only for his sake but forthe welfare of his dependents.”
Surgical duo Dr Digant Pathak and Dr Sanjay Varma successfullyoperated on an infant suffering from congenital meningomyelocele(caused by a defect in the vertebral column and the spinal cord) andhydrocephalus. Thechild, hailing fromGujarat, had beenrefused surgery bysurgeons working atother charitablehospitals. Her parentscould not afford surgeryat corporate hospitals inAhmedabad. This casewas speciallychallenging because thechild was suffering fromtwo interrelatedcongenital lesions. As aresult, both surgerieswere performedsimultaneously.Anaesthetists DrShrimant Sahu and DrJagadevi Shetty werepart of the team. Thesurgery, which involvedshunting(ventriculoperitonealshunt) the excess fluid outside the brain and correcting the congenitaldefect, lasted 3 hours. Such surgery was a first for Global Hospital.
The wound site post-operatively
The meningomyelocele pre-operatively
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Diagnostic & SurgeryProgrammes
Ayurveda ConsultationsSenior ayurveda practitioner fromJabalpur Dr Gulab Rai wasconsulted by 248 patients duringhis visit from March 23 to 26. Hewas assisted by in-house ayurvedapractitioner Dr Sanjay Jain.
Cardiology ConsultationsDr Hemant Malhotra, consultantcardiologist, Shalby Hospitals,Ahmedabad, proffered free adviceto 87 patients during his visits overthe year. He also performed the 2DEcho cardiology diagnostic test for32 patients.
Diabetes Screening: Thediabetes clinic and the Lions Club ofMt Abu organised a screening campfor local residents and CRPFpersonnel on September 12.
DermatologyMedicineDr AnugrahParikh, adermatologistfromAhmedabad,proffered hisadvice to 70patients inNovember.
GeneralSurgeryProgrammesDrThirunavukkaarasuS, additionalprofessor,surgicalgastroenterologyat the Medical College and head ofthe department of surgicalgastroenterology, GovernmentPeripheral Hospital, Chennaiperformed 4 operations and 4upper gastro-intestinalendoscopies during his visitsspread over the year.
ICTC CentreOn May 30, the IntegratedCounselling & Testing Centre for HIV(ICTC Centre) certified by theNational AIDS Control Organisationwas launched in the presence of thehonourable minister for FoodSupplies, Government of Rajasthan,
Babulal Nagar and Tina Soni, IAS,subdivisional magistrate, Mt Abu.
Joint Replacement SurgeryDr Narayan Khandelwal,orthopaedic surgeon from BSES MGHospital operated on 76 jointsduring his visits spanning the year.He was assisted by orthopaedicsurgeon Dr Venkat Banerjee (uptoDecember), Dr Rahul Khanna(January onwards) and registrar -orthopaedics & emergencydepartment, Dr Murlidhar Sharma.
Nephrology ConsultationsDr Kavita Parihar, consultantnephrologist, Apollo Hospitals,Ahmedabad, was consulted by 18patients during two clinics held inApril and August respectively.
Urology SurgeryDr Darshan Shah, eminent urologistfrom Apollo Hospitals, Ahmedabad,performed 17 major surgeriesduring his visit on June 24-25,
assisted by the hospitals’ surgeons.
Visit by ChiropractorDr Alex, a chiropractor from the UKserved 70 patients with spineproblems in May.
GovernmentRecognition
By the Department of Science& Technology, Government ofIndiaThe hospitals’ status as a ScientificIndustrial Research Organisationwas renewed for the period from
2011 to 2013.
By the Rajasthan GovernmentNow, J Watumull Global Hospital &Research Centre and its branchesat Abu Road are recognised healthcentres for the treatment ofemployees and pensioners of theRajasthan government.
By the CRPFJ Watumull Global Hospital &Research Centre was enlisted as arecognised private hospital for thetreatment of Central Reserve PoliceForce employees (and theirfamilies) stationed at Mt Abu.
Vocational Education
Global Hospital School ofNursingIn October 2010, 30 students wereadmitted to the three-year GNM(general nursing & midwifery) courseof the Global Hospital School of
Nursing.
Diploma inMedicalLaboratoryTechnologyThe 2-yearDiploma in MedicalLaboratoryTechnologyconducted underthe guidance of theIndian MedicalAssociation andrecognised by theGovernment ofIndia for each ofthe years from2002 to 2006,may resume nextyear.
Post-graduate Course inFamily MedicineLast year, J Watumull GlobalHospital & Research Centre wasaccredited by the National Board ofExaminations (Ministry of Health &Family Welfare, Government ofIndia) to offer a three-year post-graduate residency-based training-cum-employment medicalprogramme, DNB in FamilyMedicine (new regulations) tocandidates holding a recognisedMBBS degree and registered withthe Medical Council of India or aState Medical Council.
Very nice facility. Excellentmaintenance of campus. Goodto see the services beingprovided in a very congenialatmosphere. My prayers for thefacilities and services to growby leaps and bounds.
Parameswaran B, IAS, Sub-Divisional Magistrate, Mt Abu
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Research Projects
By the Department of ENT
The Indian Council of MedicalResearch (ICMR) is funding a three-year study titled Clinicomicrobiological study of chronicotitis media with reference topseudomonas and related species,being conducted by J WatumullGlobal Hospitaland ResearchCentre with DrSharad Mehta,consultant ENTsurgeon as theprincipalinvestigator andDr Anita Jaiswalas co-principalinvestigator.
The project aimsto study themicrobiologicalprofile of chronicsuppurative otitismedia (CSOM),an ear conditionresulting fromthe chronic infection of the middleear characterised by persistent eardischarge and deafness, withspecific reference to pseudomonas
and its various species in Garasia(local tribal) patients. The studywould determine whether topicalantibiotic ear drops alone aresufficient in controlling the infectionand drying the ear. Dr Mehta is alsostudying the changing spectrum ofantibiotic sensitivity of CSOM, whichis essential in the light of recentcases of a certain type of CSOMshowing the growth of a kind of
pseudomonasthat responds tolimitedantibiotics. Theincreasingresistance toantibiotics in thegeneralpopulation is ofconcern. Thestudy will helpdetermineeffectivetreatments forCSOM based onknowledge of thelocal pattern ofthe disease, theprevalence of theorganism and itssensitivity to
different antibiotics. Dr Mehta wasto study 200 patients identified byconducting screening programmes
in villages in the first project year.Up until December 2010, 180patients with chronic otitis mediahad been enrolled in the study. Earswab were collected from thesepatients and sent formicrobiological study after notingthe clinical details. Of these, 154were general patients whereas 26were tribal patients (Garasias). Ofthe total 180 swabs, 175 wereculture positive in which 268organisms were isolated of which96 were single isolates and 172were mixed isolates. We noted 241aerobic and 19 anaerobicorganisms. Fungal organisms wereseen in 14 patients. Only five swabswere culture sterile. Going forward,Dr Mehta completed 200 by theend of the first year.
By the Department ofCardiology
Recent estimates put the number ofIndians suffering from coronaryartery disease at about 47 million,of which 28 million are less than 50years old. Almost the same numberof people suffers from silent heartdisease. Also, 2.3 million succumbto cardiac-related conditions everyyear. Half of these patients are lessthan 50 years of age.
Coronary artery disease patients and theresearch team led by consultant cardiologistDr Satish Gupta (sitting, centre)
Seniorconsultant ENTsurgeon DrSharad Mehta
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Globally, the increasing incidence ofheart disease is attributed togrowing population, ageing,urbanisation, increasing obesity,physical inactivity, changes in dietarypatterns and mental stress. Butscientists across the world areworking to identify the cause of thisdisease more closely. Some studiesshow that individuals of Type Apsychological behaviour pattern aremore prone to coronary blockagesand clots which in turn lead toangina and heart attacks. Type Aindividuals are recognised by thesetraits – they suffer hurry sickness;they feel pressurised by time, work,and their own likes and dislikes;they are perfectionists, aggressive,competitive, polyphasic (performingvarious tasks at the same time),anxious, depressed, display anger,sensitive and emotional, cynics,hostile, and experience job andfamily stress, feeling isolated and alack of social and emotional support.Such psychological behaviouralpatterns also lead to wrong dietary,exercise and sleeping habits, andpoor control of conventional riskfactors of heart disease such ashypertension, diabetes, highcholesterol levels, being overweight,smoking etc.
J Watumull Global Hospital andResearch Centre and the DefenceInstitute of Physiology and AlliedSciences (DRDO), New Delhi, havedeveloped a unique user-friendlyThree Dimensional HealthcareProgramme for Healthy Hearts (3D)to combat the heart diseaseepidemic. The efficacy of thislifestyle programme was evaluatedin two multidisciplinary prospectiveresearch studies (Mt Abu OpenHeart Trial and Abu Healthy HeartTrial – a randomised controlledstudy). In all, 518 angiographicallydocumented coronary artery diseasepatients participated in thesestudies, which broughtpsychologists, physiologists,endocrinologists, cardiologists,clinicians, dietitians, fitness expertsand spiritualists on the sameplatform. This project wassponsored by CCRYN, the Ministry ofHealth and Family Welfare,Government of India, New Delhi andthe Defence Research &Development Organisation (DRDO),New Delhi.
It is excellent – a well planned, scientific multidimensional programmefor heart patients. I had 3 blocks – 85%, 70% and 65% in my threearteries. I did not undergo angioplasty or bypass surgery. Instead, Iparticipated in the 3D programme. I experienced a total change afterparticipating in this programme. All my problems disappeared. I feel asthough I am no longer a heart patient. It is amazing to see hundreds ofheart patients dancing vigorously. It’s a miracle.– Amir K Haveliwala, Mumbai
I personally feel the 3D programme is the best. If it is incorporated inthe medical curriculum, heart and other stress-related diseases couldbe prevented at the root level since these are psychosomatic illnesses.I had a wonderful time. It was practical training in medical, spiritual,mental and physical factors e.g. dietary intake and the role of exerciseand sleep in the prevention of coronary artery disease.– Dr Mukesh Bhatia, Assistant Director, Health Services, Chandigarh
I had a very good experience during this programme. I was providedthe latest scientific knowledge about heart disease, how Rajyogameditation, a healthy diet and exercise reduce stress and help inopening coronary blockages.– H T Thakkar, Rtd. I T O, Ahmedabad
I had a heart attack on May 15, 2010. A coronary angiography foundthat I had LAD 100% proximal disease. I participated in the 3Dprogramme and after 3 months, my symptoms had gone. I experiencedhealthy changes at all levels in my life – my weight reduced by 7 kg andI felt very happy and balanced. Now I enjoy a physical symptom-freelife, harmony in my family life and my medicine intake has significantlyreduced. Overall, it’s a unique, excellent programme for the preventionand management of heart disease.– Dr Raman Kr Gupta, Orthopedic Surgeon, Chandigarh
The results of both the trials werepresented at the Asia-PacificCongress of Cardiology organised byWorld Heart Federation in 2004 atSingapore and at the 60th AnnualConference of the Association ofPhysicians of India (Diamond APICON2005) held in 2005 in Mumbai. Topcardiologists and clinicians from allover the world accepted andappreciated the findings.Observations included significantimprovements in symptoms likeangina, breathlessness, palpitations,exercise-tolerance, left ventricleejection fraction (EF), and improvedpsychological parameters. Patientswere also found to need significantlyless drugs to manage angina,hypertension and diabetes. Also, anindependent panel of angiographersfound that coronary blockages had
significantly opened in repeatangiographies of all the patients whoadhered to the programme. Some100% calcified blockages alsocleared.
The 3D programme lasts one week. Itis conducted in the Shantivan complexat Abu Road. It involves counsellingpatients and imparting scientificinformation about the body, heart,heart disease, mind-heart connection,and risk factors leading to coronaryartery disease and heart attacks.Participants are advised how to modifythese risk factors through Rajyogameditation, proper diet, exercise,sleep and medical care.
Last year, 385 patients (including 14doctors) participated in eight 3Dprogrammes.
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Community ServiceProject
Poor people often delay visitinghealth centres as they perceivehealth services to be beyond theirmeans. Besides, the inconvenienceof travelling to the nearest healthcentre, often quite a few kilometresaway, usually means the loss of aday’s wage. This presentssignificant hardships to peopleliving from hand to mouth. Forthese reasons, the hospital runsmobile clinics to reach out toremote villagers in theirsurroundings, where it is possibleto treat many illnesses before theyturn serious.
Each mobile clinic is staffed by a
SERVICES
Presenting the annual performance ofour community programmes.
doctor, nursing assistant and driver.The team offers medical advice anddistributes essential medicines.Most of these villages are entirelydependent on our mobile clinic andare not served by any PrimaryHealth Centre.
