Serving the community since 1876
62
Serving the community since 1876 THE LEPROSY MISSION HOSPITAL Tel : +091-532-2697267, Fax: +091-532-2697494 Email: [email protected], website: www.tlmnaini.org NAINI, ALLAHABAD - 211008 (U.P)
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Transcript of Serving the community since 1876
Serving the community since 1876
THE LEPROSY MISSION HOSPITAL
Tel : +091-532-2697267, Fax: +091-532-2697494Email: [email protected], website: www.tlmnaini.org
NAINI, ALLAHABAD - 211008 (U.P)
Hon. Vice President Sh. K.R.Narayanan during theInauguration of Hospital New OPD Building on 2nd April 1995
Hon. Vice President Sh. K.R.Narayanan & Sh. Mulayam Singh Yadavduring the Inauguration of Hospital New OPD Building on 2nd April 1995
New OPD Block
Mission Statement
Our values
To minister in the name of Jesus Christ to the physical, mental, social and spiritual needs of individuals and communities disadvantaged by leprosy; working with them to uphold human dignity and eradicate leprosy.
We strive to be...
...like Jesus
...holistic
...professional
...appropriate
...open
motivated by the gospel
valuing each person, their families & communities
in our attitude, actions and management and
in our practice
working for authentic participation
compassionate
working at every level of need
promoting dignity
Over the last 139 years we have been evolving in response to needs of peopleaffected by Leprosy
Healing - restoration to physical and psychological health
Inclusion - justice and participation
Dignity - the right to be valued and treated equally
Our new Logo is a subtle reflection of this change
But some things about us have not changed at all
Like our commitment to people affected by leprosy to be able to live with dignity
“People affected by Leprosy living with dignity in transformed communities that have overcome Leprosy”
Journey of TLM Naini
In 1876, several hundred leprosy affected beggars were shifted from the banks
of the river Ganges and the “Sangam” across the Yamuna River to the present
location – the beginning of the then 'leper asylum'. This was a home for these
isolated and neglected members of society. In 1903, Mr Sam Higginbottom an
American Presbyterian Missionary took over the 'leper asylum'. Extracts from
his autobiography THE GOSPEL AND THE PLOW published in 1926 .....
“I had not thought of lepers as belonging to our modern world. I had heard of them in the
Old Testament days and in the time of our Lord. I thought they were something that the
world had outgrown. So to be told that caring for these people was to be part of my work
was somewhat of a shock. As I sat there in the prayer meeting and thought the thing through
I had to admit that there were lepers in this modern day, that leprosy was an awful disease,
that being lepers they were sick, and as sick needed somebody to care for them. If somebody
must care for them why not I be that somebody? So before the prayer meeting was over I said
“All right, if you think I am fit for that job I am willing to tackle it.”.......
“about a mile beyond the end of the bridge, upon that sun-baked Indian plain, he (Dr Arthur
H Ewing) pointed out a lot of ram-shackle, tumble down mud huts. He said, “that is the leper
asylum”.
“ Yet as I looked at him, it came over me that, after all, he was my brother; in that unlovely,
broken body there was a heart that would respond to love and sympathy as would any human
heart, and more than all that, in that poor old disease-rotted body there was a soul for which
my Lord had shed His blood, and who was I, that I should leave him just because his need was
so desperate?”
“The leper that sat by the roadside and as Jesus passed by, said unto Him, “Lord if Thou wilt
Thou canst make me clean” is often in my mind. The record tells us that Jesus stretched forth
His hand and said “I will, be thou clean” and immediately his leprosy was cleansed. The leper
had been thrust outside the camp, was outside the pale of human society, and Jesus by that
touch brought him back into the human family. And I take it that the work of the “Mission to
Lepers” is conceived in the spirit that Jesus showed, of bringing this poor unfortunate, that
man despises, back into the human family.
In 1906, the asylum was turned over to the “Mission to Lepers”, now known as
The Leprosy Mission, which was founded by Mr Wellesley C. Bailey in 1874.
Mr Sam Higginbottom was asked to continue as the Superintendent of TLM
Naini and he did so till 1937. After taking over, The Leprosy Mission built new
wards, dispensary, stores and the church.
