RISHI VALLEY RURAL HEALTH CENTRE
KRISHNAMURTI FOUNDATION INDIA
ANNUAL REPORT 2005 - 06
This year past, saw an exponential growth in the number of patients seen at the Health Centre. From 7400 to 11400 was an unanticipated increase, which, stretched our resources, human, financial as well as psychological to almost breaking point.
It is never easy working day in and out with the poor. People pour into the centre seeking succour for their illnesses. More and more complex diseases, long standing conditions – crippling them, drive the poor into deeper debt. Most times we arrive at a working diagnosis- THEN WHAT? - The levels of poverty in our country are frightening, many cannot even afford a bus fare of Rs 50/- which will get them to Bangalore and a tertiary care centre, forget about meeting costs of investigations and treatment.
One wonders what will happen to the Rural Poor in this age of globalisation, privatisation and exploitation.
OUTPATIENT
Total 11532
Adults 10367
Children 1165
2003-04 6351
2004-05 7481
2005-06 11 532
KRISHNAMURTI FOUNDATION INDIA
ANNUAL REPORT 2005 - 06
This year past, saw an exponential growth in the number of patients seen at the Health Centre. From 7400 to 11400 was an unanticipated increase, which, stretched our resources, human, financial as well as psychological to almost breaking point.
It is never easy working day in and out with the poor. People pour into the centre seeking succour for their illnesses. More and more complex diseases, long standing conditions – crippling them, drive the poor into deeper debt. Most times we arrive at a working diagnosis- THEN WHAT? - The levels of poverty in our country are frightening, many cannot even afford a bus fare of Rs 50/- which will get them to Bangalore and a tertiary care centre, forget about meeting costs of investigations and treatment.
One wonders what will happen to the Rural Poor in this age of globalisation, privatisation and exploitation.
OUTPATIENT
Total 11532
Adults 10367
Children 1165
2003-04 6351
2004-05 7481
2005-06 11 532
The centre saw 11532 patients as compared to 7481 in the year 2004-05 and 6351 in the previous year. This increase in 4000 patients was unprecedented. We found that affordability and quality of service rendered were the two most important components in the decision amongst patients to come to the health centre.
The Manmohini Kaul Charitable Medical trust partly funds the subsidy on treatment for patients.
EYE CARE
The programme went forward another step when we were designated a Vision Care Centre by LV Prasad Eye Institute of Hyderabad. A Humphrey’s Frequency Doubling Test Instrument to measure visual fields was installed in November 2005. It has proved a boon for the early diagnosis of field defects, particularly those caused due to Glaucoma.
Patients 960
Cataracts 142
Other surgeries 10
Glaucoma 28
142 cataracts, 6 Dacryocystectomies and 4 Iridectomies were done at subsidised rates to the poor. In addition 28 patients with incipient Glaucoma were picked up thanks to the FDT instrument. I am glad to report that all patients are doing well.
The Manmohini Kaul Charitable Medical trust partly funds the subsidy on treatment for patients.
EYE CARE
The programme went forward another step when we were designated a Vision Care Centre by LV Prasad Eye Institute of Hyderabad. A Humphrey’s Frequency Doubling Test Instrument to measure visual fields was installed in November 2005. It has proved a boon for the early diagnosis of field defects, particularly those caused due to Glaucoma.
Patients 960
Cataracts 142
Other surgeries 10
Glaucoma 28
142 cataracts, 6 Dacryocystectomies and 4 Iridectomies were done at subsidised rates to the poor. In addition 28 patients with incipient Glaucoma were picked up thanks to the FDT instrument. I am glad to report that all patients are doing well.
AGAMA India partly supports this programme.
SILOAM eye hospital, a branch of LV Prasad Eye Institute, in Madanapalle, has started doing Cataract Surgeries at a nominal cost for our patients. This is in addition to those surgeries being done at a subsidised rate in Satya Eye Hospital, Madanapalle by an ex-parent of the school.
But as with any of our programme, lack of adequate funding remains the biggest constraint.
TUBERCULOSIS PROGRAMME
Total 87
New 68
Old (contd) 19
Sputum + (new) 30
Extra Pulmonary 12
Completed 31
RNTCP 31
Ongoing 12
Died 2
Default 2
The programme continues to be partly funded by the SIDVIM trust. The linkage with the RNTCP has proved to be beneficial, with a number of patients benefiting from access to Government supplied free medicines. Our laboratory has been recognised as a DESIGNATED MICROSCOPY CENTRE under the RNTCP.
What is worrying, however, is the growing incidence of HIV positivity amongst our patients. SIX of our TB patients were found to be HIV positive, one dying within a month of starting treatment. Providing Anti retro viral agents remains a pipe dream. Most of our effort is directed at counselling, the affected person as well as the family members in accepting the disease.
ANTENATAL PROGRAMME
(2005)
Total 30
Home 11
Hospital normal 5
Hospital LSCS 3
Lost to follow up 11
The ante – natal programme continues doing well. There is a greater awareness amongst pregnant women on the need for regular ante natal checks. The lost to follow up is probably because of a number of home deliveries which do not get reported, in spite of our best efforts.
An increasing number of women with multiple pregnancy losses, Bad obstetric history, are accessing our centre for the following reasons (i) comprehensive work up (ii) personalised guidance and counselling, (iii) close monitoring of the ongoing pregnancy (iv) liaison with Fetal Care Research Centre, Chennai and (v) support of a committed Obstetrician (Usha Speciality Hospital) at Madanapalle.
