Medicine Provision

Civil Hospital Sukkar Civil Hospital Shikarpur Civil Hospital Kashmor

A PROJECT BY
AMICO WELFARE SOCIETY
It is a fact that Civil Hospital Sukkar, Civil Hospital Shikarpur, Civil Hospital Kashmor is one of the largest Government owned hospitals in Pakistan. As such poverty stricken people from all over the country come here for treatment at cheap rates. However, many of these people cannot afford the medicines prescribed by the doctors. To make matters worse these people are staying with their families on the footpaths under open sky. We aim at providing medicines and comfort to these people

PROJECT INTRODUCTION:
The provision of basic health and social services is the prime responsibility of any Government in the world but unfortunately this concept at large and their awareness in general totally lack in many parts of the world. Our country is the victim of the lack of bare health & social services. The people die because they are unable to afford medical treatment, doctor fees, and medicines. The Government claims that they are providing health and related facilities to the poor people in Newspapers and electronic media but the ground reality is very different. In our country people die due to minor/major road accidents because: a. b. The people are scared of picking up the injured because of our feared and notorious police. To make matters worse wealthy people fear even providing money for the treatment of these people because of fear of the police. It is a shame that we must admit that in this modern and sophisticated world, where cure for diseases like malaria, pneumonia, hepatitis, typhoid and other similar diseases has been discovered, people in our country are still dying due to these diseases simply because they are poor and cannot afford treatment. All similar cases of people who are unable to afford medical treatment from expensive private hospitals turn towards Government owned hospitals like Civil Hospital Sukkar, Civil Hospital Shikarpur, Civil Hospital Kashmor, However, the problem is that even though these hospitals charge very low and provide some basic medicines but still we estimate that over 80% of all patients need to purchase some patented medicines from chemists outside. These medicines may cost anywhere from 200 Rupees to 5,000 Rupees or more. As such these people look for some kind of help from pedestrians or beg from people in cars and unfortunate as it is in many cases they are still not able to purchase the required medicines.

The poor people who come for treatment from Sindh or from other rural areas of Pakistan do not have the money to afford renting a room, as such you can find them lying on the streets outside the above mentioned hospitals. In the coming pages we will explain our project in more detail. Those topics that we will discuss will fall under the following categories: 1. 2. 3. 4. 5. 6. 7. Project Aims and Objectives Reason for selecting this topic. Facts about the patients. Implementation Strategy. Organization to run/manage the project. Budgeting, Costing and Accountability. Conclusion.

1.

PROJECT AIMS AND OBJECTIVES:

AMICO Welfare Society (AWS) is the founder of this project and we wish to implement it to the best of our ability in a transparent manner. The aim of the project is to provide medicines to the poor patients who are dying because they are unable to purchase medicines. We also know that the families of these people are lying underneath open sky in harsh climatic conditions outside of the above mentioned hospitals in very bad conditions. Target Hospitals: Civil Hospital Sukkar Civil Hospital Shikarpur Civil Hospital Kashmor These are three of the largest government run hospitals in the country with highly skilled doctors and staff. Provide treatment at very low cost and primarily intended for the poor people. This project focuses on AMICO Welfare Society (AWS) and will later on be expanded to other hospitals as well.

2.

REASONS FOR SELECTING THIS TOPIC

The reasons due to which we choose this topic are numerous; we are highlighting a few of them here: a. To save the lives of our fellow citizens by providing them medicines which if not provided to them on time would lead them to their demise which can be otherwise averted. b. Only basic medicines and bandages are available to the patients. They have to purchase expensive patented medicines and similar items themselves. c. A very large number of patients that come to these hospitals are unable to afford the medicines and hence expire or further complicate their ailment. d. It has become common sight near such hospitals that many people can be seen begging for medicines. e. Many of these people cannot speak Urdu language and as such are unable to share their problems with the wealthy. As they come from interior Sindh or Baluchistan or other rural parts of the country where Urdu is not spoken. f. In several severe cases doctors are unable to prescribe medicines without a test report from a qualified laboratory. These tests are far more expensive than the medicines and henceforth cannot be afforded by the poor people. g. As many of the people come from their villages they do not have a place

