Baptist Christian Hospital, Tezpur, Assam. Annual Report 2011-12

ANNUAL REPORT 2011-12!

BAPTIST CHRISTIAN HOSPITAL TEZPUR, ASSAM, INDIA(A UNIT OF THE EMMANUEL HOSPITAL ASSOCIATION, NEW DELHI. INDIA)

Annual Report 2011-12 BapUst ChrisUan Hospital, Tezpur, Assam

CONTENTSS.No 1 2 3 4 5 6

Content Hospital Prole Statutory Status Vision, Mission and Core Values Management Team Organogram Reports Managing Directors report Medical Directors report Administrators report Nursing Directors Report Nursing Superintendents report Nursing Principals report Community Health Directors report Children at Risk Udalguri CBR Program Street Children and Rag Pickers Program KIRAN A Ray of Hope Arunachal Children At Risk Arunachal ABHAAS Looking Ahead - CHDP

Page No 3 5 6 7 8

S.No

Content Research Co-ordinators report Disaster EducaUon and Emergency Management Research Blood Borne InfecUons

Page No 24 25 26 27 28 29 37 38 39 40 41 42 43

7 8 9 10 11 12 13 14 15 16

TesUmonial Visitors Photo Gallery Early IntervenUon Center Outreach Eye camp Achievements Future Plans A[er Hours StaUsUcs and Financial report

9 11 13 14 15 16 17 18 19 20 21 21 22 23

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HOSPITAL PROFILE

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THE GENESIS

The Baptist Christian Hospital was established by the Baptist General Conference through the North Bank Baptist Medical Association. The out-patient dispensary started functioning on 07 July 1952 The hospital was established in June 1954. The School of Nursing was started in 1954 by Miss A. Jensen and Miss B. Person

LOCATION

The hospital is situated in Tezpur town, headquarters of the Sonitpur district of Assam on the North Bank of the river Brahmaputra. It is 4 hours east of Guwahati and can be reached by road or air.

WEATHER CATCHMENT AREA

The climate of Assam is unique for its extreme humidity. There is abundant rainfall between March and May. The cold weather lasts from October to February.

Assam: Sonitpur, Nagaon, Darrang, Lakhimpur Arunachal Pradesh Meghalaya Bhutan

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STATUTORY STATUSStatutory RequirementsHospital Registration Income Tax - Annual TDS Deduction and quarterly payment FCRA Society matters Ultrasound registration Bio-medical waste / Pollution Control Drug license Any other PAN

StatusNO.SHA/18 Renewed up to 19/01/13 Assessment Order for AY 2010-11 NO, 153 Dt. 12/06/12 26Q & 24 Q Q4 filed vide Token No. 072430700025644 & 25633 FCRA No. 020740009 Dt.08/03/95 vide EC/85/03 Renewal Up to 04/05/2014 , No. 63 of 1973-74 No.DFWB/US/TZ/2011-12/37, Valid Till 31.05.2016 Applied for Valid Up to 21.12.2013 LNO.D/SP/642 NOC Granted by State Fire Service Organization, Assam ,vide Letter No. 5(V)/418/12 dated 12.04.12, Valid up to 31.03.13 AABAN4113F

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VISIONFELLOWSHIP FOR TRANSFORMATION THROUGH CARING

MISSIONBapUst ChrisUan Hospital is a family of health professionals that exists to provide highest possible quality care at aordable cost to the communiUes of the districts of Sonitpur, Nagaon, Darrang, Lakhimpur of Assam and neighbouring districts from the states of Arunachal Pradesh and Meghalaya with a pro-poor and paUent friendly idenUty. We shall achieve this through: 1. Development of hospital services so the BCH emerges as the referral center of the catchment area. 2. 3. 4. 5. Provision of Medical EducaUon in various health elds Whole person care Leadership development We shall do this in the Name and Spirit of Jesus Christ so as to manifest Him through words and deeds.

CORE VALUES We strive to be a transformed people and fellowship We value teamwork We exist for the poor and the marginalized Our model is servant leadership We strive to provide the highest possible quality care in all our services

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MANAGEMENT TEAMThe BapUst ChrisUan Hospital funcUons under the managerial control of the Emmanuel Hospital AssociaUon, New Delhi through its ExecuUve Director, Dr. Mathew Santosh Thomas. Dr. Koshy C. George was appointed as the Managing Director wef 1st September 2011. Dr. Asolie Chase was appointed as the Medical Director wef 1st September 2011. Mr. Jagdish Solanki was appointed as the Administrator wef 8th August 2011. Mrs. Vijaya Solanki was appointed as the Nursing Superintendent wef 8th August 2011 Ms. Jasper Damaris is the Nursing Director and holds the addiUonal responsibility of the Principal, School of Nursing. Dr. PraUbha Esther Singh is the Director of the Community outreach and holds the addiUonal responsibility of Research co-ordinator. Dr. (Maj) Vikrant Milton was appointed the Deputy Medical Director (HR and Quality Management) wef 1st April 2012 Members of the Unit Management Committee1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Dr. Koshy C. George Chairman Mr. Jagdish Solanki Dr. Asolie Chase Dr. (Maj) Vikrant Milton Mr. Chowaram Daimari Dr. Pratibha E. Milton Ms. Jasper Damaris Mrs. Vijaya Solanki Mrs. Pushpa Kujur Mr. Rajesh Nag Mr. Ashim Singh Rev. Philip Nanda co-opted member

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ORGANOGRAMEHA board of Directors EHA Executive Director


EHA Regional Director Unit Management Committee Managing Director Administrator Medical Director Community Health Director Finance CAR Dy. Medical Director Training CBR Maintenance KIRAN Security Dy. Medical Director HR and Quality Management AHBAAS RREIC Hospitality Linen and Laundry Hostel Housekeeping Tutors Nursing Superintendent Principal School of Nursing Nursing Director

Legal Issues

Nursing Services

Vice Principal

Student Body

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AN OVERVIEW MANAGING DIRECTORS REPORTIt has been a wonderful year and I want to praise the Lord and thank Him for His faithfulness in our lives. 2011-12 has been a year of change. The Lord saw us through a sudden transiUon and a new leadership team. It has been a joy and a privilege to be a part of the team working together in the hospital. I would like to thank all the sta working in this insUtuUon for their hard and seless work, someUmes even risking their life, to the glory of the Lord. All have touched lives directly or indirectly. The extent of transformaUon through your care has been visible through the year. The Singhs (Deepak, Ashita, Arnav and Tara) moved on to CMC, Vellore for higher educaUon. We would like to acknowledge and thank them for their generous service to this insUtuUon. We would also like to thank and recognize the services of people who have reUred or le[ our hospital in the past year. I would like to thank Dr. Gitanjali and Mr. Elias Masih for their contribuUon to the growth of the insUtuUon and the tremendous support they have been to all of us. While keeping the vision in our sight, there has been an infusion of new ideas and ventures that helped us expand the scope of the work done by the hospital. There have been challenges and the Lord has shown us the way. I would like to thank the Central and Regional AdministraUve team for their 24x7 support and giving us valuable insight and wisdom to deal with dierent situaUons. We are also grateful for the enormous support from family and friends, many of who visited us and spent Ume with us during the year. We had visitors from India and overseas during the year, who have encouraged us immensely and helped us in starUng processes in various departments. We are also grateful for those who have so willingly donated towards the poor paUent fund and the Grace babies program. Many families have been helped. We are grateful for the opportunity the Lord has provided for the doctors, nurses and other sta working here to pursue their higher educaUon in CMC (Vellore) CMC (Ludhiana) CIHSR (Dimapur) and other colleges in India. Drs. Jessy Saviour, Jerine Liankimi and Muhgni have graduated their DNB (postgraduate) in Family Medicine during the year. The DNB program was disconUnued for the year in view of the lack of teaching sta. We hope to renew our registraUon in the coming year. The hospital conUnues to be a contact center for the northeast for the postgraduate diploma in family medicine (distance educaUon) conducted by the distance educaUon unit of CMC, Vellore. We plan to begin new training programs in child health with the University of Sydney and the Westmead Childrens Hospital. The nursing educaUon department conUnues to see that quality educaUon is imparted to the nursing students and this has been widely appreciated in government and private circles. The nursing services department has also been excelling in the eld of nursing care through the challenge of human resource. In-service training and short training programs in various specialUes conUnue to be the backbone of the quality of care in the hospital. We hope to conUnue to provide training in clinical areas in associaUon with the government and the Assam nursing council. The community health and development programs have received accolades from both the government and internaUonal agencies for the innovaUve and transforming approach to the community. The research department conUnues to produce quality research from the Northeast. One clinical paper has been published and there are other papers that are being made ready for publicaUon. The administraUve department has implemented new cost-eecUve processes that will help in smoother funcUoning of the hospital. We hope to conUnue and improve on the work that has begun in the areas of human resource and store management. The Sta Retreat in October with Rev. Songate was special to all of us. I would like to thank him for his contribuUon to the spiritual health of the hospital.

