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Raabta is a non profit organization (NGO) based in Karachi, Pakistan .working towards improvement in the health standards of people living in rural areas, If patients cant approach medical health services soon we will real there. We are going a head in this project with a new innovative idea of mobile hospitals (mobile clinic and Diagnostic centre), The mobile hospital aims to take health and health education where people lives eliminating the social, economic and cultural barriers that prevent people from having access to good medical care system, promoting a major equity within the society by integrating the poorest people to the health system which would lead to a healthier society in the long term.
Director Admin. Department: Mr.Tahir Ali have served 12 year in Pakistan Army as a leutant and wanted some thing to do for welfare of people he started to work with educational base NGO for 5 years now its our fortune that we find a very well done and discipline Administration director like him. Director Health And Care: Miss Saba Arshad PhD. In Health science from the university of California, very enthusiastic, energetic and patriotic anxiously wanted to improve the health conditions of her home land poor people and very much sincere and strict with her occupation Director Marketing: Mr.Anas Sahibzada Masters in Marketing(LUMS) & Mass Communication (KU),Divert his career from Media Public Relation to NGO marketing Director , have Associated member of Pakistan Institue of Advertising. Director Finance: Mr.Hasnain CA from ICAM have 5 years of work experience with Alamgir Welfare trust , Associate member of (PSB) amd chartered institute of pakistan. Director Human Resource: Mr.Mir Jaffer MBA in HR from Gift University Gujranwala , Member of Pakistan Soceity of traing and development, people describe him as a mentor becouse rather than formal qualification he believes in traing and development programs. Member of Pakistan Soceity of traing and development 2|Page
Our Vision We will be a leader in providing health facilities through mobile Hospitals and bring an improve quality of healthy life in rural areas.
To improve the health outcomes and quality of life for home less and low income individuals in rural areas of Pakistan through direct medical and healthcare services, health promotion, disease prevention activities, social support and case management services referral to medical and social resources in the community.
Bus-based mobile hospitals play a key role in saving lives, officials from the Ambulance Section at the Emergency and Public Safety Department. These Mobile hospitals are vital for our country and due to their proven reliability in transporting patients. Patients are assisted by two doctors and five paramedics on each bus. We can get to the scene of an emergency in less than 15 minutes. We have launched awareness campaigns to encourage people to be more considerate in times of emergency.
OUR GOALS & OBJECTIVES
The main objective of the mobile hospital is to eliminate all barriers, such as economic, geographic or cultural, that prevent people from the access to the medical care system promoting a major equity within society, providing a good medical service. Educating people in health matters reaching in the long term to a healthier society. In addition, in the short term the objectives are to encourage people to make medical tests each year as a preventive policy It allows the analysis of the health reality in a shorten area and make more focalized the preventive campaigns. Plus, it lowers the health system costs because less people gets ill due to the preventive action and health education and finally, it reduces the queues in traditional hospital because all the routine exams are done in the mobile hospital instead of doing them in the traditional hospitals. In fact, people go to this last one when they need a more complicated treatment.
• • • • Meet the needs of each and every patient, whose care is our primary purpose and mission. Use innovation and creativity to identify and solve problems. Treat each other, our patients and our partners with respect and dignity.
Strive for improvement day in and day out in everything we do
Description of the project
As we see positive effects of LHW program so further more taking a step for the convenience and welfare of poor people living in rural areas. We bring to them “Mobile Hospitals “network project. These mobile hospitals with expert doctors will cover rural areas in 32 districts where the poor are deprived of medical facilities." Each mobile hospital will be equipped with (X-ray, ECG and other testing machines) and people can avail themselves of these facilities for just. No money will be charged for blood and urine tests. The mobile hospital assumes significance as 52 percent population live the below the poverty line (BPL) in the state. No fees will be charged from BPL families. We are been equipped with 3 major containers along with 12 subs – units which will circulate all around the Pakistan globe. Each unit consists of 30 people who include (surgeons, paramedical staff, security personnel, and drivers).
