Hospital Project

BACKGROUND AND PROJECT LOCATION:

Lingsiphai is a village located in Churachandpur District of Manipur. It is about 5 kilometers from Churachandpur town, the district capital and the only town in the whole district. . It is surrounded by a number of villages like Mata village, Bisanmual, Nakhuphai, Buallian etc. The Khuga Multi-Purpose Project is located a few kilometers south of the village. The State Highway Tiddim Road, passing through the village, is the only connection between the town and the villages in the southern part of the district up to the Myanmar border.

Lingsiphai village is composed of around 210 household with a population of 1700 people approximately. As the village is socially and economically backward majority of the population live below the poverty line. They do not enjoy the basic amenities of life that those in the developed areas take for granted. Their main source of income is through subsistence farming (jhum cultivation) and daily wage labour. Lumbering is carried out in a small scale too.

DISTRICT PROFILE:

Churachandpur District, in the southwestern corner of Manipur, has an area of 4570 sq.km. Its location is 23055′ to 24030′ North and 92059′ to 93050′ East. It is a hilly district with a very small percentage of the area being plain. A large portion of the area is either under current jhum or abandoned jhum: 29,323 Ha and 190,447 Ha. respectively. There is no primary forest in the district and the secondary forest including mixed bamboo forest, covers an area of 118,092 Ha. The area under wasteland is 98,424 Ha. and the total area of the water bodies is 2,144 Ha.(2,072 Ha. of river/streams and 72 lakes/tanks/ponds). The road network covers an area of 3581 Ha located in and around the district headquarter. The maximum temperature is 370C while the minimum is 10C. The highest rainfall is 3080 mm (Tinsong) and the lowest is 597 mm (Geljang). The maximum humidity is 100% and the minimum 61%. The beauty of the landscape is supplemented by the climate which is temperate and salubrious. The winter extending from November to February is cold, particularly in the hills but days are bright and sunny. The monsoon months stretch from May-June to September with heavy showers almost throughout the period. The spring and summer months are mildly pleasant despite high humidity. However, the low temperatures (ranging from 300-350C) prevents sultriness that is so common in eastern India. The climate imparts the people with considerable stamina and hardiness through the lack of rains during non- monsoon months and the consequent decline in water flow in the major rivers during that period makes the state a mono-crop economy.

According to the provisional data of 2001 census, the total population of the district is 2,23,866. The literacy rate in the district is quite high, the percentage being 64.38 (72.6% in male and 56.4% in female). Unlike most parts of the state and the country, the sex ratio is in favour of the female gender: 1034 per 1000 male.

PROJECT GOAL:

The proposed Hospital with 50 beds is to ensure medical facility for the poor and the deprived people living in the village, Lingsiphai as well as those living in the surrounding areas too. As the area is underdeveloped and people find it difficult to visit the hospital in the town, the proposed hospital will take care of the needs of the people in regard to providing first aid, vaccinations and inoculation, treatment of different diseases and administering health care for pregnant women. The project will also give workshops and seminars on importance of proper maintenance of hygiene and sanitation, pregnancy care, spread of bacterial diseases and means for prevention of water borne diseases and AIDS.

TARGET GROUP:

The proposed Hospital will take care of the medical needs of all sections of the people irrespective of age group. For the children, inoculation will be given and their parents will be given advises on the proper caring of babies and their young children. The hospital will look after injuries sustained from accidents and mishaps that are frequent in the region. Pregnant mothers will have proper medical care without having to undergo the difficulty of undertaking long journeys to the District Hospital. The hospital will also take care of administering medical care to the sick and ailing people, both young and old.

PROBLEMS TO BE SOLVED:

The District Hospital is located in the heart of Churachandpur town which is immensely hard for those living in the village to go there for medical treatment. The villagers, due to lack of money and proper means of transport cannot reach the District Hospital to avail the medical facilities. As majority of the people live below the poverty line, they have hardly sufficient money to feed their mouths, much less the money to pay for transportation of the sick to the Hospital. Therefore most of the sick are deprived of the health care facilities resulting in high rate of both infant and adult mortality. Pregnant women find it difficult to commute from the village to the town for continuous medical checkup and even for childbirth. Furthermore, the people are frequently involved in accidents due to harsh weather and rough terrains. During such cases, timely dispensation of first aid cannot be carried out due to the absence of any nearby medical health care facility.

NEED ASSESSMENT:

The people have a low level of education and therefore they are ignorant of proper health care and modern medical treatment. Most of the people still rely on traditional system of healing the sick as they are deprived of the modern medical facility. It is not only the ignorance, but the deprivation of proper health care facilities, that has made the people of the region vulnerable to all sorts of diseases like cholera, tetanus, whooping cough, tuberculosis, polio myelitis, influenza, malaria, etc. There are frequent outbreaks of epidemics in the hill areas due to the lack of timely medical help resulting in the loss of many human lives.

ACTION PLAN:

The hospital will facilitate the following: (i) immunization; (ii) micronutrient support, particularly vitamin A; (iii) family planning; (iv) prenatal, obstetrical, and postpartum care; (v) systemic case management of pneumonia and diarrhea in children; (vi) case management of tuberculosis (TB) and reproductive tract infections in adults; (vii) health education on selected project-related topics; and (viii) support to victims of violence against women. (ix) Control of Communicable diseases.

DETAIL FINANCIAL IMPLICATION FOR 50 BEDDED COMMUNITY HOSPITAL:

The infrastructures for the proposed Hospital are as follows:

A. COST OF 50 BEDDED HOSPITAL BUILDING:

(5 acres of land i.e. 3 acres = building & 2acres = parking)
Average and Basic cost of Building a hospital will be @ ` 3250/Sq ft or ` 6,50,00,000 per acre ( 6,50,00,000/- x 5acre = ` 32,50,00,000/-)

B. TOTAL DESCRIPTION OF EQUIPMENTS COSTS:

C. SALARIES/HONORARIUM OF STAFFS:

Annual per bed cost of 50 bedded Community Hospital

Monthly salary bill ` 35,18,000/- and Annual bill is ` 4,22,16,000/- the break up is as follows:

Grand Total Cost of 50 Bedded Community Hospital Project ( A + B + C)

= (A) ` 32,50,00,000 + (B) ` 19,65,72,210 + (C) ` 4,22,16,000 = ` 56,37,88,210/-

(Rupees Fifty six crores, thirty seven lakhs eighty eigth thousand two hundred ten) only

PROJECT SUSTAINABILITY
As the Project is designed purely for non-profit, and its facility will reach the poorest of the poor, who are being deprived of essential basic health facility in the remotest corner of the country, the sole means of funds will solely be relied on CSR funding

Shri Thangliansang,
Secretary, SANGA