Last year, the running of the mobileclinics was consolidated. Up untilAugust 2010, the hospital wasoperating five mobile clinics inassociation with the K P SanghviCharitable Trust of PawapuriTirthdham. In October 2010, welaunched a new mobile clinic projectunder which two mobile clinics coveralmost the same number of villages(60 versus the earlier 72), but lessfrequently (weekly instead of twiceweekly). This project is beingsponsored by the Vitol Charitable
Foundation. Children’s Hope IndiaInc, has also contributed to the costof medicines distributed for free toneedy patients.
Last year, the mobile clinicsserviced 26488 patients in thefirst-time consultations category,5837 patients came for follow-upconsultations, and 4176 schoolstudents were checked during haltsat rural schools. Another 581patients were referred for furtherinvestigations to the base hospital.
Community doctors reported awidespread prevalence oftuberculosis, respiratory diseases,chronic skin diseases, cataract,severe anaemia, cirrhosis, CSOM,ASOM, allergic conjunctivitis,leucorrhoea, and cellulites.
Left: Adviser of Community MedicalServices Dr B S Deora explains the TBmedication regimen to a patient, Right:Senior medical officer Dr Kanak Shrivastavasees a patient while the field worker preparesthe case slip for the next in line
17
Bi-weekly visits to ten adopted villages by consultantgynaecologist and chief of the village outreachprogramme Dr Vinay Laxmi are an annual feature of theVillageOutreachProgramme(VOP).
Last year,the VOP saw14002patients. Ofthese, 4829weregynaecologicalpatientsincludingmother andchild cases.Respiratorydiseases,gastro-intestinal ailments, paediatric diseases, and skinailments accounted for another 8765 cases.
The VOP also runs nutritional programmes in 16 villageschools, namely, Aarna Hetamji, Achalgarh, Chandela(five schools), Jaidra, Jawaingaon, Kyaria, Nichlagarh,Oriya, Salgaon, Takiya and Uplagarh. The programmesprovide for school students to be served milk in theschool premises every day (even on Sundays andholidays) throughout the academic year. A healthy snackand fruit are also distributed. This supplement to thestudents’ daily dietary intake has yielded positiveresults, especially considering the reality that theincidence of malnutrition in village school children is veryhigh. Most schools report higher attendance, betterconcentration and a healthier student population sincethe nutritional programmes were launched.
Women participating in the VOP sewing project invillages Aarna, Chandela and Salgaon continued tobenefit from the pocket money they earn from workingas seamstresses.
Village Outreach ProgrammeCase Study: With you, all the way
When the VOP first saw Mungla in village Chandelafive years ago, he was severely malnourished andhardly looked like a three year old. His parents wereadvised to admit him in the hospital but like mostilliterate tribals, they were reluctant to do so. Munglawas treated with protein supplements and constantlymonitored to nip any diseases he contracted in the budso as not to slow down his recovery. He was alsofound to be suffering from tuberculosis. Mungla wastreated for this illness. That marked the start of a longrelationship. The VOP has cared for him all these yearsand helped Mungla blossom into a healthy, school-going child. The nutritional project of the VOP in villageChandela helps keep Mungla and many other childrenlike him healthy. When parents know that their childrenwill receive a glass of milk in school every day, theyensure their children go to school!
Above: Women participants of the VOP’s sewing project at work invillage Chandela
A hospital situated ata hill station is anasset and virtue forthe people of
surrounding areas. Thehospital, with all its devoted staff,not only provides clinical servicesbut heals with a spiritual touch. Asfar as our stay is concerned, it wasa whole life experience, never to bedeparted with.
Kewal Kumar Gupta, Collector, Jalore
Mungla, then.......and now
Dr Vinay Laxmi, chief, VOP, on the job
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Our rural school healthprogramme supported by theVitol Charitable Foundation andChildren’s Hope India, Inctouched the lives of 2410children, 1244 boys and 1166girls studying in 5 schools inMount Abu and 11 in the vicinityof Abu Road.
The programme provides forthe distribution of educationalaids to children at the start ofthe school year and a mid-daysnack on every working day.Health check-ups by apaediatrician, dental, ENT, andeye specialists; and thedistribution of nutritionalsupplements, hematinics (iron &folic acid tablets) and medicines(antihelminthics, antitubercular& vitamin A) as is necessary arealso a major component of theprogramme. The snacks varyfrom a glass of milk, to biscuitsor seasonal fruit, to a mix ofground nuts and black gram.
A novel feature of this project isthe candy-like nutritionalsupplement that is distributed toall the students. While childrenoften forget to take supplements intablet form, they look forward totheir candies!
Health & Educational Interventions in Village Schools
Anganwadi Project
The Vitol CharitableFoundation issponsoring a project forthe benefit of 465infants aged 6 monthsto 4 years enrolled with21 government-runanganwadis in MountAbu. Anganwadis offerpoor families support inraising their children byoffering them medicalsupport and a mid-daymeal. They also conductimmunisation drives onpre-fixed dates. Mostanganwadis are staffedby an unskilled femalehealth worker. This
project builds on the premise thatthese centres are an ideal means toreach young children and conduct
regularhealthcheck-ups,and alsoeducateyoungmothersaboutchildcare.The projectwaslaunched onOctober 1,2010.
Childrenattendingthe
anganwadis are being distributedhigh-protein and high-calorienutritional supplements on a dailybasis. In addition, our paediatricianconducts health check-ups of theinfants. Last year, our paediatricianmedically examined 426 of the 465children. He found 69 children tobe suffering from respiratory tractinfection, 12 with growth-relatedproblems, 7 were anaemic, 3 hadskin infections, 1 had an earinfection, 1 had hepatitis, 1 hadgastro-enteritis, and 1 hadpulmonary tuberculosis. Examiningthe infants in the hospital made iteasier to refer them for diagnostictests and familiarise the motherswith the paediatrics clinic so thatthey would make use of the freeconsultation services in the future.
The school authorities alsoreceive classroom educationalaids and materials to facilitateand improve the quality of extra-curricular and sports activities.
Short-staffed schools in villagesEesra, Ker, Phulabai kheda,Panchdevla, Bhanwari and
Rohida-Jodphalli were alsoprovided an extra teacher tohelp improve the quality ofeducation.
The school in village Phulabaikheda was also assisted bymaking available a water tankand water connection.
Anti-clockwise starting left: Dental check-ups, eyecheck-ups, celebrating learning
PaediatricianDr P Guptaconducts acheck-up
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Number of patients whose sputum was collected 827
Of the above, number of patients who tested positive 116
Division of patients:
Category I TB patients 398
Category II TB patients 312
Category III TB patients 122
Treatment outcome:
Number of patient who refused to take medication / died 9
Number of patient who successfully completed the protocol 83
Number of patients referred to the government hospital 5
Number of patients who are still under treatment 735
Curing Tuberculosis in Rural India
Panna Bhillives invillageEesra. Hissix year olddaughterSantosh wasfound to besufferingfrom TB inJune 2010.Six monthslater, shewas a muchhealthierchild.
Two charities: Grapes for Humanity and the People Bridge CharitableFoundation are supporting a nutritional support programme fortuberculosis (TB) patients in 22 villages. The Government of Rajasthan alsopartners this endeavour by providing medication for TB patients under theGovernment’s DOTS scheme (Directly Observed Treatment—Short-courseChemotherapy). The hospital has employed field workers who work undera supervisor to screen suspect TB cases in farflung villages. Patients foundto have TB are given medication and nutritional supplemements to helptheir recovery. Cases are monitored until diagnostic tests confirm that theyare fully cured.
Routine diagnostic tests such as the mantoux test, E.S.R., sputum culture foracid fast bacilli as well as special tests such as IgA, IgM and IgG areconducted to diagnose tuberculosis. During the year, 288 patientsrequested TB screening of whom 63 were diagnosed as sputum positive forTB, either as newly diagnosed cases or follow-up cases.
“It has been aunique hospitalwhich has imbibedthe welfare of thecommunity as itsmotto. Thesincerity ofpurpose, devotionand theprofessionalism ofrunning this centreis contagious. Iwish I was a doctorto have become apart of this yeomanservice. DRDO hasbeen working incooperation withdoctors of thisinstitution and wish tocontinue vigorously inconducting research inholistic manner. I wishthe institution verybest. God bless you.”
Dr V K Saraswat, SA to RM,Defence Research & Development
Organisation, New Delhi
Juvenile Healthcare Fund
Thanks to an anonymous donor,we were able to treat 589patients from our juvenilepatients fund. This fund allowschildren from economicallyunderprivileged families to availof diagnostic tests and behospitalised for free treatmentand/or surgery.
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Seven health workers attached toour three health posts in villagesKer, Kasindra and Kacholi offeredhealth services to pregnant womenand infants. The services are takenup in partnership with governmentauthorities. The governmentprovides tetanus injections and folicacid tablets to the field workers fordistribution to the mothers-to-be.BCG, polio, measles and DPTimmunisations are provided fortimely administration to infants.Vitamin A is also given to children.In this way, the immunisation of alarger number of infants is ensured.
The health outposts were
constructed on land given gratis bythe local village authorities with thesupport of a Dutch Trust and WildeGanzen, a Dutch media organisationpromoting charity endeavoursaround the world.
Last year, 1527 expecting motherswere served. Further, 394 childrenwere given BCG injections, 739were given DPT/polio vaccinations,179 were vaccinated againstmeasles and polio, and 147 weregiven Vitamin A. Also, the healthworkers helped 6663 villagers getmedical assistance from the mobileclinic run by the hospital.
Health Outposts & Village Resource Centre
The health outpost in village Ker isalso equipped with a satelliteconnectivity unit donated by theIndian Space Research Organisation(ISRO) through its Jodhpur-basedsubsidiary the School of DesertSciences. This project, initiallyfunded and operated with theassistance of the People BridgeCharitable Foundation (Canada),aimed at offering residents of villageKer and fifteen surrounding villagesinformation via online interactivesessions arranged by the Gujaratand Rajasthan server nodes inISRO’s network. Regretfully, satellitefailure led to the temporary closureof VRCs across Rajasthan last year.
Eyecare Project
Global Hospital partners theNational Programme for Control ofBlindness, an endeavour of theGovernment of India to eradicatepreventable blindness. Last year,the P C Parmar Global Hospital EyeCare Centre (Abu Road) and JWatumull Global Hospital &Research Centre (Mount Abu)performed 1641 cataract eyesurgeries that fell within guidelinesprescribed by the government. Thegovernment reimbursed part of thecost of each of these surgeries.These patients were either walk-in
cases or identified at 81 screeningprogrammes at which 17,858patients in all presented for check-ups. Further, another 291 majorcorrective eye surgeries wereperformed - these were not aidedby the government. Additionally,Help Age India sponsored the costof surgery for 300 economicallyunderprivileged senior citizens(patients aged more than 60).Also, the Shri ShankarmandalReligious Public Charitable Trust ofMount Abu sponsored 121 cataractsurgeries and IXIA Technologies of
Bangaloremet thecompletecosts of50cataractoperations.
Thesupportof the P CParmar Foundation of Pune helpedcommission a Global Hospital VisionCentre in village Kalindri in districtSirohi last December. A similarvision centre had been launched invillage Raniwada in the previousyear. Vision centres function asrural community eye clinics,performing a wide range ofexaminations for which thecommunity would otherwise have totravel afar. They are well equippedwith modern diagnostic aids, suchas a slit lamp, lensometer, trial setfor refractions, ophthalmoscope,retinoscope, autoclave and minorinstruments. Last year, theRaniwada vision centre served3864 patients and the one atKalindri saw 1164 patients. In all,the two centres performed 120minor procedures and 2058refractions. Also, 1909 patientswere screened for cataract at 17field locations. Of these, 223patients were surgically treated.Eight school screening programmeswere organised, at which 1024students were checked.
Post-operative ophthalmic cases
Screening villagewomen for eyediseases
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The Smile TrainProject
Our Smile Train accredited surgeonsduo, plastic surgeon Dr ParthaSadhu and consultant ENT surgeonDr Sharad Mehta performed 633cleft lip and cleft palate correctivesurgeries during the year. The SmileTrain is a USA based charity thatsponsors the surgery of paediatriccleft cases worldwide.
The cleft anomaly is congenital, yeteasily corrected by surgery.Widespread illiteracy, however,usually results in thousands ofafflicted people in developingcountries, perceiving it as a curseand living with the affliction. TheSmile Train supports its partnerorganisations working throughaccredited surgeons to screen andoperate cleft cases free of charge.The cleft cases operated on wereselected from screeningprogrammes held in the states ofRajasthan, Gujarat and MadhyaPradesh.
