chapter iii profile of institutions under study...
TRANSCRIPT
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CHAPTER III
PROFILE OF INSTITUTIONS UNDER STUDY
COVERAGE
A Hospital is an integral part of a Social and Medical organization, the
function of which is to provide for the population complete health care,
both curative and preventive, and whose outpatient services reach out to
the family and its home environment; the hospital is also a centre for the
training of health workers and biosocial research.
W H O definition of Hospital
The Guwahati city has been bestowed with the following hospitals :
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3.1 PUBLIC SECTOR HOSPITALS IN GUWAHATI
CITY:-
Table : 3.1 Source : Field Survey
NAME
GAUHATI MEDICAL COLLEGE
HOSPITAL
B. BARUAH CANCER INSTITUTE
M.M. CHOUDHURY HOSPITAL
CENTRAL RAILWAY HOSPITAL
CRPF BASE HOSPITAL
GOVT. AYURVEDIC COLLEGE HOSPITAL
GOPINATH BORDOLOI T.B. HOSPITAL
MILITARY HOSPITAL
MALARIA RESEARCH CENTRE
GUWAHATI REFINERY HOSPITAL
ESI HOSPITAL
TOLARAM BAFANA GOVT. HOSPITAL
PLACE
BHANGAGARH
GOPINATH
NAGAR
PANBAZAR
MALIGAON
NINE MILE
JALUKBARI
BIRUBARI
BASISTHA
SONAPUR
NOONMATI
KHANAPARA
AMINGAON
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3.2 PRIVATE SECTOR HOSPITALS IN GUWAHATI
CITY :-
Table : 3.2
NAME
ARUNA MEMORIAL NURSING HOME
ARYA HOSPITAL
BORTHAKUR CLINIC
BRAHMAPUTRA HOSPITAL LTD.
CARE HOME & DIAGNOSTIC CENTRE
CENTRAL NURSING HOME
CHATRIBARI CHRISTIAN HOSPITAL
CITY HEART HOSPITAL
DISPUR POLYCLINIC
DISPUR HOSPITALS PVT. LTD.
PLACE
BHANGAGARH
PALTAN BAZAR
KHARGHULI
RAJGARH ROAD
BAMUNI MAIDAM
BELTOLA
CHATRIBARI
RAJGARH
GANESHGURI
DISPUR
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DOWN TOWN HOSPITAL
EAST END NURSING HOME
EYE FOUNDATION HOSPITAL
GNRC HEART INSTITUTE
GOENKA NURSING HOME
GOOD HEALTH HOSPITAL
GURUCHARAN POLYCLINIC
GUWAHATI CHILDREN'S CLINIC
GUWAHATI NEOROLOGICAL
RESEARCH CENTER
INSTITUTE OF HUMAN REPRODUCTION
INTERNATIONAL HOSPITAL
KUMAR NURSING HOME
K.C. DAS HOSPITAL
LION’S EYE HOSPITAL
DISPUR
BAMUNIMAIDAM
R.G. B. ROAD
SUPER MARKET
BHARALUMUKH
DISPUR, G.S.ROAD
PALTAN BAZAR
BORA SERVICE
SUPER MARKET
BHARALUMUKH
CHRISTIAN BASTI
KUMARPARA
BIRUBARI
CHATRIBARI
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MARWARI MATERNITY HOSPITAL
MIDLAND HOSPITAL & RES. CENTRE
NEMCARE HOSPITAL
NIGHTINGALE HOSPITAL
NORTH EAST PAIN CLINIC
NORTH EAST CANCER CARE
FOUNDATION
PRATIKSHA INFERTILITY HOSPITAL
RED CROSS HOSPITAL
SANKARDEV NETRALAYA
SANJIVINI HOSPITAL
SACRED HOME NURSING HOME
ST. JONES MISSIONARY HOSPITAL
WINTROBE HOSPITAL
HAYAT HOSPITAL
SJ RD, ATHGAON
RGB RD.