Pakistan’s health indicators, health funding, and health and sanitation infrastructure are generally poor, particularly in rural areas. About 19 percent of the population is malnourished—a higher rate than the 17 percent average for developing countries—and 30 percent of children under age five are malnourished. Leading causes of sickness and death include gastroenteritis, respiratory infections, congenital abnormalities, tuberculosis, malaria, and typhoid fever. The United Nations estimates that in 2003 Pakistan’s human immune-deficiency virus (HIV) prevalence rate was 0.1 percent among those 15–49, with an estimated 4,900 deaths from acquired immune deficiency syndrome (AIDS). AIDS is a major health concern, and both the government and religious community are engaging in efforts to reduce its spread. In 2003 there were 68 physicians for every 100,000 persons in Pakistan. According to 2002 government statistics, there were 12,501 health institutions nationwide, including 4,590 dispensaries, 906 hospitals with a total of 80,665 hospital beds, and 550 rural health centers with a total of 8,840 beds. According to the World Health Organization, 7|Page
Pakistan’s total health expenditures amounted to 3.9 percent of gross domestic product (GDP) in 2001, and per capita health expenditures were US$16. The government provided 24.4 percent of total health expenditures, with the remainder being entirely private, out-of-pocket expenses.
Nevertheless, Pakistan is committed to the goal of making its population healthier, as evidenced by the continuing strong support for the Social Action Program (SAP) and by the new vision for health, nutrition, and population outlined in the government's National Health Policy Guidelines up to 2010. An example of a promising recent initiative is the lady health worker (LHW) community-based program, which is bringing health information, some basic health care, and family planning services to women's doorsteps. Presently, 3,000 women are serving as LHWs in their home villages.
“Deprived, disadvantaged, neglected and underdeveloped community irrespective of race, religion, caste, color, creed, and sex, and denomination, social and economic status is the main target group of Raabta” Our Main Focus are on people living in rural areas of Balochistan and lower of NWFP and very little of Sindh and Punjab, but over main focus and area of interest is in Balochistan as we know the population of Balochistan is 7.94 Million from these 76.1% people are still living in rural areas. Total area is 347190Km which is 43.6 % national territory, we often seen in the TV channels and reading news papers that people of these province are still living in backwardness and not have any idea or standard of a beautiful life, In the rural areas people are still deprived from the health facilities. They do not have the awareness about the medical treatment. People feel fear to go to the doctors so they prefer to check to the local doctors, if someone is present there. We visited in the various rural areas and observed that people have deficiency of resources for the medical treatment. No one is present to treat them well. If qualified doctors are asked to go there they do not like to go in these areas so we discussed with the people prefer to have the medical facility for them. So if the Quack’s doctor will be present in the rural areas they 8|Page
can provide the medical facilities to the rural community. Disease free community will prevail in the area. People will be healthy and strong they can work more and more which will develop them financially and socially. If young generation of the rural area will be trained as a quack’s doctors they will have the opportunities of the work. They can earn money through this skill in the rural areas. Migration will be decrease because young generation migrates in the cities in search of employment if they will get these opportunities in the rural areas they will establish their own work and become the source of income.
There are sparkling reasons why should we have own this project which make it different from other social welfare programs, our aim is to reach more and more people with efficiency and cover are selected regions •
Broad Area Short Population:
As we mention in our focus group that our major area of interest is Balochistan where only 19 persons per km are lived, so if we go for mobile clinics, (clinics are continuously running and helping the people). So in this region to approach a local and low level dispensary is very difficult it takes 2 to 3 hours minimum for villager and these dispensaries charge very high for initial treatments then villagers preferred self medication and avoid to go any where some times which may turn a simple case into complicated one. Balochistan is most avoided area in terms of construction and facilities if we run our mobile clinics patient don’t need to come us we will be there on their ways to help them and educate them and with low expense effectively cover our purpose to facilitate them. •
Get Rid of Freeze Investment:
If we aimed to construct a full fledge hospital that seems very pleasuring but just imagine you are constructing a full fledge hospital with all facilities for that you need a piece of land for example cost of land is 25 laces (that’s is to minimum) and than for construction and architecture 40 lacs, medical furniture 5 lacs, testing equipment (laboratory) 7 lacs, 9|Page
other equipments (stretchers, Icu beds operational instruments including OPD (A single of takes at least 12lacs with all essentials) min. 50 lacs. Total 1 caror and 27 lacs you must need this money but keep in mind this cost in fixed and nor include operational cost means utility bills and salaries of workers, we have no hesitation to bear all this cost but just imagine this hospital is covering just 200 kms, our this estimated 200 kms is very high because we have told you that villagers preferred self medication and have not enough facilities in terms of awareness and convinced they avoid to go there, if a person live 120 km away from hospital it may take at least 2 hours. So as average 19 person per km so we have total potential capacity of 3800 patients but in this just assume 3000 patients able to reach here (hardly) it make sense to spend 120k (operational cost +
salaries) per month for market of 3000 patents that hasn’t any worth so if we invest in mobile hospitals and clinics the mobility is more and cover a broad area and people don’t need to approach us after all we are here to approach them and facilitate them with out any cost. •
Low Expense More mobility:
As we described above here we don’t have to need freeze investment which stuck a place and cant move on various places with the mobile clinics we may cover 10 localities with a single mobile clinic and diagnostic center people can take their tests and if a disease diagnose in the early stage and the cure will be started what a need to go any where in any other big hospital, with mobile clinic and diagnostic centers we may explore more places with low expenses if construct a clinic in every single locality again that will take a huge investment with low market of potential patients. Mobile clinic and diagnostic centers can really bring a dynamic change in these rural area survivors. •
Creating Health Awareness:
Like other NGOs we also aimed to create awareness related to health care, hundreds of deaths occur due to insufficient diagnosis or self medication we have to agree them to come to us and know the actual reason for bad health how they can live a healthy life what precautions make their life easier. Reach the people and educate them to make their levies more beautiful.