Last year, we hosted severalobservers. Swedish plastic surgeonsDr Jan Lilja and Dr Hans Markvisited us from the University ofGothenburg. Dr Bjorn Schonmeyr, aplastic surgeon working in thedepartment of plastic &reconstructive surgery, MalmoUniversity Hospital, Sweden, visitedus as a cleft lip and palate surgerytrainee from September 20 toOctober 26. Dr AbdelrahamanElsayed Mahmoud Ezzat Ibrahim,an ENT specialist with AlrahaHospital, Djibouti, worked with usas a Smile Train sponsored traineein March and April 2011.
J Watumull Global Hospital &Research Centre was also the venueof the Monsoon Cleft Meet, held onAugust 13 and 14, and attendedby 20 cleft palate surgeons fromIndia.
The Smile Train sponsored thepurchase of an orthopantomogram,two multiparameter monitors, twosyringe pumps, two pulseoximeters, and orthodonticinstruments. Sponsorship was alsoreceived for the s alary of a speechpathologist, registrar in cleftsurgery and visiting orthodontist.
Wonderful work, veryinspirational, God’s blessingsto all to continue this work.Varshnie Singh, Kids First Fund, Guyana Citizen’s Advice Bureau
The orthodontic treatment cost for50 patients was also covered.
Satish Kalra, regional director forSouth Asia, The Smile Train, hasthis to say about our associationwith The Smile Train over the pastfive years:
J Watumull Global Hospital andResearch Centre at Mt Abu has beena valued partner of Smile Train sinceMay 2006 and we are extremelyproud of our association with them.
During this period they have offeredover 2500 safe, quality and totallyfree cleft reconstructive surgeries topoor patients - a highly creditableachievement for which they deservethe highest praise. But apart fromoffering world class medicaltreatment to poor children born withcleft lips and palates in a remotepart of Rajasthan, the hospital andits management also mirror SmileTrain’s core values of care andcompassion.
On the 20th anniversary of thehospital, I deem it a pleasure andprivilege to acknowledge theoutstanding work being done by theentire team, offer my heartiestfelicitations and wish them continuedsuccess in the years to come.
Outreach screeningprogrammes
During the year, we conducted22 screening clinics at variouslocations in district Sirohi and itsadjoining districts, Pali andJalore. Eleven of theseprogrammes were for generalsurgery ailments, six wereconducted by the ENT specialist,three by the department ofplastic surgery, and two weremulti-disciplinary programmes inwhich a general surgeon, ENTconsultant, gynaecologist, dentist,and physician participated.
Vocational Trainingfor School Dropouts
The Vitol Charitable Foundationsponsored the cost of training invocational skills for young girlswho are school dropouts. Lastyear, 50 girls from shanty areasof Mt Abu learned sewing andembroidery. Twenty three ofthese girls are now self-employedand earning a monthly income ofaround Rs.2000. Twelve girlsrelocated to other towns aftergetting married but are keepingup with their vocation.
Before cleft lipsurgery
After cleft lipsurgery
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Global Hospital & ResearchCentre trust runs five unitsoutside Mount Abu. Four of
these units are located at AbuRoad, namely, G V Modi RuralHealth Care Centre (a generalhealth centre), Global HospitalInstitute of Ophthalmology, AbuRoad (dedicated eye hospital, alsocalled P C Parmar FoundationGlobal Hospital Eye Care Centreafter its new wing), Radha MohanMehrotra Global Hospital TraumaCentre (trauma unit) and theShivmani Geriatric Home (servicesfor the elderly).
The trust also runs the BrigadierVora Clinic and Jyoti BinduDiagnostic Centre in Baroda, ageneral health centre, and BSES MG
OUT
An overview of the performance of sisterunits located at Abu Road, Baroda andMumbai.
Hospital in Mumbai, a multi-disciplinary hospital.
News from Abu Road
Ophthalmic Services
Last year, 36182 out-patients,including 19805 new and 16377review patients consulted our panelof ophthalmic specialists. Also,2825 adult and 55 paediatric majorsurgeries were performed. Another393 adults and 22 children wereoperated on for minor ailments.
Eye banking services were alsofunctional. Ten corneas (eye balls)were collected, of which nine wereimplanted in people registered onthe organ (eye) transplant waiting
list. Another 32 people pledgedtheir eyes.
Preventive healthcare servicesrendered by the ophthalmic teaminclude school student screeningprogrammes. Last year, 9871students from 25 schools underwenteye check-ups. Of these, 343children were prescribed spectaclesand 242 children were distributedmedicines for free.
Vocational Education
The Global Hospital Institute ofOphthalmology runs a three-yearcourse in ophthalmic techniques,regulated by the Federation ofOphthalmic Research and EducationCentre, Noida. The course leads toa Diploma in Ophthalmic Training.The hospital also offers a Bachelorof Science (Honours) in Optometry &Ophthalmic Technology, in affiliationwith the School of Health Science ofIndira Gandhi National OpenUniversity. It is the only institution tooffer this course in the state ofRajasthan. Last year, twelvestudents enrolled for the secondbatch of this course.
Eye Donation Fortnight
Consultant ophthalmologist Dr V KSharma delivered a talk on theimportance of pledging ones eyesat a programme organised by theLions Club of Abu Road during theeye donation fortnight, which lastsfrom August 25 to September 8every year. Also, 80 children fromeight schools in Mount Abu and AbuRoad took part in a drawingcompetition to celebrate the event.Eight students from six schools alsoparticipated in an elocutioncompetition held at J WatumullGlobal Hospital & Research Centre,Mt Abu.
23
Casualty 4916Dentistry 6454Dietician 122Dressings 809ENT 2521Gynaecology 530Homoeopathy 246Medicine 8842Orthopaedics 4088Pain clinic 78Physiotherapy 1663Surgery 1654
Minor
2D Echo 205
CT Scan 866
ECG 2045
Pathology 154737
TMT 115
Ultrasonography 623
X-ray 4096
Celebrating World GlaucomaWeek
The World Health Organisation hasdesignated World Glaucoma Weekto be held every year to createawareness that vision can bepreserved if the disease is treatedin time. The District BlindnessControl Society and Global HospitalInstitute of Ophthalmologycelebrated World Glaucoma Weekfrom March 6 to 12. Events heldduring this interim aimed atinforming people about the diseaseand its prevention. A film onglaucoma was shown at the closingceremony, which was chaired bythe clinical head and ophthalmicsurgeon Dr Vishal Bhatnagar.Consultant ophthalmologists DrSeema Laad and Dr Subodh Sarafalso shared their experience intreating the disease.
Trauma Services
The services of the Trauma Centre(GHTC) continue to be sought afterby the community in and around thetownship of Abu Road. The unitcame closer to the Global Hospitalmodel of offering modern medicinealongside complementary therapieswith the launch of a pain clinic aswell as a homoeopathy clinic lastyear.
The key indoor departments,medicine, orthopaedics and surgeryadmitted 640, 326 and 223patients respectively. In all, 132major operations - 116 orthopaedicand 16 general surgery cases -were performed. Also, 272 minoroperations took place - 178orthopaedic, 67 general surgeries,25 by the pain clinic, and 2 ENTcases.
Preventative health services by thetrauma centre included threegeneral health awarenessprogrammes held in October,November and Decemberrespectively. Healthy lifestyle for astress-free life, Heart disease andobesity, and Management ofcataract and glaucoma, andOphthalmic diseases werediscussed. Comprehensive healthcheck-ups were also conducted for1119 students of St Johns SeniorSecondary School and 1200students of St Anselm Senior
Cataract surgery with IOL 2692
Secondary PC IOL 16
Retinal 38
Glaucoma 102
Squint 12
Ptosis 1
Keratoplasty 9
Other surgeries 110
Perimetry 77
Yag laser capsulotomy 417
Retinal laser 50
Yag Laser iridotomy 13
FFA/Fundus photography 70Ultrasonography 119
Orthoptic treatment Nil
Low vision aids 4
Contact lens clinic 52
Artificial eye 18
Refraction 18646
The hospital serving over 90 villagesand treating patients from all overIndia and abroad is great. It isserving humanity in a big way.Providing medical treatment at lowcosts or for free is its main objective.Its a unique hospital providingmultidisciplinary treatment.
His Excellency the Governor of OrissaShri Murlidhar Chandrakant Bhandare
(he visited the Radha Mohan Mehrotra Global Hospital Trauma Centreat Abu Road)
Kind of major eye surgeriesperformed
Out-patient procedures performed Out-patient consultations
Investigations conducted
24
Out-patient activity details Major operations performed
Activity levels at the Trauma Centre
Diagnostic services
Secondary School.
Continuing Medical Education(CME)
A CME on Management of headinjury was held at GHTC onFebruary 26. Dr Manish Rathi,neurosurgeon from RajasthanHospitals, Ahmedabad, addressedthe gathering. Anaesthetist DrVikrant Saxena of Abu Road alsospoke on basic life support. TheCME was well attended by about 45doctors from Abu Road and itssurrounding areas like JK Purametc.
On December 19, the RotaryInternational Global Hospital BloodBank organised a district-level CMEon Rational use of blood & bloodcomponents. About 140 peoplefrom Rajasthan and Gujaratparticipated in this event sponsoredby the Blood Safety Division of theRajasthan State Aids Control Society(RSACS). The faculty included DrRajesh Sawant, director, RajkotVoluntary Blood Bank; Dr MonicaGupta, professor in pathology &head, Laboratory Services & AD
Gorwala Blood Bank,P S Medical College &Shree KrishnaHospital, Karamsad;Dr Yogini Patel, jointdirector, BloodSafety, MSACS;Manish Chaudhari,donor consultant,RSACS; Dr AmitSharma, incharge,Blood Bank,Laboratory & ANCLab, Janana Hospital& assistantprofessor, SMS
Medical College, Jaipur; DrDivyesh Goswami,pathologist, GlobalHospital; and Dr AnitaJaiswal, blood bank officer,GHTC.
On January 6, a get-together was organised tofamiliarise village heads(sarpanch’s) about thehospital facilities andservices. Over 50 chiefsand representatives ofvillage women from Abu
Road, Mount Abu, Pindwada,Swaroopganj, Rohida, Reodar andother places attended this meetheld in the hospital auditorium. OnJanuary 12, another get-togethersaw the hospital managementinteract with 42 members of theTaxi Driver’s Association. Doctorspractising in Abu Road, Bharja, JKCements, and Pindwara were alsonot left out. More than 23 doctorsattended a similar programme onJanuary 16.
Blood Banking
On May 9, the Rotary InternationalBlood Bank of the trauma centreorganised a voluntary blooddonation programme at Pindwadawith the cooperation of the BharatVikas Parishad, Bajrang Dal andothers. The Bharat Vikas Parishadand Brahma Kumaris at Bhinmalalso helped organise a blooddonation programme on May 23.The donation drive continued onWorld Volunteer Blood Donors Day,June 14, with a similar programmebeing organised at Sanchor. In all,106 units of blood were collected.
A mega blood donation camp was
also organised at the BrahmaKumaris Shantivan complex duringthe Silver Jubilee celebrations of theRajyoga Education & ResearchFoundation’s Youth Wing onSeptember 25 and 26. Four bloodbanks, from the Radha MohanMehrotra Global Hospital TraumaCentre (Abu Road), RNT MedicalCollege (Udaipur), Civil Hospital(Ahmedabad) and the Red Cross(Ahmedabad) collected 1008 unitsof blood.
General Health Services
Last year, the focus of activities atthe G V Modi Rural Health Carecentre involved conducting generalhealth-checks for patients includingspecial check-ups for geriatric anddiabetic patients. In all, 347patients underwent these checks.Also, 918 geriatric patients and1146 general patients consultedthe in-charge medical officer DrMahesh Hemadri, 863 patientsconsulted visiting dermatologist DrN S Patni, and 281 patientsconsulted visiting neuropsychiatristDr Nikhil Patel.
Shivmani Geriatric Home
Shivmani Geriatric Home marks amajor step forward for the GlobalHospital & Research Centre trust.With the launch of this facility onOctober 22, 2010, the trust nowhas a dedicated health and lifestylefacility for senior citizens. Thehome focuses on offering its elderlyresidents a high quality of retiredlife. To this end, dietary services,nursing care, physiotherapyfacilities and discourses aboutmanaging the mind are a part ofthe daily routine.
Shivmani Geriatric Home boasts of60 well appointed rooms, of which56 have been booked to date.Thirty four of the rooms have beenoccupied by 48 residents in all.
The facility is being well lookedafter by Om Prakash Kathpaliaassisted by his wife Vijay LaxmiKathpalia. Read some residents’opinions on the facing page.
