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HEALTH & FAMILY WELFARE DEPARTMENT SCHEMES

IDENTIFIED FOR CORPORATE SOCIAL RESPONSIBILITY FUND

PREAMBLE:

India is a country of myriad contradictions. On the one hand, it has grown to

be one of the largest economies in the world, and an increasingly important player

in the emerging global order. On the other hand, it is still home to the largest

number of people living in absolute poverty (even if the proportion of poor people

has decreased) and the largest number of undernourished children. What emerges

is a picture of uneven distribution of the benefits of growth which many believe, is

the root cause of social unrest.

Governments as well as regulators have responded to this unrest and the

National Voluntary Guidelines for Social, Environmental and Economic

Responsibilities of Business and the Corporate Social Responsibility (CSR) clause

within the Companies Act, 2013 are two such instances of the steps taken.

CSR can be defined as “the responsibility of enterprises for their impacts on

society”. To completely meet their social responsibility, enterprises “should have in

place a process to integrate social, environmental, ethical human rights and

consumer concerns into their business operations and core strategy in close

collaboration with their stakeholders”

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Since Corporate Social Responsibility and sustainability are so closely

entwined, it can be said that corporate social responsibility and sustainability is a

company’s commitment to its stakeholders to conduct business in an economically,

socially and environmentally sustainable manner that is transparent and ethical.

The main objective of Health and Family Welfare Department, Government of

Karnataka is to provide Quality Health Care services to the people. Health for All,

Health Everywhere is motto of Government of Karnataka

The Vision is to ensure access and availability of quality health care for all.

Mission - Provide comprehensive and quality health care services to ensure

equitable access, redress regional imbalances. Stabilize population and make AYUSH

systems Integral part of health care. Involve community participation in all the

activities for better acceptance.

The Government of Karnataka has implemented several new programs and

strengthened the existing on going programs in order to improve the health care of

the community.

Various beneficiary oriented schemes are implemented by Government of

Karnataka in addition to the existing schemes. The schemes like Prasoothi Araike,

Madilu, Thayee Bhagya, Thayee Bhagya +, Shuchi, Arogya Kavacha-108, Arogya

Sahayavani-104 and Vathsalya vani, Bike Ambulances, Vajapayee Arogya Shree,

Rajiv Arogya Bhagya, Jyothi Sanjeevini, Establishment of Dialysis Units, Tele

medicines,Tele Radiology, Treatment for Senior Citizens, Dantha Bhagya, Mukya

Mantri Santvana Harish Yojane, etc are the initiative of the Government of

Karnataka.

Though the health programs are implemented through the Government, for

success of the program, participation of the Community is equally important

especially involvement of the philanthropists , Corporates, Non-Government

Organizations, Charitable institutions etc.

Government of Karnataka is open for the support by these for effective

implementation of the health schemes through Corporate Social Responsibility

Funds.

Following is the brief description of the health activities where intervention

of the CSR funds are needed.

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1. Araike Yojane: It was announced in the Budget speech of 2016-17 (para 124) about the

implementation of this scheme in all the 21 District hospitals and 146 Taluka hospitals of the state. Many patients visit each hospital every day.

Under this scheme, provision will be made to provide safe Drinking Water, Toilet, bath room facility and rooms to stay for the patient's attendants.

The District Health & F.W. Officers and District surgeons are instructed to put the efforts to get the Funds through the Hon'ble Legislative Members and local representatives of the concerned districts and to finalize the construction of the rooms etc. Since these funds are not supplement, the State Government has to approach Corporates for CSR. Each unit costs Rs. 25 Lakhs (Plan and Estimates enclosed)

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2. Dialysis Units:

These days Blood Pressure and diabeties are the common diseases. The changes in the life style of the people and mal nutrition is leading to many Kidney problems at the first stage and later Kidney failure.

Approximately there are 1.5 to 2.5 lakhs patients are suffering from the Kidney diseases and only 20% of them are taking the dialysis treatment. Dept. of H&FW has started the dialysis centers in the 23 District hospitals with 6-12 dialysis machines and 34 Taluka hospitals with 2-6 dialysis machines per hospital in the state with. Due to shortage of Human resource, these units are not running up to expected levels (60%).