Currently we are going to launch our three units. These units are general hospital but in future we have aim to move 3 full fledge buses each contains 8 beds for patients and special care units like cardiac, Nero, orthopedic, gyne e.t.c .in specific region where the 10 | P a g e
cases of relevant ward recorded very frequently so these units also serve as our survey team to collect the information and present actual health situation of our targeted regions after at least 2 years of starting.
Like Eddie, Red Cross, Red Crease’s, Make A Wish, which provide the facilities to those peoples those who need it most and have no strength to avail it, we all know that there are serious lack ness of facilities in Balochistan and NWFP of Pakistan so we select the Medical field. Just not only because this but this the facts and figures about these rural areas are just horrible when we see as a development side these areas are still avoided by the NGOs so why don’t we go for these areas where the hard survivors are still waiting for some betterment but due to lack of infrastructure and many other reasons government are unable to treat them well So why don’t we provide them health facilities so that people there who are dying with diseases but still unaware of it can survive and spend a healthy life There fore our track routs have major focus on NWFP and Balochistan and crosses away all the areas of these two territories.
How it Works:
As we all are aware of this fact that the area is very broad but population is very short so even a small dispensary is a miles away from a locality there for we are going to launch two (2) tracks in Balochistan and one (1) in NWFP which may cover all areas of it. For each track Raabta formed a unit, this unit is consisting on 1 Diagnostic center ( Container) 4 Mobile Hospitals ( Units )
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Mobile Hospital will move on before the container approximately 4 hours before, mobile clinics when stop in a territory then a authorized person will meet the district union counsel leader and tell him/her the purpose of our arrival(To serve the nation) and let then know how “Raabta Welfare Organization” is helpfull for them. Meanwhile the container will stay on highway only and Mobile Sub units will move on rural areas and will conduct Out Patient Department (OPD) and if finds out any critical patients it will carry him/her toward the container and operate them immediately. Also it provides facilities of tests for diagnostic reasons, collect urine and blood sample and give it to diagnostic center and on other day the report will be provided to patient. Slowly and gradually the Mobile Hospitals operate simultaneously all over the territory.
Duration of staying in a territory will depend upon the population of the district and also people may avail mobile clinics by the contact on phones if any patient is really needy to give emergency treatment. The Mobile van will be released after 4 hours when Container will leave the region to avoide the waist of time there is a big difference in the driving speed of Vans and containers
The Container will be stopped only at the main checkpoints, main towns on highway. The Container will gather whole unit one place & the Mobile Hospital will move to
nearer villages for providing its welfare services.
The mobile vans will reach nearest territory to provide the OPD and collect the
samples if any test is required of the patient, and if there is need of any minor surgery mobile van will pick the victim and bring in to the container to give them treatment.
Mobile Hospital also serve as ambulances and sample collector for the mean of lab
The Container and the vans will stay at least 1 weak in the main towns and then this
Unit will move forward to the next spotted location.
Main Points Must Be Noted:
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The Facilities will be provided free of cost, free of any favouritism to every needy citizen. The Staff Of Each unit will be replaced after a completition of track and new staff will be rolled. From these 3 units , 1 unit will be launched from Head quarter and remaining 2 from the branch situated in Sukkur. Every Container & Mobile Units will have a Pit Stop to refill their empty tanks( Petrol).
