THE STRUCTURE THAT REFLECT OUR VISION

The structure of the charuter arogya mandal is a reflection of its commitment

to professionalism on one hand and accountability to the community, including its
many donors, on the other. Reiterated as a trust and a society , its properties are
vested in the board of trusties comprising Shri J M rawal and Shri Babubahi Z.
Patel. Its policies are decided by the government body headed by the mandal’s
chairman, Dr Amrita Patel, who is also the executive head of the mandal. The
governing body functions under the purview of the governing council, which is a
wider body with representation from donors, sister institutions and members os the
Mandal, in addition to the members of the governing body. The president of the
mandal , Shri Hashmukhbhai Shah , chairs the council meeting. The council , in
turn, reports to the general body, in which the members of the mandal participate.
The total number of members as at March 2007 was 1879.

MISSION

We offer to our students an environment conducive for excellent teaching

and learning so that they become health care professional of the highest caliber,
sensitized to the health needs of the less-privilege and equipped to carry out ethical
and value based practice.

In order to live to the mission we have set for ourselves, we focus on the
following aspect of the teaching and learning, which distinguishes from other
medical institutions;

› Adherence to a planned and rigorous academic schedule,

› Regular updates of the teaching material and curriculum,

› Experimenting with innovative teaching methodologies, an

›Arranging special events on a regular basis, in order to keep abreast of

the latest knowledge and enhance our visibility on the academic

map
 We wound offer to our patients, comprehensive and personalized health care
with commitment and compassion at an affordable cost, to their utmost
satisfaction, while keeping ourselves abreast of the state of the art technology

In order that we are able to live up to our mission, we focus on the following
aspects of patient care;

→ Constantly review the cost of treatment to patient, including review of the

average

length of stay at the hospital and the rationality of treatment, to ensure that

treatment remains affordable,

→Evolve treatment packages that suit patinas from various income strata, with

special emphasis on economically disadvantaged person, and

→Constantly update and introduce new, relevent medical technologies so that

treatment at the hospital continues to maintain its high standard

SETTING THE GOALS FOR A BETTER FUTURE

It was a couple of year ago, as the year 2004 was being ushered in, when the
senior staff of the Mandal initiated the process of defining the vision they would
pursue to achieve that vision. The visions unanimously accepted was that creating
centre of excellence and clearly outline the four focus areas of the Mandal : viz:
outline care, teaching, research and community extension. The mission statement
defines the task to be carried out in each of the above areas.

It is not enough, however, to define the vision and the mission. It is equally
important, if the intent behind the vision and the mission is to be realized, to
convert these sentiments into a measurable and time bound work plan. This, the
mandal’s staff accomplished in a workshop that was organized in the green and
serene environ of institute of Rural Management, Anand. It was a process of that
not only includes the heads of department but a few representatives of the junior
staff as well. For two days, over sixty members worked closely with one another to
arrive at a consensus on what should target to be achieved in the coming year.
There were moments of intense discussion, heated arguments, some extremely
useful and very ordinary suggestions and mellow reflections. There was lot of
function and camaraderie. The underlying mood, was one of serious intent, apply
captured in the worked plan and eventually evolved out of these de-liberations.

So, while the December workshop ended with loud cheer and greeting for
New Year, there indeed was an even more re-sounding realization; that they have
to continue to strive for improving that way we work, so that we fulfill the promise
our founder chair man and we have made to the community that had supported us
all through our journey. The promise of more humane cost-effective and modern
health care. Of an academic environment the prepares medical professional who
would practice their skills as much the sensitivity and care as with dexterity. And
of working condition that enable each one of us to excel at what we are doing.

SHREE KRISHNA HOSPITAL

The main goal of Shree Krishna Hospital is to provide health care services
particularly to the village people at lower cost.

Hospital has various departments, OPDs, which includes such department

like medicine, TB & Cheat, Surgery, Orthopedic, Onco, Cardiac, Ent, Eye.IPDs,
for treatment purpose patient admitted in words, ICUs and special and deluxe
rooms. Trauma Care, a round the clock services for emergencies. Radiology
department for X- ray , CT scan, and MRI.
 Benefits include;

→ Hospital provides free consultancy of doctors. That mean patient do not have
to

pay any charge for doctor’s visit

→B.P.L patient who want to get consultancy from specialist visiting doctor’s,
have to

pay Rs.150 for 1st visit and Rs.100 for follow up case.20 to 25 % concession
on

laboratory as well as on radio diagnostic tests, while admitting the patient gets
50 %

concession on total bill amount.

