I ,sree, from INDIA , am a Operations Head for 'Lalitha Foundation' which is a charitable trust for tribal and rural people in Andhra Pradesh, India. Our Mission:  The mission of the 'Lalitha Foundation' is to access to Modern technology for people with lack of health services in rural and tribal areas. Priority areas addressed: Consultations with Expert Doctors through video - conference, Training for Primary Health Care.

1. Rural- Tribal Community Health PROJECT (INDIA)
'Utilizing modern technology to remote communities in INDIA'
There is a desperate lack of primary
healthcare available to rural
communities in many parts of India
Project aims to enhance primary
healthcare provision using video
conference between doctor and patient
to under-served communities

2. Rural- Tribal Community Health PROJECT (INDIA)
'Utilizing tele-medicine technology to remote communities in INDIA'
Rural- Tribal Community Health Project is an innovative new venture that
aims to utilize modern technology to make it possible to offer expert doctor-
supported primary healthcare to remote, under-served areas of India.
The project aims to treat 500 patients for every month in each hospital.
Standared Hospital setup for every 2,00,000 people in remote communities
with internet and phone facilities.
These Hospitals also include small laboratory for diagnosis & medical tests
and dispensary for medicines.
These Hospitals are specifically equipped for the purpose, to complete the
primary diagnosis, doctors consultation, lab tests and doctors prescription.

3. HEALTH ISSUES IN RURAL COMMUNITIES
LACK OF MEDICAL EXPERTISE
One of the main obstacles to providing adequate healthcare in developing
countries is the lack of effective diagnosis due to a shortage of trained medical
staff in rural communities.
Low wages and poor working conditions make it very difficult to attract staff to
rural areas and many go town/cities to earn much larger salaries.
DISTANCE TO HEALTHCARE SERVICES
In India 68.84 percent of the population live in rural areas where health conditions
are generally poorer and access to information, services and supplies is most
limited.
A key obstacle to patients gaining treatment can be the distances to regional
hospitals.
With many health centres poorly staffed and under-equipped this effort may not
guarantee any improvement in condition, so problems are often not addressed
until they become very serious.

4. MEDICINE TO RURAL AREA– Healthcare for a new
Millennium
The use of communications and information technology for the delivery of
healthcare is being applied in many medical domains, and is most beneficial
for populations living in remote regions which suffer from a lack of adequate
health infrastructure.
Standard Hospital with trained nursing staff including a Principal Hospital
Officer, a midwife/nurse and a project officer who will be responsible for the
logistical and technical aspects of the Hospital.
These Hospitals are standared and available to all people round the
clock(24/7) and establish a video call / consultation to doctor for all days.
Using basic testing equipment and medical supplies available in the
Hospital, the Hospital will offer a healthcare service performed by the staff,
with support available for the more complex cases from a doctor.

5. How it works?
Staff will record the patient details, observations (Blood Pressure, Pulse, Temperature etc) and
establish a video call conference between the Doctor and patient.
With the assistance from the trained medical staff, doctor will examine/diagnose the patient.
Being a standard Hospital allows access to doctor round the clock for larger population in remote
areas that most require a healthcare service, and to patients who might otherwise be unable or
unwilling to travel to a regional Hospital far from their place.
Patient records will be kept electronically and can be easily forwarded to the doctor if required. A
database of patient information will also allow the Hospital to monitor its effectiveness and to
contribute to local health statistics
As well as offering a basic healthcare service, the Hospitals organise medical camps to its
surrounding areas.
Video conferencing.
Almost equalent to a
face to face
'real time' consultaion
Two way interactive
communication

6. PROGRAM STRUCTURE & HOSPITAL DEVELOPMENT
More nursing staff or even trained paramedics
Vehicles to assist with transportation of patients referred to hospital,
as patients lack of funds or means of travel to hospital is a key
problem in the provision of effective healthcare in rural areas
Hospital with more equipment to offer better testing such as x-ray
machines to widen the scope of the service
Higher specification internet connections to enable real-time video
conferencing with remote doctors and specialists

7. TECHNICAL ISSUES
TREATMENT SYSTEM
The equipment for the video conference system is very portable and easy to
use, and consists of a desktop and a broadband connection unit.
Digital equipment, vital-sign recorders and other equipment are available that
could be used to measure patient medical observations to assist the nurse’s
description of a complaint.
ENVIRONMENTAL SUSTAINABILITY
Every effort will be made to ensure the impact to the environment is
minimised. All Hospital waste will be removed and disposed daily.

