Moolai Cooperative Hospital Challenges and Opportunities Reactivation Progress

Moolai Co-operative Hospital • Challenges and Opportunities • Reactivation, Progress & Review 2003 – 2008

Presented By: Dr. R. Surenthirakumaran MBBS, MSC (Community Medicine), PGD (Applied Statistics) , MD (Community Medicine), Trainee PGIM Department of Community Medicine Faculty of Medicine University of Jaffna Thinnaveli, Sri Lanka Email: srajendira@yahoo. com surenthirakumaran@gmail. com moolaii@yahoo. com Medical Superintendent Moolai Hospital Chulipuram, Sri Lanka

Facts • Established in 1934 • 5 Acre Campus, Potential Land Value ▫ US $ 1 M • 34 Independent Structures Potential Value ▫ US $ 1 M

History • Moolai hospital is a unique co-operative venture in healthcare services. • First successful initiative in South Asia • Potential to serve 200 K population. • Approved by the Ministry of Finance as a charitable institution, under the Income Tax Ordinance • All finances are audited by the Office of Commissioner of Cooperative Department.

Two Story Building

Sampanthan Quarters

Old Nurses Quarters

History Cont… • Moolai Hospital did not escape the effect of the civil war. • Almost all buildings were destroyed. • Some are currently renovated. • Dedicated effort from international and local donors and the management of the hospital have made it possible for the hospital to reactivate and provide essential healthcare services.

Partners in Progress 2003 to 2008 • T. R. R. O California $ 80 K • Ratnam Foundation UK $ 40 K • MIFT – Canada $ 16 K • IMHO - USA $7. 2 K • MIOT - UK $1. 6 K

Donors of Equipment 2003 To 2008 • British High Commission $ 52 K • Royal Netherlands Embassy $ • US AID $ 95 K • North Provincial Ministry (Govt. of SL) $145 K • North Carolina Peace Foundation $ 5 K • SCOT- UK $ 4 K 3 K

Healthcare Services • Cardiology Clinic (with ETT Facilities donated by NPM) • General Medical Clinic • General Surgery Eye Clinic • Maternity Clinic (Equipment donated by USAID with the support of TRRO California) - $95 K Value

Healthcare Services Cont… • Clinical Laboratory (by MIFT Canada) • X-ray (unit by NPM) • Ambulance Services (by NPM and maintained by IMHO USA) • Family Medicine Services (by MIOT – UK) • Free Mobile Medical Services (by IMHO USA) • Special Care Services

Healthcare Services Cont… • Dental Clinic (Equipment donated by MIOT- UK & NPM) • Diabetes Clinic (Free services - Courtesy Ratnam Foundation UK) • Eye Care Clinic and Surgeries • ENT Clinic • Pediatric Clinic • Trauma Counseling

Operation Theatre

Board of Management Name Mr. V. Velupillai Title President Mr. K. Hallock Viswanathan Secretary Mr. K. Krishnamurthy Treasurer Dr. S. Kannadasan Committee Member Mr. V. Rajahkumar Committee Member Mr. S. Thiyagalingam Committee Member Mr. K. Muthurasa Committee Member Mr. S. Santhiyapillai Committee Member

Providing Opportunities for • Empowerment • On the Job Training • Employment for 52 Personnel

Physicians Specialty Dr. R. Surenthirakumaran Medical Superintendent Dr. Mrs. S. Nagendra Consultant Physician Dr. K. Sritharan Obstetrician &Gynecologist Dr. M. Sivakumar Surgeon Dr. Mahesan General Physician Dr. M. Thirumaran ENT Surgeon Dr. S. Kugathasan Eye Surgeon Dr. P. Luxman Cardiologist Dr. Maruthainar Pediatrician Dr. K. Gnanasothilingam Dermatologist Dr. S. Sivasangar AMSMO Dr. S. Suganthan OPDMO Dr. Ragavan Diabetic Clinic MO Dr. N. Jeyakumar Diabetic Clinic MO Dr. S. Sivakumar Diabetic Centre Dr. Hamlet Dental Surgeon