By the 1920's there were over 500 leprosy affected staying at the home. Over the
years the type of work being done at this institution has changed in keeping with the
medical advances, availability of medicines to treat leprosy, health education and
SET work in the field, community development and capacity building.At present TLM Naini is among the larger leprosy referral hospitals with over 2600 new leprosy registrations each year, 1600 of whom are newly diagnosed and 500 were smear positive. In 2012 more than 300 Reconstructive Surgical procedures were done to reverse leprosy deformity, more than 6000 skin smears, over 1500 admissions for complications of leprosy and above 400 started on steroids for recent neuritis. This institution is a tertiary care centre for Leprosy which includes almost all aspects of leprosy care. The Control work of this hospital has been handed over to the Government since August 2002. TLM Naini Training Unit conducts various training programs for different categories of leprosy workers from the state and central government and other voluntary organizations. Facilities available include a 150 bedded In-patient section, X-ray, E.C.G., General & Leprosy Physiotherapy, Laboratory, Surgery, Ophthalmology, Obstetrics & Gynaecology, Occupational Therapy and a 40 bedded Snehalaya (mercy home) for severely disabled Leprosy patients.This hospital has been very conscious of the changing health care scenario in our country and resource constraints that voluntary organizations face. Hence to meet the needs of the situation this hospital started general OPD in the year 1995 and during 1996 – 1997 this facility was extended to all the days of the week. Through these and other fiscal austerity measures this hospital has managed to raise a part of the total maintenance expenses and subsidizes leprosy work through local & patient contribution. From 2011 there has been a proactive effort to generate funds through local fund-raising efforts, enhance awareness of leprosy and the need for support by
Then Now
Through
We work together with those affected by leprosy for them to regain good health and become active members of their communities, empowered to access their rights to social interaction, education and employment
What we do
How we carry out our activities
HOSPITALT L M N a i n i a i m s t o alleivate the suffering of Leprosy affected people by treating the disease and its compl ica t ions . MDT, t rea tment o f l eprosy Reactions, Deformity, Reconstructive surgery, M C R a n d S p e c i a l Footwear, Splints, POD a c t i v i t i e s , S o c i a l development & Capacity building. Integrated general services are also available - Obs.& Gyn, Medicine, Surgery, Dermatology, Physio & Occupational Therapy, Laboratory etc. Community development activities in partnership with Govt. (Immunization, RNTCP, RSBY), VTC’s, Community (Screening for cataract, health education, awareness) and advocacy with like minded NGO’s
TRAINING UNITThe Training Unit at Naini is actively involved in capac i ty bu i ld ing o f Medical & Paramedical professionals of Govt. & NGOs since 1980. The strength of the training is a high Leprosy case load providing the clinical spectrum of Leprosy and its c o m p l i c a t i o n s , t h e experienced & committed faculty & the infrastructure (A-V aids, Class rooms, Lodging & Boarding, Recreation).
SNEHALAYAMercy home at TLM Naini established in 1876 is being used to house leprosy affected persons who have been rejected by their families. Admission is now restricted to the socially ostracized and approved after evaluations by the social & medical staff. Snehalaya inmates are part of TLM Naini family, stay on the campus, are provided food, clothing, recreational in terac t ion and have independent ger ia t r ic nursing facility.
Services available
OPD
Dy. Superintendent
Dr Loretta Das
Dy. Supdt-Admin
Mr Surjit Pal
Sat. 08:00 am - 11:00 amMon. - Fri. 08:00 am - 03:00 pm
(Appointment only)
Superintendent
Dr Premal Das
Patient Registration Timing
LeprosyMDTReaction & Neuritis
Ulcer care & Ulcer surgeryReconstructive Surgery
MCR & Special footwear
Snehalaya - for the disabled, neglected
Physiotherapy
Occupational Therapy
Counselling
Training in LeprosyCapacity BuildingRetain Expertise
Chapel
Dermatology
Obstetrics & Gynaecology
Ophthalmology
General Medicine
General Surgery
Laboratory
Pharmacy
X-ray
Success stories
Santraj is now 25 years of age. When he was a child of 4 yrs, he developed patches on his body, but his parents were unaware of leprosy and neglected showing him to a doctor. These early symptoms of leprosy then progressed to deformities in his hands. He continued school with clawed hands and later he was taken to a government hospital. He was treated with MDT and then referred to TLM Naini for surgery to correct his deformity. After the RCS (reconstructive surgery) and physiotherapy, he was motivated by the social worker at TLM Naini to take up training at the VTC in Faizabad. In 2008, he joined the diesel mechanic course and on completion, he was given a campus placement as a Junior Engineer with a Heavy Engines manufacturer. He is a permanent employee earning more than 10,000 rupees a month. He is planning on studying for a Diploma in Engineering. He continues to visit Naini hospital and encourages the other young patients who are going through surgical physiotherapy.