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As we face challenges of manpower in clinical and nursing departments and we are grateful that the Lord is working in the hearts of people to move into this area for work. We are grateful to the various doctors and their insUtuUons, CIHSR (Dimapur), CMC (Ludhiana), CMC (Vellore), who have come forward to be with us during Umes of crisis in our hospital. We deeply appreciate your commitment to helping us. We would like to thank the church, the NBBCA and their General Secretary, Mr. Chowaram Daimari, for their unwavering support. We hope that the new ventures planned for the coming year will help us meet the needs of the poor and the marginalized secUons of society that we are called to serve, I would like to thank the donors and our prayer partners for their support. We could not have achieved this without you. I would like to thank the leadership team for being paUent with me and for their undying love and support. You reect the love of Christ for His church. There are no words to express my graUtude to (and for) my lovely wife and son for their love and amazing paUence with me. Please conUnue to uphold us all in prayer as we move into a new year. Dr. Koshy C. George MD; DCH Managing Director

O TASTE AND SEE THAT THE LORD IS GOOD: BLESSED IS THE MAN THAT TRUSTETH IN HIM.PSALM 34:810


MEDICAL DIRECTORS REPORT The Sovereign Lord is my strength, he makes my feet like the feet of a deer, he enables me to go on the heights. Hab 3:19 As I present this annual report, this verse which is displayed on the wall of our auditorium, and a constant reminder each morning, rings clearly in my mind. The past year has been a blessed and evennul one, with its share of ups and downs, but as we look back, we tesUfy that our Living God is faithful. He is our strength and enables us to go on the heights. In the medical team, we had several of our seniors and colleagues who le[ during the past year, many for further studies and training. Dr Deepak Singh, CEO and MD, joined the MCh course in Pediatric Surgery at CMC Vellore, and his leaving le[ a large void which has been dicult to ll. His wife Dr Ashita Singh also joined CMC Vellore with the family and is presently working in Medical Intensive and CriUcal care unit. We praise God for Dr Snehal D Chichgate, wife of Dr Ajit Surin, who got into PG course in Obstetrics and Gynaecology at CMC Vellore. Dr Ajit Surin also joined her at CMC Vellore and presently works as a consultant in the department of Rheumatology. We look forward to them joining our team again a year from now. Dr Geetanjali Masih, our Obstetrician, reUred a[er many years of seless and faithful service for the glory of God. Dr Bidyut Borah joined a PG Fellowship course in Diabetology at department of Endocrinology at CMC Vellore. We praise God and are pleased to share that three of our trainees in DNB Family Medicine Dr Jessy, Dr Jerine and Dr Lalhmunmawii, successfully cleared their NaUonal Board exams. Dr Jerine is currently working as a consultant in Family Medicine at BCH. The DNB training program, however, has been disconUnued from the previous session due to various logisUcal reasons. Dr Sanjib Medhi, general surgeon, and Dr Pranami B Medhi, biochemist, also le[ to join the state health services a[er years of invaluable service to the hospital. We are also greatly encouraged by new members joining us. Dr Daspin, Radiologist, has recently joined our team a[er compleUon of his PG studies from CMC Ludhiana. We also look forward to a new surgeon and ophthalmologist joining us in the near future. During our Umes of need and diculty, many have responded to the need and we are grateful to God for their contribuUons. The CIHSR, Dimapur has been a constant source of help during Umes of need and have sent their consultants Dr Mego and Dr Kito at dierent occasions. The department of Orthopaedics, CMC Vellore, deputed Dr Dinesh Agarwal for three weeks when our orthopaedician was on leave. On the paramedical front, we had new sta added to various departments like laboratory and pharmacy. The laboratory has been relocated to a new complex with separate rooms for sample collecUon, biochemistry and microbiology. With the addiUon of a new microbiology lab, we were able to acquire equipments such as BACTEC for blood culture and sensiUvity, laminar airow chamber and incubator. The microbiology lab was started with the iniUaUve of Dr Mirelle Plamondon from Canada. We have been conUnuing various research studies such as the AUF (Acute UndierenUated Fever) in collaboraUon with CMC Vellore, and the JE (Japanese EncephaliUs) in collaboraUon with ICMR. We also had a microbiologist, Ms Rajkumari, joining our team

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Our lab services have also been strengthened by the addiUon of a fully automated analyser and ABG/electrolyte machine. In the radiology department, a new portable Xray machine has been added, in supplement to the exisUng one. In criUcal care, a new venUlator machine was added for paUents in the HDU (High Dependency Unit). Another landmark achievement is the introducUon of the HIS (Hospital InformaUon System) which is nearing compleUon, a[er which the hospital will be fully computerized. As the Lord has blessed the work here and as we see our territory expanding, we are also faced with the challenge of manpower scarcity. The challenge is both of encouraging and arracUng new members as well as retaining the old ones. Some medical sta have le[ for various reasons. Dr Jolene, Dr Cecilia and Dr Aditya have relocated elsewhere. We are grateful for their Ureless and dedicated service. We sUll face an acute shortage of manpower in various departments. However, the Lord has been faithful and we have seen His guidance and deliverance at every dicult phase that we have come across, and we conUnue to place our hope and condence in Him. Let me conclude with this phrase that a mentor encouraged me during my medical school days, Gods work done in Gods ways will not lack Gods provision. Dr. Asolie Chase, D.Ortho, MS Ortho, Medical Director.

THE SOVEREIGN LORD IS MY STRENGTH, HE MAKES MY FEET LIKE THE FEET OF A DEER, HE ENABLES ME TO GO ON THE HEIGHTS. HAB 3:19

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ADMINISTRATORS REPORTI joined EHA at BCH Tezpur, Assam on 8th August 2011. On the rst day when I went to Managing Director, Dr.Deepak Singhs Oce in the presence of UMC members, Dr.Deepak announced that he is resigning from BCH with immediate eect since he has got an opportunity to go for higher studies (MCh in Pediatric Surgery) at CMC Vellore. Dr. Koshy C.George was appointed as Managing Director. It was an emoUonal moment for our enUre team at BCH to accept this change but the word of God in 1 Thessa 5: 24 The One who calls you is faithful and he will do it.. We have experienced Gods faithfulness throughout the year in spite of there is decrease in staUsUcs and income as compared to previous year. The close monitoring and regular supervision in maintenance department, daily rounds in the hospital and campus, vericaUon of work requisiUons by visiUng the site, enforcing the proper purchase systems, close monitoring of vehicle use by introducing the vehicle requisiUon slips etc has helped in keeping the expenditure under control during the year. However due to increase in cost of Diesel prices and erraUc Electricity supply from ASEB, there was increase in UUlity Expenses. The Books of Accounts were audited by M/s. KLC & Co, New Delhi. The Auditors visited our Hospital four Umes during the year for audiUng the Books of accounts of our Project, Hospital as well as for the Hospital Inventory. The enUre Hospital Inventory was taken including the Sta Quarters and the project. I visited Udalguri and Arunachal in March and personally veried the Assets kept in Project locaUons. Three New LG Window AC were purchased for medicine OPD and Baidya Guest room. ICU Beds -10 Nos. & Pediatrics Beds-20 Nos were purchased. Waste Management system was made more systemaUc by refurbishing the Incinerator and making deeper burial pits, and enforcing the early disposal of waste by inviUng the municipal truck every month. There are many challenges that we face at BCH in this part of region. The frequent Bandhs, huge Nurses turn over, the frequent NoUces sent by ESIC Oce, GuwahaU and increasing cost of diesel, petrol and other supplies. In the midst of all these we at BCH has a strong sense of commitment and clear understanding that we would not use any short cut methods to get the things done by any Government department but we would stand as a role model in the community. We praise God for all our visitors from EHA Central Oce, Other EHA Units, Our Internal & External Auditors, All the overseas volunteers for their support and help during the year. We are very grateful to our friends from CISHR Dimapur for sending their doctors in Umes of our need. Mr. Jagdish Solanki Administrator

THE ONE WHO CALLS YOU IS FAITHFUL AND HE WILL DO IT. 1 THESS 5: 24

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NURSING DIRECTORS REPORTI will instruct and teach you in the way you should go; I will counsel you with my loving eye on you. Psalm 32: 8 The year was full of learning & understanding the role of Nursing director as I tried to slip into the shoes. It was demanding, tried and strenuous along with various other roles to perform and change in the management. Though I thought in mind to quietly quit, I heard the Lord whispering saying I am enlarging your territory which kept me going on. Mrs. Vijaya Solanki was appointed as Nursing Superintendent in August 2011. It has been refreshing and renewing for the Nursing service. Her appreciaUon and her moUvaUon to our young Nurses added to the strength of our Nursing service. Interdepartmental meeUngs, Hospital infecUon control, sta meeUngs, In-service educaUon commiree and Nurses fellowship kept us busy and encouraged us. These meeUngs opened the eyes of leadership to the need of appreciaUon among sta at all level which is very important for rendering the best. The Nursing sta arended the TNAI conference, Bible readers camp and InternaUonal saline conference. 3 of our sta have joined for P.C.B.Sc. N this year. I had been to Nepal for NCFI Conference, CAME Region - 2011 on the topic ChrisUan Nurses Leading the Future and presented scienUc paper on PaUent Care CategorizaUon. Hospital infecUon control conducted workshop for the sta to emphasize the importance of prevenUng infecUon control and being awareness among the sta. Intensive educaUon, drug test & clinical test have the major achievements for this year by His Grace. We had 260 intensive educaUon in the wards and 25 in-service educaUon for sta & 20 for tutors.

