A PROJECT

PROPOSAL

FOR
SETTING UP A MEDICAL HOSPITAL,
A MULTIPURPOSE COMMUNITY
HEALTH CENTRE & COMMUNITY
HEALTH AWARENESS
PROGRAMMES,

SUBMITTED BY

TANNU JAN KALYAN SEVA SANSTHAN

At:- MAGARDAHI, WARD NO.-14, VIA-
KASHIPUR, P.O. P.S.-SAMSTIPUR,
DISTRICT-SAMASTIPUR
STATE:- BIHAR

Mobile No. 9934880202

E- Mail:- akleshkumar1236@gmail.com
Executive Summary
Medical Full Body Health Check-up, Rural Area Camping, Medicine Distribution, Basic Awareness
Programme Project is a philanthropic initiative of Tannu Jan Kalyan Seva Sansthan that aspires to
help the underprivileged section of the society to avail quality health services at affordable cost.
“Expenditure on health is also substantive for rural households in the Samastipur district. A fairly high
14 per cent of the total household expenditure is incurred on the treatment of household members. This
expenditure is comparatively much higher among rural households. The burden of expenditure on
health can partly be eased for the households, by making better provision of basic health facilities, and
thus, reduce dependence of households on private services”. This intervention will also be an attempt to
satisfy the concern over spending on health care in villages of Magardahi, District Samastipur of
Bihar.

The Health Programme seeks to provide basic health facilities such as, General
Medicine, Dental, Eye, Physiotherapy & Orthopedics, Common Laboratory Tests,
Pain Management, and support services. The Health Programme is projected to
serve roughly about 3,200 out-patients and 500 camp patients annually. The Health
Programme is aimed at serving the need of the community and will be run on a
not-for-profit basis.

Also the general Hospital is estimated to have a built up area of about 2,000 square feet on 0.045 acres
of land, at an estimated total project cost of INR 1.20 Crores that is to be funded by volunteers,
supporters, grants and donations. The Health Programme will cater to the needs of the patients with 3
Out-Patient Consultation Rooms, 1 Operation Theatre, 1 Laboratory, 1 Radiology, 1 Chemists Shop
and 30 In-Patient Beds.
This general health program project was completed within two years from the start of the project and
was ready for operation. Now There is a need for a modern hospital health program providing
affordable treatment to bridge the demand gap which is currently not addressed by existing
government, private and social sector health programmes.
Tannu Jan Kalyan Seva Sansthan’s existing network of Doctors and Other institute will ensure that the
physicians and specialist required to support this engagement will be available. They include full time
salaried doctors, consultants on retainer ship basis and visiting consultants.

The project involves construction of a full body Health Check-up, Rural Area Camping, Medicine
Distribution, Basic Awareness Programme in Magardahi, District of Samastipur, which would also
cover all nearby villages of this block where there are no primary health care centers. The Health
Programme will offer affordable and quality services for patients. The commencement of Health
Programme in Samastipur would enable easy access to patients in the area and nearby villages.

Table of
Contents

Contents Page
No

Executive Summary 2
1. Introduction 4
1.1. An overview of Basic healthcare facility in Rural India 4
2. Tannu Jan Kalyan Seva Sansthan 6
2.1. Team Profile 7
2.1.2 Why we need Tannu Jan Kalyan Seva Sansthan ?
3. Health Programme Project 9
3.1. Project Overview 9
3.2. Project rationale 9
3.3 Role of Tannu Jan Kalyan Seva Sansthan in Health Care 14
3.4. Location and Communities served by the proposed project 15
4. Health Programme Facilities 16
4.1. Overview 16
4.2. Medical Specialties & Services 16
4.3. Other Services 17
4.4. Patrons & professionals supporting the project 18
5. Project Financials 18
5.1. Project cost and funding envisaged 18
6. Monitoring and Evaluation 20
1. Introduction
1.1. An overview of Basic healthcare facility in Rural India