Therefore, it is decided to identify the gaps for the non-functioning of the units and to fill the gaps to make the units functional by inviting PPP partners. Further 100 taluks hospitals do not have dialysis units. It is proposed at least 2 machines in each hospital through CSR mode at a unit cost of Rs. 78 Lakhs

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3. Mobile Health Clinic (MHC):

It aims to take quality healthcare delivery to the door steps of the vulnerable sections of the population in remote, unreached and poorly accessible under-served areas of Karnataka (rural, hilly, tribal and forest with poor communication facilities). Government is deploying 1500 Ambulance for this purpose. Doctors and medicines will be given by Government.

Objectives are:

1. To provide supplementary, Preventive, Curative, Promotive and Referral health services to the people in the designated areas.

2. To co-ordinate with the District Public Health Systems to achieve improvement in the Millennium Development Goals such as IMR, MMR, Life Expectancy etc. 3. Assist in Prevention and Control of Communicable Diseases.

3. An amount of Rs.2.50 lakhs per month is budgeted to run one unit. It consist of salary of one Nurse, Emergency Meidical trained and driver plus fuel and maintenance charges.

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4. Citizen Help Desk:

Despite of good infrastructure, public health facilities in urban and semi-

urban areas lack quality and reliability. The main reasons are urban poor lack of awareness about available services, poor grievance redressal system and lack of information on patient rights, privileges and responsibilities. Hence, Citizen Help Desk (CHD) to cater to patient's need, are required to improve utilization of available hospital services.

An amount of Rs.75,000/- per month is budgeted to run one Citizen help desk. It consists of the salary of a trained Social worker @ Rs.6000/- per month. It is proposed to start Citizen Help desks in 146 taluk level hospitals of the state through CSR mode.

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5. Contracting MBBS Doctors and Specialists: Karnataka is experiencing shortage of Doctors and specialists of all categories

in public hospitals at district, Taluka and Community Health Center levels. To overcome the acute shortage of Medical personnel,under Department of H&FW and NHM, the services of the Doctors and specialists are hired on Contract basis. Inspite of that, as on 31.7.2016, following is the vacancy position of the specialists in the state:

General Duty Doctors - 282, OBG - 149, Paediatricians - 207, Anesthetists - 207, General Medicine - 105, General surgeon - 60, Optholmologist - 63, Orthopedician - 32, Dermatology - 59, ENT - 44, Radiologist - 40 and Psychiatrist - 5. An amount of Rs.60,000/- per month for GDMOs and Rs.1,00,000/- per month or Rs.2,000/- per case on call basis for specialist is given by Government. Yet there is not much response. It is proposed to approach Private hospitals / practioners to come forward and spare a day or two per week for catering to the needs of poor patients.

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6. Lysosomal Storage Disorders (LSD) Proposal under CSR Funds

A writ petition was filed by the LSDS, seeking treatment for the children

with Lysosomal Storage Disorders (LSD) free of cost in honorable High court of

Karnataka (WP No 19061/2015). The honorable High court of Karnataka has

passed an interim order directing Indira Gandhi Institute of Child Health (IGICH)

to provide treatment including enzyme replacement therapy (ERT) free of cost.

Accordingly, Director, IGICH, has sent a proposal estimating the total cost of

treatment of these children who had approached the honorable High court of

Karnataka (ref no. IGICH/1113/2015-16).

Lysosomal Storage disorder (LSD)

i. Gaucher’s disease

Gaucher’s disease is the most common LSD with the incidence of

1/57,000 to 1/75,000 births. Treatment is Enzyme replacement therapy

(ERT) and estimated cost of treatment per patient per year weighing 10 kg

is Rs.40 lakhs

Number of children we expect to treat – 10 (This is apart from the

children who have approached the Honorable High Court in W. P.

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19061/2015. A separate proposal has been submitted to Principle secretary,

HFW on 03.08.2015 – Annexure no 1)

ii. Mucopolysaccharidosis-I

Mucopolysaccharidoses (MPS) is a group of LSD and MPS type I is a

common treatable in this group. the incidence of the disease is 1/1,00,000

births. Treatment is Enzyme replacement therapy (ERT) and the cost of

treatment per patient per year weighing 10 kg is Rs. 42 lakhs.

Number of children we expect to treat – 10 (This is apart from the

children who have approached the Honorable High Court in W. P.

19061/2015. A separate proposal has been submitted to Principle secretary,

HFW on 03.08.2015 – Annexure no 1)

Estimate for Recurring Cost of already existing cases:

Sl

no

Name of the

disease

No. of

patients

Estimated cost

(Rs. in Lakhs)

A.