BASIC NEEDS FOR THE STAFF
As there are 30 members in each unit so we must consider what may be their basic needs and how we can facilitate them , because it’s a human nature we are unable to provide them their basic needs they will be frustrated and may be a break come to their willing to work with Raabta.
• FOOD AND WATER:
There will be a stock of Mineral Water bottles for the staff of the unit .There will be a stock of Food packed hygienically in Tetra Packaging to be carried easily and for longer period of time they can aslo purchase foods from some local territories as petty cash is provided and some times hostile lunches from the traget area authorities.
Big Tents will be carried with the package for the shelter in both day and night separately for Males and Females 13 | P a g e
Every candidate will bring with him/her cloths for casual use A stock of hygienic clothes for every member of the staff for normal hours and for working hours separately ,because there is need of special clothings in O.T .so o separate clothes will be provided to the workers.
Tracks Of Mobile Hospitals
Track 1 (Starts in Balochistan)
Stop# 2 (Refueling)
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Stop # 3 (Refueling)
Stop # 4 (Refueling)
Here We Will Play for a short period of time and do not cover all areas untill demand will received because quetta have many full fledge hospitals.
Stop # 5 (Refueling)
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TO HEAD QUARTER KARACHI
Track 2 (Starts With Sukkur Branch for Balochistan)
Stop # 1 (refueling)
Stop # 2 (Refueling)
Stop # 3 (Refuelling)
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Stop # 4 (Refueling)
BACK TO BRANCH (SUKKUR) Track 3 ( For NWFP)
Stop # 1 (refueling)
Stop # 2 (Refueling)
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Stop # 3 (Refueling)
Stop # 4 (Refueling)
Stop # 5 (Refueling)
Stop # 6 (Refueling)
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BACK TO BRANCH
These are our standard track routs but must keep in mind that directions may be changed due to circusmtances and on going happenings
Silence features of Mobile Hospitals and Diagnostic center (container)
o o o o All-aluminum custom body construction Insulation. Interiors those are spacious and easily cleaned. Complete electrical fixtures which meet national requirements, including an installed generator that will run all systems independent of outside power if required 19 | P a g e
o Air conditioning and/or heating systems o Complete water and sewage systems o Proper installation and securing of the medical equipment
Some Special design features for Container
• Air conditioning cabinets:
The front end of the container is designed to have the cabinets with heat emission function; all air conditionings outside machines are all put here. •
Electrically operated and manual dual purpose. After opening, it can stretch out at the side and may take back at the roof top when closed. Length is 12 M, and width is 8 M. •
Vehicles water supply system:
The 500L pure water tank(made of 1.6mm stainless steel) is located in the base. The water tank is installed with the filter, the liquid level observation window, the discharge valve, the discharge pipe, the holes with 200 mm diameters. The 300L waste water can(made of 1.6 mm stainless steel) is located underneath the base of the chassis. It has the elbow piece, the filter, the observation glass, the blow off pipe and connectors equipped with 24V, DC imported water pump which brings the pure water into each work cabin. The outside tube is treated with heat insulation and heat preservation.
• Electricity generation room and its accessory facility.
The good power distribution(cabinet, with good protection which guarantees no leakage and short-circuits.),Waterproof fast plug and socket and 30 meters cable system. Rising and falling type base, equipped with 4 mechanical type rising and falling leg, ding gear which assures the power supply under the electricity generation condition is completely isolated from the vehicle.The inside walls of the compartment are treated with heat preservation and noise reduction, the noise is lower than 65 Db is inside the office room. 20 | P a g e
The smoke pipe exhaust at the top, the pipe line is wrapped with the thermal insulation material required in the bid. One dry type of fire extinguisher. The landing gears rising and falling system; four sets of winding mechanisms, electrically operated manual dual purpose, level adjustment semi-automatic
Sections For Mobile Hospitals
Its our OPD unit so firstly doctor examine a patient here if found any other further treatment or complication just sent to main container for further diagnosis by tests .Interior consists of a minor-surgery suite plus a medical examination room with x-ray. A film processor will enable doctors to do diagnosis and treatment in the same unit. With the generator mounted on the tow bar, this towed trailer is a completely self-contained surgical and medical examination unit.
Reception (nurse area + pharmacy):
For greet the patients we have also reception over there in the mobile clinic where two nurses will standing over ther and keep the check on patients and maintain the records and give medicines on doctor’s prescription.