→Senior Citizens have also some benefits, like concession on treatment charges.

CARDIAC CENTRE

A separate building for cardiac department, which is on the name of

Mr.Bhanubhai, former chairman of ELICON Industries. This center has
specialized Cardiologists, latest instruments for heart surgery and angiography
angioplasty.

Doctor’s consultancy rooms, Cardiac ICU, tests like ECG, ECHO, Doplar
and separate pharmacy store is there. It has a highly facilitate lounge for patient
and patient’s relative.
ONCO CENTRE (CANCER CENTRE)

The M.S.Patel cancer centre is working for cure cancers like head & neck
(oral cancer), Cervix cancer, Breast cancer, blood cancer and many other types of
cancer.

M.S. PATEL CANCER CENTRE

This department treats 20-30 patients every day on OPD bases, which are
generally from village area or are older.

Spiral CT scan is done here for judging the tumor of cancer patient,
Radiation therapy is also there and a Day Care ward for Chemo therapy,

TRAUMA CARE (EMERGENCY)

Trauma Care is an emergency service is provided to those patient who are

seriously injured or for patient who really need emergency services.
It’s a 24 x 7 services provided with minimum charges.

CHRUTAR AROGYA MANDAL

Set up by the late Dr.H M Patel. The charutar Arogya mandal seeks to provide
the best medical facilities for medical education to the people of Charutar. Founded
in 1972 the mandal has create the H.M. Patel centre for medical care and education
as its 100 acre campus in karamsad the centre include five institute of excellence.

→ Pramukh swami medical collage

→ Shree Krishna medical

→ G H Patel school of nursing

→ L P Patel institute of medical laboratory technology

→ K M Patel institute of physiotherapy

The Mandal’ president is Dr. I C Patel, former Governor of the reserve bank
of India. Its chairman and executive head Dr. Amrita Patel who also serves as
chairman of India, National Dairy Development Board.
PRAMUKH SWAMI MEDICAL, COLLEGE

PRAMUKH SWAMI MEDICAL COLLEGE, KARAMSAD

 At the heart of the first batch of hundred students was admitted in 1987
initially with Gujarat government’s financial assistant, the collage is now self
financial institute. As an autonomous institute the collage admitted 1oo students to
the of medical council of India recognized MBBS course. The composition of ago
class include.

Consistent with the medical’s purpose and philosophy, the curriculum

focused on the medical realities of rural India and attempts to inculcate the value
of service to this large and underserved population the collage program includes
opportunities for student participation in varieties of community based programs.
The student, along with interns, run a medicine bank to serve indigent patient
student collect free sample from doctor and individual donation to operate the
medicine bank, which is open, every day from 9.00 AM to 5.00 PM Each year the
bank proceeds poor patients with medicines worth Rs.3 lacs (6,250 us $)

The collage organized a variety of seminar/workshops conduced frequently

in addition to regularly held weekly multidisciplinary academic meetings.

VARIOS DEPARTMENTS OF PRAMUKH SWAMI MEDICAL,

COLLAGE

→Anatomy

→Forensic medicine and toxicology

→Physiology

→Pharmacology

→Preventive and social medicine (community medicine)

PREVENTIVE AND SOCIAL MEDICINEC

(COMMUNITY MEDICINE)
PREVENTIVE AND SOCIAL MEDICINEC

Preventive and social medicine department is the backbone of all peripheral

service being provided by the Mandal. The department is involved in a number of
extension programs of its own as in partnership with various national and
international agencies apart from preventive, primitive and curative service in the
form of health clinic, health survey, health education etc. through rural and urban
health training centre at ARDI and PETLAD, the department also organized multi
—diagnostic camps in various villages. The department have forged a tie-up with
FOUNDATION, a renowned NGO , for its ongoing cancer awareness and early
detection projects. Along with section of epidemiology communicable/non-
communicable disease bio-statistic, occupational health, entomology and
parapsychology, the department also as well equipped laboratories, library and
computer facilities.

The Department also runs post-graduate (M.D) and diploma course (D.P.H
D.I.H ) in preventive and social medicine.