News from Baroda
The out-patient attendance at the
Anaesthetist Dr RahulLakhotia offers painmanagement services
Blood bank officerDr Anita wih ablood donor
25
Shivmani Geriatric Home isnothing less than a home awayfrom home. Good facilities andnutritious meals planned by aqualified dietitian meet thedietary requirements ofinmates. Physical, spiritual andsocial needs are also met byway of exercise, spiritualclasses and the much awaitedmonthly picnic. Truly “carefreeliving”.– Mrs Edna Sheth
Shivmani Geriatric Home withviews of scenic Mt Abu hasrealised our dream of retirementin peace, happiness andtranquility. Fellow residents arelike our extended family. Weare very happy and satisfiedwith the superb fully servicedaccommodation, food, caringmanagement, five starcleanliness and hygiene,healthcare, and ample choice ofactivities.– Ramesh and Rama Shah
My wife and I have been living inShivmani Geriatric Home sinceJanuary 2011. We find theatmosphere very congenial,loveful, peaceful andhomely.Fellow residents live asmembers of one family andshare each others’ sorrows andhappiness. Staff membersperforming key functions(kitchen, nursing station andoffice) are extremely co-operative and humorous.– Dr R N Gupta
We feel so happy, carefree andsecure here that even the feelingof leaving this place makes usuncomfortable. We experienceeveryone to be our ownbrothers and sisters and areproud to be members of thislarge family. We are blessed tobe in sweet Shivmani.– Mrs Vinod & Dr Midha
Brigadier Vora Clinic & Jyoti BinduDiagnostic Centre was 7530patients, including 3019 men, 2892women and 1619 children.Specialists also continued to offertheir services at the centre - someon a regular basis and others duringspecial screening and consultationprogrammes. The latter included adiagnostic and consultationprogramme on July 18, which wasattended by 100 patients; aconsultation programme for skindiseases, piles and fissures onOctober 24, at which 96 patientspresented; and an ophthalmicprogramme held on February 13,attended by 198. A publicprogramme, New trends (herbaltherapy) in health care, conducted onApril 4 by Dr Valasalan Nair wasenjoyed by an audience of 286.
Consultation:
Cardiac clinic 6Diabetic clinic 110
E.N.T. clinic 159
Eye clinic 493Gynaec clinic 98
Orthopaedic clinic 103
Paediatric clinic 39Skin clinic 393
TotalDiagnostic services:
Blood tests 2289
Urine tests 890
Out-patient consultations
eA well equippednursing stationwithin ShivmaniGeriatric Home isstaffed by nursesround the clock
The diningarea in ShivmaniGeriatric Homeoffers residents astylish yethomely ambience
26
News from Mumbai
BSES MG Hospital
Last year, the hospital saw 194569out-patients, of which 59180 wereoffered free consultations. Of the8822 admitted patients, 3021were treated for no charge. Inaddition, deserving individualswere offered concessions worth Rs360 lakhs on their treatment.Assistance amounting to Rs. 84lakhs was also given from theIndigent Patient Fund.
An ongoing outreach programmeconducted in association withLarsen & Toubro continued to serveslum dwellers. Communityhealthcare activities also included209 medical/specialityprogrammes that aided 26742patients. A new project launched inassociation with AmeriCares for thebenefit of slum dwellers in AndheriEast (Mumbai) is being wellreceived.
Continuing Medical Education
Continuing Medical Educationprogrammes for doctors accreditedby the Maharashtra Medical Councilwere held throughout the year.
Sharing Experiences
At an event in Ahmedabad,honorary medical director Dr AshokMehta was invited by theConfederation of Indian Industry topresent a paper, “BSES MunicipalGeneral Hospital as a role modelfor a Public Private Partnershipproject in the health care domain”.
Staff Welfare
A new initiative was also introducedto financially support employees’childrens education – Rs.6000 perchild per annum. Spoken Englishclasses and soft skills training forstaff was arranged as well.
New Services
A Day Care Unit was started forcancer chemotherapy patients.Also, a Skin Bank established inassociation with the Rotary Club ofBombay Juhu Beach, Rotary Club ofBombay North and the National
Burns Centre was inaugurated bythe Director of Euro Skin Bank, DrWelsly Bodha and Rotary DistrictGovernor Rtn. Dr Jayant Kulkarni.The Skin Collection Centre isequipped with a dermatome usedto harvest cadaveric skin.
Investment in Equipment
Equipment worth Rs. 1.4 croreswas purchased during the year.New procurements for theoperationtheatreincludeaSchaereropera-tingtables,Vioelectro-surgicalunit, DrMachLEDlights,andVario700micro-scopeforneuro,spine and ENT surgery. Also, aVitek 2 Compact was purchased forthe microbiology department, VidasBlue for the pathology laboratory, aDexa Scan for the x-raydepartment, and a dental oralcamera.
Several departments wererelocated and/or renovated duringthe year. These includeadministration, HR, pharmacy, civilworks, medical records, andradiology. Now, in-patient medicalrecords are being digitised (Vidoc
Launching the Skin Collection Centre at BSES MG Hospital
Trustee & honorary medical directorDr Ashok Mehta accepts the key ofthe ambulance donated byMahavirPrasad Saraf, chairman,Kirandevi Saraf Charitable Trust
Healthcare), thus ensuring they canbe readily retrieved online. A solarwater heating system wassuccessfully installed as part of apower-saving initiative.
Thanksgiving
Donations towards naming ofrooms were received fromKanakrajji Kothari of K G Jewellers,and dental surgeon Dr NeelamLalla and ophthalmic surgeon Dr
Mithu Lalla from Wales, UK. Therooms were dedicated in thememory of late Shri BhagwandasBajaj and late Dr Mansingh Lalla.BK Shivani inaugurated therenovated deluxe room and gavean interactive talk to a gathering of200 guests on March 13 at the KarlResidency Hotel, Andheri.
We thank the Ghashamdas SarafCharitable Trust for replacing anold Omni ambulance with a newEeco model, and the KirandeviSaraf Charitable Trust for donatingone more ambulance.
27
It has been rewarding towatch our staff grow, notonly because they make amore meaningfulcontribution to the hospitalbut also to see them evolveas individuals. Last year, asis customary, some staffmembers attendedconferences to upgrade theirskills. We also organised afew in-house training events.It was nice to see our staffshare their expertise throughtraining programmes andlectures.
In terms of performance, I’dlike to commend ourdepartments of ENT, plasticsurgery and orthopaedics. DrSharad Mehta and Dr ParthaSadhu are keeping up themomentum of cleft repairsurgeries whilst doing anexcellent job in theirrespective departments -ENT and plastic surgery. DrNarayan Khandelwalassisted by Dr MurlidharSharma performed 100 jointreplacement surgeries,representing an appreciableincrease of 32% over lastyear. Kudos to them!
- Dr Partap MidhaTrustee & Director
Staff-facilitatedTraining & Lectures
Lectures by neuropsychiatrist:On May 26 and July 10, seniorconsultant neuropsychiatrist DrNikhil Patel addressed more than100 trainees attending a course atthe Central Reserve Police Force(CRPF) Internal Security Academy,Mt Abu. He spoke on Counsellingand Self Development aas well asCounselling, Mentoring &Facilitation.
ICTC Centre related training:Following the launch of theIntegrated Counselling & TestingCentre for HIV (ICTC Centre)certified by the National AIDSControl Organisation on May 30, 25health workers caring for TBpatients were trained in subjectssuch as identifying HIV patients,counselling patients, and buildingsuccessful teams. Dr D KShrivastava, ICTC manager & seniormedical officer, Rajendra Singh,project officer, Prayas (an NGOworking for earthquake affectedvictims in Kutch-Bhuj) and BrotherShrinidhi, assistant manager (HR) atthe trauma centre facilitated thistraining.
Training in CPR: On July 18,about 100 jawans and officersfrom the CRPF and Army, membersof the Lions and Rotary Clubs, andlocal residents participated in atraining programme on cardiopulmonary resuscitation conductedby Dr Manoj Singh, chief intensivist,Apollo Hospitals, Ahmedabad.Physician Dr Anshul Wadhwa andassistant manager - HospitalPromtion Services Archana Kulkarniorganised the event.
Values in Healthcare ASpiritual Approach (VIHASA)
training in Mumbai: ShivaliUpadhyay, senior assistant,Purchase & Claims, helped facilitatetwo one-day VIHASA programmeson August 21 and September 5,held at the Reliance EnergyManagement Institute and L & T’sHealth Centre in Mumbairespectively. Each programme wasattended by about 30 participants.Global Hospital & Research Centretrustee Dr Ashok Mehta, alsonational coordinator, VIHASA India,and Dr Deepak Dave and PoojaSharma of BSES MG Hospital werethe other facilitators.
Training in diabetesmanagement: In November, DrShrimant Sahu, anaesthetist anddiabetologist, facilitated twolearning programmes on theprevention & control of diabetes,hypertension, cardiovasculardiseases & stroke, for about 150nurses, paramedics, dieticians,health educators and healthworkers from the government andprivate sectors, working in districtsSirohi, Pali, and Jalore. The IndianDiabetes Research Foundation,Chennai, sponsored theprogramme.
VIHASA training for nursingstudents: Sister Nirmala from UKand infection control nurse SisterMathilde facilitated three two-hourValues-in-Healthcare sessions forabout 20 second year nursingstudents between November 10and 12 at the trauma centre. About20 first year nursing students werealso taught about Values-in-Healthcare during one-hoursessions held between October 25and 29 at Global Hospital, Mt Abu.
World AIDS Day: Senior medicalofficer & ICTC manager Dr DurgeshShrivastava addressed a gatheringof 200 people in the Central
MATTERS
28
Reserve Police Force and 150people in the Air Force premisesabout HIV and AIDS. Around 40police personnel including Mt Abusuperintendent of police PremShankar Meena and 30 students ofthe Rajendra Muni B.Ed. College, MtAbu, were also invited to thehospital for lectures on HIV-AIDSawareness delivered by DrShrivastava and lab technicianBharat Chandra Sahoo.
Training in Disastermanagement: On March 9, 418National Disaster Response Forcepersonnel and eight instructors ofthe Swami Vivekanand Institute ofMountaineering, Mt Abu, wereimparted training in BLS/CPR andDisaster Management. Physician &intensivist Dr Sachin, Dr NabajyotiUpadhyaya, medical officer, SurgeryDepartment, Shashibala Gupta,principal, Global Hospital School ofNursing, and Sister Binny, manager,Mass Media & PR, comprised thefaculty. Assistant manager, HospitalPromotional Services Sister Archanaand OPD coordinator Brother Rishi
facilitated the programme.
Anaesthesia workshop: Aninformative hands-on trainingprogramme in Ultrasound GuidedNerve Blocks was organised bydepartment of anaesthesiology onMarch 19 and 20. The 25anaesthesiologists who participatedin this programme had theopportunity to practice on a gelphanton and interact with the keytrainer, Dr Elie Joseph Chidiac, ananaesthesiologist in the field ofregional anaesthesia from DetroitMedical Centre, USA. Dr ShvetankAgarwal, cardiac anaesthesiologistfrom Detroit, assisted Dr Chidiac.Sonosite and GE provided twoultrasound machines each for thetraining. Anaesthetist Dr JagadeviSajjanshetty coordinated theprogramme.
LearningOpportunities for Staff
Training in Lean Healthcare:On July 17 and 18, H T Mehta, jointgeneral manager and Sharad KTalvalkar, deputy general manager- strategic initiatives, L & T’sElectrical & Electronics Division,taught Lean Healthcare (problem-solving skills to identify andeliminate wasteful hospitalprocesses) to about 20 staffmembers.
Training in communicationskills: Five retreats wereorganised to train 85 staffmembers posted at our Mt Abu andAbu Road units in communicationskills. The sessions were facilitatedby Brother Shrinidhi and Brother EVGireesh at the Gyan SarovarAcademy for a Better World. Theone-day programme includedtopics like Communication - Let’sTalk, Building Blocks - Me, MyWords and the Big Impact, Pass theBaton - Learning to give up and topass on, Look, Listen & Speak -The Official Way, and so on.
Diabetes management: A CME,Start early and stay ahead indiabetes management, was held onSeptember 25. Dr Jay Chordiyafrom the GBH American Hospital,Udaipur, was the key speaker.
Workshop on infectiousdiseases: On August 20, GlobalHospital, Mt Abu hosted aworkshop on swine flu, dengue,and malaria, organised by DrSanjeev Tak, the chief medical &health officer of district Sirohi, forlocal NGOs, hoteliers and medicalprofessionals.
Staff Participation inConferences
f�Medical records assistantBrother Lal Babu and administrationassistant Amit Sahdev attendedMedrecon 2010 at Pune on April 9and 10.
f�Senior consultant ENT surgeonDr Sharad Mehta participated in the6th Endoscopic Skull Base SurgeryWorkshop at Mumbai on April 9and 10.
f�Shivali Upadhyay, seniorasistant, Purchase & Claims, andManisha Ligade, assistant manager– HR, attended the NASSCOM’sFoundation’s ConnectIT Workshoporganised by GuideStar India inUdaipur from May 3 to 6. Thetraining focused on the advancedusage of MS Office and new mediaonline tools, such as blogs, Twitter,FaceBook etc.
f�Senior consultant
Mobile clinics community programme staff with trustee &director Dr Partap Midha and Dr Sanjeev Tak, CMHO, DistrictSirohi (centre)
Staff benefits
J Watumull Global Hospital &Research Centre offers employeesEPF benefits, medical care withinthe hospital for no charge(employees and dependents) andgratuity.