SRINAGAR
BHANGAGARH
GANESHGURI
GANESHGURI
NINE MILE
PANJABARI
CHANDMARI
BELTOLA
MALIGAON
LACHIT NAGAR
CHRISTIANBASTI
AMBARI
LALGANESH
Source : Field Survey
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The study will cover the Gauhati Medical College & Hospital, Guwahati;
which is a Public Sector unit and the Down Town Hospital, Guwahati,
being the first private sector full fledged multispecialty hospital within
the state of Assam as well as the Christian Medical College & Hospital,
Vellore in the state of Tamil Nadu which is the health destination for
most of the patients from the state of Assam. The profile of those are
as under :
3.3 GAUHATI MEDICAL COLLEGE & HOSPITAL,
GUWAHATI
Dr. John Berry White, MRCS, a British Surgeon of the East India
Company, was the pioneer to start Health Education and health care in
Assam. He established a medical school known as 'Berry White Medical
School' at Dibrugarh, Assam in 1898-99. In course of time this medical
school was upgraded and on 3rd Nov., 1947 the Assam Medical College,
Dibrugarh was established and it stands as the first medical college in
Assam.
With increasing demands for health care and health education, the need
for more medical colleges in Assam was keenly felt. The State
Government in 1959 headed by Mr. B.P. Chaliha, the then Chief Minister
of Assam, Mr. Fakaruddin Ali Ahmed, the then Finance Minister, and
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Mr. Rupram Brahma as the then Medical Minister of Assam decided to
have a second medical college in Assam.
Gauhati Medical College Hospital
On 7th November, 1959 the State Government set up an expert
committee to go into the matter and as per their recommendation the
Assam Government decided to have both the medical colleges
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simultaneously from August, 1960. So a second technical expert
committee was formed on 6th April, 1960 to go into the details.
After several rounds of discussions, the committee visited the sites at
Ulubari, Jalukbari, Chandmari and other areas of the city of Guwahati
and the committee submitted its report on 26th April, 1960 stating that it
was feasible to start the Gauhati Medical College from August,1960 in
the vacant Ayurvedic College buildings and the Physical Education
Training buildings at Jalukbari, Guwahati. The committee recommended
Ulubari for Gauhati Medical College to be the permanent sites.
So the State Government decided to start the college with preclinical
classes in the vacant buildings of the Ayurvedic College at Jalukbari,
Guwahati with 60 students for Gauhati Medical. By a State Govt. order
no. MM-D/275/60/45 dated 26th June, 1960, Dr. S.N. Sarma, the then
Principal and Supdt. of the Assam Medical College & Hospital,
Dibrugarh was entrusted with the responsibility to make all necessary
arrangements for starting the preclinical classes at Jalukbari from August,
1960 and also for taking necessary steps for establishment of the
proposed medical college at Gauhati in addition to his duties in the
AMC, Dibrugarh.
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Accordingly the vacant Ayurvedic College buildings at Jalukbari were
taken over and arrangements were started by August, 1960. On the 20th
September, 1960, the functioning of the Gauhati Medical College was
formally inaugurated. The first batch of the 100 students were
interviewed and selected in the AMC, Dibrugarh in the last week of
September, 1960. Preclinical classes were started from 10th October,
1960. Lady students were accommodated in Ayurvedic College hostel
building when available. Subsequently two temporary barracks were also
built in the Physical Education Training building at Jalukbari where
second year students were accommodated while the first year students
had to come as before.
The Gauhati Medical College (GMC) took its start under the stewardship
of Professor I. Jahan from October, 1960 to June, 1961. Professor S.N.
Sarma was transferred from AMC, Dibrugarh and he took over the
charge of the Office of the Principal, Gauhati Medical College on 3rd
June, 1961. Professor S.N. Sarma as the founder Principal of the Gauhati
Medical College took great interest in the construction of the permanent
college and hospital complexes. Paraclinical and clinical departments
were started in the Civil Hospital Campus at Panbazar, Ulubari Maternity
Home, Emigration Hospital (later on Infectious Diseases Hospital) and
T.B. Hospital at Birubari, Guwahati as and when they became available.
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The members of the teaching staff were brought from Assam Medical
College, Dibrugarh.
The Govt. of Assam decided to construct the permanent buildings of the
Gauhati Medical College & Hospital on the Narakachal hill. The
P.W.D.,Govt. of Assam, took up the survey and started road constructions
in 1962 in the Narakachal hill. The hostels were completed and taken
over and occupied in between August, 1965 and October, 1966. Girls'
hostel could be occupied in June, 1968. The new hospital at its permanent
site at the Narakachal foot hill started functioning since 1984.