With educaUon and training being our strength we were able to conduct training for our District Nurses along with TNAI, Sonitpur with the support of our Community department 3rd & 4th November 2011. 37 parUcipants from the district arended. The evaluaUon was mind blowing. I thank our team for their team spirit and their contribuUons. The parUcipants urged us to conduct such training once in every 4 months. Mr. Nicholas Minz , Nursing superintendent reUred a[er 38 years of his service in our hospital on 31.12.2012.Ms.Nutan Bhengra ,Vice principal resigned as on 31.3.12 Hoping and walking in Faith that God will bless us with Leaders who would be sowing & reaping for His Kingdom. I thank my unit leaders, central oce team and all my colleagues for their support and prayers. The joy of the Lord is our strength Ms. Jasper Damaris Nursing Director

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NURSING SUPERINTENDENTS REPORTHe who has begin a good work in you will complete it unUl the day of Jesus Christ. Philippians 1:6 To be the Nursing Superintendent of the BapUst ChrisUan Hospital in this 2011 2012 year of its existence is both challenge and extraordinary privilege. A challenge because young lives nutured and work here only for few years within wall will soon bloom woman of honour. A privilege because it is what God has allowed and empowered me to do. I seek His blessings and guidance as I embark on yet another year in the life of the BapUst ChrisUan Hospital. IN SERVICE EDUCATION: In-service educaUon is going on regularly. Total Numbers 30 Under the guidance of Wendy Cowles, Founder of Grace Babies, 10 days intensive drug calculaUon, ECG & Triage programe was conducted in Nov 24th to 5th December. Frequent test conducted on drug calculaUon & disease condiUon. All nursing sta has wriren test. Best award given to the sta who has done Best in the test. In each ward clinical teaching has been conducted regularly. R .C.H: - R.C.H ve of GNM sta has completed their RCH training from Herbertpur ChrisUan Hospital. Two of the GNM sta are getng ready to join in 2012 session of the training. WORKSHOP: Workshop in Intranatal & Neonatal care on 3rd and 4th Nov 2011 was conducted. 32 parUcipant were arended the workshop. On 5th to7th August 2011 TNAI & SNA conference at Kokhrajhar many BCH sta parUcipated the conference. The hospital celebrated week was celebrated on 29th to 2nd Oct 2011. Every year as a remembrance of Gods faithfulness. On 1st Oct 2011 tutors with sta had retreat. COMMUNITY HEALTH SERVICES:- 93 camps for HepaUUs B was conducted in 24 villages & 7 school. More than 10,000 people vaccinated. For every vaccinaUon programme & camps Nurses are assisUng PosUng in Arunachal Every three months two GNM Nurses are posted. Stas are doing following work along with Community sta ANC check up, Health awareness, Volunteer training, VaccinaUon / Treatment / Referring paUent & deliveries INDUCTION CLASS:- InducUon classes and orientaUon programmes are conducted for BCH New nursing sta. Frequent test conducted on drug calculaUon & disease condiUon during orientaUon period. FUTURE PLANS: To encourage Nurses to do specialized courses. My thanks to all UMC members, Managing Director, NSG Director for their constant guidance & prayer. Mrs. Vijaya Solanki Nursing Superintendent

HE WHO HAS BEGIN A GOOD WORK IN YOU WILL COMPLETE IT UNTIL THE DAY OF JESUS CHRIST. PHILIPPIANS 1:6

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NURSING PRINCIPALS REPORTNow to Him who is able to do immeasurably more than all we ask or imagine according to his power that is at work within us Ephesians 3: 20 Gods love is so wonderful; so wonderful. Gods love and Grace sustained us yet another year and added joy to each of us amidst the storm of accident, change in management, and addiUon of new members in our team. God showed us His Mercy by sustaining the life of Mrs.Mamoni Rabha, Tutor who met with a major accident along with her husband on 29th April 2011. She joined us in work a[er 8 months which really strengthened our faith. Ms. Dolly Koren, GNM was awarded Dr. Charles Merchant award for the all rounder student throughout her GNM Program. Ms. Lun Niang was awarded, Bery Pearson & Arlene Jenson award for the best Academic Students throughout her GNM program by BapUst ChrisUan Hospital during the graduaUon. We thank God for the leadership, encouragement, support of Dr. Deepak S. Singh, Managing Director and Dr. Ashita Singh during their tenure of service to nursing students and faculty. We pray for them as they moved to CMC ,Vellore for higher studies. We also thank God for Dr. Geetanjali Masih, Obstetrician and Mr. Elias Masih, Finance Manager as they completed their term and le[ Tezpur. We thank God for enabling our students to climb up in the arena of academic, leadership, Nursing research and extracurricular acUviUes in Assam state during the 35th TNAI Biennial Conference in August 3-5, 2011. In Assams TNAI history rst scienUc paper was presented by our Internship Student, Ms. ChrisUne on challenges faced by Nursing Student in Health Care Delivery System. Our student Ms. Jwgnma Daimari was elected as the Assam, SNA Vice President during the TNAI conference. Our students won the state dance compeUUon (rst) which enabled them to parUcipate in NaUonal SNA conference in November Bangalore in 2011. The SNA Week was celebrated for a week in May 2011. Bery Pearson (Green House) won the SNA Week under the captainship of Ms. Anna Basumatary. Cultural program by Faculty on 14th November 2011 rocked students with laughter. Students had 2 retreats. The theme was Mathew 9:37 (The harvest is plenUful, but the labours are few by the scripture union team Mr. Theophilus and Rev David. The students were blessed & encouraged. We had 4 exchange nursing students (Ms. Racheal Tirrell from UK, and Ms.Anu, Ms.Rebecca & Ms. Gaeline from Switzerland) who had encouraged, supported and shared their knowledge and joy with our students. To God be the Glory Nursing School won the best department for the year 2011. 23 new students joined us for this academic session. Special thanks to Health care ChrisUan Fellowship, Evangelical Medical Fellowship of India, Evangelical Nurses Fellowship of India, Dr. Paul, Mrs. Roopa Dearing & all our EHA family whose visits encouraged all our students & faculty. I thank all our dear Students, Faculty, Mrs.Romoni, Ms. Lily Horo & Ms.Dipali, Prayer warriors, Hospital sta & EHA family for supporUng & upholding us in your prayers. I thank God for the new leadership under Dr. Koshy C. George & his team for their prayers, guidance, advice & encouragement. Ms. Jasper Damaris Principal, School of Nursing

NOW TO HIM WHO IS ABLE TO DO IMMEASURABLY MORE THAN ALL WE ASK OR IMAGINE ACCORDING TO HIS POWER THAT IS AT WORK WITHIN US

EPHESIANS 3: 20

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COMMUNITY HEALTH DIRECTORS REPORTI will bless the Lord at all 0mes; His praise shall con0nually be on my lips. Psalm 34:1 Another year of our journey with the communiUes in Assam and Arunachal has gone by and as we look back our hearts are lled with graUtude and overwhelmed by His faithfulness. The year has been one of growth of the work, nding new avenues of intervenUon and conUnuing to respond to the needs around us. As we respond to the need around us we would like to thank God for considering us faithful and appoinUng us for his service. We praise God for his faithfulness and protecUon in our work and extensive travels in dicult areas. We thank our partners TEAR fund UK, CBM and Aus AID, BMS foundaUon and BapUst world Aid Australia for their partnership and support as we reach out and try to make a dierence in the ocean of need. We would like to thank Mr Rihon Daimari Honorable MLA for his conUnued support to the program. Our sincere graUtude to Mr Thaneshwar Malakar ACS, deputy commissioner Udalguri for his extensive support and availability for the work. We would also like to thank Mr Dani Duri DMO Bomdilla and DC Bomdilla for their support for the program in Arunachal. We thank the church and the communiUes in Udalguri, Sonitpur and Arunachal for allowing us to be a part of their lives and help make a dierence. On the family front God blessed us with a baby boy, Vineet Isaac on the 2nd of September. As we look ahead as a team we can say We wait in Hope for the Lord, He is our help and our shield, In Him our hearts rejoice for we trust in His holy name Psalm 33:20,21(NIV) Respecnully Submired Dr PraUbha E Milton Project Director

WILL BLESS THE LORD AT ALL TIMES; HIS PRAISE SHALL CONTINUALLY BE ON MY LIPS. I PSALM 34:1

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CHILDREN AT RISK - UDALGURIThe program was started a[er the successful implementaUon of the Children focused malaria control program in Udalguri block of Udalguri district. The aim of the program is to empower children and their families to protect vulnerable children from abuse and tracking and to enable them to lead a safe and fullling life with dignity. The huge problem of tracking, child abuse and child labor was idenUed in our interacUons with the community. The apathy and helplessness of the people in responding this led to us to do something about it with the theme from Proverbs 31:8 Speak up for those who cannot speak for themselves and for the rights of those who are des0tute. In the rst phase of the program the aim is to raise awareness in all forums about child rights and tracking and challenge the communiUes and especially the church to respond. The sta were trained and went for exposure visits to OASIS Mumbai along with leaders from three churches. A study on the situaUon of child labor and awareness about the laws was conducted in Udalguri district. EducaUng people about the dangers of tracking and child abuse has led to a great response from the community and district administraUon to check the menace. A literacy program, vocaUonal training program and livelihoods program was started for vulnerable families. Microenterprise and self help groups have been formed to reduce vulnerability. Many children have been enrolled into schools. 4 girls are undergoing skill development training on tailoring and 2 girls have been re integrated to regular school in order to nish their educaUon. The Church has been challenged to protect children and prevent tracking, two forums in Udalguri and Sonitpur and working to raise awareness in the church. One pastor said thank you to the project for doing this wonderful work. All our children used to migrate to Bangalore and Delhi and there used to be hardly 40 to 50 children at the youth camp. This year because of the awareness raised, children refused to go and we had more than 150 children at the youth camp.

