CSR FUNDING

FOR
HEALTHCARE PROJECT IN CHENNAI INDIA

Proposal from

RMD Pain & Palliative Care Trust

No.13, Ragaviah Road, T. Nagar, Chennai – 600 017, Phone: 044-28157212, 28157373, 9381016588,
E.Mail: rmd.rmd1970@gmail.com, rmdcbpcproject@gmail.com, Website: www.rmdpainpalliative.com
Table of Contents

INTRODUCTION................................................................................................................................................ 3

ABOUT US............................................................................................................................................................ 4

Organization Details................................................................................................................................4

RMD Pain & Palliative Care Trust.............................................................................................................4

Introduction to Palliative & Geriatric Care...............................................................................................5

PROJECT PROPOSAL....................................................................................................................................... 6

Project Highlights....................................................................................................................................6

Hospital Infrastructure............................................................................................................................7

PROJECT FINANCIALS.................................................................................................................................... 9

Project Cost Break-up..............................................................................................................................9

Schedule of Implementation...................................................................................................................9

PROJECT VIABILITY..................................................................................................................................... 11

SWOT Analysis.......................................................................................................................................11

CONTACT INFORMATION.......................................................................................................................... 13
INTRODUCTION

RMD Pain Relief and Palliative Care Trust, is a not-for-profit healthcare organization established in 2005.
The Trust is based out of Chennai, and has its operations focused primarily in Tamil Nadu, India. The
healthcare organization is registered as a ‘Public Charitable Trust’ and is headed by Dr. Republica Sridhar,
who is the Managing Trustee and the Medical Director.

The Trust has embarked on an ambitious plan to build a 50-bed exclusive Palliative & Geriatric Care
Hospital in Amarambedu, Kancheepuram District of Tamil Nadu. The hospital will cater to the needs of
the terminally ill and the geriatric population. The beneficiaries of the proposed facility will be the
economically weaker sections from the surrounding 35 villages with a total population of 2.5 lakhs.
ABOUT US

Organization Details
Name: RMD Pain and Palliative Care Trust

Sector Healthcare Services

Established (year): 2005

Registration Details:
(Act & reg. number)
Date of Registration:
Type of Organization
Exemption-I.T/S-11
Project Accreditation for CSR
Sec 13(1), Sec 11 (5) Act 1961, Reg No-1027
28 July 2005
Non-Profit Organisation
80G (5) (VI)
Empanelled with ‘National CSR Hub’
Evaluated by -
Tata Institute of Social Sciences (TISS), Mumbai
&
Department of Public Enterprises (DPE), Government of India

RMD Pain & Palliative Care Trust

RMD Pain Relief and Palliative Care Trust, established in 2005 is based out of Chennai, and has its
operations focused primarily in Tamil Nadu, India. The healthcare organization is registered as a ‘Public
Charitable Trust’ and is headed by Dr. Republica Sridhar, who is the Managing Trustee and the Medical
Director. She is a qualified Palliative and Geriatric Care Specialist with over 15 years of experience.

RMD is an integrated Palliative & Hospice Care Centre, with services covering healthcare delivery,
Awareness creation and Training & Skill Development. The Trust has evolved its Palliative care services
model to encompass different settings – Out Patient, In Patient, Home Visits and Community Based Care.
The beneficiaries of the care are terminally ill & Geriatric patients from the economically weaker sections
of the society.

Towards achieving this objective the Trust’s activities are focused to –

 1. Establish, run and maintain Palliative care hospitals & Hospices

2. Provide education and training in Palliative care for Doctors, Nurses, Community Social Workers
& Health assistants

3. Create awareness in the community for palliative and hospice care

RMD Trust has worked extensively in the rural areas and has partnered the Government of Tamil Nadu to
implement a pilot project to provide Community Based Palliative care in one district. RMD has also
collaborated with Indira Gandhi National Open University (IGNOU) to start a community college for
training healthcare assistants.

RMD Trust has so far provided Palliative & Hospice care for over 19,000 patients and provided training in
Palliative care over 500 candidates.