TLM NAINI impacts Santraj’s life
“Now I am financially strong & we are well respectedin the surrounding community. My father has his owncloth shop & my siblings are getting proper education”Thankful to TLM Naini
Santraj (Left) motivating his friends to join VTC
BEERBHAN is an 18 year old boy and the eldest of 5 siblings. He developed patches with deformity of his right hand 3 years ago and was treated at the Government hospital. As his claw hand persisted he avoided going back to school and his friends stopped playing with him. He was referred to Naini for RCS to correct his hand deformity. On completion of surgery and physiotherapy, the therapists, counsellor and social worker motivated him. Now without a visible deformity and support from the team at Naini, he regained his confidence and joined college. He is now doing his graduation in Commerce, goes to college regularly without fear of being identified as different and stigmatized.
“Beerbhan wants to pursue his career inBusiness Management and to help society.”Thankful to TLM Naini
I n d e x
Outpatient Details (86,000 with 30% Leprosy) 4
Inpatients at a glance (150 Beds / 95% leprosy) 2 - 3
Ulcer & Footcare (>500 ulcer admissions, stay 35 days)
Occupational Therapy (2 Therapists, Splints, Prosthetics )
Reconstructive Surgery (>300 Tendon Transfer for deformity) 8 - 9
10 - 11
12
Leprosy (1600 New patients / 50% from other district / 25% from Allahabad) 5 - 7
Physiotherapy (Well equipped, Pain management, mobility )
Footwear & Splints (1100 MCRs, Special EVA, Prosthesis)
Dermatology (Specialists with over 50,000 consultations)
General Medicine (OPD + IP for General & IP-Diabetes, HTN etc.)
Ophthalmology (Only visiting surgeon, well equipped)
13
14 - 15
16
17
18
Allied Health Services (MRD, Lab, Pharmacy, Charting, Counselling) 22 - 25
Obstetrics & Gynaecology (Integrated Labour rooms, wards) 19
Fully Computerized Hospital (HMS since September 2007) 21
Outreach (Weekly clinics, RNTCP, Immunization, RSBY) 28 - 29
From the Archives (Old images of Naini) 31
Electives (Medical, Physio, OT & Volunteers)
Snehalaya (14 elderly disabled stay permanently) 40 - 46
Training Unit (600 - 1000 participants each year)
35
Donation poster (Local fund raising) 50
General Surgery (Leprosy & General in modern Operation theatre) 20
Green initiatives (Solar lights, Heaters, Rain water harvesting) 27
Christian Witness (Mission statement, strong faith) 26
Events (Fete, Christmas celebration) 30
32 - 39
How to reach Allahabad
The Leprosy Mission in India (Location Map)
Prevalence of Leprosy in India
51
52
53
Finance Highlights (where does the money go) 48 - 49
Support us (Local fund raising) 47
574
1
7
551
1
19978
5
36
13733
10
35
5
5
25
10
568
1
7
541
1
Ulcers
Other surgeries
Other Eye care
Reconstructive surgery
Obstetrics & Gynaecology
4
0
0
0
0
1545 43078 28 1514TOTAL 9
142 877 6 142Ocular complication of leprosy 0
56
213
3489
4950
62
23
52
202
Reaction & Neuritis
Other Medical problems
1
4
IN-PATIENT - LEPROSYNo. of
AdmissionsBed daysutilized
No. ofDeaths
Inpatients at a glance (LEPROSY)
Durationof stay
No. ofDischarges
Well Qualified nurses (GNM / Bsc.)Nurse aides
Maintenance staff
The longer duration of stay for Reaction / Neuritis is because of the 3 - 4 monthsthat uncontrolled ENL (T2R) reaction patients have to stay as IP while on Thalidomide. There are 10 - 15 patients on Thalidomide at any time.