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CBR PROGRAMPersons with disabiliUes are marginalized and especially children with disability are o[en neglected and abused. The CBR Program is the rst of its kind in Udalguri and the region. For the rst Ume persons with disabiliUes and especially children and their parents have found hope. The program started in 2009 and just two years down the road we can see what a huge dierence small intervenUon can make. Injaash a boy of ve years with very low vision and hearing impairment was hyperacUve joined the program in 2009. He came to the centre regularly and was hyperacUve and wouldnt sit even for a moment. His mother said she needed to do everything for him. We were able to admit him into a boarding school at Bethany society Shillong and just two months later when he came for Christmas vacaUon he is able to do all his daily tasks, study and his life is transformed. 18 children have been reenrolled into regular schools and the teachers are willing to teach and even admit children with special needs in school. The two centres conUnue to provide therapy and learning to children. We are grateful to God for adding an occupaUonal therapist to the team and also for Sarah an OT from Australia who volunteered for 4 months and helped develop that component of the program. In 2009 and 2010 the program focused on children and mainly the health and educaUon components of the CBR matrix, the formaUon of a parents associaUon and awareness in the communiUes. This year the work expanded and work on empowerment and livelihoods for persons with disabiliUes was also added.

12 disabled peoples clubs have been formed in ten gram panchayats for advocacy and mutual support and a parents associaUon of parents of children with disabiliUes was formed. Training on leadership, advocacy and rights has been ongoing for these groups. Livelihoods program for persons with disabiliUes and families of children with disabiliUes was started. Goat rearing, tea and turmeric plantaUon and weaving were some of the iniUal acUviUes. The small tea growers associaUon has taken up this model to the naUonal level as a means of livelihoods for persons with disabiliUes. VocaUonal training was provided to four young people with disabiliUes; a cerUcate course in computer applicaUon. ConUnuing awareness raising and impact on the lives of the children has made an opening in the minds on the people regarding disabiliUes; churches have agreed to build ramps. The Bodo BapUst convenUon reserved 5 places for youth with disabiliUes in the annual youth camp. The project also miraculously received registraUon under the persons with disability Act 1995. This has enabled us to apply for government resources to enhance the work of the project and increase the coverage.

19


STREET CHILDREN AND RAG PICKERS PROGRAMOne day three extremely dirty young children aged nine to twelve walked into the casualty. The boy Abdul had been biOen by a dog. They were given the necessary treatment and food. The project sta followed up to nd out where they live and what they do. This led us to ChaOai chapori a hamlet on the outskirts of Tezpur with hundreds of children who are rag pickers and causal laborers, not going to school. Most of the children are sick with tuberculosis; one pretends to be disabled to beg at the crossroads. Treatment for tuberculosis has been started for one girl. Coupons for food at the hospital canteen are provided for the children whenever they want to eat. A health camp was also conducted in the hamlet. Regular contact and games are played with the children. Some have expressed a desire to study.

Future plans Drop in centre for the children A literacy program for the children VocaXonal training Health screening and treatment for tuberculosis and other illnesses De-addicXon ProtecXon from tracking and abuse

20


KIRAN A RAY OF HOPE ARUNACHALThe Kiran project in Arunachal conUnues despite huge challenges in the East and West Kameng districts with an aim to improve maternal and child health outcomes, improve awareness on hepaUUs B and vaccinaUon for hepaUUs B. Two nurses and two community health sta are posted. Training of village level volunteers for teaching was done. RegistraUon of pregnant women and immunizaUon was given. HepaUUs B vaccinaUon was done for more than 1000 people. A rapid assessment for hepaUUs B was done and it was found that the prevalence was very high so the vaccinaUons were suspended and awareness campaigns were stepped up. The project was the rst to report the outbreak of scrub typhus in the state to the health department and subsequently we were invited to train the block level doctors, nurses and ASHAs. 387 persons were treated for illness and several referred for treatment to the base hospital. The work is challenging but God has been faithful and we are seeing a small transformaUon in the communiUes. The stas were dejected and were saying the people dont want to change and so they were visiUng a village which they were warning the manager was the dirUest village and it would be impossible to walk. When they climbed the mountain and reached the village they found that the whole village had gathered and cleaned the village and they were almost nishing. What a miracle!! The team was able to teach them and had a good meeUng.

CHILDREN AT RISK - ARUNACHALMany children are sold into Arunachal for as lirle as 100 rupees to work in households. Girls as young as 3 to four years old are bought from communiUes along the border with Assam. To assess the extent of the problem and idenUfy soluUons with community an intervenUon study was started in March 2012. Data is being collected and awareness is being raised.

21


AHBAASThe hepaUUs B awareness and vaccinaUon program conUnues. 120 villages, 80 tea gardens, 50 churches and 40 schools were given awareness. 93 camps were held for hepaUUs B vaccinaUon in 24 villages and seven schools. More than 10000 people were given vaccinaUon last year (2011). So far more than 30000 people have received vaccinaUon.

22


LOOKING AHEAD - CHDPThere is a criUcal need to prevent child labour and tracking in the region. The challenges are means and ways to help keep children especially girls in school. Poverty, lack of schools and arracUon of the city drives the supply chain of the human tracking from the region. A shelter home for girls and maybe a school is being explored. VocaUonal training in handicra[s, tailoring and baking are other areas being explored to be done in the next phase. Challenging the church and the communiUes to protect vulnerable children and families is a conUnuing eort as this has the biggest reach and possibility for maximum impact. It is a privilege and a joy to be a part of the lives of children with special needs and persons with disabiliUes and make small dierences. As we look ahead we hope that we may become the regional training centre for CBR, training for SSA in special educaUon and therapy. We also hope to develop a model for livelihoods for persons with disabiliUes through innovaUons such as tea plantaUons, dairy farming through cooperaUves and weaving. Advocacy by persons with disabiliUes is being strenghthened through the disabled peoples clubs and the parents associaUons. ConUnued awareness and seeing the changes will indirectly help change peoples attudes towards persons with disabiliUes. In Arunachal the going is slow but gains are being made a steady team and a nurse based health centre and mobile clinics to increase the reach and improve immunizaUon health awareness and prevenUve health is a priority. A study is planned in collaboraUon with CMC Vellore on assessing the prevalence of diabetes in the populaUon.

23


Hospital Based

RESEARCHBapUst ChrisUan Hospital has a criUcal role as a place for surveillance of communicable and non communicable diseases in the region, to promote early detecUon, health educaUon in the community, evidence based treatment protocols and advocacy for infecUous and non communicable diseases. BCH was the rst to report an outbreak of Japanese B encephaliUs since 2008 in two districts, which led to vaccinaUon of children in the two districts and Awareness in the health system and community. In 2010 BCH reported new infecUons such as Dengue, scrub typhus and West Nile encephaliUs in epidemic proporUons, which were not documented in the region since the 2nd world war. This eort was recognized by the health department of the Government of Assam and we were invited to educate the government health pracUUoners. BapUst ChrisUan Hospital is now recognized as the only non government senUnel surveillance centre for Japanese B encephaliUs by the Assam Government. Through the various hospital and community based studies, intervenUons are designed based on the local need and vital data is made available which may be non-existent for the region. Dr PraUbha E Milton Project Director and Research Coordinator

1.

2.

3. 4. 5. 6. 7.

Acute UndierenUated febrile illness study:( In partnership with CMC Vellore(IDTRC), Haukeland University hospital Norway and ICMR) To document the causes of AUF other than malaria was started in June 2011. So far 300 cases have been enrolled. A study on the causes of Acute EncephaliUs Syndrome: the studywas been approved by the ICMR. This is in partnership with CMC Vellore. Due to certain logisUcal problems this was not started. The proposal has been modied and resubmired to the ICMR and the project will be implemented this year. A study on community based prevalence of Diabetes and its risk factors is approved in partnership with CMC and data collecUon has begun. Assess the prevalence of risk factors for NCD and its correlates among school children. Assess the prevalence of substance abuse among school children in rural Meghalaya. To describe the clinical prole of paUents with scrub typhus in Assam. To Assess the prole of paUents presenUng with poisoning at BCH.

Community based 1. 2. 3. 4. The Struggles and Challenges Parents face as Caregivers for Children with Disability A Psychosocial Assessment. A study to assess the status of child labour and its correlates in Udalguri Block of Udalguri District. A census of the Udalguri Block for persons with disabiliUes based on the WHO CBR matrix is ongoing. An intervenUon study on the situaUon of child tracking into Arunachal Pradesh is ongoing.