1 Gaucher’s

disease

22 1686.89

2 MPS type 1 1 301.6

3 Pompe’s 2 193.87

Total 26 2182.36 (A)

B. New cases expected to be initiated on treatment in the next year (for a 10 kg child)

6 Gaucher’s

disease

10 431.7

MPS type 1 10 506.9

Pompe’s 5 265.15

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Total 25 1203.75 (B)

C. Cost of Diagnosis, monitoring & supportive therapy

Rs.20,000

per patient

51 10.20(C)

D. Prenatal Diagnosis

Rs.25,000

per patient

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Families

5.00(D)

Grand Total

(A+B+C+D)

51 3401.31

Corporates can sponsor treatment of each child @ Rs 40 lakhs/year approximately

7. National Programme for Prevention and Control of Fluorosis

National Programme for Prevention and Control of Fluorosis was

implemented in Karnataka state during 2010-11 in two districts viz, Bellary and

Mysore as pilot project. During 2011-12 this was extended to Chikkballapur,

Davangere, Tumkur and Koppal. Further this programme was extended to 12 other

districts viz, Bangalore Urban, Chitradurga, Kolar, Ramanagar, Shimoga, Bagalakote,

Vijayapura, Gadag, Raichur, Kalaburagi, Hassan, Mandya during 2013-14.Then in

2015-16 NPPCF is come under NHM-NCD-Flexi pool, and also it is been proposed for

remaining 12 districtnamely, Bangalore(R), Bidar,Belagaum, Dharwad, Haveri,

Chikkamagaluru, Chamarajanagar, Udupi, Dakshinna kannada, Uttara kannada,

Yadgir, Kodagu

Objectives:

1. To create awareness about the adverse effects of consumption of excess fluoride

in water.

2. To motivate the communities to use only De-Fluoronated water in daily usage.

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3. To sensitise elected representatives and Grama Panchayats about adverse effects

of consumption of excess fluoride in water and to advocate provision of De-

Fluorinated water in daily usage.

4. To promote rain water harvesting and safeguarding surface water to reduce the

consumption of ground water in the long run.

CSR can play a major role in providing safe drinking in Flurosis affected area.

Flurosis screening camps; RO plants at a unit cost of Rs. 5.5 Lakh

8. Hygiene Kit:

To provide postnatal care for the mother and the child to poor pregnant

women asha to deliver in health centres and hospitals are provided hygiene kit in

order to reduce maternal and infant mortality in the state.

The Madilu Kit is provide free of cost to the BPL families by the Health

Institutions. Each BPL family is eligible to get a maximum of 2 Madilu Kits, one for

each live birth delivery. Madilu Kit consists of the following items:

1) Mosquito curtain

2) Medium sized carpet

3) Medium sized bedsheet

4) A thick blanket for mother

5) Bathing Soap

11) Tooth paste and brush

12) bed spread over rubber sheet for the baby

13) Bed sheet for baby

14) Bathing soap for baby

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6) Washing soap

7) Cloth to tie abdomen of mother

8) Sanitary pads

9) Comb and coconut oil

10) Towel

15) Rubber sheet for baby

16) Diaper

17) Baby vest

18) Sweater, cap and socks for baby

19) One plastic kit bag

Each kit costs Rs 1500/-

9. Rashtriya Bal Swasthya Karyakram (RBSK):

This programme commenced from the year of 2013-14, under this

programme 0 to 18 years children are screened for 38 health conditions. The

screening is conducted by 2 dedicated RBSK mobile health teams constituted in each

taluka, consisting of 2 Medical Officers, 1 Staff Nurse and 1 Ophthalmic Assistant/

Pharmacist. The main aim of this programme is to conduct health screening so as to

identify children with health conditions and to refer for appropriate timely

treatment.

Rashtriya Bal Swasthya Karyakram (RBSK) is implemented in the State in all rural and urban areas children studying in 1st to 12th standard in Government, Aided and Residential schools and in Aganwadi Centers.

Children in 0-18 years age group are screened annually and children found positive for various heart related condition, neuro problems, cleft lip palate and others are referred to hospitals empaneled under Suvarna Arogya Suraksha Trust (SAST) and Yeshasvini Trust for cash less treatment. As per the guidelines, the DHOs are implementing this programme successfully in all taluks.