Based on Bed Days
Ulcers46%
RCS32%
Medical12%
Reaction &Neuritis
8%
Ophthal, 2%
Bed Days Utilized
Year Bed Days
2012
2010
2008
2011
2009
2007
2006
43078
46840
44102
46787
42217
49736
48846
2
Durationof stay
No. ofDischarges
2
106
301
2
1820
3448
1
17
11
2
101
296
Others
General Medicine
TOTAL
0
5
0
92 285 3 92Ophthalmology 0
66
35
1166
175
18
5
65
36
Surgery
Obstetrics & Gynaecology
0
0
IN-PATIENT - GENERALNo. of
AdmissionsBed daysutilized
No. ofDeaths
Inpatient details at glance (GENERAL)16 Nurses, 3 ANMs
6 Aides, 7 Cleaning staff
Based on Bed Days
3
General Medicine
53%
Surgery
8%OphthalO&B
5%
34%
Bed Days Utilized
Year Bed Days
2012
2010
2008
2011
2009
2007
2006
3448
3993
2502
2799
2362
3541
5282
Out Patient Details
TOTAL OPD LOAD
Patients waiting for their turn in OPD Hall
4
53743
59861
74375
58264
67688
77598
86115
2304
3089
2847
2768
2877
2437
2662
2643
13602
15928
17041
14122
16649
15475
17525
14074
14838
16881
19452
15398
18715
20688
23065
13561
22999
23963
35035
25976
29447
38998
42863
21813 52091
YEAR LEPROSY GENERALNEW REVISIT NEW REVISIT
TOTAL
2006
2008
2010
2007
2009
2012
2005
2011
Leprosy
Leprosy, also known as Hansen’s disease (HD), is a chronic disease caused by the bacteria Mycobacterium leprae. It affects the skin, nerve and the mucosa. If leprosy is left untreated, it can be progressive, causing permanent damage to the skin, nerves, limbs and eyes. Some of the very common deformities due to leprosy are Claw hand, ulcers, lagophthalmas, nose bridge collapse, foot drop etc. All these deformities make leprosy a dreaded disease. On the other hand if treated early, leprosy is completely curable and even the deformities can be reversed with medicines at an early stage or be corrected by Reconstructive Surgery once the deformity is established. The treatment of Leprosy (MDT) is freely and widely available in every government hospital in India.
MB MBPB PB
CACYear Total
2012
2010
2008
2006
2011
2009
2007
New
1270
1171
1055
772
1040
1215
1062
472
554
463
229
440
585
348
373 69
394 73
330 59
291 35
363 78
364 96
356 59
478
655
1182
977
516
617
943
2662
2847
3089
2437
2877
20187
19888
19017
17912
19526
OPD CONSULTATION - LEPROSY
2768 16890
15928
16649
17041
15475
17525
14122
136022304 15906
NewUntreated
PartiallyTreated etc. Total
RevisitCases
5
Saharanpur
Muzaffarnagar Bijnor
Meerut
Bagpat
Ghaziabad
JyotibaNagar
Rampur
MoradabadBareilly
Pilibhit
Lakhimpur Kheri
Badaun
Shahjahanpur
Bulandshahr
Aligarh
MathuraEtah
Mainpuri
Farukhabad
Hardoi
Sitapur
Agra
Bahraich
Shravasti
Balrampur
Gonda
Siddharthnagar
Barabanki
Lucknow
Unnao
Rai Bareli
Faizabad
Sultanpur
Mirzapur
Sonbhadra
Chandauli
Ghazipur
Balia
Varanasi
Jaunpur
Azamgarh
Hamirpur
Jalaun
Jhansi
Lalitpur
MADHYA PRADESHCHHATTISGARH
JHARKHAND
BIHAR
Deoria
Kushinagar
Maharajganj
Basti
AmbedkarNagar
Gorakhpur
KanpurNagar
KanpurDehat
EtawahAuraiya
Firozabad
Mau
Chitrakoot
Banda Kaushambi
Allahabad
PratapgarhFatehpur
Mahoba
Untreated (1607)
CAC - Lep / NLP (478)
For MDT continue (541)
Of the 2600 new registrations 1600 were newly diagnosed. >500 were for continuanceof MDT and 500 CAC for complications of Leprosy or General complaints.