A area where patients can wait for their number when doctors is examining an other patient.area consist on a bench and 3 chairs on front of reception area
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Dimension: Total length 14” Total width 7.5” Examination room 6”*7.5” Waitin area + pharmacey+ reception 7.7” * 8 “
Sections For Container
X-ray & Ultra Sound Room
The x-ray room is designed to specify surgicaldiagnoses,to locate foreign bodies and to perform x-ray 22 | P a g e
diagnosticallyexaminationsof patients. The x-ray room is divided in two parts. The examinationroomis equipped with a folding x-ray apparatus ARTEK II, which makes itpossibleto perform both sciascapic and sciagraphic examinations in verticalas wellas horizontal positions. The cartridges with exposed films aredeveloped inthe dark room, the other part of the x-ray room. The darkroom is dividedinto a dry and a wet working place. These include films,foile,cartridges, tanks with developer, fixer, drier and other instrumentsand material.
A place for staff where they can relax and rest for some times having the floding beds and a liltle kitchen with toilet , lokers of the staff and things of their personal interests. Where they can take and secure their personal things
The pharmacy department consists of a pharmacyanda manufactory of infusion solutions, and of the stock of medical material.The pharmacy ensures and carries out the supply with mass-produced pharmaceuticals,distilled water, medical oxygen, nursing and other medical material. Itpreparesmedicines
according the individual prescriptions of physicians.The basicequipment of the pharmacy is a set N-5, a set for the operationof the pharmacy,and a distiller for preparation of distilled water.
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The laboratory is divided into a biochemical workingplace and a hematology working place. Its responsibility is to performvariousexamination of samples prepared by other departments, is equippedwith a setL-1, sterilization apparatus LA-60 and other material necessaryfor the operation of a clinical laboratory.
The Surgery Unit
All machines and tools must be fastened securely inside the unit with consideration of extreme shock, vibration and shaking. This image above serves to illustrate the basic set up of equipment throughout the unit. The items in this unit includes: ACG machine with necessary regulatory Gas bottles of oxygen, Movable operating table with side drawers for x-ray plates. It locks in position, and has an adjustable table top ,Includes leg and arm rests for deliveries or fractured limbs ,Refrigerator under counter ,Top and bottom cupboards for necessary medicines and tools ,Air-conditioner, Surgery light ,X-ray developer and Basin..
Architechture Of The Container
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Dimension: Length 12 meter Widht 3 meter Lab,dark room strelization area 3m * 3 m Unit inchage room 5” * 6” Washroom 2.5” * 6” The surgery unit 3m * 2.5 m Per Restion room 2m * 1.5 m Coridoor 9m * 1.5” here we can see the every this is in order and present according to need each resting room have 4 floding beds and for designing this container main focus is on minimum space and more utilization of space in speceific order . in above we can easily see that by using these equipments how we can store maximum things in short place and keep them safe the over head cabnents , refigreteres and fold in table in last picture the door of sernior consultants’ room how things are managed in short place.Must keep in mind that every where is over head cabnents play very important tole to keep things save and even from electronic point of view.
Human Resources Department
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Each unit is consist on 30 persons
• • • • • • • 5 drivers 5 securities 6 paramedical staff (ward boys, helpers) 6 nurses 6 doctors (including senior consultant unit, including 3 female doctors) 2 technicians 2 labs in charge
Mobile Clinic staff total in number
• • • • • 1 doctor 1 nurse 1 helper, paramedical 1 driver 1 security
8 am to 2 pm Lunch break 3 pm to 6 pm
• • • • • • • • 1 unit in charge (senior consultant) 1 Doctor (male / Female) 2 technicians 2 labs in charge 1 nurse 1 paramedical 1 driver 1 security (All duties of similar position are on rotation basis)
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Must keep in mind that all the staff is on rotating basis from mobile clinic to container for fleshing, clothing food and water also provided to them and they have their own food stock and in some cases can also purchase from local markets, for sleeping drivers and security staff is may replace from each others. In some rural area women avoid to check from male doctors so we have predefined days for specially lady doctors that every women can’t hesitate when going to check up. Staffing:
As we know that one trip of unit may consist on one and half months at least so we need Pre-requested interpersonal qualities • Medically fit • Must be an adventure lover • Strong Nerve System • Understanding (Able to understand other’s culture traditions and values) • Sharp minded These qualities will be judged by different types of test like handwriting, stress interviewing and manual tests. For each category/ position. Preferences: • • • • Doctors Technicians Lab in charge Paramedical staff
Will be hired from well-reputed institutes from Lahore, Karachi, and Islamabad. Because from these cities these candidates might be highly aware of more knowledge of there relevant field rather than any backward city, but must be energetic, patriotic and willing to work long hours. Drivers Security Persons Will be hired from Baluchistan & lower NWFP, the persons from our target territory residence. Who have great know how of the roads, infrastructure, area, the political, traditional, infrastructure conditions of the area and the language of the people living there, they’re way of living, their tradition, values. Believes, so that the venture can run smoothly.