PublicaXon Awareness and attude towards diabetes in the rural populaUon of Arunachal Pradesh, North East India Ashita Singh, PraUbha E Milton, Amrit Nanaiah, Prasanna Samuel, Nihal Thomas Indian Journal of Endocrinology and Metabolism 2012/Vol 16/Supplement 1 (Diabetology and Metabolic Syndrome) 24


DISASTER EDUCATION AND EMERGENCY UNITThe last few decades have showed an increasing trend of major disaster events in India. According to EMRI, Ahmedabad, 2, 00,000 people face medical emergencies a day and 86,000 people are killed in accidents annually leaving 4, 35,000 people seriously injured. More than 80% deaths that happen in hospitals take place in the rst hour of admission. World Health OrganizaUon has also projected that by 2020, road accidents will be a major killer in India by accounUng 5, 46,000 deaths and 1,53,14,00 disabiliUes adjusted life years (DALY) lost. This has called for Emmanuel Hospital AssociaUons long term plans for disaster preparedness, risk reducUon and capacity building measures. The Disaster EducaUon & Emergency Medicine (DEEM) training center has been set up with a vision to see every next ciUzen of India learned basic life saving skills by 2030. The training center follows American Heart AssociaUons (AHA) module for the courses and is a recognized Regional Training OrganizaUon (RTO) of AHA. Since the launch of the DEEM training center at BapUst ChrisUan Hospital, Tezpur in 2011, it has been training medical professionals as well as community youths and students on basic life saving skills such as First Aid (FA), First Aid with Cardiopulmonary ResuscitaUon (FA & CPR), First Aid & CPR with Automated External Debrillator (FA & CPR with AED), Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS). Apart from these, the training center also has training for general emergency responders. The training center conducts training all over the country. The center also has instructors course for all the above. The training center trained 37 people, including medical professionals, teachers and community youths in First Aid and Cardiopulmonary ResuscitaUon. 73 community people including members of village health & sanitaUon commiree, self help group, NGO workers, etc were trained in First Aid. The DEEM training center, in collaboraUon with the district administraUon, plans to train all teachers and select students of all the schools and police personnel in Sonitpur district of Assam in First Aid. It also has plans to introduce advanced courses like InternaUonal Trauma Life Support (ITLS), Pediatric Advanced Life Support (PALS) and Neonatal ResuscitaUon in the near future.

25


PREVALENCE OF BLOOD BORNE INFECTIONS IN A SECONDARY CARE HOSPITAL IN NORTH EAST INDIA.RANJEETA BASUMATARY, DHANISHA VARGHESE, ASHA MOCHAHARY, JASPER DAMARIS SCHOOL OF NURSING ,BAPTIST CHRISTIAN HOSPITAL, TEZPUR.

Background The BapUst ChrisUan Hospital, Tezpur, has an acUve funcUoning HICC commiree for the past 3 years. This commiree was able to assess the bio-hazard staUsUcs for the past 2 years and had been reporUng and has taken clinical steps for the prevenUon and training of health care workers and students. ObjecXve To assess the number of paUents accessing health care with blood borne infecUons (bio- hazards). To bring awareness among health care workers and students in the form of trainings. Method Data is collected on a regular basis as per informaUon received from the laboratory and wards for the year 2010 and 2011. DescripUve staUsUcs was used for staUsUcal analysis. Results There is an increase in the total number of paUents accessing health care with blood borne infecUons in BapUst ChrisUan Hospital, Tezpur, over the past two years. PaUents with HIV, HCV and HbsAg access secondary hospital for their health needs as in-paUents and outpaUents. Conclusion This study revealed an increase in the number of paUents accessing health care in secondary hospital with blood borne infecUons. There is a marked increase over the last two years. Health workers are to be trained and sensiUzed about the universal precauUons, management of linen and bio medical wastes to prevent the risk of infecUon. HIV HbsAg

IN-PATIENTS STATISTICS

2011HCV

2010

0

10

20

30

Number of patients

OUT PATIENTS STATISTICSHbsAg 1 HCV 3 2 0 2 4 6 8 10 5 10 9

2011 2010

HIV

Number of patients26


WIDER IMPACTThree interns doing MSW from Mumbai were visiUng the Arunachal Pradesh Project. They came back and said: Your sta are amazing - there was this dir5est child with a bad infec5on, s5nking and lthy who came for treatment. We were unable to go near and touch the child but your nurses were holding the child like she was the cleanest, cutest baby We have never seen anything like this. A Buddhist monk who brings children from his orphanage said my children love to come here for treatment. I always wondered why? Today, I know the reason. I feel the presence of God in this place and I feel safe and secure. Blessed are the peace makers for they shall be called the sons of God. A prominent government ocial in Udalguri said We need to work with the Chris5ans and encourage them only then we can have peace and harmony in our place. Otherwise everyone will suer.

We give all Glory to God for the wider impact in the community around us.

27


VISITORSThank you for walking the road with us during the year. It meant a lot to us the conversaUons, your smile, your words of appreciaUon, discussions on the Word, your amazing love and paUence and just your presence in our midst. We are grateful. God Bless. A list of the visitors who were with us Mr. Prassana Kumar Pincha Dr. Raj Woolever Dr. Howard Searle Dr. Sunil Chandy and family Dr. Anil Kuruvilla and family Dr. Hemant Pathak and family Dr. Thomas Palocaren Dr. Sampath Karl Dr. Abraham Joseph (Director, CIHSR) Dr. James (Director, PIMS) Gerald and Wendy Cowles (Grace babies) Kim Lehecka Dr. Sushil M. Sethi and Florence Sethi Michael Sethi, Bethany and Soraya

Benjamin Corey Michael Paul Seguin Frank Carr Cathy Gordon Paradie Verne Elizabeth Marie Philip Crowell William Legere Theresa Patricia Maxine H. Lantry Rev. Songate Margaritha Nel (Infocare)

We acknowledge Dr. Mirelle Plamandon (Microbiologist from Canada) for her presence here and for setng up an excellent microbiology facility and training of the sta in the lab. 28

PHOTO GALLERY

Videoendoscopy

Surgery with modern facilities

29


30


31


32


33


Ophthalmology

Occupational Therapy

PACS

Spiritual Life Dental

CT Scan

34



Mr. Pincha Chief Commissioner for disabiliUes, Ministry of social JusUce and Empowerment, Government of India 35

36


EARLY INTERVENTION CENTER

37


OUTREACH

38



EYE CAMPA school teacher In Udalguri said said this..." There is an old woman in our village blind from cataract ...she had never seen her grandchildren. Your team took her to Tezpur hospital and she had surgery last year and now she can see'. She said the old lady was amazed at the care she received at the hospital. She goes around telling everyone this does not happen in our religion , no one but Christians could care like this.

39


ACHIEVEMENTS ICMR project for Acute EncephaliUs Syndrome Research paper published in Diabetes in NE India Establishment of Microbiology lab for diagnosUc and research purposes Only NGO to be awarded the JE senUnel surveillance center status by the Govt. of Assam Granted cerUcate of registraUon under The Persons With DisabiliUes Act. 1995by the Directorate of Social Welfare, Govt. of Assam. First scienUc paper, in Assams TNAI history, presented by the students of the School of Nursing Ms. Jwgnma Daimari was elected as the Vice-President of the SNA, Assam, during the TNAI conference Grant received to establish an Early IntervenUon Center at the hospital from the Govt. of Assam The Managing Director was appointed as a member of the Environment Control Society by the RegistraUon under the NaUonal Trust Act, 1999 for welfare of persons with auUsm, cerebral palsy, mental retardaUon and mulUple disabiliUes Drop-in center for educaUon for rag pickers and street children Establishment of Early IntervenUon Center at the BapUst ChrisUan Hospital, Tezpur, Assam First to report the existence of Scrub typhus in Assam a[er 1954 Release of a Hindi worship song book of the hospital

40


FUTURE PLANS Infrastructure Development Wards for pediatrics, Orthopedics and Ophthalmology New OT complex to include Ophthalmology division Training Center for School of Nursing and DEEM training Sta housing New emergency block for easy access InstallaUon of 500 Kva transformer Human Resource Development New training programs ImplementaUon of Professional Development Plan Regular in-service training for all categories of sta IT and CommunicaUon Nursing Establishment of the IT department IntegraUon of PACS and LAB to the HMIS EPABX installaUon New server room

New Courses BSc Nursing Re-organizaUon of Nursing Strengthen infrastructure for Training and Hostel Research New avenues in research of AES, Scrub typhus, Stroke and Cholelithisasis Twinning programs with ICMR, CMC(Vellore), CMC (Ludhiana) AdministraUon Training individuals for Medical records To conduct maintenance workshop in collaboraUon with CMAI for all EHA units Use of alternaUve source of energy for hospital purposes Community Health Apply for various schemes under the NaUonal Trust Income GeneraUon through vocaUonal training and sale of products Shelter home for vulnerable children

StarUng a full-edged Disability program in Tezpur StarUng the PalliaUve care team and clinic RCH clinic and educaUon for street children and rag pickers ConUnuous Quality Improvement ImplemenUng quality management systems for central stores and inventory management StaUsUcal Quality Control Methods for laboratory and radiology servicces

41

AFTER HOURS

42


For thou, Lord, hast made me glad through thy work: I will triumph in the works of thy hands Psa 92:4

STATISTICS

43



HUMAN RESOURCES2010-11 CATEGORY OF STAFF No. of Employees 15 87 21 33 16 21 76 0 269 Percentage 2011-12 (Till June 2012) No. of Employees 15 106 21 33 16 21 76 0 288 Percentage 2012-13 (Projections) No. of Employees 16 106 22 33 16 21 76 0 290 Percentage

MEDICAL NURSING ADMINISTRATIVE ALLIED HEALTH TECHNICAL PROJECTS SUPPORT DAILY WAGE TOTAL EMPLOYEES

5.58 32.34 7.81 12.27 5.95 7.81 28.25 0.00 100.00

5.21 36.81 7.29 11.46 5.56 7.29 26.39 0.00 100.00

5.52 36.55 7.59 11.38 5.52 7.24 26.21 0.00 100.00

44


PATIENTS STATISTICSCOMPARITIVE FIGURES FOR FIVE YEARS and Projections for the year 2012-13# PARTICULARS IN PATIENT SERVICES Total bed strength No of Admissions No of available bed days No of occupied bed days Percentage of occupancy (BOR) Turn Over Rate (TOR) Average Length of stay (ALS)