The data for the 4 years of the programme is given below:
Home Hospital normal Hospital LSCS Lost to follow up
2002 4 4 1 5
2003 11 3 4 8
2004 6 6 3 4
2005 11 5 3 11
2006 1 1 -
COMMUNITY DIAGNOSTIC CENTRE
Laboratory 2620
Microbiology 81
X-Ray 438
SILOAM eye hospital, a branch of LV Prasad Eye Institute, in Madanapalle, has started doing Cataract Surgeries at a nominal cost for our patients. This is in addition to those surgeries being done at a subsidised rate in Satya Eye Hospital, Madanapalle by an ex-parent of the school.
But as with any of our programme, lack of adequate funding remains the biggest constraint.
TUBERCULOSIS PROGRAMME
Total 87
New 68
Old (contd) 19
Sputum + (new) 30
Extra Pulmonary 12
Completed 31
RNTCP 31
Ongoing 12
Died 2
Default 2
The programme continues to be partly funded by the SIDVIM trust. The linkage with the RNTCP has proved to be beneficial, with a number of patients benefiting from access to Government supplied free medicines. Our laboratory has been recognised as a DESIGNATED MICROSCOPY CENTRE under the RNTCP.
What is worrying, however, is the growing incidence of HIV positivity amongst our patients. SIX of our TB patients were found to be HIV positive, one dying within a month of starting treatment. Providing Anti retro viral agents remains a pipe dream. Most of our effort is directed at counselling, the affected person as well as the family members in accepting the disease.
ANTENATAL PROGRAMME
(2005)
Total 30
Home 11
Hospital normal 5
Hospital LSCS 3
Lost to follow up 11
The ante – natal programme continues doing well. There is a greater awareness amongst pregnant women on the need for regular ante natal checks. The lost to follow up is probably because of a number of home deliveries which do not get reported, in spite of our best efforts.
An increasing number of women with multiple pregnancy losses, Bad obstetric history, are accessing our centre for the following reasons (i) comprehensive work up (ii) personalised guidance and counselling, (iii) close monitoring of the ongoing pregnancy (iv) liaison with Fetal Care Research Centre, Chennai and (v) support of a committed Obstetrician (Usha Speciality Hospital) at Madanapalle.
The data for the 4 years of the programme is given below:
Home Hospital normal Hospital LSCS Lost to follow up
2002 4 4 1 5
2003 11 3 4 8
2004 6 6 3 4
2005 11 5 3 11
2006 1 1 -
COMMUNITY DIAGNOSTIC CENTRE
Laboratory 2620
Microbiology 81
X-Ray 438
The Community Diagnostic Centre has more than proved its usefulness to us. Not only does the centre cater to the constantly growing needs of the Health Centre, but it also provides diagnostic services to the children of the school. The charges are nominal, covering the cost of chemicals as well as salaries and maintenance. Hence, patients are able to afford the cost of investigations done here.
ULTRASOUND
On 16th Feb 2006, the 2nd anniversary of Dr V Ramamurthy’s demise, his family and friends presented the Health Centre with an Ultrasound. Both of us are feeling our way into this new area and will start using it once training and licensing procedures are completed. We are sure that this machine will prove to be of a great benefit to us.
CAMPS
On 16th Feb, 2006 MMKCMT conducted a Paediatric Camp at the RHC. About 40 children benefited from the services of the visiting paediatrician.
33 patients with eye ailments were seen and 10 of them operated for Cataracts.
Vascular Diseases Project
With an aim at finding out the incidence/prevalence of Hypertension, Diabetes and IHD amongst the rural poor, the Health centre in collaboration with Monash University of Australia, has just started a one year epidemiological survey, covering a population of 5000.
A Closing Message
We would like to take this opportunity to thank one and all for their support to the Rural Health Centre.
A full list of patients who have been treated at Tertiary Care Centres will be put up on the blogspot at the soonest.
We look forward to your continuing support in the years to come. Please look at www.rvrhc.blogspot.com for our funding requirements.
Kartik and Kamakshi
April 2006
rvsrhc@yahoo.co.in www.rvrhc.blogspot.com www.rishivalley.org
(08571) 280573/280850/280622/280582
ULTRASOUND
On 16th Feb 2006, the 2nd anniversary of Dr V Ramamurthy’s demise, his family and friends presented the Health Centre with an Ultrasound. Both of us are feeling our way into this new area and will start using it once training and licensing procedures are completed. We are sure that this machine will prove to be of a great benefit to us.
CAMPS
On 16th Feb, 2006 MMKCMT conducted a Paediatric Camp at the RHC. About 40 children benefited from the services of the visiting paediatrician.
33 patients with eye ailments were seen and 10 of them operated for Cataracts.
Vascular Diseases Project
With an aim at finding out the incidence/prevalence of Hypertension, Diabetes and IHD amongst the rural poor, the Health centre in collaboration with Monash University of Australia, has just started a one year epidemiological survey, covering a population of 5000.
A Closing Message
We would like to take this opportunity to thank one and all for their support to the Rural Health Centre.
A full list of patients who have been treated at Tertiary Care Centres will be put up on the blogspot at the soonest.
We look forward to your continuing support in the years to come. Please look at www.rvrhc.blogspot.com for our funding requirements.
Kartik and Kamakshi
April 2006
rvsrhc@yahoo.co.in www.rvrhc.blogspot.com www.rishivalley.org
(08571) 280573/280850/280622/280582
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