29
ophthalmologist Dr V K Sharmaattended the 33rd AnnualConference of the RajasthanOphthalmological Society 2010 atJaipur from October 29 to 31.
f�Dr Mahesh Hemadri, medicalofficer & incharge, G V Modi RuralHealth Care Centre, took part in theIX Annual Conference of the IndianAcademy of Geriatrics, held atVellore on November 4 and 5. DrHemadri also actively participatedin the Indian Ageing Conference2010 held at the Banaras HinduUniversity, Varanasi, fromNovember 12 to 14, where hepresented a research paper,Impact of spirituality on life course- an experience from India -applying the theory ofgerotranscendence.
f�Blood bank officer at thetrauma centre, Dr Anita Jaiswal,laboratory technician BrotherJagatjit and laboratory technicianBrother Dharmendra attended the35th Annual National Conference ofthe Indian Society of BloodTransfusion & Immunohaematologyat Hyderabad from November 12to 14.
f� Stephen Berkeley, manager,Organisational Development,attended Hospi-Trends 2010,National Conference on Cost
Savings at Nagpur, on December12.
f�Chief laboratory technologistJyoti Narang participated inACBICON 2010, the 37th NationalConference of the Association ofClinical Biochemists of India held atMumbai from December 13 to 15.
f�Anaesthetist Dr JagadeviSajjanshetty was present atASACON 2010, the 58th AnnualNational Conference of the IndianSociety of Anaesthesiologists fromDecember 26 to 29.
f�Dr Saurabhi Singh, consultant,Obstetrics & Gynaecology,participated in the 54th All IndiaConference of Obstetricians andGynaecologists. She also attended aworkshop and CME held as part ofthe event at Hyderabad, fromJanuary 5 to 9.
f�Dr Satish Gupta, medicalsuperintendent, cardiologist & seniorconsultant physician at the traumacentre attended APICON 2011,held in Ahmedabad from January 6to 9.
f�Senior consultantneuropsychiatrist Dr Nikhil Patelattended ANCIPS 2011 at NewDelhi from January 16 to 19.
f�Consultant paediatrician DrPankaj Gupta attended aconference organised by AIIMS,Delhi, on paediatric nephrology onJanuary 29 and 30.f� Pathologist Dr DivyeshGoswami participated inTRANSERAPCON 2011 held inUdaipur on February 26 and 27.
f� Senior consultantophthalmologist Dr Sudhir Singhand chief, GHIO & senior consultantophthalmologist Dr VishalBhatnagar attended the conferenceof the All India OphthalmologistsSociety, held at Ahmedabadbetween February 3 and 6.
f�Dr Partap Midha, director andtrustee, J Watumull Global Hospital& Research Centre and Dr SatishGupta, medical superintendent,cardiologist & senior consultantphysician at the trauma centre tookpart in a conference on Mind, Body,Medicine held at Hyderabad onFebruary 11 and 12.
f�Medical records assistantBrother Lal Babu attendedMEDRECON 2011 at Hyderabad onFebruary 11 and 12.
f�Blood bank officer at thetrauma centre Dr Anita Jaiswal andlaboratory technician NirmalyaBanerjee took part in a CME onPreanalytical Issues in Lab, held atAhmedabad on February 20.
Voluntary StaffAppointments
f� Senior consultantophthalmologist Dr V K Sharma isthe president of the RajasthanOphthalmological Society for theongoing year.
f�Dr Sudhir Singh, seniorconsultant ophthalmologist, is theeditor of the RajasthanOphthalmological Society’s journalfor three years.
Games during a staffpicnic
30
Roll Call of Consultants& Senior Doctors(In alphabetical order as on August1, 2011)
J Watumull Global Hospital &Research Centre, Mount Abu
ConsultantsDr Batra, Puneet, Orthodontist(visiting)Dr Goswami, Divyesh, PathologistDr Gupta, Pankaj, ConsultantPaediatricianDr Hathila, Nipa, RadiologistDr Khandelwal, Narayan, SeniorOrthopaedic Surgeon (visiting)Dr Khurana, Vinay Laxmi,Gynaecologist & Head—VillageOutreach ProgrammeDr Pathak, Digant, General &Laparoscopic SurgeonDr.Mehta, Sharad, Senior ConsultantE.N.T. SurgeonDr Mistry, Saurav, Orthodontist(visiting)Dr Patel, Nikhil, Senior ConsultantNeuropsychiatristDr Patil, Laxmi, Dental SurgeonDr Patni, N.S., Dermatologist(visiting)Dr Sadhu, Partha, Plastic SurgeonDr Sahu, Shrimant, Anaesthetist &DiabetologistDr Sajjanshetty, Jagadevi,AnaesthetistDr Shah, Chandrakant, ConsultantGynae Oncologist (visiting)Dr Sheth Nehal, Periodontist & OralImplantology (visiting)
Dr Singh, Saurabhi, Consultant,Obstetrics & GynaecologyDr Singh, Sudhir, Senior ConsultantOphthalmologistDr Sukhsohale, Sachin, Physician &IntensivistDr Upadhyay, Niranjan, SeniorDental Surgeon
Doctors / Clinical AssociatesDr Hosamath, Sumangala, YogaTherapist & Clinical AssociateDr Mukadam, Hina, Senior ClinicalAssociateDr Sawant, Arjun, Clinical AssociateDr Sharma, Chandrashekhar,Clinical AssociateDr Sharma, Murlidhar, Registrar,Orthopaedics & EmergencyDr Shelke, Bhupali, ClinicalAssociateDr Shrivastava, Durgesh, SeniorMedical OfficerDr Upadhyaya, Nabajyoti, SeniorClinical Associate, SurgeryDepartment
Alternative TherapistsDr Dharamthok, Ramesh, MagnetoTherapistDr Jain, Sanjay, AyurvedicPractitionerDr Mehta, Pushpa, HomeopathDr Mehta, Yogesh, HonoraryHomeopathic PhysicianDr Mohanta, Charulata, AyurvedaPractitioner
Radha Mohan Mehrotra GlobalHospital Trauma Centre, AbuRoad
ConsultantsDr Gupta, Satish, MedicalSuperintendent & Cardiologist &Senior Consultant PhysicianDr Lakhotia, Rahul,AnaesthesiologistDr Mahala, Mahender, ConsultantPhysicianDr NS Girish Kumar, Dental SurgeonDr Pimple, Aarti, Junior RadiologistDr Rajbir Kaur, Dental Surgeon
Doctors / Clinical Associates
Dr Goyal, Alka, Casualty MedicalOfficerDr Jaideo, Rupal, Assistant MedicalOfficerDr Jaiswal, Anita, Blood Bank OfficerDr Krupakar, Hari, Resident MedicalOfficerDr Patel, Dignesh, Clinical AssociateDr Sharma, Giriraj Prasad, AssistantMedical Officer
P C Parmar Foundation GlobalHospital Eye Care Centre, AbuRoad
ConsultantsDr Bhatnagar, Vishal, HonorarySenior Consultant Ophthalmologist &ChiefDr Sharma, Vinod Kumar, SeniorConsultant OphthalmologistDr Laad, Seema, ConsultantOphthalmologistDr Mohan, Amit, Jr. Consultant,Paediatric OphthalmologyDr Ramchandani, Bharat, Vitreo-retinal Surgeon (visiting)Dr Saraf, Subodh, Registrar,Ophthalmology
G V Modi Rural Health CareCentre, Abu Road
Dr Hemadri, Mahesh, MedicalOfficer & Incharge
Community Medical Services &Mobile Clinics
Dr Das, Rajat, Medical OfficerDr Deora, B S, Advisor, CommunityMedical ServicesDr Shrivastava, Kanak, SeniorMedical Officer
Brigadier Vora Clinic & JyotiBindu Diagnostic Centre,Baroda
Dr Satish Upadhyaya, MedicalOfficer & In-charge
Group of field workers that underwent training in HIVcounselling, with faculty
31
An investment that has notmade it to the following listbut which is worthy ofmention is the replacementof more than 100 single flushtoilets with dual flushsystems. The move will savemore than 2.5 litres per flush.We also recommissioned ourwastewater recycling unitwhich was malfunctioningand installed water metersto monitor consumptionmore closely with the aim ofcutting down on wastage ofwater. Going forward, wewould like to commission abio-gas unit to recyclekitchen waste into gas forcooking and water heating.Maybe, we will also tapalternative energy sources togenerate electricity (solarand wind).
- Dr Partap MidhaTrustee & Director
J Watumull GlobalHospital & ResearchCentre
Dentistry Department— Panaromic X-ray Equipment— Planmeca Proline XC DigitalPanaromic DIMAX 3 Digital System
Intensive Care Unit— BIPAP Carina Ventilator Systemfrom Draeger Medical India— Philips Intellivue MP20Multichannel Modular Patient
Monitoring System— Hi-tech DialysisChair and NiproDialysis Machine— Baby weighingscale (neonatal ICU)— Pulse Oximeter
Mobile Clinics— Traveller EMRI3350 WB Euro-II— MultiparameterMonitor Planet 50N
Operat ion Theatre— Oertli PhacoEmulsification System& Swiss AnteriorVietrectomy Set from OertliInstruments AG, Switzerland— 3 Dome OT light from DraegerMedical India— Philips Intellivue MP20Multichannel Modular PatientMonitoring System— Medical Ozone Generator
Pathology Laboratory— Fully automated Act Diff 2Coulter from Beckman Coulter,Switzerland— Bio-chemistry analyser RX 50
Radiology Department— Colour Doppler System Logiq P6from Wipro GE
Ward— Multiparameter Monitor Planet50N
Global Hospital Instituteof Ophthalmology
Operat ion Theatre— Phaco Nano Machine
Optical Shop— Topcon ComputerisedLensometer
UPGRADES
Out-Patient Department— Streak Retinoscope Set 3.5Vfrom WelchAllyn Inc. USA
Radha Mohan MehrotraGlobal Hospital TraumaCentre
Central Steril isationDepartment— Horizontal Cylindrical High SpeedSteam Steriliser
Medicine Clinic— ECG Machine Philips PagewriterTrim I Cardiograph6— RMS Spirometer Helios 401
Pathology Laboratory— Bio-chemistry analyser RX 50— STAT Fax 2100 Elisa (platereader, washer, and refrigeratorwater bath)
New colour dopplersystem
New phaco system
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The Global Hospital & ResearchCentre trust, the governingbody of J Watumull Global
Hospital & Research Centre and allaffiliated concerns, has much tothank the Prajapita BrahmaKumaris Ishwariya VishwaVidyalaya, a socio-spiritualorganisation. The founder membersof the trust include BK Nirwair,administrativeofficer of theorganisation’sinternationalheadquarters atMt Abu, DrAshok Mehta, aleadingoncologistpracticing inMumbai, KhubaWatumull, aMumbai-basedbusinessmanand othercontacts of theorganisationengaged infinance,business andmanufacturing.
The trust is alsoindebted to the administrativeleaders of the Brahma Kumaris, thelate DadiPrakashmaniand DadiJanki, fortheirleadershipandguidance toour trusteesand staff.Every unit ofthe trust hasandcontinues toreceivetimely helpfrom the Brahma Kumaris in India
and overseas. This assistanceincludes finance to support theexpansion of the healthinfrastructure and philanthropicaims of the trust. It is noteworthythat about one fifth of the staff ofthe Global Hospital & ResearchCentre trusts’ hospitals at MountAbu and Abu Road are volunteersdrawn from the talented pool of
individuals serving the BrahmaKumaris. These qualified
individualsand manyother staffmemberspracticeRajyogameditationas taughtby theBrahmaKumaris intheir dailylives.Severalcharities setup by
people affiliated with the Brahma
CONNECTIONKumaris have also seen it fitting tosupport the work of the hospital.These include:
The IndiaCare Trust , Germany,has supported the activities of theflagship unit at Mount Abu almostsince its inception. It has channelledconsiderable contributions ofequipment and consumables our
way.
The JankiFoundationFor HealthC a r e , U K, a UKregisteredcharity has beenan invaluablehelp infurthering ouractivities. TheFoundation’sValues inHealthcare: ASpiritualApproachprogramme forhealthcareprofessionalshas beenadopted by JWatumull Global
Hospital & Research Centre, MountAbu, and BSES MG Hospital,Mumbai. Doctors and nurses havebeen introduced to ways to makehealing more effective - when theheart reaches out to patients, morecare and compassion is ensured.