2007-08 120 15699 43800 33785 77 131 2 18103 19403 37506 0 0 0 2910 3346 6256 1090 1472 2562 1587 1445 3032

2008-09 120 15300 43800 30622 70 128 2 19657 23249 42906 0 0 0 2533 3726 6259 1178 1826 3004 1783 1472 3255

2009-10 120 16516 43800 29223 67 138 2 15935 23801 39736 0 0 0 1465 2976 4441 844 1632 2476 1466 1230 2696

2010-11 120 19619 43800 35310 81 163 2 15830 28846 44676 0 0 0 1455 3426 4881 872 1717 2589 1138 1115 2253

2011-12 120 18332 43800 30825 70 153 2 18380 31540 49920 0 0 0 799 1983 2782 782 1167 1949 1460 1470 2930

2012-13 (ProjecXons) 120 21000 43800 32000 73 175 2 20000 33000 53000 2500 1000 3500 0 0 0 1000 1500 2500 1500 1100 2600

OUT PATIENT SERVICES GENERAL PATIENTS New PaUents Repeat Visits Total General PaUents EYE PATIENTS AT BASE HOSPITAL New PaUents Repeat Visits Total EYE PaUents at Base Hospital ANC PATIENTS ANC New RegistraUon ANC Repeat Visits Total ANC PaUents DENTAL PATIENTS Dental New RegistraUon Dental Repeat Visits Total DENTAL PaUents OTHER PATIENTS New PaUents Repeat Visits Total Other PaUents

Total OPD AOendance Average Out PaXents per day

49356 158

55424 178

49349 158

54399 174

57581 185

61600 197 45


PATIENTS STATISTICSCOMPARITIVE FIGURES FOR FIVE YEARS and Projections for the year 2012-13# PARTICULARS OUTREACH SERVICES Eye Camps OPD Eye Camps IP Medical Camps OPD Medical/Surgical Camps Procedures/ Surgeries Dental Camps/School Programs Dental Procedures Outside CH Clinics Ambulance Service - No of PaUent transported 0 0 0 0 0 0 0 0

2007-08

2008-09 0 0 0 0 0 0 0 0

2009-10 0 0 0 0 0 0 0 0

2010-11 970 0 0 0 0 0 0 28091

2011-12 0 0 0 0 0 0 0 0

2012-13 (ProjecXons) 3000 1000 1000 0 0 0 33 0

Total OUTREACH Services

0 800 434 1234 514 422 936 0 0 0 232 0 232 0 0

0 706 415 1121 492 389 881 0 0 0 100 0 100 0 0

0 863 349 1212 375 212 587 0 0 0 0 0 0 0 0

29061 1306 561 1867 0 0 0 0 0 0 184 20 204 0 0

0 665 377 1042 125 17 142 294 388 682 47 0 47 0 0

5033 750 530 1280 0 0 0 400 500 900 400 50 450 0 0

SURGICAL SERVICES GENERAL SURGERIES Gen Major Gen Minor Total General Surgeries

OBGYN SURGERIES OBGYN Major OBGYN Minor Total OBGYN Surgeries

ORTHO SURGERIES Ortho Major Ortho Minor Total ORTHO Surgeries

EYE SURGERIES Ophthalmic Major Ophthalmic Minor Total Eye Surgeries

OTHER SURGERIES

Total Other Surgeries TOTAL SURGERIES

2402

2102

1799

2071

1913

2630 46


PATIENTS STATISTICSCOMPARITIVE FIGURES FOR FIVE YEARS and Projections for the year 2012-13# PARTICULARS MATERNAL SERVICES TOTAL DELIVERIES

2007-08 683

2008-09 626

2009-10 401

2010-11 511

2011-12 36

2012-13 (ProjecXons) 700

DEATHS Total Deaths

399

479

536

612

612

650

LABORATORY Clinical Pathology Biochemistry Micro Biology Serology Others Total Lab Test

70382 53271 1092 6792 706 132243

72162 57005 1577 7158 606 138508

76148 65037 1030 8420 627 151262

88444 84322 2639 9543 762 185710

81834 93081 2916 11329 838 189998

94100 107000 3500 13000 1000 218600

RADIOLOGY X-ray Ultrasound CT Scan

12180 2039

14680 2598 1107 810

15460 2018 1500 869

19733 2459 1730 898

19452 1897 1926 735

22300 2500 2430 600

ENDOSCOPY

718

47


REVENUE BUDGET2009-10 # PARTICULARS Budget

Variance Budget

2010-11 Actual

Variance

2011-12 Budget Actuals

Variance

Actual

BUDGET FOR 2012-13 as approved at RAC 2011

Revised Budget

REVENUE REVENUE FROM PATIENTS OP Income

18865500

17369462

1496038

25000000

21818434

(3181566)

28112500

24415376

-3697124

15720804

29298451

IP Income

62551800

48847474

13704326

65000000

68813621

3813621

79547500

65608373

-13939127

84746233

75449629

Eye Income (OP+IP)

2296000

45460

2250540

0

0

0

0

38250

38250

1000000

600000

Dental Income

0

345270

345270

0

274080

274080

0

169970

169970

144104

195466

CH Clinics

0

0

0

0

0

0

0

0

0

Total Revenue from 83713300 PaXents

66607666

17105634

90000000

90906135

906135

107660000

90231969

-17428031

101611141

105543546

48


REVENUE BUDGET2009-10 # PARTICULARS Budget Grants (Only for Hospitals) Govt grant in Aid (RREIC) Bank Interest Local DonaUon Nursing School D.N.B. Course DonaUon for POOR Pts CMC Vellore (ICMR) Prot on sale of assets Diabetes Study Miscelleneous Total Revenue from Other Sources 0 0 10000 45500 2485000 0 0 0 0 0 10000 2550500

2010-11

2011-12

Actual 0 0 24460 62300 3071450 0 588750 14000 0 0 21234 3782194

Variance

0 0

Budget 0 0 50000 50000 2600000 360000 100000 0 0 20000 3180000

Actual 1267158.44 0 39900 0 3142350 0 114580 226000 3538 0 113750 4907276.44

Variance

Budget 0 0 50000 50000 2600000 0 260000 0 0 0 70000 3030000

Actuals 0 0 493118 263435 4082460 49190 445500 0 0 58528 5392231

Variance 0 0 443118 213435 1482460 0 -210810 445500 0 0 -11472 2362231

BUDGET FOR 2012-13 as approved at RAC 2011 0 0 141033 97077 3663880 0 64999 3400000 0 0 44385 7411374

Revised Budget

1267158 0 10100 50000 360000

0 200000 550000 100000 5510000 0 75000 3400000 0 400000 100000 10335000

14460 16800 586450 0 588750 14000 0 0 11234 1231694

542350

14580 226000 3538 0 93750 1727276.44

TOTAL REVENUE

86263800 70389860

1587394

93180000

95813411 2633411.44

110690000 95624200 -15065800

109022515

115878546

49


REVENUE BUDGET2009-10 EXPENSES 2010-11 2011-12 BUDGET FOR 2012-13 as Revised approved at Budget Actuals Variance RAC 2011

Budget

Actual

Variance

Budget

Actual

Variance

Budget

Establishment Expenses Sta Salaries EHA AdministraUve charges PF Employer ContribuUon Gratuity Children EducaUon Scheme

24444000 488880

14861001 202660

(9582999) (286220)

22800000 456000

20164482 261159

(2635518) (194841)

23531944 241233

30613008 320065

24000000 22772556 -1227444 2880000 278317 -2601683

2933280 1466640

1682107 836125

(1251173) (630515)

2736000 1368000

2085106 1010924

(650894) (357076)

480000 1440000

2008125 986133

1528125 -453867

2007502 968933

2309344 1209025

0

365400

365400

852000

468300

(383700)

372000

616225

244225

636640

708659

E.S.I.C. Scheme Total Establishment Expenses

0

0

0

0

0

0

0

0

0

0

1000000

29332800

17947293

(11385507)

28212000

23989971

(4222029)

29172000 26661356 -2510644

27386252

35160100

50


REVENUE BUDGET2009-10 2010-11 EXPENSES Assessment & AliaUon Bank Charge Postage, Telephone, Email etc. Travel & Conveyance Legal charge Audit Fees Interest EHA AdministraUve & CoordinaUon Mutual Assistance Expenses Publicity & AdverUsement Total AdministraXve Expenses

Variance (129610) (11575) (19983) 73264 (36860) (24958) (273044) 314000 520000 0 411234 (810218) (75530) (160870) 25401 (65157) (51866) 200000 0 (938240)

2011-12 Budget 200000 20000 350000 600000 50000 150000 0 0 0 0 1370000 240000 108000 1200000 100000 340000 720000 0 0 2708000

Budget 150000 15000 425000 500000 75000 90000 800000 0 0 0 2055000

Actual 53760 10694 188901 631079 21700 40000 961919 108000 0 0 2016053 397030 31320 679197 64890 194422 742957 0 0 2109816

Variance (96240) (4306) (236099) 131079 (53300) (50000) 161919 108000 0 0 (38947) (357030) (31320) (329197) 85110 (194422) (92957) 0 0 (919816)