to live in the City and hence their entire families can be seen lying on the roads. h. The people lying on the roads do not have basic facilities like Lavatories and Bathrooms. i. It is a sad fact but once a person is unable to take save the life of his family member because of poverty, they turn to begging. As mentioned above begging is often seen to yield no result and as such these people resort to doing criminal activities. j. The extreme climatic conditions of sukkar,shikarpur,kashmor in which winter temperatures can go as low as 4 Degrees and summer temperatures above 45 Degrees, it is hard to imagine the agony of these people lying underneath the open sky without any shelter to save them from the weather. k. We believe that someone has to stand up and help these people as the sadly the society that we live in has learned to ignore the poor people. l. We believe that by doing this task we are fulfilling our Islamic duties to our fellow citizens.

FACTS ABOUT THE PATIENTS:

UNICEF, USAID, WHO and many others have provided funds to various institutions of Pakistan for the betterment of the health of its citizens. Unfortunately for many reasons which are well publicized in media these funds have never reached the poor people who were the ones in need of it. With the recent floods in Sindh the problem of health in the country has

worsened. Many individuals, companies, welfare organizations from both Pakistan as well as from outside Pakistan tried to help but the sheer magnitude of the problem is such that it still remains unresolved. Lack of proper food and housing has caused the spreading of diseases. We would like to present to you some of the estimated statistics which were deduced by observation. These statistics pertain to CIVIL HOSPITAL SUKKAR, CIVIL HOSPITAL SHIKARPUR, CIVIL HOSPITAL KASHMOR only: Approximately 1,000 people come for treatment daily. Over 70% patients belong to families dependent on daily wages. 80% patients are unable to afford medicines. 40% patients are unable to arrange for the medicines and either die or return home untreated. Many of the poor patients can be seen begging on the streets outside the hospital and adjoining areas 50% of the patients belong to rural areas. Less than 5% of the patients have basic reading and writing skills. 30% of these patients cannot speak Urdu. Many patients are unable to obtain laboratory test reports. The patients lives are already miserable because of his/her illness but being poor aggravates the problem even more, as he/she is unable to obtain the medicines and is unable to obtain help. At this point in time the patient is also concerned about the consequences of his/her demise. One of the reasons that such a project is of extreme importance to us is that some of the patients who have some money and are willing to buy medicines get swindled. The chemists know that the patients do not know how to read and as such they charge them higher price. The senior citizens and children are in need of medicines immediately and in

such severe cases a failure to provide them the medicines in time would result in dire consequences. Therefore in these cases the people do not even have time to arrange for money or even beg for the money. All of the above mentioned facts have been obtained by observation of the Jinnah Hospital and if not curbed they breed criminals amongst us who basically mirror the mercilessness that the society showed to them in their time of need. The conditions demand that we help our fellow citizens to the best of our ability and we shall do so to the maximum extent possible.

3.

IMPLEMENTATION STRATEGY

This is a project which is of an ongoing nature and it requires a dedicated staff. We are proud to say that our team constitutes of people which are highly motivated towards performing this momentous task and expanding our idea to such a level that we are also able to involve other local as well as international donors. At this point in our discussion we would like to add that in the initial stage we would implement this project on only one Government run hospital which is CIVIL HOSPITAL SUKKAR, CIVIL HOSPITAL SHIKARPUR, CIVIL HOSPITAL KASHMOR, however we plan on expanding this task to other Government hospitals as well which are helping poverty stricken people. However, for expanding our work to other hospitals we would require further donations. Our team has decided to implement this project in phases. This would ensure better applicability of funds, stringent management and transparency.