Hierarchy Of Units
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Health & Care Department
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Rural environments present unique challenges for health care access. There are often shortages of medical personnel in rural areas, as well as transportation and distance barriers to care and an increasing economic destabilization of rural health care services. To The prevention, treatment, and management of illness and the preservation of mental and physical well-being through the services we maintain our health care department where each and every single individual is highly aware of basic treatments these people are back bone of project they are divided into units and than send to rural areas to help the poor humanity mostly of them a part from director falls in field working and continuously traveling. We have been assigned with planning of a mobile clinic organization for NWFP and Balauchistan. The mobile clinic shall work for the welfare of the general public of the area at no profit no loss basis. Initially there will be four departments, the finance department, the marketing department, the human resource department and health care department. The health care department shall focus on the main operation of the mobile clinic and will work in co-ordination with other department. The health care department consists of a team of expert doctors supervised and under the directorship of CEO who is a veteran citizen and has ample experience of the health care department and has also the privilege of being one of the sponsors.
ISO 9001 : 2000 ( Certified)
we are proud to achieve globally recognized standards of ( ISO 9001 : 2000 ) which makes it a certified organization for quality, environment, health & safety management systems. We are truly the ‘ port of the future’ for Pakistan and a vital organization assisting in the growth of the nation’s prosperity and reduction of deseases.
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The health care department has the following objectives: 1. It sets out the work plan for the medical team. 2. It keeps the inventory of medicines and related supplies. 3. It collects statistics of the patients mobilize the medical team with the mobile hospital to the required area according to set program. The program is announced previously to the patients to be treated. 4. It works in close co ordination with the marketing department, the Human resource department and the finance department. 5. It aims to improve health and well being through its strategic responsibilities and accountability for the health and social care system. 6. Monitor health and implement services to improve life expectancy and the quality of life. 7. Promote and educate people about healthier life styles. 8. Insure the quality use of medicines and save use of poisons.
For work plan a team of doctors, nurses and paramedical staff will be hired by the human resource department in consultation with health care department which will set standards of qualification and experience of the personnel. The doctors and the staff shall be clearly briefed about their out door duty and only those who are willing shall be hired and a performance bond shall be taken from them. General diseases to be treated: The following diseases shall be generally treated in Balauchistan and NWFP. Diarrhea, malaria, typhoid, skin diseases, cholera, dengue fever, asthma, ENT diseases, gastrointestinal diseases and dental problems. These diseases generally take 15 to 20 days to cure and heal up. These are all acute diseases on which we will focus our attention because chronic diseases are out side our scope. For every patient the concerned doctor shall keep a history of the case. Vaccination of poxes and polio shall also we made according to national health program.
Facilities provided in the Mobile Units
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Sufficient Inventory of medicines and medical supplies shall be kept in the container and the vans where life saving drugs shall also be kept. There will be constant checkup of stock of medicines and supplies so that if any things fall short it maybe replenished instantly. 2. Medical Laboratory: There will be stand by laboratory in the container for testing of blood, urine, stool and phlegm. An ECG machine and X-ray set up shall also be installed in the container. There will be a blood-collecting unit associated with laboratory for blood transfusion needed by specific patients. The laboratory will be equipped with the testing equipment and arrangement for the blood only. 3. Mobilization of the unit: The health care department mobilizes the mobile team on the basis of statistics of patients collected. The doctors will carry with them sufficient stock of medicines and supplies for wide spread diseases in the concerned area. 4. Equipment and apparatus:
The health care department shall see that the following medical equipment and other items needed for the patients must be placed on the mobile container.
1. 2. 3. 4. 5. 6. 7. 8. 9.