Budget 150000 15000 300000 600000 50000 120000 800000 0 0 0 2035000 160000 40000 700000 100000 100000 500000 200000 0 1800000

Actual 20390 3425 280017 673264 13140 95042 526956 314000 520000 0 2446234 970218 115530 860870 74599 165157 551866 0 0 2738240

Actuals 4180 395928 872237 50800 93236 266031 449045 0 0 2131457 173483 176800 572731 46177 540104 970671 238000 320000 3037966

BUDGET FOR 2012-13 as Revised approved at Budget Variance RAC 2011 -200000 -15820 45928 272237 800 -56764 266031 449045 0 0 761457 -66517 68800 -627269 -53823 200104 250671 238000 320000 329966 244559 403167 449058 944773 37375 153711 0 319700 0 0 2307784 222645 46000 194113 57500 394528 788872 0 0 1481013 0 4807 455317 1003073 58420 107221 305936 516402 0 0 2451176 199505 203320 658641 100000 621120 1116272 273700 368000 3341052

HRD Expenses

EHA Medical Insurance 40000 EHA Mutual Health 0 Fund Sta Health Scheme 350000 L.T.C Professional Development of sta (Sta Training) Sta Welfare Recruitment Mutual Assistance Total HRD Expenses 150000 0 650000 0 0 1190000

51


REVENUE BUDGET2009-10 EXPENSES Pharmacy Lab Supplies Linen & Bedding Medical & Surgical Dental Supplies PrinUng & StaUonery X-Ray/ USG Ultrasound supplies ECG Supplies

Variance Budget 13000000 4800000 400000 8000000 50000 600000 1200000 300000 0

2010-11 Actual 13558265 4405916 288738 7132276 22125 708782 964415 368000 0

Variance (558265) 394084 111262 867724 27875 (108782) 235585 (68000) 0

2011-12 Budget 19000000 5700000 400000 8170000 50000 950000 1900000 0 0

Budget 12000000 4500000 200000 9000000 100000 600000 800000 400000 0

Actual 11369399 3456625 197083 6010573 24970 645613 1147983 294644 0

BUDGET FOR 2012-13 as Revised Budget approved at Actuals Variance RAC 2011 -4684762 -497599 -226853 -708363 -20272 -280067 -506820 385360 7650 19636144 8679760 2185395 8536562 40093 816802 1623388 0 0 16462524 5982761 400000 8580883 34187 770423 1602157 443164 8798 5202401 173147 7461637 29728 669933 1393180 385360 7650

630601 1043375 2917 2989427 75030 (45613) (347983) 105356 0

14315238

Total Hospital Supplies Maintenance Expenses General Maintenance Electrical Maintenance Equipment maintenance Computer Maintenance Building Maintenance Furniture Maintenance

27600000 23146890 700000 800000 300000 300000 300000 0 965816 655491 103082 152388 714822 118065

4453110 28350000 (265816) 144509 196918 147612 (414822) (118065) 700000 500000 100000 200000 400000 50000

27448517 714070 1181682 904328 251823 375888 90310

901483 (14070) (681682) (804328) (51823) 24112 (40310)

36170000 29638274 -6531726 600000 700000 500000 300000 500000 100000 866364 1155636 493115 643732 520705 32246 266364 455636 -6885 343732 20705 -67754

41518144 733276 1554312 955107 691794 582600 43850

34284896.1 996319 1328981 567082 740292 598811 37083

Total Maintenance Expenses

2400000

2709664

(309664)

1950000

3518101 (1568101)

2700000 3711798 1011798

4560939

4268568

52


REVENUE BUDGET2009-10 EXPENSES Vehicle Maintenance Vehicle Running Vehicle Insurance

Variance 25805 (9643) 24154

2010-11 Budget 50000 50000 20000

Variance (138893) (121212) 4260

2011-12 Budget 300000 300000 20000

Budget 75000 100000 30000 1800000 500000 25000 4500000 2000000 50000 0 10000

Actual 49195 109643 5846

Actual 188893 171212 15740

Actuals 0 94951 0

BUDGET FOR 2012-13 as Revised approved at Budget Variance RAC 2011 -300000 -205049 -20000 123684 473533 24435 236764 207198 39520 250000 109194 50000

Total Vehicle Expenses 205000 UXlity Electricity Charge Generator Running Gas & K.Oil

164684 1589875 550354 13933 2159478 1339965 547951 0 0

40316 210125 (50354) 11067

120000 2200000 500000 25000 4000000 3000000 0 0 5000

375845 1999783 751279 2515

(255845) 200217 (251279) 22485

620000 2375000 950000 25000

94951 2498684 1423533 49435

-525049

483482 2431774 1628064 12000

409194 2873487 1637063 56850

Total UXlity

2325000 2154162

170838 2340522 660035 0 0 (497951)

2725000

2753577 8039547 1649211 1166400

(28577) (4039547) 1350789 0 (1166400) 0 0 3584

3350000 10000000 3000000 0 0 0

3971652 6982611 1054118 0 0 375

621652

4071838 8920788 928398 0 0 0

4567400 8730003 1400000 0 300000 0

Charity IP Charity OP Charity Dental Charity Eye Charity Charity to Poor

-3017389 -1945882 0 0 375 0 -2168

Total Charity

6550000 4047394

2502606 0 10000

7000000

10855158 0 1416

(3855158)

13000000 0 5000

8037104 0 2832

-4962896

9849186 0 7378

10430003 0 5000

Taxes Water tax Land Tax

Total Taxes

10000

0

10000

5000

1416

3584

5000

2832

-2168

7378

5000

53


REVENUE BUDGET2009-10 EXPENSES Budget Eye Salaries Eye Supplies Total Eye Expenses Nursing School Expenses Other Expenses House Keeping Outreach Garden & Ground Boarding & Kitchen Laundry Waste Disposal DNB Medical EducaUon Outsourcing Exp Research Expenses (ICMR) Loss on sale of X-Ray Machine Community Expenses College of Nursing FC Expenses Asset AcquisiUon Fund DepreciaUon Total Other Expenses 500000 500000 1000000 2000000 800000 50000 100000 200000 150000 400000 1300000 0 0 0 300000 2000000 0 0 4000000 9300000

Variance 500000 500000 1000000 12334 426149 6204 33237 157162 43422 206379 383571 0 0 0 79050 2000000 0 0 767608 1334470

2010-11 Budget 500000 500000 1000000 3200000 800000 50000 200000 200000 150000 400000 1000000 0 0 0 300000 2000000 800000 5883000 5000000 16783000

Variance Budget 840000 1000000 1840000 4500000 900000 100000 200000 200000 300000 300000 0 0 0 0 0 0 0 3000000 5000000 10000000

2011-12 Actuals 0 0 0 3905868 805858 64258 96737 226161 23264 303093 211640 782850 339321 0 0 0 0 0 5551958 8405140

Actual 0 0 0 1987666 1226149 43796 133237 357162 106578 193621 916429 0 0 0 220950 0 0 0 4767608 7965530

Actual 0 0 0 3476408 870057 6790 111854 305600 87596 301371 776180 650024 41418 7366 0 0 1158300 0 5386454 9703010

BUDGET FOR 2012-13 Revised as approved Budget Variance at RAC 2011 -840000 -1000000 -1840000 600000 100000 700000 4500000 1218959 25000 129524 486652 20885 326762 550000 848700 0 0 0 0 0 2500000 6900000 13006482 600000 100000 700000 4500000 926737 73897 111248 260085 26754 348557 243386 900278 0 0 0 0 0 2500000 6384752 11775691.9

500000 500000 1000000

276408 70057 43210 88146 105600 62404 98629

-594132 -94142 -35742 -103263 26161 -276736 3093

223820 650024 41418 7366 300000 2000000 358300 5883000 386454 7079990

211640 782850 339321 0 0 0 0 -3000000 551958 -1594860

TOTAL EXPENSES Surplus/Decit

83967800 64249152 6140708

19718648 93180000 87306477 8506934.44

5873523 105435000 89598398 -15836602 6025802

109872498 111893080 3985466

54


BUDGET FOR PROJECTS2009-10 # PARTICULARS Budget 3298937 1350000 481847 0 0 0 0 0 0

Variance -127097 0 0 0 0 0 0 0 0 870340 362052 12 0 0 0 0 0 -729111 -972228

2010-11 Budget 2100000 5967200 800000 2762650 0 0 0 0 0 2100000 5967200 800000 2762650 0 0 0 0 0 0

Variance -6969 -79733 -213686 -1877275 0 -2075000 0 0 0

2011-12 Budget 2100000 4466800 800000 2536986 0 0 0 0 0 2100000 4466800 800000 2536986 0 0 0 0 0 0

Actual 3426034 1350000 481847 0 0 0 0 0 0

Actual 2106969 6046933 1013686 4639925 0 2075000 0 0 0 1963710 4216750 573296 828460 0 0 0 0 729190 1174533

Actuals 2100000 5945560 1013686 2536986 13000 0 0 1167643 43000 1980077 4862326 936827 1353942 13000 28816 0 1167643 67074 4862326

BUDGET FOR 2012-13 as Revised Variance approved Budget at RAC 2011 0 -1478760 -213686 0 -13000 0 0 -1167643 -43000 2100000 5477400 800000 1000000 0 330000 400000 0 0 2100000 5477400 800000 1000000 0 330000 400000 0 0 0 2100000 5477400 800000 100000 0 330000 400000 0 0 2100000 5477400 800000 1000000 0 330000 400000 0 0 0