The St ichting Global HospitalNeder land, Hol land, hassupported extensive educationalprojects as well as communityendeavours aimed at deliveringhealth care to residents of remotevillages.
Point of Life, Inc., USA, helpsgarner support from individualsand organisations situated in USA.
Spiritual discourse inprogress
Meditating amid nature
33
Watumull Global Hospital &Research Centre, Mt Abu. Theirfinancial support helped turn thehospital project dream into reality.Founder trustee Khuba Dada, as heis fondly called, is retiring from theBoard this year. His place will beoccupied by his son Gulu Watumull.
Founder trustee BKNirwair is a visionaryleader with the abilityto foresee andprepare to meet theneeds of people. Hisdrive, dedication andmeditative qualities
has motivated many employees ofthe hospitals at Mt Abu and AbuRoad into forming long-term and
Governing Board
J Watumull Global Hospital &Research Centre is governed by theGlobal Hospital & Research Centre(GHRC) trust, a charity registeredwith the Charity Commissioner ofthe Greater Mumbai Region. Thetrust is represented by unrelatedtrustees from diverse walks of life,including:
Mumbai-basedbusinessmanKhubchand Watumulland his brotherGulab Watumull, wholives in Hawaii) werethe first patrons of J
PATRONAGElifetime associations with the GHRCtrust.
Founder trustee DrAshok Mehta is adistinguished surgicaloncologist who haspreviously steeredforward and headedthe department ofsurgery and head &neck services at Tata MemorialHospital and the cancer care facilityat Nanavati Hospital. His expertisein establishing and expandinghealth services has helped chart theexpansion plan of the trust. DrMehta also holds the position ofhonorary medical director of BSESMunicipal General Hospital and JWatumull Global Hospital &Research Centre.
Founder trusteeRamanbhaiGopaldas Thakkar isa practicingcharteredaccountant since1963. Ramanbhai
continues to make invaluablesuggestions for the preparation ofthe audited annual accounts andlegal matters of the trust.
Founder trustee thelate* Shantilal Patelwas the dynamicfounder of ThemisMedicare, one ofIndia’s leadingresearch-baseddrugs manufacturers.His healthcare background broughta wealth of experience to thehospital project and he went on tomake sound suggestions for theestablishment and operations of JWatumull Global Hospital &Research Centre.* Sadly, he passed away during theFY 2010-11
We value the continued support of ouresteemed patrons and well-wishers andremain indebted to organisationssupporting our hospital and communitybased healthcare endeavours.
Dadi Janki, administrative head, Brahma Kumaris, Dadi Hridaymohini, additionaladministrative head, Brahma Kumaris, Dadi Ratan Mohini, joint administrative head of the
Brahma Kumaris, and Alka Patel inaugurate Shivmani Geriatric Home
34
Kishore D Shahretired from businessand settled in Mt Abuin 1982. A foundertrustee, he wasinstrumental foraggregating most of
the land on which the hospital isbuilt from individual owners, thuspaving the way for the establishmentof J Watumull Global Hospital &Research Centre, the flagship unit ofthe trust. Kishorebhai is looked onas a trustee representing theinterests of the local community andhas also made significantcontributions to landscaping theopen areas of the hospital.
R L Wadhwa brings alifetime of financialand bankingexperience to theBoard. His soundunderstanding offinance has helpedimprove the review of the Trusts’annual accounts and steeredaccounting policies in the rightdirection.
Sanjay Kirpalani is awell travelledbusinessman withbusiness interests inSingapore, India,Nigeria and MiddleEast. His keen interestin supporting asset
procurements and recurring costs(for charity projects) that maximisethe returns for spends has guidedthe hospital management towardsbetter decision-making.
Civil engineerJeetendra G Modyhas close to fivedecades ofexperience indeveloping realestate. This expertisehas enabled him tomake a majorcontribution to oversee expansionprojects of the trust involving theconstruction of new buildings.
BK Yogini brings to thetrust the experienceof growing spiritualservices from onecentre at Vile Parle, to22 branches spanning
Mumbai in four decades. As thefeminine face of the trust, she hasbeen instrumental in setting up aspiritual counselling centre in BSESMG Hospital. BK Yogini also holdsthe position of honorary director -Administration and is a member ofthe Advisory Committee of BSES MGHospital. She is an honorary Rotarianwith the Rotary Club of BombayAirport, Mumbai.
Dr Partap Midha hasspent about half of hiscareer spanning fourdecades in the publichealth sector and halfin building up theactivities of the GHRCtrust in and around Mt
Abu. The experience gained duringhis earlier tenure with the healthdepartment of the government ofHaryana has stood him in goodstead in his present position - it hasgiven him a clear understanding ofhealth needs at the grassroots leveland improved the hospitals’interactions with governmentauthorities.
Induction of New Trustees
The GHRC trust has expressed thedesire to induct some young bloodto take the activities of the trust tonew heights. Patron Mahesh Patelfrom UK; Chetan Mehrotra, trusteeof the Radha Mohan MehrotraMedical Relief Trust, which haspartnered GHRC for several projectsand Prakash Vaswani, a patron ofthe hospital based in Dubai, havebeen invited to join the trust whenthe procedural formalities arecomplete.
Patronage
Key Patrons
Î Robin Ramsay, AustraliaÎ Indru Watumull & GulabWatumull, Hawaii, USAÎ Dr Hansa Raval, Texas, USAÎ Mahesh Patel, UKÎ Prakash Vaswani, UAE
Supportive Organisations
The following organisations havesupported our work since ourinception and made significantcontributions (financial as well as in-
kind) to help us improve the serviceswe offer:
Î Brahma Kumaris World SpiritualUniversity, UKÎ Children’s Hope India, USAÎ Fundacion Ananta, SpainÎ G V Mody Trust, SuratÎ Give India, MumbaiÎ Global Harmony Foundation,SwitzerlandÎ Government of IndiaÎ Government of RajasthanÎ Grapes for HumanityÎ Help Age IndiaÎ IndiaCare Trust, GermanyÎ Kanya Daan Charitable Trust,Hong KongÎ Orbis International, Inc., USAÎ Parmar Foundation, PuneÎ Point of Life Inc., USAÎ Prajapita Brahma KumarisIshwariya Vishwa Vidyalaya, MountAbuÎ Radha Mohan Mehrotra MedicalRelief Trust, MumbaiÎ Rotary Clubs of Black Mountain(USA) and Abu Road, IndiaÎ S J Jindal Trust, New Delhi, IndiaÎ Smile Train, USAÎ Stichting Global HospitalNederland, HollandÎ Stiftunng Cleft ChildrenInternational, SwitzerlandÎ The Generation CharitableTrust, UKÎ The Janki Foundation For GlobalHealth Care, UKÎ The People Bridge CharitableFoundation, CanadaÎ Vitol Charitable FoundationÎ Watumull Foundation, MumbaiÎ Wilde Ganzen, Holland
The workyou aredoing hereis a Godsend!Frank Dean,Rotary Club ofMarion,NC, USA
35
Auditors Report
We have examined the annexed Balance Sheet of Global Hospital & ResearchCentre, 102, Om Shanti, N S Road No 3, JVPD Scheme, Mumbai 400056 as atMarch 31, 2011 and the Income & Expenditure Account for the year endedon that date. These financial statements are the responsibility of themanagement of the hospital. Our responsibility is to express an opinion onthese financial statements based on our audit.
We have conducted our audit in accordance with the accounting standardsgenerally accepted in India. Those standards require that we plan andperform the audit to obtain reasonable assurance about whether the financialstatements are free of material misstatements. An audit includes examiningon a test basis, evidence supporting the amounts and disclosures in thefinancial statements. An audit also includes assessing the accountingprinciples used and significant estimates made by management, as well asthe evaluation of the overall financial statement presentation. We believe thatour audit provides a reasonable basis for our opinion.
We report that:
1. We have obtained all the information and explanation which to the best ofour knowledge and belief were necessary for the purpose of audit.
2. In our opinion, proper books of accounts have been kept by the headoffice and the branches of the above named trust visited by us so far asappears from our examination of those books.
3. The Balance Sheet and Income & Expenditure Account dealt with by thisreport are in agreement with the books of account.
4. In our opinion and to the best of our information, and according toexplanation given to us, the said accounts give a true and fair view inconformity with the accounting principles generally accepted in India:
i In the case of the Balance Sheet, of the state of affairs of the abovenamed trust as at 31st March’2011 and
ii In the case of Income & Expenditure Account, of the surplus of itsaccounting year ending on March 31, 2011
Place: MumbaiDated: September 11, 2011
For and on behalf ofBALAKRISHNA T THAKKAR & CO
CHARTERED ACCOUNTANTS
OVERVIEWOur endeavour hasalways been to make thebest use of every donatedrupee in implementing ourmission - to serve withlove and compassion andstrive to reach neglectedpeople. At present, we seehealth education,malnourishment,communicable diseases,lifestyle issues androadside trauma asneeding our attention. Wewill aim to focus ourresources on thesematters. At the sametime, we will ensure thatour administrative costcontinues to remainalmost static. Themaximum benefit of fundsdonated should reach thecommunity.
- Dr Partap MidhaTrustee & Director
36
Previous year Expenditure Current year Previous Year Income Current year 746,393 To Brigadier Vora Clinic,
Baroda 777,858 4,051,675 By Interest (on
securities, loans, bank accounts)
5,095,412
380,309,620 To BSES MG Hospital , Mumbai
424,844,029
52,117,790 By Donations in Cash or Kind
73,850,295
696,996 To GHRC Coronary Artery Disease Project
873,056 1,535,879 By Grant-in-Aid 2,360,503
227,404 To GHRC Education Project
253,804 447,629,322 By Income from Hospital Receipts
500,055,813
1,226,487 To GHRC Eye Care Project
1,907,016 7,458,685 By Income from Other Receipts
13,855,475
540,454 To GHRC Mumbai 1,128,516 158,572 By Deficit Carried to Balance Sheet
-
6,180,643 To GHRC Village Outreach Programme
6,437,977
644,895 To GV Modi Rural Health Care Clinic, Abu Road
592,412
23,602,559 To Global Hospital Institute of Ophthalmology, Abu Road
24,011,140
75,413,219 To J Watumull Global Hospital & Research Centre, Mt Abu
91,877,501
23,046,118 To Radha Mohan Mehrotra Global Hospital Trauma Centre, Abu Road
27,747,550
- To Shivmani Geriatric Home, Abu Road
6,441,866
- To Surplus Carried to Balance Sheet
8,324,773
512,634,778 595,217,498 512,634,778 595,217,498
Global Hospital & Research Centre (Consolidated)Income & Expenditure Account for the year ended 31 st March 2011
This hospital is wellequipped and has doctorsand staff who believe in
serving patients with theirknowledge and dedication... itrenders immense service tomankind.
A K Patnaik, Judge, Supreme Court
Consolidated FinancialStatements for the year2010-11
The consolidated accounts and fundsflow statement of all the units of theTrust are presented along withaccounting policies and notes.
The unitwise accounts of the flagshiphospital at Mt Abu and the branchesat Abu Road and Baroda, which arefinancially supported by J WatumullGlobal Hospital & Research Centre atMt Abu are also presented.
37
Previous year Liabilities
Current year
Previous year Assets
Current year
158,339,626 Trust Corpus Fund 173,334,158 236,393,369 Immovable Properties 302,168,254
47,896,909 BK Health Care Fund 52,617,440 48,866,018 Capital Work In Progress 5,575,911 26,256,483 Cancer Research &
Treatment Fund 26,256,483
1,506,000 Investments 1,506,000
1,510,664 Natural Calamities Fund 1,510,664 13,069,065 Advances 14,125,329 569,313 Friends Of GHRC 569,313 28,884,703 Income Outstanding 33,155,973
8,255,800 Education Project Fund 8,255,800 28,424,203 Stock & Inventories 34,595,172 1,681,000 Eye Care Fund 1,681,000 71,869,227 Cash & Bank Balances 118,368,691 8,700,000 P C Parmar Foundation
Fund 8,700,000 96,639,730 Income & Expenditure
a/c 117,255,612
35,401,192 Radha Mohan Mehrotra Fund
35,401,192
43,242,170 Senior Citizen Home Project Fund
57,578,870
10,000,000 SL Malhotra Global Nursing College
14,355,674
655,652 J Watumull Global Hospital & Research Centre
744,552
143,972,596 BSES MG Hospital 171,825,907 39,170,911 Sundry Credit Balances 73,919,889
525,652,317 626,750,943 525,652,317 626,750,943
Global Hospital & Research Centre (Consolidated)Balance Sheet as on 31st March 2011
Notes to the Balance Sheetand Income & ExpenditureAccount for the year endedMarch 31, 2011
Significant Accounting Policies
System of Accounting: The Trustadopts the accrual basis in thepreparation of its sccounts.
Inflation: Assets and liabilities arerecorded at historical cost.