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The activities are as follows:

1. Screening of 0 to 6 weeks children through delivery points and ASHA –

HBNC visits.

2. Screening of 6 months to 6 years children at Aganwadi Centres.

3. Screening of 6 to 18 years children (1st to 12th std.) at Schools and Colleges.

4. Health screening to identify children with 38 health conditions, broad

classified under 4’D’s (Defects at birth, Developmental delays, Diseases and

Deficiencies) under the age group 0 to 18 years.

5. Children requiring further management are referred to the nearest health

facility.

6. Health Education to anganwadi workers, teachers and students as well as

students regarding personal hygiene, environmental sanitation, safe drinking

water and use of latrines are being taught regularly.

7. The children identified with health conditions are further referred to

institution as mentioned below:

This programme is being implemented in co-ordination with Department of

Health and Family Welfare, Women and Child Development, Public Instruction, PU Board and Social Welfare.

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Corporates can help provide the services of Specialists and Super specialists,

thereby helping early detection and management of 4 D’s (Defects at Birth,

Deficiencies, Childhood Diseases and Developmental Delay and disability).

10. Nutrition:

Under nutrition is associated with high rates of mortality and morbidity due

to common childhood illness including diarrhoea, acute respiratory infections,

malaria and measles. To prevent deaths due to severe acute malnutrition (SAM)

specialized treatment and prevention interventions are required like NRCs and

MNRCs.

Nutrition Rehabilitation Centres (NRCs):It refers to a unit for ‘inpatient, centre

based’ care of children with severe malnutrition. Children with Severe Acute

Malnutrition (SAM)without medical complications are usually treated either in

facility/hospital based care units. In Karnataka there are 32 Nutrition Rehabilitation

Centers. 20 are attached to District Hospitals and 12 are attached to Medical

Colleges. Usually they are either 20 bed or 10 bed capacity.

Modified Nutrition Rehabilitation Centres(MNRC): At Taluka level the facility based care unit are referred to as Modified

Nutrition Rehabilitation Centre with 5 beds. There are 27 MNRC located at

identified Taluka Level Hospitals. These are referred rehabilitation centres with

trained medical officers and staff nurses where SAM children are referred from

primary health centres.

Children and mother/care taker will stay for a maximum of 14 days. In addition to providing nutritious food to children, awareness is being created to mothers /care takers on preparation of nutritious food. An amount of Rs.174/- to compensate the loss of wages and Rs.125/- for food and Rs. 125/- for drugs is being provided. Apart from the above, the technologies of CFTRI like, Can be provided through CSR mode. Each pregnant woman and child can be helped @Rs 1000 per month 1. Energy food - that has been used as a great protein supplement, with good

amount of vitamins and minerals. 2. Iron fortified atta 3. Whole drumstick pod powder 4. Iron folate enriched cookies 5. Methods to make spirulina products (without the fishy taste)

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11. Telemedicine

Telemedicine facility was started in association with ISRO since 2004.

In the First phase they were started in District hospital Chamarajanagar,

Mandya, Tumkur, Chitradurga, Shimoga, Karwara, Chikmagalur, Gadag and Taulk

hospitals at Maddur, Sagara and Yadgir - Hub centers (Centres from whom expert

advice is given) identified are - Jayadeva Institute of Cardiology , ST. John’s Medical

college Hospital, Narayana Hrudayalaya, NIMHANS at Bangalore and JSS Hospital at

Myosre.

During 2008-09 in 2nd Phase Telemedicine centres were started at District

hospitals- Kolar, Madikeri, Belgaum, Bellary, Dharwad, Davangere, Gulbarga, Udupi,

Bijapura &GH Lingasagur, Raichur District - Hub centres at Bowring and Lady

Curzon hospital, Indira Gandhi child health Institute, Institute of Nephro & Urology

centre. ISRO was unable to continue V-SAT Connectivity due failure of V-Sat in

September 2010. Later on, Department established Broad band connectivity to all

centers alongwith new centers. They are Wenlock Hospital Mangalore, District

hospital Koppal, Haveri & General Hospital Hospete. New hub centres are Kidwai

Institute of Oncology, Karnataka Diabetic centre and K.R. hospital, Mysore. 49,704

patients were given expert advice through telemedicine during 2015-16.

