VOLUNTEER SERVICE REPORT

SERVICE OFFERED AT: Shaukat Khanum Memorial Cancer Hospital and Research Center (SKMCH & RC)

SERVICE DONE BY: Rizwan Ahmad Rabia Ijaz Sobia Sarwar l1f06bbam2023 l1f06bbam0013 l1s06bbam0040

VOLUNTEER GROUP

Rizwan Ahmad I am doing Bachelor in Business Administration (BBA) from University Of Central Punjab. My 10th semester has been started so the specialization. My major is in marketing. After completion of my BBA, I will be doing my MBA from the same university. I have planned to have my career in textile industry. My group worked voluntarily at SKMCH & RC for 14 days. I enjoyed this experience as I got many things to learn. Talking about the hospital, the efforts of people of SHMCH & RC are extraordinary. The hospital is providing its best for cancer patients. I would like to appreciate the work this hospital has been doing since it was built.

Rabia Ijaz I am student of BBA (hons), my institution name is UCP (FMS). I am in 10th semester and doing specialization in marketing. I decided to have major in marketing because of my interest in diverse knowledge and I believe I will learn a lot of news things after having my degree by the grace of Allah. I and my group fellows chose SKMCH & RC for our volunteer service. During the service I get to know the functioning of this hospital which is remarkable. The hospital is performing outstanding services for the cancer patients. I really value the efforts done by all people working for SKMCH & RC.

Sobia Sarwar I am doing BBA (HONS) from (FMS) UCP. Currently I am in 11th semester and enjoying my specialization in MARKETING. After my graduation, I have planned to do MBA from the same university, INSHA-ALLAH. I joined SKMCH & RC with my other group fellows for doing volunteer service there. It was an excellent experience indeed. The spirit, with which SKMCH is helping the cancer patients, is worth-appreciating. I am really inspired by the systematic way of SKMCH incorporated in every project at SKMCH from PLAYROOM facility to all clinical services. Thumbs Up for SKMCH & RC!!!

PARTNER ORGANIZATIONS PROFILE

Shaukat Khanum Memorial Cancer Hospital and Research Center (SKMCH & RC)

There are only three Cancer hospitals in the world and SKMCH & RC is one of them. It is the only cancer centre in the entire Pakistan with all the specialized cancer diagnostic and therapeutic facilities. It has established a number of centers all over Pakistan that help in the awareness and early diagnosis and treatment of Cancer disease.

Shaukat Khanum Memorial Cancer Hospital and Research Centre (SKMCH&RC) is a state-of-the-art cancer centre located in Lahore, Pakistan. It is a project of the Shaukat Khanum Memorial Trust, which is a charitable organization established under the Societies Registration Act XXI of 1860 of Pakistan. The institution is the brainchild of Pakistani cricket superstar, Imran Khan. The inspiration came after the death of his mother, Mrs. Shaukat Khanum, from cancer

Mission Statement
To act as a model institution to alleviate the suffering of patients with cancer through the application of modern methods of curative and palliative therapy irrespective of their ability to pay, the education of health care professionals and the public and perform research into the causes and treatment of cancer.

SKMCH & RC is briefly introduced below:

Inaugurated Founder Annual budget

December 29, 1994 Imran Khan (Chairman Board of Governors) Rs. 2.5 billion (US $ 30 million)

Financially supported patients 70% (since 1994) Philanthropic spending Area/Location Beds New registrations Outpatient visits Chemotherapy Radiation treatments Admissions Surgical procedures Pathology tests Imaging studies Pharmacy Dispensing Staff Rs. 6 billion (US $ 100 million) 20 acres, Lahore ( Pakistan ) 115 9,529 (Year 2008 ) 119,037 (Year 2008) 23,709 (Year 2008) 43,143 (Year 2008) 6,079 (Year 2008) 4,398 (Year 2007) 2,368,844 (Year 2008) 128,636 (Year 2008) 740,288 (Year 2008) 1300 (41 Consultants, Physicians & Surgeons)

Clinical Services
The clinical services offered by SKMCH are as follows:

Anesthesiology Clinical Radiology Medical Oncology Internal Medicine Nuclear Medicine Pathology Pediatric Oncology Pharmacy Radiation Oncology Surgical Oncology

Projects of SKMCH & RC Hospitals:

Shaukat Khanum Memorial Cancer Hospital & Research Centre ( Lahore , Pakistan ) Shaukat Khanum Memorial Cancer Hospital & Research Centre ( Karachi , Pakistan ) Land Purchased, Planning in process

Outreach Cancer Screening Clinics:

Shaukat Khanum Karachi Clinic ( Karachi , Pakistan ) Shaukat Khanum Peshawar Clinic ( Peshawar , Pakistan ) Community screening service ( Lahore , Pakistan ) Shaukat Khanum Diagnostic Centre ( Lahore , Pakistan ) Shaukat Khanum Diagnostic Centre ( Karachi , Pakistan ) Inauguration August, 09 54 Shaukat Khanum Pathology Collection Centres (all over Pakistan )

Diagnostic Centres:

Pathology Collection Centres:

AWARDS, CERTIFICATIONS AND AFFILIATIONS

Hazard Analysis Critical Control Point Certification (HACCP)

The food and dietary services of skmch&rc was awarded the hazard analysis critical control point certification (haccp) in 2008. Capability Maturity Model (CMMI) ML2 Certification Shaukat khanum memorial cancer hospital & research centre is the first hospital in Pakistan and the first cancer research hospital in the world to have achieved the capability maturity model integration (cmmi) maturity level 2 in 2008. Affiliation with University Of Bradford (UK) Shaukat Khanum Memorial Cancer Hospital & Research Centre is affiliated with the University of Bradford (UK) for B.Sc. (Hons) in Medical Imaging since 2007. Quality Management Systems Certification Shaukat Khanum Memorial Cancer Hospital & Research Centre was awarded the ISO 90012000 certification for Diagnostic and Therapeutic Cancer Services in 2007 (Original Certification: 2001) Award from World Health Organization (WHO) Shaukat Khanum Memorial Cancer Hospital & Research Centre was presented the World Health Organization's UAE Foundation Prize for Outstanding work in health development that has already been accomplished and that has extended far beyond the call of normal duties in 2006. Associate Membership Of International Network For Cancer Treatment And Research (INCTR) Shaukat Khanum Memorial Cancer Hospital & Research Centre was granted Associate Membership of the International Network for Cancer Treatment and Research in 2005.

VOLUNTEER ACTIVITIES
Introduction to Hospital The office assistant of our concerned medical social officer introduced us to the hospital and its various departments (known as services building). We visited important medical departments like OPD, Radiology Department, and Test Laboratories etc and were being told about different procedures carried out in those departments (which were important to understand in order to perform our various tasks under volunteer service; like how to take a patient of walk-in clinic to OPD for laboratory tests, get receipts etc) Walk-In Clinic & MSSP Our supervisor (Mam Wajiha ) introduced us to the Walk-In Clinic, the department where we were to provide our volunteer services. She told us about the activities in which our volunteer group was to engage. This clinic comprises of following entities serving the cancer patients: o 1 Receptionist (Issues the token to the patients and enters their required data in computer) o 3 Doctors (Offer free checkups to the patients) o 3 Nursing Assistants (Offer their help and guidance to the patients) o 1 Psychologist (Provide counseling to the patients family so that they can take care of the patient in a better way) o 1 Medical Social Officer (Works under MSSP and provides social welfare services to the needy patients) Patients accepted in Walk-in Clinic are referred to Financial Support Office to provide full or partial financial support (as per patients requirement and availability of funds) to the patient. The MSSP i.e. Medical Social Services Project is governmental department which works for welfare of poor and needy cancer patient in several ways. It either provides directly cash to the patient (arranging money for rent or diagnostic tests from SKMCH & RC) or provides certain things required by the patients (provision of seasonal clothes, toys for children, shoes/toys for child patients availing the PLAY ROOM facility). Cash funds, clothes, juices