Rural Health care is one of biggest challenges facing the Health Ministry of India.
With more than 70 percent population living in rural areas and low level of health
facilities, mortality rates due to diseases are on a high. A majority of 700 million
people lives in rural areas where the condition of medical facilities is deplorable.
Considering the picture of grim facts there is a dire need of new practices and
procedures to ensure that quality and timely healthcare reaches the deprived
corners of the Indian villages. Though a lot of policies and programs are being run
by the Government but the success and effectiveness of these programs is
questionable due to gaps in the implementation. In rural India, where the number
of Primary health care centers (PHCs) is limited, 8% of the centers do not have
doctors or medical staff, 39% do not have lab technicians and 18% PHCs do not
even have a pharmacist.

India also accounts for the largest number of maternity deaths. A majority of these
are in rural areas where maternal health care is poor. Even in private sector, health
care is often confined to family planning and antenatal care and do not extend to
more critical services like labor and delivery, where proper medical care can save
life in the case of complications. Due to non- accessibility to public health care
 and low quality of health care services, a majority of people in India turn to the
local private health sector as their first choice of care. If we look at the health
landscape of India 92 percent of health care visits are to private providers of
which 70 percent is urban population. However, private health care is expensive,
often unregulated and variable in quality. Besides being unreliable for the
illiterate, it is also unaffordable by low income rural folks.
To control the spread of diseases and reduce the growing rates of mortality due to
lack of adequate health facilities, special attention needs to be given to the health
care in rural areas of the Samastipur. The key challenges in the healthcare sector
are low quality of care, poor accountability, lack of awareness, and limited access
to facilities.

The uneven distribution of health care facility and attainment of health status is a
major cause of concern here. We have on the one extreme state like Kerala and
Tamil Nadu that can match the most advanced emerging market economies in
health indicators and on the other, states like Bihar and Uttarakhand where the
situation is pathetic. Bihar which are first and third largest state of India
respectively from the viewpoint of population not only fair badly in terms of basic
health care facilities, but also show wide inter region and inter district variations.
Such a situation on the one hand

works against the interest of the poor and deprived section of population living in these areas and
on the other result in the states suffering even after having rather rich natural resource base.
The public sector Health Programme are more widespread (around 60%), but the budgetary
allocation of <1% of the GDP, is insufficient to even service the existing infrastructure. The
private sector has been growing for the affirmative periods and accounts for an estimated 95% of
new Health Programme beds that have been added in this period. While the affluent and the
urban middle-class with a capacity to pay have been catered to by the mushrooming

Our organizations are coming together for improvements in health care and technology plays a
crucial role to facilitate this. Information and communications Technology provides hosts of
solutions for successful implementation of these changes .

Private healthcare providers and Corporate Health Programme Groups; the economically weaker
sections of the society are dependent on the trust Health Programme and NGOs.

Our not-for-profit trust health program set up by NGOs, missionaries and religious groups has a
significant presence in India and has been instrumental in bridging the healthcare gap, especially
for the underprivileged, over the years. The infrastructure of the Healthcare Trust is very
comprehensive and ranges from a 5 bed nursing home to 1000 bedded teaching and super
specialty health programs.

The healthcare services in the district are predominantly centered on the Medical hospital in
Samastipur. There are many small and medium sized Health Programme in the Samastipur
district which is not able to meet the demand in the region owing to equipment break-downs and
lack of qualified manpower. People in the district are dependent on Samastipur district for their
healthcare needs.

Tannu Jan Kalyan Seva Sansthan proposes to establish a 30 bed General Health Programme with
Medical, Surgical and Laboratory facilities. The Health Programme is to be located in
Samastipur at an estimated project cost of INR 1.20 crores. The project will be a not-for-profit
Health Programme and self-sustained with cash generated from its operations. The proposed
Health Programme will serve the nearby villages in Kashipur.