In 2013-14 through Keonics with the help of KSWAN connectivity from e-

govrnance department connectivity established to all the centres along with new

centers, they are Wenlock Hospital Mangalore, District hospital Koppal, Haveri &

General Hospital Hospete. New hub centres are Kidwai Institute of Oncology,

Karnataka Diabetic centre and K R hospital, Mysore.

CSR can play a major role in improving the Telemedicine facility by

providing consultants / specialists services

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12. NATIONAL MENTAL HEALTH PROGRAMME:

Govt. of India funds District Mental Health Programme which is implemented In the districts of Karwar, Chamarajanagar, Gulbarga and Shimoga from 2004-05. Under 12th Plan 8 more Districts were approved namely Raichur, Belgaum, Dharwad, Dakshina Kannada, Chikkaballapur, Mysore, Hassan, Bellary.

During 2015-16, Trainings have been taken up in all the 12 DMHP districts and following staff are trained: 687 Medical officers-trained to identify and treat mentally ill at PHC level, 1287 paramedical workers, 248 nurses, 173 other staff and 3505 Asha workers have been sensitized to identify mentally ill and treatment availability. 176 teachers have been trained on life skills, who in turn would impart these life skills to the students.

During 2015-16 mental health Drugs worth Rs.537Lakhs have been supplied to all the Health institutions of the State, out of which Rs.80Lakhs are from DMHP funds of NHM.

During 2015 -16, the number of Patients treated in districts up to end of March 2016 are: - 6905-Epilepsy, 6718-Psychosis (Severe mental disorder), 13739-Neurosis (Minor mental disorder) and 5271-Mentally retarded patients are identified (New Cases).

Proposal has been submitted to GOI to Extend DMHP to all the 30 districts and BBMP also during the year 2016 -17 under National Mental Health Programme .

“Manasadhara” Centers : Community Mental Health Programme, funded by the state one for each District. Day Care Centre / Rehabilitation centre for the recovered mentally persons by recognized NGO’s was inaugurated on 09.10.2014 (Photo Enclosed). These centres are functional in 16 districts. Efforts are continued to start these centres in all the districts.

“Manochaitanya”: (Special Tuesday clinic) Programme is a new initiative of Karnataka. Under this programme, on selected Tuesdays Psychiatrist from DH/Medical college/Private provides specialist Services to the mentally ill at the Taluk level hospitals. Currently these are functional in 133 Taluks of the State and have catered to the needs of 51061 patients up to 31st March 2016. CSR can support these residential centres run by NGOs @Rs. 13.5 Lakh per annum

13. INFORMATION, EDUCATION AND COMMUNICATION (IEC):

The department is engaging for media platforms to reach out to citizens as follows.

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Education materials on MH programme like Posters, Folders, Flipbook, Handbills, and Sun board for effective interpersonal communication.

T.V Spot & Radio jingles have been produced and broadcasted & telecasting of Doordarshan private TV channel, & Radio.

Publicity through bus branding on KSRTC / NWKRTC / NEKRTC / BMTC buses on MH messages JSSK, JSSY, Institutional deliveries & Breast feeding.

Tele film & documentary TV spot on various MH components and also various schemes like ASHA, Madilu Kit etc has been produced & telecasting through Doordarshan & private TV channels.

Broadcasting and conducting of interviews, Radio drama, Radio jingles and phone in programme in Akashvani, FM radio on various Health Programme.

State level advertisement in daily newspaper has been given on the important health events like World Health Day, World Population Day, International Women’s Day, Nutrition Day & Newly Introduced Vaccines.

Printing & fixing of flex in hoardings on various Health programmes like Diarrhea, IYCA, New born care, SNCU, NBSU.

Wall painting on NSV & PPIUCD in selected Health institutions. Health information has been disseminated through LED TVs in Railway station

& KSRTC Bus stations. State level Folk artist workshop was conducted in Male Mahadeshwara Hills,

Chamarajnagar District to train folk artist in NHM thematic issues in order to incorporate them in there shows and depute them to all the districts to inform the public about all Health programme though there different folk forms.

Sensitization programme of adolescent girls and self-help group’s members on RKSK, RBSK, ASRH & WIFS has been conducted at sub-centre level.

Sensitization programme for school teachers have been conducted at taluk level. Conducted PC & PNDT Act workshop for ASHA’s, Anganwadi workers & NGO’s at

taluk level. State Level programmes like World Health Day, World Population Day, World

Mental Health Day, World TB Day, Anti Leprosy Day, Inaugural Day of 104 Arogyavani, National Immunization Day were organised and coordinated by IEC wing.