PHASE -1
Funds are being gathered by obtaining donations from civil society, industrialists, and welfare organizations. We plan on approaching foreign welfare organizations as well to speed up the donation collection process.

International organizations and international Forms .

Phase -2
Once we feel that we have gathered sufficient funds (please refer point no. 6) for the project we would assemble a team of people who would actually implement this project. This team shall consist of our staff as well as some technical staff who has experience in handling, storing and procuring pharmaceutical products. We would manage all records electronically so that no item can be misappropriated.

Phase -3
We would construct a small and un-obstructive camp site in front of the hospital that would provide medicines to the poor people free of charge, based on the doctors prescription. We would work in cooperation with the doctors so that only the needy people get the medicines from our camp (for details please see point no. 5).

Phase -4
A constant funding will be required to keep the project and by receiving this initial donation we would conduct seminars, workshops and similar events to gather donations from all sections of the society.

5.

ORGANIZATION PROJECT.

TO

RUN/MANAGE

THE

The concern for any donor is that his/her donation is applied to in the way it should be. Similarly it is the concern of any welfare organization that the funds collected are applied for in the most cost effective and efficient way. We plan on doing this by following some management guidelines which will be implemented throughout this project.

PROJECT EXECUTION CONTROL:

1.

We would give ticket books to the doctors at HOSPITALS. If a doctor feels that a patient is poor and cannot afford the required medicine he will give the ticket to the person who can then obtain the medicine from our camp free of cost.

2.

3. 4.

One ticket is valid for one person and cannot be reused. All records of tickets and patients NIC will be kept in computerized software.

FINANCE MANAGEMENT:
1. 2. 3. 4. 5. The disbursement and collection of fund is carried out using a single account to avoid any misappropriation. Funds can only be withdrawn by the Joint Account governing body. Custodian of cash is the Finance Secretary, who has to submit weekly reports of running expenses. A Qualified Accountant records all small and large transactions. Besides the President and Finance Secretary no one handles the Funds directly.

PROJECT ORGANIZATION:
1. The Project Manager is responsible for developing and monitoring the overall project Implementation. He is directly answerable to the Chairman. 2. The Operations Manager would execute the project, in this case which would include tasks like setting up the camp site, procuring medicines etc. 3. Social Organizer will be responsible for building public relations to boost the donations that we receive for individual projects by creating awareness amongst the civil society.

BUDGETING, COSTING AND ACCOUNTABILITY

We upload the results and achievements of all individual projects on our website http://www.amicotrust.com along with photographs and videos. We understand that for any donor accountability is a top priority. So rest assured we post monthly updates on our website regarding the performance of each individual project. As poverty is a problem of Pakistan which cannot be solved in the near future this project will go on until we live. However for the purposes of giving you an estimate we are basing our calculation on a 6 month basis.

BUDGETED FIXED EXPENSES:

Particulars Generator 5 KW (2nd Hand) Refrigerator (For Storing Camp Construction Medicines) Computer Software Computer Printer Ticket Books Miscellaneous Expenses Total (A) Amount (Rs.) 60,000 50,000 200,000 120,000 15,000 10,000 25,000 1,00,000 5,80,000

BUDGETED RECURRING EXPENSES:

Particulars Medicines (Please See Working Below) Staff Salary Generator Fuel (Rs. 1000 per day) Travelling Expenses Total (B) Amount (Rs.) 1 Month 45,00,000 100,000 30,000 15,000 6 Months 2,70,00,000 6,00,000 1,80,000 90,000 2,78,70,000

Grand Total Required (A + B) = 5,80,000 + 2,78,70,000 = Rs. 2,84,50,000/So in order to implement this project we require a total sum of Rs. 2,84,50,000/MEDICINES EXPENSES WORKING (Please Refer the 2nd Table Above) The above expenses would enable us to successfully help 150 patients per day and so 4,500 patients in a month and 13,500 patients in 3 months. We believe that this would be a momentous achievement which would enable these 13,500 to become fit and healthy again Patients Helped Per Day (C) Medicines 150 Cost Per Patient (Rs.) (D) 1,000 1 Month Total (Rs.) E = (C) x (D) x 30 45,00,000 6 Months Total (Rs.) F = (E) x 6 2,70,00,000