Introduction to Palliative & Geriatric Care

The Geriatrics/ elderly constitute 8.6% of population, estimated at 96 million now and will grow to 168
million by 2026. Changing disease patterns, with an alarming rise in terminal and age related health
conditions are a cause for growing concern.

Palliative care is a branch of medicine that deals with terminal diseases such as Cancer, Chronic,
Progressive Pulmonary Disorders, Renal Disease, Chronic Heart Failure, HIV/Aids and Progressive
Conditions. Palliative care is ‘Quality of Life’ focused model where the doctor, nurse, social worker,
health assistants and the family members form an ‘Integrated Care Delivery Chain’.

Despite increasing expenditure on healthcare, India lags behind other developing nations in many health
categories, including infrastructure to provide medical care for the geriatric population and the
terminally/ chronically ill. Government reports show that over 6.3 crore people are faced with poverty
annually due to health care costs.
PROJECT PROPOSAL

RMD Trust is building a 50-bed hospital in Amarambedu village, Kancheepuram district. The hospital will
cater to the surrounding 35 villages with a total population of 2.5lakhs. The main focus of the hospital is
to provide Palliative & Hospice Care. The beneficiaries of the care will primarily be the terminally ill &
Geriatric patients from the economically weaker sections of the society.

The land required for the project has already been purchased by the Trust with its own resources and
construction is currently underway. This proposal seeks CSR funding to enable the Trust to undertake
the following activities –

1. Complete building the physical infrastructure – civil construction & interiors

2. Purchase of Medical equipment required for the hospital

3. Stock & distribute medicines and other consumables required for the treatment

4. Build a corpus for sustaining the free treatment to be provided for the patients

Project Highlights
 Palliative & Hospice care facilities for the terminally ill patients is one area where very little has
been done. Medical facilities for the terminally ill patients is particularly lacking in the rural
areas.

 Travel logistics, loss of revenue and high cost of care in the cities are the biggest impediments,
making Cancer & Palliative care in-accessible to patients in the rural areas.

 The proposed 50-bed hospital in Amarambedu village, on Kundarthur,sriperambadhur road

Kancheepuram district. There are 2 medical colleges in the surrounding area, however since
they do not have cancer and palliative care facilities the medical college hospitals will serve as
referral centres for the RMD hospital in Amarambedu.

 The hospital will cater to the healthcare needs of the surrounding 35 villages with a total
population of 2.5lakhs. It will serve roughly about 3000 out-patients and 2,000 in-patients
annually.
 The hospital is aimed at serving the need of the community and will be run on a not-for-profit
basis. The hospital operations will however be a self-sustained with the income generated being
able to meet its expenses. The project is prima facie, estimated to be financially viable and
socially relevant since it fulfills a need in the society and caters to all sections of the society.
  Sri Ramachandra Medical College hospital which is around 10km from the RMD hospital have
been referring patients needing palliative care to RMD centre in Chennai and the new facility
will make it more accessible for the patients from the surrounding areas.

Hospital Infrastructure
 The hospital will have a capacity for 50 beds of which 30 will be operational beds and the rest
will be transit beds.

 The beds will be broadly classified into beds in the wards and Transit beds that include -
Emergency, ICU, Isolation and End of Life care areas.

 The medical services and support facilities will include:

Diagnostics

 Radiology & imaging services – C Arm, Digital X-ray, Ultrasound, Endoscope, EEG, ECG,
Echo Doppler.

 State-of-the-art Lab for Bio-chemistry, Microbiology, Pathology & Haematology.

Ambulatory Care Services

 Critical Care

 Emergency Care

 ICU

 Lab Medicine

 Operation Theatres - 2

Medical Support Facilities

 Ambulance (2 no’s)

 Cold (Body) Storage

 Medical Records

 Pharmacy (OP & IP)

 Physiotherapy

Support Service
  CSSD

 F&B

 Front Office (Admissions & Reception)

 House Keeping

 IT

Administrative Services

 Finance & Secretarial

 HR

 Materials

 Security
PROJECT FINANCIALS

Project Cost Break-up

A COST OF PROJECT INR Lakhs

1 Land 55.0

2 Building 208.3

Equipment 446.0
3

4 Utilities and Interiors 85.0

5 HVAC 5.0

6 Vehicles 30.0

7 Contingencies 36.4

8 Working Capital 4.8

Margin

9 Preoperative and 114.5

Preliminary Expenses

Total 985.0

Note: Of the above the Land has already been purchased and a large portion of the building has been
completed.