25% of New patients come to TLM Naini from MP & Bihar, 50% from the many neighbouring districts and 25% from Allahabad district.
Every year there are approximately 20,000 Leprosy visits (old + New) to the hospital. 2012 recorded 2626 new Registrations of which 1643 were newly diagnosed with the disease.Most of the patients who came to Naini are here for complications of Leprosy and require MDT (Multi Drug Therapy) with steroids or post steroid follow-up.
NEW LEPROSY REGISTRATION
Ulcer Care
Deformity correction through RCS
Early detection and management of nerve damage.
This is because POD activities are not usually available at Govt. Health Centres.
Proper footwear with MCR, Orthosis or EVA.Management of Lepra Reaction (ENL/ Reversal/ Neuritis)
Modern medicine tells us that leprosy is spread when an untreated infected person coughsor sneezes. However, leprosy is not very contagious as approximately 95% of people have natural immunity to the disease. People with leprosy who are treated with medication do notneed to be isolated from society.
6
DISTRICT WISE DETAILS OF NEW LEPROSY PATIENTS
Face & body shows clearsigns of active leprosy
Utpal (6 yrs) showing the manyclear patches on his body
7
AaraAllahabadAuraiyaAligarhBaliaBalrampur
BandaBareillyBastarBasti
Bhodohi
Chatrapti S.NChattarpurChitrakootDamohDeoriyaFatehpurGazipurHamirpur
Jaunpur
Jhansi
PB PB
Districts Never Treated
Kanpur
Kaushambi
MB MB
1
277
1
1
6
1
91
1
1
1
27
21
5
3
125
58
5
2
88
10
34
1
3
18
6
6
3
4
80
0
95
0
0
4
0
48
0
0
0
21
19
1
1
38
22
1
4
44
4
18
1
4
16
7
2
6
1
27
0
103
0
0
1
0
24
0
0
1
7
13
0
0
21
0
1
0
28
2
20
0
1
10
1
1
2
1
19
0
16
0
0
0
0
4
0
0
0
3
2
0
0
5
2
0
0
11
1
5
0
0
1
0
0
0
0
3
Partially Treated& Restarted
KoraonLalitpurLucknow
Muradabad
MahobaMauMirzapur
PratapgarhPurneaRaibareilly
SahabganjSaharanpur
S.R.Das Nagar
Singrauli
SonbhadraShahjhanpur
Sultanpur
Umariya
UnnaoVaranasi
1
1
1
1
53
5
66
26
1
7
1
1
2
10
18
1
1
1
2
3
0
3
0
0
13
2
18
3
0
12
0
7
0
1
7
0
0
3
2
0
0
0
0
2
0
1
1
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
12
1
20
12
0
2
0
0
0
4
4
1
0
0
1
1
MB MBPB PB
Districts Never TreatedPartially Treated
& Restarted
BuxarChandauli
JabalpurJalaun
Kaimoor
Katni
0 0
Tikamgarh 21 6 9 6
Rewa 35 15 12 0
Rohtas 22 7 9 0
Sagar 2 3 00
Satna 18 6 01
Panna 43 11 06
Bhagalpur 1 00 0
Bhojpur 1 20 0
Seewan 2 1 00
Sidhi 1 3 00
Sasaram 1 1 03
Sitamadhi 1 0 00
The commonest deformities in leprosy that can be corrected by surgery are Claw Hand,Ape thumb, Lagopthalmos, Foot drop, Claw toes, etc. Reconstructive surgery facilitiesare available in most of the TLM centres. TLM has a few surgeons in some centres who do surgery on a regular basis. Surgical camps are organised to meet the needs ofother centres and government hospitals, where patients are referred by the Govt. or Public Health Unit to specific hospitals on a pre-planned date. The visiting surgeon makes the trip once in 2-3 months for a few days and complete the surgery. The post-
Process of surgery
Patients eligible for surgery are selected and motivated. All patients are explained the procedure to drive out fear and build confidence. The muscle that is to be transferred is isolated and strengthened for about a week or more based on the condit ion of the muscle. Regularassessment is made by the operating surgeon during rounds, and once fit they are posted for surgery. The physiotherapyinvolves Re-education by Exercises, Splinting etc. The first step in re-education is to teach the patient, how to use his old muscle for a new job. And train them to apply it unconsciously. In the second step, the Occupational therapist train patients to use their limbs effectively and safely in their day-to-day life. The surgeon also visits other hospitals of TLM India, every 2-3 months, to do Reconstructive Surgery in a camp based approach.