8. THE PROJECT AREA Andhra Pradesh state, INDIA.
Present, 3 clinics are running successfully with limited funding.
Clinic locations
1.Dharmavaram village, Vijyanagaram Dist, Andhra Pradesh, India, Covering a
population of nearly 1 lakh people around the village.
2.Paderu mandalam, Visakhapatnam Dist, Andhra Pradesh, India, Covering a
population of 2.4 lakh people.
3.Araku mandalam, Visakhapatnam Dist, Andhra Pradesh, India, Covering a
poulation of 2.5 lakh people.

9. PROPOSED PROJECT LOCATIONS
Andhrapradesh state, odisha state, INDIA
Proposed Clinic locations are:
4. Gummalaxmipuram mandalam, Vijayanagaram Dist, Andhra Pradesh, India,
Covering population of 1.24 lakh people including surrounding villages.
5. Parvathipuram mandalam, Vijayanagaram Dist, Andhra Pradesh, India,
Covering population of 1.33 lakh people including surrounding villages.
6. Narsipatnam mandalam, Visakhapatnam Dist, Andhra Pradesh, India, Covering
population of 1.19 lakh people including surrounding villages.
7. Chintapalli mandalam, Visakhapatnam Dist, Andhra Pradesh, India, Covering
population of 1 lakh people including surrounding villages.
8. Palakonda mandalam, Srikakulam Dist, Andhra Pradesh, India, Covering
population of 1.36 lakh people including surrounding villages.
9. Jaipur District, Odisha, India, Covering population of 1.84 lakh people
including surrounding mandalams.
10. Pottangi mandalam, Koraput Dist, Odisha, India, Covering population of
nearly 1 lakh people including surrounding villages.

10. ISSUES IN PROJECT AREA
All these project areas are rural and Tribal areas where basic healthcare is
not available to them.
Many chiefdoms in the district have rapidly growing populations but suffer
from very poor infrastructure and a lack of medical facilities.
Most communities are subsistence farmers, relying on harvests of maize,
millet, rice, and vegetables.
The most common ailments that have been recorded in the area are: Malaria,
Diarrhoea, Tuberculosis, HIV/AIDS, Respiratory Tract Infections, Maternity
Complications, Animal and Snake Bites, Malnutrition and Anaemia.
With such limited health care available, these complications often to lead to
mortality.

11. BUDGET DETAILS
COSTS in US$
For each Hospital in
US$
For 10 Hospitals US$
Establishment Cost 1,610 16,100
Equipment Cost 1,610 16,100
Total 3220 32,200

12. BUDGET DETAILS
For single
patient in US$
For each
Hospital
(500patients/
month)
For 10
Hospitals
US$
Average cost/patient for a
month (including Medicine,
Treatment, Diagnostics, Laboratory
costs)
81 40,500 4,05,000
Monthly expenduture on
Maintaince & running costs of
each hospital
1,610 16,100
Monthly medical team visits &
consultant costs
4,830 48,300
Awareness Generation 805 8,050
Total 4,77,450

13. BUDGET DETAILS
OVERHEADS
For each Hospital in US$ For 10 Hospitals
US$
Auditing & legal fee for each
hospital yearly
1610 16,100
Managing, fuel, others 3220 32,200
Total 48,300

14. Contact Details
Name : Lalitha Foundation
Account No : Please contact me via email : sreegowrip@gmail.com
You can also donate in kind and if possible give us some reference who can help
us.
Thanks in advance for your help in this nobel cause.
Kind Regards,
Sree.
Operations Head, Lalitha Foundation.