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

Presented By: D r. 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 Medical Superintendent Moolai Hospital Chulipuram, Sri Lanka

Facts Established in 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 200K 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 $ 3 K US AID $ 95 K North Provincial Ministry $145 K (Govt. of SL) North Carolina Peace Foundation $ 5 K SCOT- UK $ 4 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) - $95K 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 NameTitle Mr. V. VelupillaiPresident Mr. K. Hallock ViswanathanSecretary Mr. K. KrishnamurthyTreasurer Dr. S. KannadasanCommittee Member Mr. V. RajahkumarCommittee Member Mr. S. ThiyagalingamCommittee Member Mr. K. MuthurasaCommittee Member Mr. S. SanthiyapillaiCommittee Member

Providing Opportunities for Empowerment On the Job Trainin g Employment for 52 Personnel

PhysiciansSpecialty Dr. R. SurenthirakumaranMedical Superintendent Dr. Mrs. S. NagendraConsultant Physician Dr. K. SritharanObstetrician &Gynecologist Dr. M. SivakumarSurgeon Dr. MahesanGeneral Physician Dr. M. ThirumaranENT Surgeon Dr. S. KugathasanEye Surgeon Dr. P. LuxmanCardiologist Dr. MaruthainarPediatrician Dr. K. GnanasothilingamDermatologist Dr. S. SivasangarAMSMO Dr. S. SuganthanOPDMO Dr. RagavanDiabetic Clinic MO Dr. N. JeyakumarDiabetic Clinic MO Dr. S. SivakumarDiabetic Centre Dr. HamletDental Surgeon

TitleNumber Matron1 Pharmacist1 Nurse1 Nursing Aid5 Midwife1 Nursing Trainees9 Laboratory Trainee1 Laboratory Aid1 Accountant Assistant2 Accounts Clerk1 Computer Data Entry Clerk1 Security Officer4 Laborer3 Ambulance Drivers3 Cashier1 Cook1 Total Support Staff36

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

How? Renovate the existing building and to provide competitive laboratory services. ▫ $30K cost of renovation under consideration by MIFT Canada Improve and provide competitive pharmaceutical products. ▫ $20K 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 $50K ---

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 No Expenses Category Cumulative in US $ 1Salary for Doctors $ 36,744 2Salary for Doctors - Diabetic Clinic $ 7,000 3Salary for Staffs $ 48,547 4Salary for Staffs - Diabetic Clinic $ 4,362 5Consultants' Fee $ 29,023 6Employment Provident Fund $ 6,059 7Employment Trust Fund $ 360 8Purchase of Drugs $ 48,743 9Medical Disposable $ 1,658 10Repairs to Building $ 4,319 11Repairs to Operation Theatre $ 1,916 12Labor $ 2,545 13Electricity $ 6,407 14Generator $ 1,166 15Telephone $ 2,218 16Ambulance Repair & Diesel Expenses $ 13,165 17Miscellaneous $ 26,442 18Retired Employees Gratuity $ Transport $ 2,958 20Fencing $ Advertising $ Electrical Spares $ 1,095 23Uniform $ Repair & Main. Of Equip. & Furniture $ 2,547 25O2 Gas Refilling $ Total Recurring Expenses $ 249,772 27Capital Expenditure / X-Ray $ 44,422 28Total Recurring & Capital Expenditure $ 294,195

Current Patient Statistics

Income & Expenditure Summary From May 2003 to May 2008 NoDetails of Income/RemittanceCumulative in $US% Of Rev. 1OPD & Inpatient$131,69547% 2Ambulance$4,3302% 3T.R.R.O California$80,15329% 4Ratnam Foundation$39,11514% 5MIOT for Family Medicine$1,6251% 6IMHO for Free Mobile Service$7,2423% 7Other Donations$12,0804% 8Fixed Deposit Interest$4,7912% 9Total Income$281,032100% 10Total Recurring & Capital Expenditure$294,195 11Total Profit/Loss($13,163)5%

Patients Seen From Jan 2008 to Sept 2008 ClinicsTotalAverage Daily Clinics14,76375 Per Day Weekend Clinics2, Per Weekend Total 17,74766 Per Day

THANK YOU for Making the REACTIVATION of MOOLAI a REALITY Your continued support is always appreciated!