(specially donated by Gourmets Muhammad Bibi Musafir-khana) and other objects are collected from different donors and students coming for volunteer service. We worked under MSSP and did various volunteer tasks which ended in a certain benefit to the cancer patient. Those activities were: Taking Case Histories Case history is an important task to be done before providing help to the cancer patient in any form. Because through case history we assess that whether a patient deserves that help or not. During our tenure at SKMCH & RC; whenever a patient came for help, we took personal information as well as the disease history of that patient. After taking detailed case history, we used to consult our supervisor Mam. Wajiha and then helped patient accordingly. It was the result of such activity that we provided a wheel-chair to the mother of a patient child. Guiding the patients in hospital premises (e.g. taking the patient to Test Labs) We were also responsible for guiding the patients towards their concerned department. For e.g. if a patient had to go to a lab for blood tests then we took that patient there, also if that patient needed donation for that test then we also were responsible for providing the fund, getting the receipt of the payment of that laboratory test and entering that data in DONATION REGISTER (MSSP maintains such information in its manual database). Donation Collection As earlier stated that the MSSP helps through the funds collected/donated by different people including students, thus as volunteers we also had to collect donation for MSSP. We contacted our every friend, family member, university fellows and collected Rs/- 9900. This donation was apart from the wheel-chair (mentioned above). Writing Patient Reference letters The patients seeking help from Walk-in Clinic & MSSP are dealt in three ways; they are accepted if their disease level is curable, rejected if cancer is at last stage and finally rejected but referred to other hospital due to unavailability of patient beds. Walk-in Clinic refers such rejected patients to other reliable hospitals and it is the responsibility of MSSP to issue the reference letter for the patient. Thus being the

volunteer workers in MSSP, we also made those reference letters on daily basis and put that information in the relevant registers (MSSP maintains such information in its manual database). Visit to Musafir Khana We also visited two musafir khana(s) nearby SKMCH & RC where many of the patients and their attendants live until they get free from the hospital. Such patients are those who are getting treatment from SKMCH & RC in form of tests, radiations etc i.e. they dont have to live in hospital as such. The musafir khana(s) were; o Muhhamd Bibi Musafir Khana: a trust based musafir khana run by owners of Gourmet Bakers. They have named it after their mother. It has a direct link with SKMCH & RC i.e. SKMCH & RC refer different patients/ attendants (male or female) to this trust and as per availability of beds, the trust admits the patients/attendants. It provides three time meal to the passengers. This trust doesnt receive any donation from anyone and it is solely funded by the owners themselves. The passengers there were quite satisfied with all the facilities provided by the trust from food to the cleanliness of the rooms, beds etc. Recently this trust has installed splits in the rooms. o Maggu Musafir Khana: this is another musafir khana run by an NGO. It is not directly linked with SKMCH & RC means that people come here on their own. Visit to Financial Support Office We also visited the Financial Support Office, where patients come to get full or partial financial help. As earlier stated; patients once accepted from Walk-in Clinic for the treatment in SKMCH & RC are further referred to the Financial Support Office. This department further assesses the patient to make sure that only the deserving patient gets the financial support. A detailed interview from the patient or his/her attendant is conducted to analyze the financial health of that family. A team of Financial Support Office works undercover to confirm this information on their own.

LESSONS LEARNED
Change in perception Before going to SKMCH & RC, the perception we had in our minds was that as this hospital is being run by a person like Imran Khan thus things here would be quite better than our usual hospitals. But on seeing and analyzing its people, machinery and procedures, we realized that situation at SKMCH & RC is far much better than we thought. The concern for cleanliness (from hospital walking pavements to the kitchen operations), the PLAY ROOM facility, the gift shop, the procedure for using utensils; all was remarkable. The most astonishing attribute of SKMCH & RC was that every facility, procedure for treatment, patient admittance etc was done on NON-DISCREMINATORY basis i.e. whether a patient is private (bearing all expenses on treatment on their own) or on financial support from SKMCH & RC, the patient will get the same level of service from hospital. The spirit with which the human capital of SKMCH & RC is working is amazing. Recommendations Although SKMCH & RC is working at its best through its clear system but there is always room for improvement. We have following suggestions: 1. There is a policy in Shaukat Khanum Memorial Cancer Hospital and Research Centre (SKMCH & RC) that patients are required to complete certain tests before they approach Financial Services Office. But some of the tests are so expensive that everyone can not afford. SKMCH & RC should make a proper Zakat Department for the patients who come to walk-inclinic and who are not able to pay for the costly tests. 2. There were complains about the machinery failure, because of which many patients had to suffer. SKMCH & RC should hire trained technicians who can fix the malfunctioning. There should also be spare parts of the machinery for timely repair.

Visit to Financial Support Office

Writing Patient Reference letters

Walk-In Clinic & MSSP

Provided a wheel-chair to patient child

Visit to Musafir Khana

Playroom facility for kids