1. Tannu Jan Kalyan Seva Sansthan

Tannu Jan Kalyan Seva Sansthan is a non-governmental, not political, non-

profiteering based organization established in the year 2014 by a group of great and
dedicated social workers and educationists of tremendous vision as response to the
general mass and deprived population. It has been legally registered on 29-04-2014 under
the, Society Registration Act 21, 1860 & Registration No. 23 by the Government of
Bihar.

With mission to Empowerment of the underprivileged sections of the society Tannu Jan
Kalyan Seva Sansthan is focused on social welfare activities aimed at alleviation of
human suffering and all- round development of the community especially for the poor,
helpless & weaker sections children, youth and women through relevant education,
innovative healthcare and market-focused livelihood program.

The Health and Medical Camp is a successful project. Under this Project we have
organized many health checkup camps in the last 18 months (the project was inaugurated
on 24th March 2020), for rural & socio- economically backward people of Samastipur. In
these camps, where people are facilitated with free health checkup & medicine. So far
7168 persons have benefited from the project.

Programs and Activities of the Society

SANRAKSHAN - HEALTH CARE
 Multi-specialty Medical Check-up Camps
 Cataract Screening & Eye Examination
 Awareness Generation Programme (Physiotherapy)

2.1. Secretary Profile

2.1.1. Mr. Aklesh Kumar Das
Designation: Secretary

Mr. Aklesh Kumar Das has an inner drive to help people in need. In 2014, he
became Tannu Jan Kalyan Seva Sansthan as a result of this drive. He is efficient,
conscientious, positive and with a can-do attitude, he is a great source of
information, keeping the wheels of the engine running smoothly. He takes great
satisfaction in watching other Welfare Society grow and loves the fact the no two
days are the same.

Key responsibilities at Tannu Jan Kalyan Seva Sansthan include:

 Raising funds for Tannu Jan Kalyan Seva Sansthan through

corporates.
 Support in identifying and getting volunteers from Corporate for
projects.
 Ensure strong governance and controls are established.
 Provide support as volunteer to some of the projects.

Why we need Tannu Jan Kalyan Seva Sansthan ?

After thorough geographic determination, Tannu Jan Kalyan Seva Sansthan is being
constructed on such a location that it covers over 250 villages with a population of more
than 2-Lakh of underprivileged people. The hospital is keenly designed as per the current
situation of Bihar healthcare. The hospital facilitates ample facilities as such; there is no
similar multi speciality hospital in the range of 35 kms.
As per several reports in Bihar, women labour situations most of the time lead to severe
conditions where they have to go for child birth in a running vehicle. These situations
actually led to poor healthcare and crucial conditions for both the baby and the mother.
The multi speciality hospitals in the range of 35kms are located near the Muzaffarpur
area, but the charges for the facilities are beyond the capability of poor villagers'
daily/monthly wage/income. Keeping in mind all these situations, we decided to come up
with the idea of Tannu Jan Kalyan Seva Sansthan .

Tannu Jan Kalyan Seva Sansthan aims to provide the best healthcare services with the
latest equipment at nominal charges to soothe the pocket of underprivileged people.
There are less than 1.3 beds per 1000 people in India as against a recommendation of 3.2
per 1000 people by the World health Organization. Need of modern and latest trends and
technologies in diagnosis and treatment under one roof.

BENEFICIARY
Covered Area under Project
 Covered Area under Project
WORKING AREA POPULATION
SAMASTIPUR 4,261,566
HAJIPUR 147,688
BHAGALPUR 3,037,766
MUNGER 1,543,647
SAHARSA 1,900,661
MUZAFFARPUR 528,834

VISION:
Our community in which all people achieve their full potential for health and well-being
across the lifespan. We work to be trusted by patients, a valued partner in the community,
and creators of positive change.

MISSION:

• To provide Hope, Care and Cure.

• To provide compassionate, accessible, high quality, cost effective healthcare to one all.
• To serve with a patient's first motto and to work towards a patient- centered care.
• To develop, share and apply new knowledge and technology in the delivery of patient
care through research and technology integration.
• To play an active role in promoting and improving health within our community and to
build a strong, integrated system for regional health-care delivery.
• To hold ourselves accountable to high standards those are observable, measurable and
apply to all departments and employees of the hospital.