Reconstructive Surgery SurgeonOccupational and
Physiotherapist
8
operative Physiotherapy is managed at the local centre.
Government ReferralsReconstructive Surgery
9
0
50
100
150
200
250
300
350
400
2006 2007 2008 2009 2010 2011 2012
307
281267
337 346 353 338
5262
129
57
8
Leprosy is a disease which is curable with the help of Multi Drug Therapy but the sensation once lost cannot be restored and hence ulcers will recur lifelong. Activities of daily living andtheir regular work can result in injury and ulcers, however these must be done. During admission they are repeatedly taught about how to take special care of their hands and feet,given booklets, protective appliances etc. so that they can protect themselves from getting ulcers and still continue their occupation.
Doctors : For the inpatients, doctors are available around the clock. Rounds are donetwice a day for the sick patients and once a week for others. On Wednesdays,there is an ulcer round with the team of one Doctor, Nurse, physiotherapist, Occupational therapist, Shoe technician and ward aide. During this round all the patient’s needs are assessed with special emphasis on footwear and prevention of recurrence. Average duration of stay for the ulcer patient is 35 days.
Physio Unit:
Nurse:
Counsellor:
Inpatients get regular physiotherapy and education. The physio department conducts self care group discussions with various groups of patients - such as women’s group, youth group, old people’s group etc. They also supervise daily SSO in the wards. Laser and Infra Red therapy is given to speed up healing of ulcers.
TLM Naini provides 24 hours nursing care to the in-patients. Patientwith ulcers have dressings done twice a day, get medicines and general nursing care. They do not have family members staying totake care of them; hence nurses have to attend to all their needs.
Ulcer patients need long duration of stay as the healing of the ulcertakes time. Because of this they worry about their family, home andother social issues, including their future. The counsellor providesthe psychological support that they need. This helps to boost their morale and motivates them to get back to their community with fullconfidence.
Ulcers & Footcare Surgeon + Medical officerPhysio + ShoeNursing Dept.
10
98
278
85
90
281
89
70
297
79
134
358
82
120
332
88
20122011201020092008
700
600
500
400
300
200
100
0
ULCER ADMISSIONS (LEPROSY)With in District With in State Out of State
461 460
332
446
574
11
Ulcer Surgeries
Year Admissions
2012
2010
2008
2006
2011
2009
2007
574
540
461
564
484
460
589
559
658
670
842
625
695
822
Septic Sx
Occupational therapy (OT) is a health discipline concerned with functional difficulty of people who are physically and/or mentally impaired and/or disabled due to various medical conditions affecting the persons’ to do daily activities. This may include bathing dressing, eating... or other tasks such as performing work. The primary goal of OT is to enable people to participate independently and successfully in activities of everyday life. This is achieved by giving specially modified Splints to the individual to overcome his activity restoration and enabling people to enhance their ability through the use of appropriate activities or by modifying the environment to facilitate participation..
In leprosy, OT are concerned with disability and restriction in participation of their routine activities including work, as a result of nerve involvement and reaction. The OT provides wide range of services includes and not limited to the following list. Cosmetic latex prosthesis to over come the deformed appearance due to loss of digits is the new variant introduced by the Occupational Therapy department. The Occupational Therapists are involved in the therapy of hands before and after Tendon transfer surgery (RCS) getting them ready for the operation and then improve their ability to use the hand with the transferred tendon.
Occupational Therapy
Neuro Muscular Training
Activities of Daily Living Training
Vocational Rehabilitation
Mental Health
Assistive Adaptive Devices
Splint Design & Fabrication
Environmental Modification
Specialized Child Health Services
Pre & Post RCS Training
Mr G. Manivannan - MOTMr Karthikeyan - BOT
12
Patients with splints
Cosmetic Prosthesis
Physiotherapists provide services to individuals to develop, maintain and restore maximum movement and functional ability throughout their lifespan. This includes providing services in circumstances where movement and function are threatened by aging, injury, disease or environmental factors. Functional movement is central to what it means to be healthy. They are responsible for daily OPD assessments for nerve function impairment in the OPD. They provide general physiotherapy for pain relief and mobilization through various equipments, plasters & splints for ulcer healing and Re-constructive Surgery. In-pat ient serv ices for mobilization, chest physiotherapy and improvement of movement/ function.