Panel discussion on CH & ARSH programme in radio and Doordarshan by subject experts.

Produced TV Spots on PC & PNDT, Tobacco programme and Telecasting through Doordarshan & private TV channels.

Books, Posters, Folders are printed on Mal-Nutrition and distributed to peripheral health institutions.

Education Materials like flip book, Handbook, Calendars, Sun boards were printed on JSY, JSSK, Institutional deliveries, Neonatal care, PPIUCD, NSV, Save Girl Child, Anemia, Malaria, Dengue, Immunization were printed and distributed to field staff and community for effective interpersonal communication

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Debate competition was conducted to PU students on Population stabilization at taluk level.

Workshop on PC & PNDT, act was conducted to Health personals. Press conference, Press meet were conducted by Hon’ble Health Minister on

National Health Events like World Health Day, World Population Day, Bike Ambulance Switch TOPV to BOPV, newly introduced vaccine, Heat Stroke Management, WIFS & International Nurse day.

Press advertisement has been given on National Health Events like World Health Day, World Population Day, World Doctor Day, Pulse Polio Programme, Bike Ambulance Switch TOPV to BOPV, newly introduced vaccine,

Printing & distributed to peripheral health institutions of education materials on MH programme like Posters, Folders, Flipbook, Handbills, and Sun board for effective interpersonal communication.

T.V Spot & Radio jingles have been produced and broadcasted & telecasting of Doordarshan private TV channel, & Radio.

Publicity through bus branding on KSRTC / NWKRTC / NEKRTC / BMTC buses on MH messages JSSK, JSSY, Institutional deliveries & Breast feeding.

Tele film & documentary TV spot on various MH components and also various schemes like ASHA, Madilu Kit etc has been produced & telecasting through Doordarshan & private TV channels.

Broadcasting and conducting of interviews, Radio drama, Radio jingles and phone in programme in Akashvani, FM radio on various Health Programme.

State level advertisement in daily newspaper has been given on the important health events like World Health Day, World Population Day, International Women’s Day, Nutrition Day & Newly Introduced Vaccines.

Printing & fixing of flex in hoardings on various Health programmes like Diarrhea, IYCA, New born care, SNCU, NBSU.

Wall painting on NSV & PPIUCD in selected Health institutions. Health information has been disseminated through LED TVs in Railway station

& KSRTC Bus stations. State level Folk artist workshop was conducted in Male Mahadeshwara Hills,

Chamarajnagar District to train folk artist in NHM thematic issues in order to incorporate them in there shows and depute them to all the districts to inform the public about all Health programme though there different folk forms.

Sensitization programme of adolescent girls and self-help group’s members on RKSK, RBSK, ASRH & WIFS has been conducted at sub-centre level.

Sensitization programme for school teachers have been conducted at taluk level. Conducted PC & PNDT Act workshop for ASHA’s, Anganwadi workers & NGO’s at

taluk level. State Level programmes like World Health Day, World Population Day, World

Mental Health Day, World TB Day, Anti Leprosy Day, Inaugural Day of 104

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Arogyavani, National Immunization Day were organised and coordinated by IEC wing.

Panel discussion on CH & ARSH programme in radio and Doordarshan by subject experts.

Produced TV Spots on PC & PNDT, Tobacco programme and Telecasting through Doordarshan & private TV channels.

Books, Posters, Folders are printed on Mal-Nutrition and distributed to peripheral health institutions.

Education Materials like flip book, Handbook, Calendars, Sun boards were printed on JSY, JSSK, Institutional deliveries, Neonatal care, PPIUCD, NSV, Save Girl Child, Anemia, Malaria, Dengue, Immunization were printed and distributed to field staff and community for effective interpersonal communication

Debate competition for PU students on Population stabilization at taluk level. Press conference, Press meet were conducted by Hon’ble Health Minister on

National Health Events like World Health Day, World Population Day, Bike Ambulance Switch TOPV to BOPV, newly introduced vaccine, Heat Stroke Management, WIFS & International Nurse day.

Press advertisement has been given on National Health Events like World Health Day, World Population Day, World Doctor Day, Pulse Polio Programme, Bike Ambulance Switch TOPV to BOPV, newly introduced vaccine,

Corporates can help sponsoring any of these activities