Particulars

CONCLUSION
AMICO WELFARE SOCIETY (AWS) is owned and run entirely by Muslim people. We believe that it is our Islamic duty to help one another to the best of our ability. It is with sadness that we must acknowledge hat every day thousands of people die in Pakistan because they cannot afford to buy expensive medicines, and it is our duty to ensure that we as humans, as Muslims help our brethren in their time of need. This would also reduce crime as people would not resort to stealing or doing any other criminal activities to get money to afford treatment. This task is a big task and we plan on doing seminars to raise more donations to keep this project live for as long as we could. We also plan on spreading awareness to the masses using print and electronic media so that wealthy individuals, companies and semi-private corporations join us in fighting against poverty. I pray that we are able to execute this project as best as we can. InshaAllah.

Thank you for your time and patience REPORT PREPARED BY:

Israr Qadir (Project Manager - AWS) Office # 109/+23 Second Floor Amma Tower, M.A Jinnah Road, Opp. Nishat Cinema, Karachi. www.amicotrust.com Off.Tel: +92 21 32362183 Fax# : +92 21 32362183 E-mail: info@amicotrust.com

Medicines Required For Project

Tablets:
01: TAB-0017 02: TAB-0032 03: TAB-0053 04: TAB-0084 05: TAB-0085 06: TAB-0157 07: TAB-0196 08: TAB-0223 09: TAB-0257 10: TAB-298 11: TAB-0308 12: TAB-0336 13: TAB-0339 14: TAB-0392 15: TAB-0415 16: TAB-0416 17: TAB-0459 18: TAB-0524 19: TAB-0615 20: TAB-0837 21: TOP-0049 22:TOP-0068 23:TOP-0126 23: 24: 25: 26: 27: 28: ANAFORTAN PLUS TAB AUGMENTIN 625MG TAB CAC1000 PLUS VITAMIN C TAB DANZEN DS TAB DANZEN PLAIN LEFLOX 500MG + 250MG TAB MYLAXON 500MG TAB NUBEROL FORT TAB QUMIC 250MG TAB SYNFLEX 550MG TAB TENORMIN 250MG TAB VITA-6 50MG TAB VOREN 50MG TAB ENTAMIZOL TAB DUPHASTON (HIGHNOON) TAB KLARICID-XL 500MG TAB JOVIT TAB MEGA-D3 CABOT-D3 TAB SURBEX-T TAB (30) PYODIN SOULOTION 60ML KENALOG OINTMENT-5G BETNOVATE-N CREAM 10-G PANADOL PANADOL EXTRA BRUFEN MULTIBIONATA. NM ASCARD TEUARUMN

SYRUPS:
01:SYR-0002 02:SYP-0029 03:SYP-0046 04:SYP-0047 05:SYP-0054 06:SYP-0058 07:SYP-0071 08:SYP-0072 09:SYP-0073 10:SYP-0088 11:SYP-0090 12:SYP-0094 13:SYP-0107 14:SYP-0108 15:SYP-0109 16:SYP-0117 17:SYP-0139 18:SYP-0143 19:SYP-0148 20:SYP-0149 21:SYP-0227 22:SYP-0236 23:SYP-0288 24:SYP-0303 25:SYP-0317 AMOXIL 125MG /5ML SYP LYSOVIT120ML SYP NIVAQUINE-P 60ML SYP PONSTAN 60ML SYP PHENERGAN SYP RIGIX 60ML SYP BENADRYL 120ML SYP BRITANYL 60ML SYP BRUFEN 90ML SYP TANDEGYL 120ML SYP ULSANIC 60ML SYP VI-DAYLIN-M 120ML SYP CALPOL 60ML SYP CALPOL 6-PLUS 60ML SYP CEFSPAN 40ML SYP CEBOSH 90ML SYP FLAGYL 60ML SYP FEBROL 60ML SYP HYDRYLIN 120ML SYP HYDRYLIN-DM 120ML SYP ACEFYL PLAIN 120ML SYP ZINCOT OD SYP ENTAMIZOLE 90ML SYP PANADOL 100ML SYP METODINE DF 90ML SYP