Project Under-Taken By P.S.M Department

1)Cancer project
2)Tobacco cessation
3)HIV/AIDS
4)Supplementary Nutrition Project for pregnant lactating wane
5)The earthquake project
6)The riot relief project

1) CANCER AWARENESS EDUCATION AND EARLY DETECTION

PROJECT

The charutar region has long been a major tobacco growing region. Not
surprisingly, there is a high incident of oral cancer. Responding to the back of
people awareness of the danger of tobacco consumtion and the importance of the
early detection, the Mandal has partnered with the TRIBHUVANDAS
FOUNDATION to educate the region’s first phase was implemented in about 250
villages in the second phase. Beginning in April of 2001 all 650 village covered
by foundation are participating .

→ The medical collage’s department of preventive and social medicine has

trained foundation village health worker in communication as well as detection of
early symptoms of cancer. This worker visits every household in the village
recording the history of all family members. They identify those at the risk the
smoker, tobacco, chewer and those with a family history of cancer. These at risk
individuals are encouraged having regular checkups.

→When anyone with a medical complaint comes to the health worker, they
are routinely checked for possible signs of cancer. Those that need further
examination are sent to the shree Krishna hospital.

→ The most important part of the program is the group meeting organized by
the village health workers. These focus of the risk of cancer, its prevention and
benefits of early detection procedures like self examination of the beast are taught.

The village health worker paid a small honorarium, which is met trough a
contribution committed by an NRI Oncologist. The will eventually draw an annual
contribution of approximately Rs.5.85 million (U$$1, 25,500) from an Rs.15
million ($315,5000) corpus funds committed.
2) TOBACCO SESSTION CLINIC

Tobacco uses a major cause of oral cavity cancer. Is widespread in Anand

and Kheda Districts. A 1997 -98 survey showed that 59 % used to tobacco in-line
with the Indian national average( men 65 % & women 33% ). Aided by the world
health organization. A tobacco cessation has been started to encourage charter’s
people to give up tobacco and important step towards better health.

The clinics two pronged strategy

I. Psycho- Behavioral Therapy

II. Pharmacological Therapy

To date. 719 patients have sought treatment; 150 have received medication with
569 receiving Psycho- Behavioral Therapy.

Recently a fourth national meeting of principal investigations of tobacco

cessation clinics was organized in India on ninth & tenth April 2003 at NDDB it
was sponsored by world health organization government of India and ministry of
health and family welfare. In was a general review meeting of all the 12 centers of
TCC in India. The participation’s discussed and reviewed the compiled data.
Responses from individual center. Uniformity in reports prepare by each center.
Simplification of intervention strategies and case record forms , emphasis on
important of follow up and outcome of the cases,. At the day’s meeting WHO
representative. Dr Cherian appreciated the work done by TCC term pf the hospital
in organizing and co-ordination the fourth national meeting of principal
Investigations in India.

3) HIV /AIDS :

First reported 12 years ago among commercial sex worker in Mumbai and
Chennai and inject able drug user in Manipur, HIV ? AIDS has emerged , as one of
India’s most serious public health program . Initially concentrated n urban also,
HIV/AIDS has spread to rural areas.

At first HIV/AIDS infection was limited to at-risk population; today it is

found throughout the general population. Shree Krishna hospital statics show 189
HIV/AIDS patient diagnosed during the last four years. The total has virtually
doubled since 1998

Statistics on HIV patients diagnosed / treated at hospital

Years Male Female Children Total

1998 18 14 02 34

1999 17 09 02 28

2000 37 17 09 63

2001 42 20 02 64

2002 30 13 - 43

TOTAL 144 73 15 232

The hospital’s blood bank screens donated blood for HIV and have found
approximately 1 percent donations carry the infection.

THE HOSPITAL’S HIV/AIDS STRATEGY HAS TWO TSHRUSTS;

Prevention is the first and most priority. The hospital will soon begin
community awareness and education programs. A priority focus will be education
institutions, building on the cancer project, which is already operating. All blood
donor’s blood is positive encouraged to get the results of their screening test.
When a donor’s blood is positive for HIV , they would be encouraged to use the
western Blot method to confirm it. If the western blot is positive for HIV. The
individual would receive counseling support.

When the hospital’s outpatient departments detect HIV positive cases, the
patients are counseled. Because of the social stigma associated with HIV/AIDS.
The hospital plans to form support groups to help individual deal with the health,
emotional and social issues involved.