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Inpatients at Down Town Hospital
The vision for Down Town Hospital came to Dr. Narendra Nath Dutta,
its founder and presently the Chairman cum Managing Director during
his 14 years of service in the Guwahati Medical College. This region
lacked quality healthcare but did not lack quality doctors. What was
missing was quality infrastructure. This was the what prompted the
establishment of Down Town Hospital in 1989, at G.S. Road, Dispur,
Guwahati in order to be the platform for providing the best medical
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practitioners the best medical infrastructure, and to give the people of the
North-Eastern states the best health care services.
Down Town Hospital is a tertiary care referral centre with all facilities
under one roof. It is the first multispecialty Corporate Hospital
in the Northeastern part of India and is also accredited by the
National Accreditation Board for Hospitals (NABH). Presently, there
are 300 beds in General Wards, Semi-Cabins, Non-A C Cabins, AC
Cabins and AC Deluxe Suits. Medical Care is provided from Nursing
Stations in each floor staffed by trained Nurses and Resident Doctors
round the clock. Patients come here from all the seven NE states,
besides people from outside the region and the neighbouring countries
viz: Bihar, Bhutan, Nepal, Bangladesh etc. The hospital is located in
Dispur and is well connected by roads, railways and air. The Hospital is
a nice amalgamation of experienced professionals, specialists,
Consultants, Resident Medical Officers, Resident Doctors, GNM nursing
staff, Paramedical Staff and a large number of other executives and
paramedical staff, backed up by modern and well equipped laboratory,
radiology services, physiotherapy unit, well equipped recovery, ICU, and
ICCU and dedicated workers in various other non-medical services.
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3.5 CHRISTIAN MEDICAL COLLEGE & HOSPITAL,
VELLORE
The idea of starting a hospital came to Ida Sophia Scudder in the late
19th century, when Ida visited her medical missionary father, John
Scudder, Jr., at his post in Tamil Nadu. One night, Ida was asked to help
three women struggling in difficult childbirth. Custom prevented their
husbands from accepting the help of a male doctor and, being untrained at
that time, Ida could do nothing. The next morning she was shocked to
learn that the women had died. She believed that it was a calling and a
challenge set before her by God to begin a mission dedicated to the health
needs of the people of India, particularly women and children.
Consequently, Ida went back to America, entered medical training and,
in 1899, was one of the first women graduates of the Weill Medical
College of Cornell University.
Shortly thereafter, she returned to India and opened a one-bed clinic in
Vellore in 1900. In 1902, she built a 40-bed hospital. In 1909, she started
the School of Nursing and, in 1918, a medical school for women was
opened under the name Missionary Medical School for Women. The
medical school was upgraded into a university affiliated medical college
granting the degree of M.B.B.S. in 1942, under the name Christian
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Medical College. Men were admitted to this college in 1947, ten men in
a class of 35 students.
In addition to the medical and nursing schools that she founded, Dr. Ida
frequented outlying villages and started a roadside dispensary in 1916.
Over the years, these roadside dispensaries were upgraded into rural
health and development.
Christian Medical College & Hospital is now one of the Asia's most
famous Hospital for treatment as well as for medical degrees. It has got
2695 nos. of beds of which 46 are Emergency, 168 are in ICUs, 248 are
in community facilities, 85 are for long-stay rehabilitation of physically
disabled. Each year around 1.9 million outpatients and 120,000 in-
patients are being treated. Daily 125 operations; 45 births; 25,635
laboratory tests are performed at CHCH. Regarding education more than
110 courses including MBBS, Nursing, Allied Health Sciences, many
Postgraduate medical specialities, plus distance learning courses and PhD
programmes are being offered under Dr. M.G.R. Medical University,
Tamil Nadu.
CMC has over 7,600 staff, including over 1,200 doctors and 2,400 nurses.
There are 95 wards including 15 ICUs. About 76% of the beds are in
general wards and are subsidised to reduce the financial burden on
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patients. There are 39 major operation theatres and a further 18 facilities
for minor procedures. An average of 125 operations are carried out each
day.
CMC has several firsts to its credit : It performed the first successful
open-heart surgery in India (1948), the first reconstructive surgery for
leprosy patients in the world (1948), the country's first middle-ear
microsurgery for deafness (1961), the first kidney transplant in India
(1971), the first gastrointestinal endoscopy (1972), the first carotid
bifurcation stenting in India (1996), the first transeptal carotid stenting in
the world (1996), and the first transjugular mitral valvuloplasty in the
world (1996). Its other achievements include the setting up of the first
neurological sciences department in South Asia (1948) and the first
rehabilitation institute (1966) and the first virology department (1978) in
the country.