Title Number Matron 1 Pharmacist 1 Nurse 1 Nursing Aid 5 Midwife 1 Nursing Trainees 9 Laboratory Trainee 1 Laboratory Aid 1 Accountant Assistant 2 Accounts Clerk 1 Computer Data Entry Clerk 1 Security Officer 4 Laborer 3 Ambulance Drivers 3 Cashier 1 Cook 1 Total Support Staff 36

Immediate Need • Increase the current revenue by 10% each year for the next 3 years 2009 -2011 • Achieve sustainable growth

How? • Renovate the existing building and to provide competitive laboratory services. ▫ $30 K cost of renovation under consideration by MIFT Canada • Improve and provide competitive pharmaceutical products. ▫ $20 K cost to implement this program ▫ Sponsorship Needed!!

Improve the Mobile Clinic Services (currently sponsored by IMHO USA) 1) Purchase a vehicle equipped for mobile clinics 2) Improve the staff capacity to handle the mobile clinics 3) Purchase equipment and materials for mobile clinics 4) Purchase small generator for mobile clinics --- Sponsorship Required For $50 K ---

Current Mobile Clinic Services (Sponsored by IMHO USA) • Treatment of vulnerable communities for common ailments. • Screening and early detection of nutritional and non-communicable diseases such as diabetes, hypertension and cancer. • Screening for eye diseases • Health Awareness Program

Develop Moolai Into An Accepted Training Facility For • Paramedics • Nurses (minimum 30 per batch)

Expenditure Statement from May 2003 – May 2008 Expenses Category Cumulative in US $ $ 36, 744 $ 7, 000 $ 48, 547 $ 4, 362 $ 29, 023 $ 6, 059 $ 360 $ 48, 743 $ 1, 658 $ 4, 319 $ 1, 916 $ 2, 545 $ 6, 407 $ 1, 166 $ 2, 218 $ 13, 165 $ 26, 442 $ 580 $ 2, 958 $ 491 $ 664 $ 1, 095 $ 473 $ 2, 547 $ 292 No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Salary for Doctors - Diabetic Clinic Salary for Staffs - Diabetic Clinic Consultants' Fee Employment Provident Fund Employment Trust Fund Purchase of Drugs Medical Disposable Repairs to Building Repairs to Operation Theatre Labor Electricity Generator Telephone Ambulance Repair & Diesel Expenses Miscellaneous Retired Employees Gratuity Transport Fencing Advertising Electrical Spares Uniform Repair & Main. Of Equip. & Furniture O 2 Gas Refilling 26 Total Recurring Expenses $ 249, 772 27 Capital Expenditure / X-Ray $ 44, 422 28 Total Recurring & Capital Expenditure $ 294, 195

Current Patient Statistics

Income & Expenditure Summary From May 2003 to May 2008 No Details of Income/Remittance Cumulative in $US % Of Rev. 1 OPD & Inpatient $131, 695 47% 2 3 4 5 6 7 8 Ambulance T. R. R. O California Ratnam Foundation MIOT for Family Medicine IMHO for Free Mobile Service Other Donations Fixed Deposit Interest $4, 330 $80, 153 $39, 115 $1, 625 $7, 242 $12, 080 $4, 791 2% 29% 14% 1% 3% 4% 2% 9 Total Income $281, 032 100% 10 Total Recurring & Capital Expenditure $294, 195 11 Total Profit/Loss ($13, 163) 5%

Patients Seen From Jan 2008 to Sept 2008 Clinics Total Average Daily Clinics 14, 763 75 Per Day Weekend Clinics 2, 984 83 Per Weekend Total 17, 747 66 Per Day

THANK YOU for Making the REACTIVATION of MOOLAI a REALITY Your continued support is always appreciated! http: //moolaihos. com