Dr. Raguraj Presentation 7th Annual Convention 2010

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Future Projects of IMHO

May 1st,2010 7th Annual IMHO Convention Boston, MA


Programs for the next 12 months 1- Mental health services 2-Resettlement 3-Amputee rehabilitation 4-Maternal & child Health 5-Primary care services 6-Current ongoing projects


Mental Health Services • Mobile Clinics • Staff Salary •$ 34,000 / 12 months (only for Jaffna)


Mental Health Services Kudil Rehab • • • •

Home-like environment Successful program with low admission rate In Tellippalai for females In PointPedro for males

$5,000 / year


Mental Health Services • Vavuniya • Need of an ambulance • $ 30,000


Mental Health Services-IDP • • • • •

Vettrimanai patients (65 out of 130 located) Identifying the patients Rehabilitation Need of health care workers $120 / month


Resettled Areas • Killinochchi

Karachchi Kandaawalai Palai Poonakary

• Mullaithivu

Manthai East Thunukkai Ottisuddan Puthukkkudiyiruppu

• Mannar

Manthai west


Resettlement • • • • •

The Kiloinochchi resettled area population Poonahary - 16,942 Karaichchi - 13,746 Kandaawalai – 3,946 Palai - 1,851 Total – 36,485


Killi- status of the hospitals • • • • • • • • • • •

DGH Killinochchi BH Mulangaavil DH Poonakary DH Palai DH Veravil DH Akkaraayan DH Uruththirapuram DH Vattakkachchi – Not functioning DH Dharmapuram – Not functioning PMCU Kandaawalai - Not functioning PMCU Vannerikkulam - Not functioning


Mullaithivu • • • • • •

DGH Mullaithivu DH Mallaavi BH Mankulam DH Ottusuddaan DH Nattankandal DH Puthukkudiyiruppu – Not functioning


Vavuniya and Mannar • Vavuniya 1-Nedungeni DH – Not functioning 2-Puliyankulam DH – Not functioning

• Mannar 1-DH Adampan 2-DH Sillavaththurai 3-PMCU Thirukketheeswaram 4-PMCU Vellaankulam – Not functioning 5-PMCU Vidaththal theevu – Not functioning


Resettlement Needs 1-Mental Health Services 1-clinics 2-councelling services 3-rehab centers 2- Needs of physically handicapped 1-artificial limbs 2-workshops 3-physicial therapy 3- Dental care services – especially children 1-dental clinics in the main hospitals 2-health education programs 3-mobile clinics


Support for the primary care services- resettlement • • • • • • •

Mobile clinics (one/district): Rs 50,000/month = $ 12,000/yr/two dt Dental care mobile clinics: Rs 50,000/month = $ 12,000/yr/two dt Primary care center recontruction(rs 5 mn/ctr) = $ 100,000 for two Mental health rehab center (1 mn) = $ 20,000/ for two Physician assistants (Rs 10,000/mth) 5/dt =$ 120,000 Nursing assistants (RS 8000/mth) 10/dt = $19,200 Volunteers (Rs 5000/mth) 10/ dt = $12,000 Total

=$ 295,2000


Amputee Rehabilitation


Amputee Rehabilitation


Amputee Rehabilitation • Jaipur • •

Located in Jaffna – Old Park Road Workers – they themselves are disabled

• Mannar • •

Aboue knee : $ 310 Below knee : $ 170 (actually amount varies)


Prosthetic limb project at Mannar


Amputee Rehabilitation


Amputee Rehabilitation • • • • • • •

Nobody knows the exact number Estimated to be around 25-30,000 Tricycle $320 Hard terrain wheel chairs $240 Regular wheel chair $180 Crutches $10 Comprehensive care / transport

Projected funding : $200,000


Maternal & Child Health • • • • • •

Support for pregnant mothers BMI – less than 18.5 And below poverty line Need changes with the ground situation Supporting midwife services $ 12,000 – for 12 months (250 pregnant mothers)


Child Health-Children’s homes • Health and Nutritional needs: $10,000 1-SAI in Mannar 2-Hindu Board-Thirunelvelli

es $ 10,000


Other needs • JTH 1-upgrading the ICU -$ 8000

• Pathology Lab Services -technician -specimen bottles

-$ 5000


Renal Services • Batticaloa – Dialysis machine $ 30,000 • Jaffna Erythropoietin Rs 1,000/pt ($2,500/year)



Cardiology • Two peripheral centers (to reduce the mobidity and mortality) EKG machine ,cardiac monitor, defibrillator, etc.

• Batticaloa Teaching Hospital -ECHO: $50,000 -External pace maker: $16,000


Batticaloa District • Surgery • •

Operative Laproscopy $ 100,000 (Dr. Jeebra)

• Kalmunai • • •

OBGYN: very basic needs lab beds with lithotomy position (Dr .Thrukumaran)


Diabetic Center $42,000


Estimated Project 1- Mental health services 2-Resettlement 3-Amputee rehabilitation 4-Maternal & child health 5-Primary care services 6-Current ongoing projects 7-BTH request

TOTAL

$100,000 $300,000 $200,000 $260,000 (included in resettlement) $10,000 $400,000

$1.2 million


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