Care and treatment of cases suffering from polio related mortality in Anand
and Kheda districts of Gujarat.
 Polio mobility remains a problem in Anand and Kheda districts. A
preliminary survey identified 1,021 cases, with majority (71%) in the 10 to 30
years ago group. The initial analysis showed that 35% of those affected had host
the use both legs; about 8% could walk with difficulty and another 10% could walk
holding their legs by hand.

The mandal, through its orthopedic and physiotherapy departments, will

systematically address the problem of polio among children. The first step, which
will be carried out in collaboration with the tribhovandas foundation, will be to
screen those affected at foundation sub centre to assess the condition and
determine the require treatment.

The project, which has just been initiated, has the goal of getting affected
children and youth back on the feet and living the normal life.

4) THE SUPPLEMENTARY NUTRITION PROJECT FOR PREGENT

AND LACTTING WOMEN

Anemia is a major cause of material mortality in India. An estimated 70 to

80 percent of Indian women suffer from anemia, making it a major public health
problem. The problem is compounded with anemia, leads to high material and an
infant mortality.

To reduced maternal mortality, the project supplementary the nutritional

intake for enrolled pregnant and lactating women in Anand and Kheda distrect.
The improved nutrition antenatal patient reduces ante- partum , intra-partum and
postpartum as well as fatal and neonatal complication.

The tribhovandas foundation selects pregnant women from five villages

were participate in the project. Selection criteria include a history of tree to six
months; including Chikki and Sukhadi, which are rich in nutrients. Village health
worker visit the enrolled women to ensure that they include these supplement in
their diets.

5) THE EARTH QUAKE PROJECT;

On Friday, 26th January 2001a massive earthquake struck parts of Gujarat.

The hospital immediately mobilized to treat the worst affected areas. Led by the
head of orthopedics, the hospital’s crew was one of the medical teams to reach
Bhuj. During the critical first ten days following the earthquake, the hospital’s
doctors were in Kutch indentifying those who needed treatment and ensuring they
were quickly sent to Karamsad.

While the medical team worked in kutch , the hospital prepared itself to
receive the earthquake victims: new wards were prepared beds positioned and
medical supplies augmented. Over 250 patients were treated, the majority as in
patients undergoing major surgery. None of these resulted in any post- operative
complications or infections, a tribute to the thoroughness of preparation and
surgery.

6) THE RIOT RELIEF PROJECT

A little more thean a year after a Gujarat earthquake. The state was again
rocked this time by communal riots in February of 2002 more then 20.000 people
in 125 villages in Anand and kheda district affected .soon after the Godhra
tragedy .the hospital began providing assistance by organizing medical camps. For
3 weeks hospital doctors participated in out-Patient services , examining more then
800 patients and referring 75 to the hospital further treatment . Of these, ten were
hospitalized. All the treatment in the camp and at the hospital was provided free of
cost.

The majority of riots victims suffer from Traumatic Stress Disorder (PTSD)
with symptoms like insomnia, fear, depression and the fear the future. The hospital
has started evaluating stress among the riot victims so that appropriate counseling
and, the needed, psychotherapy can be provided.

20 village, with suffered the general loss of lives and property, have been
selected for the treatment of PTSD victims. A study , based on self reporting
questionnaire has been under taken the Tribhuvandas foundation, local Muslim
youth groups and other community organization have helped to administer the
questionnaire. To date, 550 questionnaires have been completed the data reveal
that some degree of trauma still exists in 44% of the respondents. Of this, many
had stress level requiring hospitals counselors which state the day visit by the
volunteers to different riot heat villages.
OTHER ACTIVITIES

1. Training program like cancer training to gives teacher

2. School and collages health program to health check up camps for children
and health talk on HIV/aids and tobacco

3. P.S.M. department to give the training to village health worker an cancer

4. 550 villages to covered by TF runs project and they works with PSM

5. Sakarpura village only silicosis patient so work on that

DAY CELEBRATIONS OF PSM DEPARTMENT

1. Women’s day on 8th march

2. T.B day on 24th march

3. World health day on 7th April

4. International women health day on 28th may

5. No tobacco day on 31th may

6. Breast feeding week on 1st-7th august

7. Blood donation day 1st October

8. World aids day on 31st December