Business Plan” Rural Health Care Project in Narnaul region of Haryana<br />Time of Beginning: July 2010<br />Area: Narnaul and around (Narnaul is 95 Miles / 150 KM from New Delhi, India).<br />Mission India Foundation (website: www.mifusa.org) is a US- based not for profit established in June 2007. It was granted tax-exempt status in June 2008. This is the first ground project that we are taking up.<br />The health project – Rural Health care Delivery system (RHDS) - is an ambitious project that aims to establish a sustainable health care delivery network in the whole of Narnaul region. The area of focus is Maternal & Child Health (MCH).<br />Description of the area:<br />Narnaul is a small town (tehsil head quarter) under Mahendragarh district in Haryana. The whole area is under-developed economically and in terms of resource availability because of semi-desert conditions (low rain fall), hence agriculture is limited and industrial growth has not happened. <br />Narnaul town has a population of around 65, 000. It has a catchment area of 65 villages with total population of 400 K (4 lakh). <br />Project Details: Rural Healthcare Delivery System (RHDS)<br />This model consists of: a) one central clinic in the Narnaul town and b) out-patient reach in form of mobile medical vans going to various villages.<br />Phase 1: To be completed successfully by the end of first year (July 2010- June 2011)<br />Mission India Foundation will start with a health clinic (out-patient) in Narnaul town. It will be staffed by at least 1 qualified doctor, minimum one Registered Nurse (RN) and an assistant (front desk/clerk/helper). The clinic will be started at a rental property (2 rooms, minimum).<br />In brief, the clinic will be an out-patient facility staffed by a Family physician or more preferably a team of a Pediatrician and an Obstetrician and will provide the following services free of cost to poor and needy population:<br /><ul><li>Kids:</li></ul>Health check up and treatment of common pediatric conditions<br />Immunization<br />Preventive health care <br /><ul><li>Maternal and reproductive health:</li></ul>Health check up and treatment of common conditions<br />Provision of antenatal care<br />Immunization<br />Preventive health care (iron and multivitamin supplements)<br /><ul><li>Imparting training or Continued Medical Education (CME) to Para-medical workers (trained dais, Village Health Worker) so as to enhance the quality of clinical services they provide to kids and pregnant mothers (vide infra fro details).</li></ul>Phase II: (Next expansion): Rural Mobile Medical Vans: To be initiated in the beginning of 2nd year (July 2011) and completed over next 3 years.<br />Phase II will be initiated only after the Health Clinic (phase I) has been successfully established and is running smoothly.<br />Phase II consists of providing health services to the villagers at their doorstep. A Mobile Medical van staffed by a separate team of health-providers will go to selected villages on a rotational basis and provide maternal and child health services. One mobile van can cover 2 villages per day (12 villages per week). <br />It is safe to assume that to cover the whole Narnaul area and its surrounding villages at least 4 mobile medical vans will be needed (48 villages). Our strategy is to <br />This model of one central clinic and out-patient reach in form of mobile medical vans will form the ideal model of RHDS.<br />Economy of the Projects: (in US dollars)<br />A] Phase I: Central Health Clinic in Narnaul city:<br />Initial Investment:<br />Medical instruments, appliances, furniture for the clinic<br />and computer : $ 5,000 ( 5 K) <br />Monthly Expenditure:<br />Salaries for doctors (1-2), RNs and clerk: $ 2 k <br />Basic medicines and supplies: $ 400<br />Rent, electricity, maintenance: $ 1600<br />Total Monthly expenditure: $ 4000 (4 k) <br />Total yearly maintenance expenses: $ 48,000<br />Total Project cost:<br />Initial investment: 5 K<br />Annual expenses: 48 K<br />Total Project cost: $ 53 K for the first year.<br />B) Phase II: Cost of One Mobile Van Unit:<br />The Mobile healthcare team will provide woman and child health services by visiting various villages on a rotational basis. The team will work 5 1/2 or 6 days a week. This way, 12 villages can be covered on a regular basis.Initial Investment:A) Cost of buying a Mobile Medical Van: $ 14,000Basic Medical Instruments to equip the vanand some basic furniture :$ 2,000---------------------------------------------------------------------------------Sum : $ 16,000B) Monthly Recurring Expenditures:1 doctor, 1 nurse and 1 assistant (driver + helper): $ 2000Basic Medicines , procedure, lab cost : $ 1000Petrol, maintenance and miscellaneous : $ 1000-------------------------------------------------------------------------------------sum : $ 4000 per month$ 4000 per month x 12 = $ 48 K for one yearTotal project cost:Initial Investment: $ 16 KInitial 1 year Maintenance expenses: 48 KTOTAL BUDGET: $ 64 K for one mobile van<br />Some annotations:<br /><ul><li>The services will be provided to the indigent population on a free basis. As a long term strategy, we shall run the services on a no profit and no loss basis. But this model will take time to develop.
The medical team (doctors, Nurses) will have to be paid competitive salaries as it is often difficult to attract health care providers to such an under-developed region.
The help of volunteers will be utilized to augment the clinical services that Mission India Foundation is providing to the needy population.
Once the clinical health services have become operational, clinical trials will be conducted to study and highlight the medical problems peculiar to that region. </li></ul>Training to Health Workers:<br />One of the key components of the MCH Project is to impart training to the health workers (Village health worker, multi-purpose health worker, trained dais/birth attendants) so that they can serve the patient population better skills. This will be done by our health team. We shall collaborate with governmental agencies to make it more useful and productive.<br />(Drafted on May 10, 2010)<br /> <br />