Portable Oxygen unit Portable Suction Unit Stair Chair and Stretchers Defibrillator cum Monitor with Recorder. Transport Ventilator Infusion Pumps Stethoscope, thermometer, disposable syringes and blood pressure monitor. First Aid Kit Ventilation and Airway Equipment
10. Immobilization Devices 11. Injury Prevention Equipment.
1. Medicated Cotton 2. Bandage of different sizes and fully medicated 3. Leucoplast 31 | P a g e
4. Pain Spray and other sprays as required 5. Face Mask (Disposable) 6. Surgical Gloves 7. Wide bore needles 8. Syringes of different size 9. Disposable suction pumps 10.ECG electrodes 11. Nasal airways (all sizes) & catheters 12. Cannula 13. Pressure Infusion Bags 14. Micro drip-set & Drip-set 15. Nasogastric Tubes 16. Burn Pack: Standard package, clean burn sheets (or towels for children) 17. Dressings 18. Gauze rolls Sterile (various sizes) 19. Adhesive tape: Various sizes (including 2” or 3”) 20. Cold packs 21. Waste bin for sharp needles, etc. 22. Disposable bags for vomiting, etc. 23. Teeth guard 24. Sample collection kits The above list of equipments and consumable item is a general list; there may be other items also and the list may be modified according to the requirement.
Technical Specification: Patient cabin in the container will need to provide enough space for positioning of space not less than 6’2” inches. Storage space for keeping medical equipment and consumables required. Demark area for the placement of stretchers ensuring no twisting of patient takes place while opening and closing of the doors. A sitting space for at least two persons one of whom may be Paramedic. Power supply arrangement in the mobile van and the container should be adequate to satisfy the requirements of normal lights and in addition must cater to the needs for internal lighting, air conditioning and functionality of medical and communication equipments.
The health care department shall ensure that the above specifications are met with according to strict requirement of the case.
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Announcement of Mobile Hospitals:
The health care department shall circulate pamphlets before the arrival of mobile clinic in the proposed area announcing the arrival time and place of the camp tempting the prospective patient with their relatives to come and get the free treatment.
Strategic Responsibility and Accountability
Since the whole mobile clinic is dependent on the funds provided by the Sponsors, Trust, charitable institution and health department it would be strategic responsibility of the health care department to improve the health of the selected area people of NWFP and Balauchistan. The performance of mobile unit shall be checked from time to time and transmitted to the sponsors to whom the mobile unit is accountable. A copy of the performance report shall be given to the marketing department for perusal and necessary action. The report will be in following manner. Specimen:
Area_____________ Month ____________Mobile time headed by: __________ No. Of patients treated 50 100 100 200 60 Diseases Cholera Stomach diseases Typhoid Minor injuries Malaria Remarks
Co- ordination with other departments:
The health care department works and close co-ordination with the marketing department in as much as statistics of the patients in particular area, about those to be treated and 33 | P a g e
those treated by the mobile team. The announcement and advertisement rest with the marketing department for which the material is provided to them by the health care department. The health care department also works in co-ordination with the finance department for the funds to be raised for purchase of equipment, consumable stores and medicines including supplies and for the maintenance of the vehicles and equipments under the use of the mobile unit. The health care department has also to co-ordinate with the human resource department for its requisition for quality personnel, doctors, nurses and paramedic including security staff with the mobile unit. Health care department shall have regular contact with the mobile unit workers on mobile phone for issuing instructions to them according to the specific requirement and difficulties being faced by them. The doctors shall be restricted from prescription of poison and antibiotics liberally and that the patient should be handled in a nice manner. The doctors shall be instructed to advise their patients to use boiled and filter water to prevent stomach diseases and nets to avoid bite of mosquitoes who spread malaria, dengue and other diseases.
Health care department shall be made fully equipped to face any type of disaster like floods and earthquake etc. more over it will see that sufficient management is made for re-enforcement of staff equipment and medicines can be made in case of emergency.
Training and skill development:
On the advice of Human Resource Department the health care department shall chalk out a comprehensive program for training and skill development. The doctors will be trained for the treatment of villagers and folks of the particular area, the nurses and other paramedics shall be trained to handled the patients and supply them the prescribed medicines and first aid treatment. The laboratory staff shall be trained to deliver quick and efficient reports of the patients for proper treatment. After completion of the training a test will be conducted and the passing out staff shall be posted at the proper mobile unit.