IV INJECTIONS:
01: AARTEM 300MG INJ 1*1 02: ABOCAIN SPINAL INJ 1*5 03: ADERNALINE INJ 1*100 04: AMIKAYE 500MG INJ 1*1 05:AMKAY 100MG INJ 1*5 06: AMKAY 25MG INJ 1*5 07: AMKAY 500MG INJ 1*1 08: AMOXIL 250MG INJ 1*10 09: AMOXIL 500MG INJ 1*10 10: AMPICLOX 500MG INJ 1*10 11: ATROPIN SULPHATE INJ 1*100 12: AVIL INJ 1*50 13: AUGMENTEN 500MG INJ 1*5 14: AUGMENTEN1 2MG INJ 1*5 15: AUGMENTEN1 2MG INJ NEW 1*10 16: CELAMOX 1.2MG 1*1 17: CELXANE 20MG 1*2 18: CELXANE 40MG 1*2 19: CELXANE 60MG 1*2 20: CELXANE 80MG 1*2 21: DICLO 100MG TAB 1*12 22: HUMULIN-N 1*1 23:HUMULIN-70/30 1*1 24: HUMULIN-R 1*1 25:NEO-PYROLATE 1ML (STIGMA) 1*10 26: PARACETAMOL 125MG 1*20 27: PARACETAMOL 250MG TAB 1*20 28: SANDOSTATIN 0.05MCG 1*5 29: SANDOSTATIN 0.01MCG INJ 1*5 30: SENSOCAIN SPINAL 4ML INJ 1*5 31: TETUNUS TOXOID (IMATET) 1*10 32: VENOFER 1*5 33: VOLTRAL SUPPOSITORIES 100MG 1*5 34: BENZYL PENCILLIN INJ 10LAC 1*1 35: BENZYL PENCILLIN INJ 6LAC 1*25 36: BENZYL PENCILLIN INJ 12LAC 1*1 37: BUPICAIN 10ML INJ 1*10 38: CALCIUM GULCONATE INJ 1*150 39: CEFAMIZEM 1000MG INJ 1*1 40: CEFAMIZEM 250MG INJ 1*1 41: CEFANZEM 500MG INJ 1*1 42: CEFCOM 1000MG INJ 1*1 42: CEFCOM 250MG INJ 1*1 43: CEFIZOX 1000MG INJ 1*1 44: CEFIZOX 250MG INJ 1*1 45: CEFIZOX 500MG INJ 1*1

46: 47: 48: 49: 50: 51: 52: 53: 54: 55: 56: 57: 58: 59: 60: 61: 62: 63: 64: 65: 66: 67: 68: 69: 70: 71: 72: 73: 74: 75: 76: 77: 78: 79: 80: 81: 82:

CEFOTAX 0.25MG INJ 1*1 CEFOTAX 0.5MG INJ 1*1 CEFOTAX 1000MG INJ 1*1 CEFSTAR 1GM INJ 1*1 CEFSTAR 500GM INJ 1*1 CEFXONE 0.5GM 1*1 CEFXONE 1-G 1*1 CEFXONE 250GM 1*1 CLAFORAN 0.25MG INJ 1*1 CLAFORAN 1-G INJ 1*1 CLAFORAN 500MG INJ 1*1 DECADRON 25*1ML NEW INJ 1*25 DECADRON 4MG/1ML INJ 1*25 DECADRON 4MG/5ML INJ 1*1 DOPAMINE 200MG HOWARD INJ 1*1 DOPAMINE 200MG INJ 1*1 DOUBTAMIN 250MG INJ 1*1 EPIGRAN 250MG INJ (PHENYTON) 1*10 EPIGRAN 250MG INJ (PHENYTON) 1*5 FLAYL INJ 1*25 GENTISYL 20ML INJ 1*5 GENTISYL 40ML INJ 1*3 GENTISYL 80ML INJ 1*2 GRASIL 100MG INJ 1*1 GRASIL 500MG INJ 1*1 GRAVINATE INJ 1*25 HEPA-MERZ 10ML INF 1*1 HEPA-MERZ 5ML 1*1 HIZONE 1-G1/V / 1/M INJ 1*1 HIZONE 250MG 1/V / 1/M INJ 1*1 INOCEF 1000MG INJ 1*1 INOCEF 250MG 1.V INJ 1*1 INOCEF 500MG 1.V INJ 1*1 INOCEF 250MG INJ IM 1*1 KIN VIT INJ 1*1 KINZ 10MG INJ 1*5 KINZ 20MG INJ 1*5

IM INJECTION:
01: MEGAPIME 1G INJ 02: MEGAPIME 500MG INJ 03: METHER 80MG INJ 04: METHERGIN INJ 05: MOXIGET INFOTION 1/V 06: MUTIBIONATAINJ 07: NEUROBION INJ 08: NO-SPA INJ 09: NOVIDAT 200MG INJ 10: PROVAS 1G/100ML INJ 11: PROVAS 300MG/2ML INJ 12: Q/PRO 1/V 30MG INJ 13: QZON 1000MG I.M INJ 14: QZON 1000MG IV INJ 15: QZON 250MGV IV INJ 16: QZON 500MG IM INJ 17: QZON 500MG IM INJ 18: RISCK-40 INJ 19: ROCEPHIN 250MG INJ 20: ROCEPHIN 500MG INJ 21: RULING 40MG INFUSION 22: SULZONE 1G INJ 23: SULZONE 2G INJ 24: TANDEYL INJ 25: TITAN-1000MG INJ 26: TITAN-250MG INJ 27: TITAN-500MG INJ 28: TRAMAL INJ 29:TRIAX 1-G 30: VANCOMYCIM IGM INJ 31: VENTOTIN INJ 32: VITAMIN-D3 INJ 33: VITAMIN-K INJ 34: VOLTRAL 75MG INJ 35: VOREN 75MG INJ 1*1 1*1 1*6 1*50 1*1 1*5 1*25 1*25 1*1 1*1 1*5 1*1 1*1 1*1 1*1 1*1 1*1 1*1 1*1 1*1 1*1 1*1 1*1 1*25 1*1 1*1 1*1 1*1 1*1 1*1 1*5 1*5 1*10 1*5 1*100

OINTMENT+CREAMS:
1: BEPANTHEN OINTMENT 2: BETAGANIC CREAM 3: BETNOVATE-N-CREAM 15MG\ 4: BETNOVATE-N-OINTMENT 5: BETNOVATE CREAM 5-G 6: BETNOVATE-N-CREAM 5G 7: CANESTEN CREAM 8: CANESTEN 1 VAG CREAM 9: DETTOL 100ML 10: DICLORAN GEL 11: FUCICORT CREAM 12: GENTICYN CREAM 13: GENTICYN-HC CREAM 14: HYDROZOLE CREAM15: MYCITRACIN 16: POLYFAX PLUS SKIN OINTMENT 17: POLYFAX SKIN OINTMENT 18: TRAVOCORT CREAM 19: VOLTROL EMULGEL 20GM 20: VOLTROL EMULGEL 50GM 21: XYLOAID OINTMENT 22: XYLOCAIN 4%\ 23: XYLOCAIN JELLY 24: XYLOCAINE 5% OINTMENT