Fixed Assets: Fixed assets arecapitalised at cost and are stated athistorical cost.
Investments: Investments arevalued at cost.
Inventories: Inventories such asstock of surgical, sutures,medicines pathology chemical, X-ray films is valued at cost and isphysically verified and certified bythe management.
Sundry Creditors / Debtors:Sundry creditors and debtors aresubject to confirmation from them.
Receipts :
1. Hospital Receipts:
OPD Receipts are accounted onaccrual basis on the date ofproviding hospital services/facilities.
In–Patient Receipts are accounted onaccrual basis on the date of billingas and when the patient isdischarged. However billing is doneupto March 31 of every year.
2. Donation Receipts are accountedon receipt basis on the date ofreceipt. Donation received towards aspecific / corpus fund is transferredto the respective fund as per thedirection of the donor.
3. Interest on bank fixed deposits,investments is accounted on accrualbasis.
4. Grant in Aid from government isaccounted as and when it issanctioned and there is reasonablecertainty of disbursement of claim.
5. GHRC Medical Stores, GHRCMedical Stores Shop No. 1 (Talheti)and GHIO Medical Stores (Talheti) isaccounted net of sales made toother different unit of the trust.Similarly, purchases against suchsales are reduced from grosspurchases of the respective medicalstores.
Depreciation: Depreciation onfixed assets is provided on writtendown value method as per ratesshown against each asset as under:
In case of assets held on April 1,2010, for full year.
In case of assets purchased andcapitalised during the year, for halfyear irrespective of its date ofpurchase.
38
Sources of Funds 2010-11 2009-10
Donation income (including fund received under FCRA)
73,850,295 52,117,790
Hospital income (OPD & IPD) 500,055,813 447,629,322 Grant-in-aid from Government 2,360,503 1,535,879 Bank & other interest 5,095,412 4,0 51,675 Other income 13,855,475 7,458,685 Sales of fixed assets 504,659 1,441,092 Contribution to earmarked funds (including fund received under FCRA)
64,740,570 55,635,020
Contribution to Trust Corpus fund 14,994,532 17,067,099 675,457,259 586,936,562 Application of Funds
Addition to fixed assets 57,364,357 36,596,953 Disbursement for fixed assets (Shivmani Geriatric Home Project in 2010-11, Nursing Hostel in 2011-12 )
5,575,911 23,163,468
Purchase of investments 35,331,559 2,905,192 Decrease in secured loans Nil 11,283,826 Disbursements from earmarked funds 13,385,454 12,303,855 Revenue expenditure (excluding depreciation) 547,282,901 474,448,476 Increase in net current assets 16,517,077 26,234,792 675,457,259 586,936,562
Global Hospital & Research Centre (Consolidated)Funds Flow Statement for the year ended March 31, 2011
Accounting Notes
Gratui ty
The trust has opted for GroupGratuity Scheme with Life InsuranceCorporation of India for the benefitof employees. The total gratuityliability as on 31.03.2011 isRs.53,13,092. The fair value ofplan assets as on 31.03.2011 wasRs.50,06,439.
Contingent liabilities notprovided for
Claims made by other parties notacknowledged as debt.
Donation
100% exemption:
The Trust project of the hospital atMt Abu is notified as an eligibleproject u/s 35 AC of the IncomeTax Act, 1961. This enablesdonors to claim 100% Income Taxexemption. During the year theTrust has collected donations of
Rs.1,47,59,532 under the saidproject. It is transferred to theTrust Corpus Fund as it is requiredunder the terms and conditions ofthe above notification.
BK Healthcare Fund:
The Trust has launched a donationsdrive programme in the past yearsto raise the funds for a specifiedpurpose i.e. BK Healthcare Fund.Under the scheme, Trust will raisethe fund and invest in specifiedsecurities. The income of the fundwill be applied for medicalpurposes for poor and needypeople. During the year, the Trustmanaged to raise Rs.47,20,531,under the scheme up to the yearend.
Previous Years Figures
The figures of the previous yearhave been re-grouped and re-arranged wherever the necessityarose.
The full donated amount isdeductible from income for thepurpose of computation oftaxable income. Donors mustprovide their income tax PANand full address at the time ofmaking a donation so that aproper receipt can be issued.
Fifty percent of the donatedamount is deductible fromincome for the purpose ofcomputation of taxable income.
39
J Watumull Global Hospital & Research Centre, Mt AbuBalance Sheet as on 31st March 2011
Previous year
Expenditure
Current year Previous year
Income
Current year
4,916,778 To Administration expenses 4,647,209 29,407,943 By Donation income 47,922,990
6,865,894 To Depreciation 7,198,108 31,271,222 By Hospital receipts 37,134,339 2,212,818 To Education project expenses 4,000,487 4,744,427 By Other receipts 6,891,405
21,877,739 To Employment cost 27,794,652 9,989,627 By Net deficit transferred to Mumbai HO a/c
-
7,286,817 To Hospital consumables 8,671,533 175,135 To Insurance 168,560
20,569,605 To Medical relief & assistance 17,351,797 992,550 To Other consumables 886,139
4,123,029 To Power & fuel 5,059,824 3,732,014 To Repairs & maintenance 4,204,861 2,656,539 To Medical / Social project 11,894,331
4,300 To Asset Based Community Development project
-
- To Net surplus transferred to Mumbai HO a/c
71,233
75,413,220 91,948,734 75,413,219 91,948,734
Previous year
Liabilities
Current year
Previous year
Assets
Current year
89,674,933 Mumbai office control a/c 89,155,959 63,126,561 Fixed assets 67,557,393 409,202 GHRC Patient relief fund 498,102 45,378 Sundry debtors 6,061,332 246,450 Scholarship fund 246,450 73,653 Advance s to creditors 679,021 265,183 Sundry creditors 108,103 670,516 Loans/advances & deposits 924,565
3,057,525 Outstanding expenses 3,321,252 14,815,039 Investments 9,830,820 3,886,413 Income receivable 2,070,304
1,530,699 Closing stock 1,878,101 9,096,692 Bank balances 3,899,069 408,343 Cash balances 429,262
93,653,293 93,329,866 93,653,293 93,329,866
Unit-wise FinancialStatements for the year2010-11
Salient observations about thefinancial performance of J WatumullGlobal Hospital & ResearchCentre, the flagship unit at Mt Abuare as follows:
1) We are pleased to have tightenedadministration expenses.
J Watumull Global Hospital & Research Centre, Mt AbuIncome & Expenditure Account for the year ended 31 st March 2011
2) Employment costs continue theirupward march and there is very littlethat we can do to contain theseexpenses. The cost of living is risingand correspondingly, so are averagesalaries across industries, particularlyin the healthcare sector. Goodconsultants are hard to come by aseveryone wants to settle in largercities where more amenities areavailable. When we find someonewilling to relocate to Mt Abu, theymust be compensated well. So too,power and fuel expenses are
increasing because of factors thatare not within our control.
3) The rise in expenditure onhospital consumables presents as aconcern. We will be looking toimplement measures to curtail thesecosts in the current year.
4) It is heartening to note the sizableincrease in donations. Going forward,we hope to see the hospital receiptsto register significant increases aswell.
40
Previous year
Expenditure
Current year Previous year
Income
Current year
1,323,468 To Administration expenses 1,565,804 1,001,517 By Donation income 804,354
5,126,735 To Depreciation 4,597,613 10,542,461 By Hospital receipts 10,879,611 5,062,330 To Employment cost 6,676,764 435,298 By Other receipts 1,807,567 2,336,235 To Hospital consumables 3,047,070 11,623,283 By Net deficit transferred to
Mumbai HO a/c 10,519,608
87,153 To Insurance 76,717 6,395,442 To Medical relief & assistance 5,844,699
322,412 To Other c onsumables 346,032
942,771 To Power & fuel 692,502 1,159,858 To Repairs & maintenance 913,256
556,392 To Project Nayanraj expenses - 269,765 To Project Help Age expenses 202,259 19,998 To Rent, rates & taxes 48,424
23,602,559 24,011,140 23,602,559 24,011,140
Previous year
Liabilities
Current year
Previous year
Assets
Current year
39,294,603 Mumbai office control a/c 36,236,583 38,514,857 Fixed assets 35,015,123 366,680 Outstanding expenses 384,817 138,961 Advances & deposits 134,753 248,142 Advance for expenses 39,855 663,500 Grant-in-aid 1,145,000
10,400 In-patient receivable - 96,924 Stock 85,222 484,783 Cash & bank balance s 281,157
39,909,425 36,661,255 39,909,425 36,661,255
Global Hospital Institute of Ophthalmology, Abu RoadIncome & Expenditure Account for the year ended 31 st March 2011
Global Hospital Institute of Ophthalmology, Abu RoadBalance Sheet as on 31st March 2011
The cleanliness and dedication of the doctors andstaff of the hospital impressed me the most and Ihope our students and teachers of medical collegesbe motivated to adopt such practices for which Ineed participation of Brahma Kumaris in a PPPmode.
Dr Binayak Rath, Vice Chancellor, Utkal University
41
Previous year
Expenditure
Current year Previous year
Income
Current year
801,267 To Administration expenses 830,422 12,615,683 By Hospital receipts 15,332,203 3,772,307 To Depreciation 3,958,789 266,835 By Other receipts 688,636 9,453,858 To Employment cost 12,509,840 934,103 By Donation 2,179,493 2,959,185 To Hospital consumables 3,256,042 9,229,497 By Net deficit transferred to
Mumbai HO a/c 9,547,218
15,443 To Insurance 30,435 3,692,179 To Medical relief & assistance 4,430,682
262,763 To Other consumables 211,601 1,525,376 To Power & fuel 1,581,055
526,071 To Repairs & maintenance 806,684 37,669 To Blood Bank Rotary Club
expenses -
- To Rent, rates & taxes 62,700 - To TB Project 69,300
23,046,118 27,747,550 23,046,118 27,747,550
Previous year
Liabilities
Current year
Previous year
Assets
Current year
29,833,879 Mumbai office control a/c 30,853,934 30,011,246 Fixed assets 28,806,331 768,718 Outstanding expenses 987,453 - Fixed deposits – SBI 1,300,000 404,328 Advance s for expenses 88,789 12,030 Sundry debtors 376,399
133,000 Stock 367,853 306,669 Advance & deposits 258,680 - Income receivable 26,059 543,980 Cash & bank balances 794,854
31,006,925 31,930,176 31,006,925 31,930,176
Radha Mohan Mehrotra Global Hospital Trauma Centre, Abu RoadIncome & Expenditure Account for the year ended 31 st March 2011
Radha Mohan Mehrotra Global Hospital Trauma Centre, Abu RoadBalance Sheet as on 31st March 2011
Salient observations about thefinancial performance of key units atAbu Road:
Global Hospital Institute ofOphthalmology
1) At the eye hospital, we would haveexpected that a rise in employmentcost to reflect positively on thehospital receipts. So it is of concernto note that even after considering amandatory 10 percent rise insalaries and 30 percent rise inhospital consumables, the hospitalreceipts are more or less stagnant.
2) One good thing is that expenseson medical relief and assistance are
slightly lower. This representsexpenses on patients offered free orsubsidised services and that is apositive development considering thehospitals’ long-term aim to servemore paying patients.
3) Power and fuel expenses havecome down as have expenses onrepairs and maintenance. This is apositive development.
Radha Mohan Mehrotra GlobalHospital Trauma Centre
1) This unit has been plagued byrecruitment challenges. We haveneither been able to retain a generalsurgeon nor an orthopaedic surgeon.
Consequently, the hospital receiptsare much lower than expected inspite of the significant rise in theemployment cost. The hospital deficitwill not come down until appropriateconsultants are recruited andretained. For this, we are hopeful ofrecruiting the right person from thecircle of consultants known to us.
2) The quantum of donations madeto sustain the hospital has risen,which is a good sign. Ideally,however, this unit should be self-sustaining.
3) Medical relief and assistanceexpenses rose, denoting more freeservices rendered to the community.