Schedule of Implementation
Stage I (4 Months) – Completed

 Earth Work Excavation, Sand Filling, Bore well, Plinth Beam

Roof Concrete, Colum Rise (At Basement level)

Stage II (4 Months) – Partially Completed

  First Colum Rise , Roof Concrete , GF Brick Work
 Ceiling Plastering, Plastering Walls
 First Floor Brick work , GF Plastering , Electrical , Wood work

Stage III (4 Months) – Work Yet to Commence

 First Floor Plastering , Electrical work , Plumbing Work , Pipe Line work, wood work
 Tiles Work, Painting work

Stage IV - Medical Equipment Purchase

 The total cost of equipment works out to INR 445 lac. The list of equipment and the
quotations will be provided based on funders request
 Initial Requirement – Cots, Fans, X-ray, Laboratory, Bedside locker, Theatre, ICU,
Equipments, Microbiology, Pathology, Hematology, MRI Scans, Bio-Chemistry, Ultrasound,
Endoscope, EEG, ECG, Echo Doppler.

 Subsequent Additions – High end equipments, Like Linearc, Petscan etc.

Break up for Specific Infrastructure facilities is given below:

 OP Room 3,00,000

 Casualty Room 3,00,000

 Emergency Ward 5,00,000

 ICU Room 4,00,000

 Theatre 6,50,000

 Lab Area 2,00,000

 Pharmacy 3,00,000

 Ward (Male and Female) 4,00,000

 Utilities and Interiors 50,00,000

 --------------

Total 80,50,000

--------------

Support towards Equipments & Vehicles:

 Genset 10,00,000

 Lift 20,00,000

 Solar Equipment 17,00,000

 Vehicles 30,00,000

Support towards Medical Equipments:

 Lab Equipments Rs. 10,00,000

 Theatre Equipments Rs 35,00,000

 ICU Equipments Rs 20,00,000

PROJECT VIABILITY

SWOT Analysis
Strengths:

The Project is unique in India, although Palliative care is a need of the hour but few facilities are
available:

 Rural location will serve the poor who currently are not being covered

 The Project involves Geriatric and Oncology Palliative Care.

 Specialized referral hospital

 Self-sustaining project

 Job opportunities for the rural poor

 Research Training & Education

 RMD Trust has experience in this field for over 8 yrs with 4 centers

 RMD Trust already has been working in the villages in this area providing community based
palliative care

 Project has been evaluated by TISS and empaneled in the National CSR Hub

Weaknesses:

 Located in rural area may not emerge as a referral centre beyond the immediate catchment
areas

 We will need to train more medical & Para medical staff as it is new field.

 Limited with 50 beds so multi specialty expansion is limited

Opportunities:

 Quality –Palliative Care, Geriatric, Oncology

 One if its kind in Asia

 International organizations and Health institution collaboration

 Centre with Scope for Research

 This pilot can be replicated in other areas of Tamil Nadu where the demand is high for this
kind of health facility.

 The centre can become the anchor for providing Community based Palliative Care and End
of life Care to the entire district

 Opportunity to work with State health society and National rural health mission at
Thiruvallur

Threats:

 Fear of Patients being aware that they are terminally ill as it is an unique hospital

 As it is a sustainable nonprofit hospital it may take time to attract doctors & Para medics to join.

 Community Threats.

 Local bodies’ interference.

CONTACT INFORMATION

Dr. Republica Sridhar

Founder Managing Trustee
RMD Pain & Palliative Care Trust
No.13, Ragaviah Road,
T. Nagar, Chennai – 600 017, Tamil Nadu (INDIA).
Phone: 044-28157212, 28157373, 9381016588
E-mail: rmd.rmd1970@gmail.com, rmdcbpcproject@gmail.com
Website: www.rmdpainpalliative.com