Our propose:

Our fundamental purpose is to deliver the best possible care for our local communities.
We will achieve this through our five interconnected purposes which are:

1. Local integrated care

2. Centres of excellence
3. Valuing and enabling our people
4. Sustainability
5. Research, innovation, and teaching

FACILITIES PLANNED IN THE TANNU JAN KALYAN SEVA SANSTHAN

HOSPITAL

The proposed Tannu Jan Kalyan Seva Sansthan hospital will offer comprehensive
diagnosis and treatment in 2 Phases.

FACILITIES PLANNED IN PHASE 1

DIAGNOSTIC DEPARTMENTS
RADIOLOGY
1. X- RAY
X-rays are especially useful in the detection of pathology of the skeletal system, but are
also useful for detecting some disease processes in soft tissue. Some notable examples are
the very common chest X-ray, which can be used to identify lung diseases such as
pneumonia, lung cancer or pulmonary edema, and the abdominal X- ray, which can
detect intestinal obstruction, free air (from visceral perforations) and free fluid.

2. ULTRA SONOGRAPHY AND COLOR DOPPLER

Diagnostic Sonography (Ultrasonography) and Color Doppler is an ultrasound- based
diagnostic imaging technique used to visualize subcutaneous body structures including
tendons, muscles, joints, vessels and internal organs for possible pathology or lesions.
Obstetric sonography is commonly used during pregnancy and is widely recognized by
the public.

PATHOLOGY LABORATORY

3. BIOCHEMISTRY ANALYZER
An automated analyzer is a medical laboratory instrument designed to measure different
chemicals and other characteristics in a number of biological samples quickly, with
minimal human assistance.

1. Health Programme Project

1.1.1. Project Overview

Tannu Jan Kalyan Seva Sansthanis working to set up a 30+ bed General with a Health
Programme multidisciplinary approach to healthcare services. The proposed location
of the Health Programme in Samastipur.
The proposed Health Programme will serve the nearby villages of MAGARDAHI District of
Samastipur, where there are no basic health care centers. The Health Programme will offer
affordable and quality services for patients.

1.1.2. Project rationale

Poor people in urban and rural areas face a huge burden of ill health: almost 10% of
them have had at- least one illness in the past two weeks. Despite high burden of
illness, many—as many as one in five—do not seek any healthcare. When they seek
care, they often do so from informal private providers, because of ease of reaching
them, flexible payment options, and extended hours of service. Families also end up
spending significant money (almost ₹ 300 for an out-patient consultation, and almost
₹ 2000 for in-patient) despite receiving poor quality of care. It is not surprising, then,
that expenditure on healthcare is one of the major reasons for families slipping into
indebtedness in rural Uttar Pradesh.

On account of absence of the adult male from the household and erratic availability
of liquid cash, families of migrants are even more likely to defer treatment when ill,
and more likely to fall into indebtedness due to expenditure on healthcare. Migrants
themselves have higher vulnerability to illness due to the unhealthy and unhygienic
environment in which they work and live. Being less familiar with the city and its
 healthcare systems, and having limited liquid cash, they defer seeking care when ill,
or go back to the “pastures” they know better: their own village, prematurely
breaking the migration tenure and further reducing their income.

Health Programme Facilities

Overview

The Health Programme will be 30 beds General Health Programme complying norms laid
under Bureau of Indian Standards (BIS)/ Indian Public Health Standards (IPHS) / NABH
(National Accreditation Board for Health Programme) besides applicable Guidelines/Policies
of State and Central Government. It will provide reasonable, affordable and comprehensive
services to cover all the health care needs of the patients and provide preventive and curative
outpatient services and primary health care for free to the poor families as part of its mission
to give equal access to quality health care for all.