The health care department shall issue instructions to the concerned persons for precaution as follows:
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• • • • • • • • • • • •
There will be standing instruction given by the health care department that after treating every patient the doctors will wash their hands with soap. Thermometer and other such items should be properly sterilized. Injured patients should be delicately handled. Patients or their responsible relatives should be given instructions for proper use of medicines and in house treatment. Blood sample should be tested carefully before blood is collected and reserve for transfusion. Disposable syringes should be destroyed after one time use. All medicines should be regularly checked for their expiry and the expired medicine should be destroyed and replace by fresh stock. There should be sufficient stock of clean water with the mobile unit. The mobile team will carry sufficient stock of their foodstuff duly packed for journey. The driver will take care for sufficient petrol, oil and lubricants etc. and that the vehicles are properly maintained and fit for the journey. The vehicles shall be thoroughly cleaned everyday. The security guards shall keep their weapons fully loaded and ever ready to encounter any attack. All the doctors, nurses and paramedics shall remain clean and tidy everyday.
Each Mobile Clinic With equipments 35 | P a g e
58lacs ( 12 Clinics , with
Discounted Price =
= (48 lacs * 12 units) = RS 5cror 76 lacs Rs 1.27 cror
Each Container with equipments (3 containers) • Discounted Price
= (1.2 cror * 3 units) = RS 3. 6 cror On per trip basis
Salaries ( Contractual)
Distribution Among Staff:
• = 1.17 lac (1.17* 3 = Rs5.25 lac) • Doctors = 85 K (85 (5*3=15)=RS 12 lac 75 k • Lab incharge = 75( 75 (2*3)) = RS 4 lac 50 k • Technicians = 75( 75 (2*3)) = RS 4 lac 50 k • Nurses, Paramedical staff = 60 k (12*3) = (36*60)=Rs 21 lac 60k • Drivers security = (10*3=30) 50*30= RS15 lac Total for salaries basis for 3 units on contractual basis 50 lacks Petty cash 75 k for each Fuelling Rs 60 lac ( for three units) (passes for feulling) Senior consultant
Sources of Monetary Resources:
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All the money would be donated by the Welfare Organization , UNO & other institutions which would also help us in our project by Monetary means , Human Resource means & Equipments etc. Pharmaceutical companies would provide us with medical staff , samples and many more which would ease our work simultaneously.
How to market Mobile Hospitals ?
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As we are running a welfare program to serve for the nation and its betterment so have to make sure that our marketing should play a pivotal role in this project as it’s a huge project, which eventually will be groomed as its response and services is concerned and also with the support of other NGOs and GOVT agencies. Over here we have used the strategy of MARKETING MIX which would help us to market our Mobile hospital. In this it contains 4 major components; listed as under: Product Price Promotion Place
1) Product: As far as our product is concerned its “ mobile hospital” which by its name means service for patients and other people in need. Product itself includes warranties , quality, design, features, brand name etc. 2) Price: Over here we would consider the cost of the machines , salaries of the medical staff & other expenses. 3) Promotion: This includes the medium or source to promote our product which would be as follows: • • • • Electronic media Printing media Wireless media E-commerce
In this we would also consider the advertisement, public relations, Direct customer marketing, volunteers etc. Promotion in this type of service oriented organization is very important because we, being the pioneers in Pakistan have to survive according to the economic condition and our political condition. We have to build such type of relationship with the other marketing agencies which would help us to run our
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slides and which would be of Cost-Free, and through using the above given media we could call for an appeal as for donations , funds and other resources. 4) Place: In marketing mix we also should consider the place this means that we have to target a specific place as in the welfare projects we see that people go for the majority effected areas. But in our care our Organizatiuon “ Raabta Mobile Hospitals” will be working only in the rural area in Pakistan which covers mostly effected areas as balochistan, sindh, Peshawar ( N.W.F.P) & Punjab etc. which covers all our 4 provinces. So we have to target a specific place which would let us to plan out our tours accordingly. “ Raabta Mobile Hospital” is a Non – Profit based Organization which is forming only for the benefit.
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The overall evaluation of a company’s strength, weakness, opportunities and threats is called SWOT analysis. It involves monitoring the external and internal environment. Strength: • As we are the pioneers and we would serve the best being the starters. • We have the best Specialized Doctors from various places. Weakness: • • Our Human Resources Lack of infrastructure
Opportunity: • • To excel around the globe People would voluntarily participate in this type of projects
Threat: • • On global scale we would face our competitors We could face tremendous terror from the extremist community
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