REVENUE Grants CAR (TEAR) CBR programme ABHAAS KIRAN Project Grace Babies charity CAR (BWAA) DIABETES STUDY DEEM FC GENERAL

Total Grants

5130784

5257881 2428597 987948 481835 0 0 0 0 0 729111 972228

-127097

11629850 15882513

-4252663 136290 1750450 226704 1934190 0 0 0 0 -729190 -1174533

9903786 12819875

-2916089 119923 -395526 -136827 1183044 -13000 -28816 0 -1167643 -67074 -4862326

10107400 10107400

EXPENSES CAR (TEAR) CBR programme ABHAAS KIRAN Project Grace Babies charity CAR (BWAA) DIABETES STUDY DEEM BCH (OTHERS) DEPRECIATION 3298937 1350000 481847 0 0 0 0 0 0 0

Total Expenses

5130784

5599719

-468935

11629850 9485939

2143911

9903786 15272031 -5368245 10107400 10107400

55

SUMMARY OF REVISED REVENUE BUDGET 2012-13

56



SUMMARY OF REVISED REVENUE BUDGET 2012-132009-10 # ParXculars Actuals REVENUE FROM PATIENTS OP Income IP Income Eye Income Dental Income CH Clinics Other Pt Income Grants (Only for Hospitals) Nursing School Other Sources 17369462 48847474 45460 345270 0 0 0 3071450 710744 25 69 0 0 0 0 0 4 1

2010-11 Percentage Actual 21818434 68813621 0 274080 0 0 1267158.4 3142350 497768 23 72 0 0 0 0 1 3 1

2011-12 Percentage Actuals 24415376 65608373 38250 169970 445500 0 263435 4082460 600836

Percentage

2012-13 Percentage

Revised Budget 29298451 75449629 600000 195466 0 0 0 4500000 4825000

25 65 1 0 0 0 0 4 4

25 68 0 0 0 0 0 4 1

TOTAL REVENUE

70389860

100

95813411

100

95624200

100

115878546

100

57

SUMMARY OF REVISED REVENUE BUDGET 2012-13# ParXculars REVENUE FROM PATIENTS OP Income IP Income Eye Income Dental Income CH Clinics Other Pt Income Grants (Only for Hospitals) Nursing School Other Sources


2009-10 Actuals 17369462 48847474 45460 345270 0 0 0 3071450 710744

Percentage 25 69 0 0 0 0 0 4 1

2010-11 Actual 21818434 68813621 0 274080 0 0 1267158.4 3142350 497768

Percentage 23 72 0 0 0 0 1 3 1

2011-12 Actuals 24415376 65608373 38250 169970 445500 0 263435 4082460 600836

Percentage 25 68 0 0 0 0 0 4 1

2012-13 Revised Budget 29298451 75449629 600000 195466 0 0 0 4500000 4825000

Percentage 25 65 1 0 0 0 0 4 4

TOTAL REVENUE

70389860 17947293 2016053 2109816 11369399 11777491 2709664 164684 2154162 4047394 0 0 1987666 0 4767608 3197922

100 28 3 3 18 18 4 0 3 6 0 0 3 0 7 5

95813411 23989971 2446234 2738240 13558265 13890252 3518101 375845 2753577 10855158 1416 0 3476408 0 5386454 4316556

100 27 3 3 16 16 4 0 3 12 0 0 4 0 6 5

95624200 26045131 2131456 3654191 14315238 15323035 3711798 94951 3971652 8037104 2832 0 3905868 0 5551958 2853182

100 29 2 4 16 17 4 0 4 9 0 0 4 0 6 3

115878546 35160100 2451174 3341052 16462524 17822371 4268568 409194 4567400 10430003 5000 700000 4500000 2500000 6384752 2890939

100 31 2 3 15 16 4 0 4 9 0 1 4 2 6 3

EXPENDITURE Establishmment AdministraUve HRD Pharmacy Supplies Hospital (Other) Supplies Maintenance Vehicle UUlity Charity Taxes Eye Expenses Nursing School Asset AcquisiUon Fund DepreciaUon Other Expenses

TOTAL EXPENDITURE

64249152

100

87306477

100

89598396

100

111893080

100

Surplus/Decit

6140708

8506934.44

6025802

3985466

58


REVENUE FROM PATIENTS# ParXculars 2010-11 Actual OP Income IP Income Others 21818434 68813621 5181356 23 72 5

2010-115% 23%

Percentage

2011-12 Actuals 24415376 65608373 5600451

Percentage 26 69 6

OP Income IP Income Others 72%

TOTAL REVENUE

95813411

100

95624200

100

2011-126% 26%

OP Income IP Income Others

69%

59


EXPENDITURE# ParXculars EXPENDITURE Establishmment AdministraUve HRD Pharmacy Supplies Hospital Supplies Maintenance Vehicle UUlity Charity Taxes Eye Expenses Nursing School Asset AcquisiUon Fund DepreciaUon Other Expenses

2010-112011-12 Actuals

Establishmment 27 Administrative HRD Pharmacy Supplies Hospital Supplies Maintenance Vehicle Utility

2010-11 Actual 23989971 2446234 2738240 13558265 13890252 3518101 375845 2753577 10855158 1416 0 3476408 0 5386454 4316556

Percentage 27 3 3 16 16 4 0 3 12 0 0 4 0 6 5

Percentage 29 2 4 16 17 4 0 4 9 0 0 4 0 6 3

4 0 12

0

6

5

26045131 2131456 3654191 14315238 15323035 3711798 94951 3971652 8037104 2832 0 3905868 0 5551958 2853182

3 0

3 4 3

Charity Taxes Eye Expenses Nursing School Asset Acquisition Fund Depreciation Other Expenses

16

16

2011-120 9 4 0 4 2 4 17 16 4 0 6 3 29

TOTAL EXPENDITURE

87306477

100

89598396

100

Surplus/Decit

8506934

6025804

Establishmment Administrative HRD Pharmacy Supplies Hospital Supplies Maintenance Vehicle Utility Charity Taxes Eye Expenses Nursing School Asset Acquisition Fund Depreciation Other Expenses

60

REVISED CAPITAL BUDGET FOR THE YEAR 2012-13

61



REVISED CAPITAL BUDGET FOR THE YEAR 2012-13S No Capital Item QuanUty Unit Cost Total Amount JusUcaUon Source of Funding (Own Funds/ External Funds)

A 1 2 3 4 5 6

MEDICAL EQUIPMENTS OT Table OT Lights Neonatal Warmer Mobile Xray Machine CT Scan Tube VenUlator

1 2 2 1 1 2

200000 150000 300000 210000 1500000 450000

200000 300000 600000 210000 1500000 900000

As we expand services in Gen Surgery, Orthopaedic & Ophthalmology, a new OT Own funds complex is being planned and new tables in each of this Theatres is being planned for. The old machine broke down & irreparable The old tube broke down & irreparable The old machine broke down & irreparable

ParUal funding received Own funds Own funds One with own funds & one with ICMR

Total Medical Equipments B 1 2 3 4 5 6 Server Computer Printers UPS EPABX So[ware MulUuser

3710000 1 24 12 24 1 40

IT/COMMUNICATION

250000 25000 7500 4000 350000 3000

250000 600000 90000 96000 350000 120000

For the HIS and replacing the older computers. AnU-Piracy, Safety and eecUve funcUoning of Own funds Computers. For internal communicaUon in the hospital Own funds

AnU-Piracy, Safety and eecUve funcUoning of Own funds Computers.

Total IT/CommunicaXon

1506000

62


REVISED CAPITAL BUDGET FOR THE YEAR 2012-13S No C 1 2 3 4 5 6 Nurses Hostel Sta Quarters Training Centre DEEM Boys Hostel OperaUon Theatre -Eye Compound Wall

Capital Item BUILDINGS

QuanXty 1 10 1 1 1 1

Unit Cost 20000000 400000 3000000 3000000 4000000 700000

Total Amount 20000000 4000000 3000000 3000000 4000000 700000

JusXcaXon INC requirement and to accommodate more Nurses To accommodate the essenUal Sta in the campus To fulll the vision of making Sonitpur District fully trained in BLS To accommodate the essenUal Male single Sta in the campus New OT complex to house all the OTs in one area. Two new OTs added. For security & protect the land from illegal encroachment.

Source of Funding (Own Funds/External Funds) Donor Donor Donor Donor Donor Donor

Total Buildings D 1 2 Sumo Delux Nursing School Bus

34700000 1 1

To replace the Qualis which is now 14yrs old, we need Sumo Delux for transporaUon purpose. As per INC requirements. Students are posted for Community Health services.

Own funds Own funds

VEHICLES

700000 900000

700000 900000

Total Vehicles E 1 2 3 4

1600000 1 3 1 1

The exisUng transformer is unable to take the load resulUng in voltage drop. To protect the equipments during summer. The exisUng wiring is very old needs replacement Needs underground wiring for safety reasons.

Donor Own funds Donor Own funds

ELECTRICAL/UTILITY ITEMS 500 KVA Transformer AircondiUoning Machines New Electrical wiring for sta Quarters Removal of Electric Poles from the play ground

500000 30000 500000 100000

50

Documents

Baptist Christian Hospital, Tezpur, Assam. Annual Report 2011-12