42
Previous year
Expenditure
Current year Previous year
Income
Current year
33,095 To Administration expenses 30,676 26,440 By Hospital receipts 23,070 121,563 To Depreciation 70,144 1,025 By Other receipts 308 247,349 To Employment cost 262,112 617,430 By Net deficit transferred to
Mumbai HO a/c 569,033
5,128 To Hospital consumables 1,141 2,312 To Insurance -
165,798 To Medical relief & assistance 101,492 30,713 To Other consumables 11,200 29,402 To Power & fuel 78,755 9,535 To Repairs & maintenance 36,892
644,895 592,411 644,895 592,411
Previous year
Liabilities
Current year
Previous year Assets
Current year
1,152,430 Mumbai office control a/c 847,627 1,161,126 Fixed assets 849,838 21,885 Outstanding expenses 26,235 13,189 Cash & Bank balances 24,024 1,174,315 873,862 1,174,315 873,862
G V Modi Rural Health Care Centre, Abu RoadBalance Sheet as on 31st March 2011
G V Modi Rural Health Care Centre, Abu RoadIncome & Expenditure Account for the year ended 31 st March 2011
Previous year
Expenditure Current year Previous year
Income Current year
- To Administration Exp. 701,567 - By Donation 173,300 - To Depreciation 2,298,321 - By Other R eceipts 1,126,751 - To Employment Cost 728,305 - By Net deficit Transfer to
Mumbai Head Office A/c 5,141,815
- To Hospital Consumables 430,393 - To Insurance 3,055 - To Medical Relief Assist. 8,637 - To Other Consumables 1,291,384 - To Power & Fuel 478,762 - To Repairs & Maint. 501,442 - 6,441,866 - 6,441,866
Shivmani Geriatric Home, Abu RoadIncome & Expenditure Account for the year ended 31 st March 2011
Observations about the financialperformance:
Shivmani Geriatric Home
1) The performance of this newproject cannot really be gauged fromthese statements as although the
home was inaugurated last year, itwas occupied and has been almostfully booked this year. Still, we arepleased to report that this project isnow performing as expected. Thehome is functioning on a no profit -no loss basis. The residents are veryhappy with the living conditions.
GV Modi Rural Health CareCentre
1) G V Modi continues to be a lossmaker but is being retained for itsproximity to the Shantivan complexand the residential space on itssecond and third floors.
43
Previous year
Expenditure
Current year Previous year
Income
Current year
81,775 To Administration expenses 73,242 367,418 By Donation income 165,102
260,722 To Depreciation 242,760 80,775 By Clinic receipts 88,650 19,011 To Hospital consumables 11,891 35,402 By Other Receipts 31,305
190,011 To Employment cost 256,672 262,788 By Net deficit transferred to Mumbai HO a/c
492,801
56,102 To Medical relief & assistance 75,009 112,067 To Repairs & maintenance 97,520 15,395 To Power & fuel 11,743 11,300 To Taxes & rent 9,022
746,383 777,858 746,383 777,858
Previous year
Liabilities
Current year
Previous year
Assets
Current year
2,863,193 Mumbai office control a/c 2,613,649 2,288,161 Fixed assets 2,045,400 3,409 Outstanding expenses 1,824 300,000 Bank of Baroda: FDR 300,000
10,714 Advances 10,714 Advances to Creditors 244 - Ambe Steel - 1,030 - Chandrikaben U Lakhmani 1,576 266,452 Cash & Bank Balance 257,783
2,866,602 2,615,473 2,866,602 2,615,473
Brigadier Vora Clinic & Jyoti Bindu Diagnostic Centre, BarodaBalance Sheet as on 31st March 2011
Brigadier Vora Clinic & Jyoti Bindu Diagnostic Centre, BarodaIncome & Expenditure Account for the year ended 31 st March 2011
Shivmani Geriatric Home, Abu RoadBalance Sheet as on 31st March 2011
Previous year
Liabilities
Current year
Previous year
Assets
Current year
- Mumbai Office 52,920,020 - Fixed Assets 66,491,156 - Outstanding Expenses 28,648,215 - Fixed Deposits - SBI 12,000,000 - Advance For Expenses /
Others 222,171 Sundry Debtors 3,400
- Advance & Deposits 18,885 - Income Receivable 35,533 - Cash & Bank Balance 3,241,432
- 81,790,406 - 81,790,406
Observations about the financialperformance:
Brigadier Vora Clinic & JyotiBindu Diagnostic Centre
1) Clinic receipts increased by 10percent. Against this, while theexpenditure on hospital consumblesalmost halved, employment costsrose by 35 percent. While the clinicoffers free services to a fair number
of needy patients - these expensesrose by 34 percent - there are clearsigns that its operations need to belooked into and streamlined toreduce the yearly deficit.
44
Credibility AllianceNorms ComplianceReport
Identity
The Global Hospital & ResearchCentre trust is registered as acharity with the CharityCommissioner of the GreaterMumbai Region (Mah.) under No.PTR/E/12573 dated January 5,1990.
The functional units of the Trust, inthe order of their establishmentinclude:
? J Watumull Global Hospital& Research Centre, Mount Abu
? Brigadier Vora Clinic & JyotiBindu Diagnostic Centre, Baroda
? G V Modi Rural Health CareCentre & Eye Hospital, Abu Road
? BSES MG Hospital, Mumbai
? Global Hospital Institute ofOphthalmology, Abu Road (includesthe wing named P C ParmarFoundation Global Hospital Eye CareCentre, Abu Road)
? Radha Mohan MehrotraGlobal Hospital Trauma Centre, AbuRoad
? Shivmani Geriatric Home,Abu Road
Permanent honorary positions ofdirector and medical director of JWatumull Global Hospital &Research Centre, Mount Abu, areheld by Dr Partap Midha and DrAshok Mehta respectively. At BSESMG Hospital, BK Yogini is thehonorary director for administration.Dr Banarsi lal Sah is the honorary
Treasurer of the Global Hospital &Research Centre trust.Our Trust Deed is available onrequest.
Trust Registrations
? Under section 12A of theIncome Tax Act, 1961 vide No.TR/27348 dated January 15, 1990.
? Under section 35AC, videregistration No. F.No.270/183/1996-NC valid until financial year2011-12.
? With the DIT Exemptions,under section 80G, vide registrationNo.DIT(E)/MC/80g/1303/2008/2008-09 valid till assessment year2012-13.
? Under section 6 (1) (a) ofthe Foreign Contribution (Regulation)Act, 1976 (FCRA registration No.083780494 dated December 18,1991).
Name & Address of FCRABankers
Union Bank of India, 11 Vithal NagarCo-op Hsg. Society, 10th RoadJVPD Scheme, Vile Parle (West),Mumbai 400056.
Name & address of auditors
Balkrishna T Thakkar & Co, 6thfloor, 602-603, “Saffron”, NearBank of Baroda, Ambawadi,Ahmedabad, 380 006
Vision & Mission
Mission: To provide world classcomplete healthcare servicesresponsibly and with a human touchat affordable prices.
Vision: Healthcare for allirrespective of social or economic
REPORTbackground.
Governance
The Global Hospital & ResearchCentre trust Board met four timesduring the year 2010-11, on June21, September 26, October 26,and February 20. Minutes of theBoard meetings are documentedand circulated.
A Board Rotation Policy exists and ispractised. Minutes of the Boardmeetings are documented andcirculated.
A Board Rotation Policy exists and ispractised.
The Board approves programmes,budgets, annual activity reports andaudited financial statements. TheBoard ensures the organisation’scompliance with the laws andregulations.
Accountabil ity & Transparency
No remuneration, sitting fees or anyother form of compensation hasbeen paid since the inception of thefoundation, to any Board member,trustee or shareholder.
The following reimbursements havebeen made to Board members: Notravelling expenses to attend Boardmeetings. No other reimbursementshave been made to any Boardmember, trustee or shareholder.
Dr Partap Midha, Director, JWatumull Global Hospital &Research Centre’s remuneration: Nil
Remuneration of 3 highest paid staffmembers:
1) Rs.50,000 + board/lodge +incentives2) Rs.50,000 + board/lodge +
45
Name Age Gender PositiononBoard
Occupation Area of competency
Meetingsattended
BK Nirwair 73 M ManagingTrustee
Social worker Social Service 4/4
Dr Ashok Mehta 74 M Trustee Medical Director & Consultant Cancer Surgeon, BSES MG Hospital, Mumbai
HospitalManagementand Oncology
3/4
Khubchand Watumull 90 M Trustee Businessman Business 0/4Ramanbhai Gopaldas Thakkar
83 M Trustee Chartered Accountant Finance 3/4
Shantibhai Dahyabhai Patel 85 M Trustee Chairman immediate,Themis Medicare Ltd.
Industrialist 1/4
Raghunath Lekhraj Wadhwa 77 M Trustee Chartered Accountant Banking & Finance
2/4
Sanjay Kirpalani 45 M Trustee Company director Business 0/4Dr Partap Midha 61 M Trustee Director, J Watumull
Global Hospital & Research Centre
HospitalManagement
3/4
Yogini Bhupatrai Vora 60 F Trustee Director , RajyogaCentres, Vile ParleSub-Zone
Social Service 2/4
Kishore D Shah 61 M Trustee Businessman Business 2/4Jeetendra G Modi 69 M Trustee Businessman Civil
Engineering2/4
Rs.30,000 fixed incentive3) Rs.50,000 + board/lodge + Rs.20,000 fixedincentive
Remuneration of the lowest paid staff member: Rs.2550+ board/lodge
Total cost of national travel by all personnel (includingvolunteers) & Board members: Rs.498,839 (only JWatumull Global Hospital & Research Centre)
Total cost of international travel by all personnel(including volunteers) & Board members: Rs.14,300(only J Watumull Global Hospital & Research Centre)
Staff Detai ls (as on March 31, 2011)
All trustees are “volunteers” giving their time pro bono.They are not included in these details. This excludescleaning labourers, paid volunteers and trainees beingpaid a stipend.
Gender / Staff distribution
Male Female
Paid full time 110 46
Paid part time 1 1
Paid consultants 11 4
Unpaid volunteers
31 24
Slab of gross salary (Rs.) plus benefits paid to staff
Male Female Total
<5000 46 12 58
5000-10000 42 19 61
10000-25000 19 15 34
25000-50000 3 1 4
50000-10000 7 4 11
>100000 0 0 0
Total 117 51 168
Ä�Details of Board Members Ä
Distribution of staff according to salary levels(as on March 31, 2011):
This is beyondparadise!
Usha Devi, Standing Committee VII of Odisha Assembly
46
If reading about our activities hasinspired you to contribute to sustainand further our work, pleaseconsider sponsoring:
Vision Centres:
We would like to establish two moreVision Centres (see page 20) sinceour existing two are functioning sowell. The outlay for each isexpected to be about Rs.4 lakhs.
Marketing services to remotecommunities:
Marketing is usually seen asseparate from departmentsrendering services. Our approach,however, is to market services bygiving potential benefiaries actualservices. Our marketing teamarranges consultation programmesat field venues at which villagecommunities consult specialists.Patients needing treatment arereferred back to the hospital. Weneed Rs.3.6 lakhs to sustain thesemarketing activities for one year.We need another Rs.4.5 lakhs perannum to cover the expenditure onsubsidies offered to patients hailingfrom economically underprivilegedbackgrounds to avail treatment.
Update of l ibrary books andjournals:
A one-time grant of Rs.5 lakhswould help us update our library.
Diagnostic services &medicines for poor patients:
Every day, numerous poor patientsconsult our specialists for a rangeof health ailments. Most of thesepatients cannot afford to undergolaboratory tests. We need Rs.36
HELPThe hospital was spellbinding. I wasastounded by its modern yet humaneapproach. It looked like a soul clinicto me rather than like a usual healthcentre.
Robin Roy, The Times of India, Jaipur
lakhs per year to cover thesesubsidies. Every month, about 60percent of our laboratory servicesare conducted for no charges.Likewise, we serve many poorpatients who cannot afford the costof the medication they need to getbetter. We need Rs.12 lakhs peryear to cover this cost.
Juvenile Patients Fund:
This fund enables children agedunder 16 hailing from poorhouseholds to avail freehospitalisation or diagnosticservices in the out-patient area.Contributions of any denominationare welcome.
Staff training and skillsupgrade:
Consultants, nurses, paramedicsand technical staff are encouragedto undergo short trainingprogrammes and attendconferences (once a year) toupgrade their skills. The costs ofsuch participation and travel is metby the hospital. We would welcomea yearly contribution of around Rs.5lakhs to meet staff developmentcosts.
Equipment:
We need Rs.7 lakhs to buy a newanaesthesia unit, Rs.3 lakhs toprocure a surgical cautery, and
Rs.10 lakhs for more multi-parameter cardiac monitors for ourwards. The Trauma Centre requiresa new C-Arm for the department ofimaging, which will cost about Rs.4lakhs.
How can you contribute:
From India:
You can send us a demand draftmade out to ‘Global Hospital &Research Centre’. Mail it to:
The Director/ TrusteeGlobal Hospital & Research CentreP O Box 35Mt Abu 307501Rajasthan
From Overseas:
Overseas telegraphic transfers maybe to our FCRA approved accountnumber 408101010017030 in thename ‘Global Hospital & ResearchCentre’, with the Union Bank ofIndia, Vile Parle (West), Mumbai.
Please intimate us by fax (9102974 238570) or email([email protected]) if you transfermoney from overseas so that we canfollow-up the transaction with ourbankers. Donations of smallerdenomination may also be madeusing Paypal. Please email us [email protected] for moredetails.
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