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3.6 COMMONALITIES OF VARIOUS SERVICES
AMONG THE THREE HOSPITALS :
Table 3.3 : AVAILABILITY OF MEDICAL DEPARTMENTS :
Sl.
No.
Department GMCH
Guwahati
Down Town
Guwahati
CMCH
Vellore
1 Accident & Emergency Yes Yes Yes
2 Cardiology Yes Yes Yes
3 Cardiothoracic Surgery Yes Yes Yes
4 Child Health No No Yes
5 Clinical Haematology Yes No Yes
6 Clinical Immunology &
Rheumatology
No No Yes
7 Dental & Oral Surgery Yes Yes Yes
8 Dermatology, Venereology &
Leprosy
Yes Yes Yes
9 Developmental Paediatrics Yes Yes Yes
10 Dietetics Yes Yes Yes
11 Endocrinology, Diabetes &
Metabolism
Yes Yes Yes
12 ENT Yes Yes Yes
13 Gastrointestinal Sciences Yes Yes Yes
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Sl.
No.
Department GMCH
Guwahati
Down Town
Guwahati
CMCH
Vellore
14 General Surgery & Head & Neck
Surgery
Yes Yes Yes
15 General Surgery & Vascular Surgery Yes Yes Yes
16 General Surgery & Oesophago
Gastro Duodinal Surgery
Yes Yes Yes
17 General Surgery & Hepato – Bilary
& Pancreatic Surgery
Yes Yes Yes
18 General Surgery & Clorectal Surgery Yes Yes Yes
19 General Surgery & Surgical
Endocrinology
Yes Yes Yes
20 HLRS – Hand & Leprosy
Reconstructive Surgery
No No Yes
21 Medical Oncology Yes Yes Yes
22 Medicine Department Yes Yes Yes
23 Neonatology No No Yes
24 Nephrology Yes Yes Yes
25 Neurological Sciences – Neurology Yes Yes Yes
26 Neurological Sciences -
Neurosurgery
Yes Yes Yes
27 Nuclear Medicine No No Yes
28 Obstetrics & Gynaecology Yes Yes Yes
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Sl.
No.
Department GMCH
Guwahati
Down Town
Guwahati
CMCH
Vellore
29 Ophthalmology Yes Yes Yes
30 Orthopaedics Yes Yes Yes
31 Palliative Care No No Yes
32 Paediatric Surgery Yes Yes Yes
33 Physical Medicine & Rehablitation Yes No Yes
34 Plastic Surgery Yes Yes Yes
35 Psychiatry Yes Yes Yes
36 Pulmonary Medicine No No Yes
37 Radiation Therapy – Radio Therapy Yes No Yes
38 Radiology Yes Yes Yes
39 Reproductive Medicine Unit Yes Yes Yes
40 Urology Yes Yes Yes
41 Clinical Biochemistry Yes Yes Yes
42 Clinical Microbiology Yes Yes Yes
43 Clinical Virology Yes No Yes
44 General Pathology Yes Yes Yes
45 Transfusion Medicine &
Immunohaematology
Yes No Yes
Source : Field survey
From the above table 3.3, it transpires that the Down Town Hospital,
Guwahati is lacking in many features of multispecialty departments
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while the Gauhati Medical College & Hospital, Guwahati and the
Christian Medical College & Hospital, Vellore are equal barring seven
departments.
3.7 AVAILABILITY OF MEDICAL FACILITIES :
The facilities available for patients in the hospitals covered on our study
are as in table 3.4 :
Table 3.4 : Availability of Medical Facilities
Sl.
No.
Item GMCH
Guwahati
Down Town
Guwahati
CMCH
Vellore
1 Total Nos. of beds 1587 300 2695
2 Nos. of ICUs 3 3 15
3 Nos. of major Operation Theatres 17 6 39
4 Nos. of Doctors 358 100 1200
5 Nos. of nurses n/a 150 2400
6 Nos. of other staffs n/a 550 3000
7 Blood Bank 1 1 1
8 Pharmacy 3 3 10
Source : Field survey
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