Medical Specialties & Services

The Health Programme will have following fully equipped departments/wings:

 OPD
 IPD
 Surgery
 Medicine
 Orthopedic
 Gynecology
 Pediatric
 Ophthalmic
 Emergency
 DOT center and designated microscopy center
 X Ray/Scan/Diagnostic/ Pathology Diagnostics & Treatment
Medical Support Facilities

 Consultation Rooms (3 nos.)

 Operation Theater (02 nos.)
 Ambulance (2 nos.)
 Medical Records
 Pharmacy (OP & IP)
 Counseling Room
 Physiotherapy

Support Service

 Engineering & Maintenance

 Canteen
 Front Office (Admissions & Reception)
 House Keeping
 IT

Administrative Services

 Finance & Secretarial

 HR
 Materials
 Security u

1.2. Other Services

 Dispensing about 110 essential drugs to the patients.

 Counseling on nutrition and contraception.
 Skilled and responsive staff
 Adherence to clinical protocols
 Maintaining a clean and friendly atmosphere
  Follow-up care at households
 Rational drug treatment
 Use of generic drugs

PROJECT BUDGET

Project cost and funding envisaged

The project is proposed to be the establishment of a setting up a medical hospital, A

Multipurpose Community health center & Community health awareness Programme
in about 0.045 acres of land. The Health Programme will have a built up area of
2,000 square feet, as per Area and Space norms of the Health Programme 80 to 85
sqm per bed to calculate total plinth area. The area will include the service areas such
as waiting space, entrance hall, registration counter etc. In addition, Health
Programme Service buildings like Generators, Laundry, Kitchen and essential staff
residences are required in the Health Programme premises. The Health Programme
will cater to the needs of the patients with 3 Out-Patient Consultation Rooms, 1
Operation Theatre, 1 Laboratory, 1 Radiology, 1 Chemists Shop and 30 In-Patient
Beds. The estimated project cost is INR 1.20 crore which is expected to be funded by
donations and contributions from Government, like minded volunteers and
supporters.

The break-up of total project cost is given below:

z Item Description Estimated Cost (In

Rs.)
1 Land Cost - Health Programme Rs.25 Lakhs 30 25,30,000
Thousand per acre
2 Construction Cost - 2,000 sq ft x Rs.110 per sq. ft. 11,10,000

3 Machinery & Equipment 10,20,000

4 Furniture, Fixtures & Air-conditioning 8,90,000

5 Vehicles 5,10,000
 6 Contingencies - 5% of Construction Cost 12,80,000

7 Backend Office with computer staff 4,90,000

8 5 ICU & Labour Room 20,10,000

9 3 Out-Patient Consultation Rooms 1,65,000

10 1 Operation Theatre 3,85,000

11 1 Laboratory 1,50,000

12 1 Radiology 1,75,000

13 1 Chemists Shop 1,80,000

14 Gastroenterology Unit, Orthopaedic Operation 2,25,000

Theatre
15 5 Emergency ward + Patient Class 2,56,000

16 30 In-Patient Beds 14,80,000

17 Total Cost of Project 1,20,00,000

Monitoring and Evaluation

The project will be monitored by a committee of executive members of this

organization. Every activity carried out will be monitored to ascertain whether it is
done correctly, at the given time frame and whether the desired effect(s) is
achieved. A monitoring questionnaire will be prepared with the help of the Social
Work Department and other NGOs who are already working in this area and used
daily by the monitors. Evaluation would be done from to time during the middle
period of implementation and at the end of each activity. Record of the
extracurricular activities held at the center like Motivational Sessions, Parent’s
workshops, Exposure Visits, etc. is maintained in the format titled “Activity
Report” The placement record of each completed batch is maintained in the
Employment Weekly Report.
PRESENTED BY

Tannu Jan Kalyan Seva Sansthan

Name- Tannu Jan Kalyan Seva

Sansthan,
Account No- 50200022561901
IFSC Code- HDFC0009033
Bank Name- HDFC BANK
Account Type- Current Ac.