TENS
Wax Bath
Ultrasonic Therapy
Muscle Stimulation
Interferantial Therapy
Cryotherapy
Traction Therapy
Laser Therapy
Physiotherapy Mrs Divya S.Mr John Thappa Mr Julius Kumar
Mr Samson V. Mrs Ujjwala DasMr Ashok Kumar
13
YearNo. of Cases
2012 92842011
2010
2009 7188
2007 68872008 6579
2006 5947
9580
7382
Footwear & Splint Department
The department supplies over 1100 MCR Chappals to Leprosy patients with anaesthetic feet. We also supply them to various districts through the Govt. DLO.MCR Footwear use a soft Micro-cellular rubber in-sole manufactured at TLM Vizianagram. Changes have been made in the outer sole (Tyre sole to Bata with heel to company marketed) and the uppers (from leather to nylon to synthetic uppers to the new ACE model company made). There is no stigma to the ACE model as it appears to be like any other commercial footwear.The 15 -20 shore MCR softness helps distribute pressure evenly in an anaesthetic foot, preventing ulceration. Where required orthosis as inserts help re-distribute the pressure on the sole of the foot.Modification of the method of moulded shoe using EVA (Ethyl Vinyl Acetate) sheets is a quicker attractive & more accurate option to the older leather & cork shoes. The EVA sandal is more acceptable to our patients. Prosthesis are made with a Jaipur foot. The temporary Below Knee soon after surgery with aluminum/ strips and the permanent prosthesis 3 months later made of HDPE pipes
Mr Gokul Prasad
Mr Inder Ram
14
Footwear Details
2012 2011 2010 2009 2008 2007 2006
1016 1357 1435 1204 1183 1282 1407
361 262 407 205 466 1145 923
68 57 79 39 36 45 17
17 16 37 11 19 24 7
538 222 149 287 130 187 212
109 59 92 48 49 23 12
29 23 35 14 16 20 25
No. of MCR Footwear supplied by Dept.
No. of Orthosis supplied
No. of repairs made / Spare parts (FDS etc)
No. of special footwear made
No. of FAB/ PTB / other prosthesis made
No. of Artificial Limbs made
No. of Artificial Limbs repaired
Prescription of Footwear
15
Dermatology
Vitiligo
Acne
Pemphigius
Skin TB
Skin Procedures
Dermatitis
Fungal Infections
Psoriasis
Other Skin disease
Treatments
Vitiligo: is a condition that causes de-pigmentation of sections of skin. White patches are not always leprosy. It occurs when melanocytes, the cell responsible for skin pigmentation, die or are unable to function. In Indian context this disease is often misunderstood as White Leprosy and hence a person with vitiligo also faces stigma in the society. Vitiligo can be treated although it does not harm the body except its appearance. The patches have normal sensation.
Patient consulting Dermatologist
Dermatitis: is a general term that describes an inflammation of the skin. There are different types of dermatitis. Although the disorder can have many causes and occur in many forms, it usually involves swollen, reddened and itchy skin. Dermatitis is a common condition that usually isn’t life-threatening or contagious. But it can make you feel uncomfortable and self-conscious. A combination of self-care steps and medications can help you treat dermatitis.
Consultants:
Dr Ajit Barkataki, D.D.V.
Dr Ujjwala P. Charan, M.D.
16
& Medical OfficersDr Evangelynn Balla, M.D.
OPD Consultations
Year
2012
2010
2008
2006
2011
2009
2007
2005
17960
15257
13936
11419
16919
14849
8709
10524
50388
41644
32658
30287
47305
38230
24284
28756
RevisitsNew Total
32428
26387
18722
18868
30386
15575
18232
23381
27
162
73
73
183
76
26
175
86
153
77
26
167
70
32
350
2009 2010 2011 2012
200
100
50
0
150
2008
250
300
MEDICAL ADMISSIONS
With in District With in State Out of State
Treatment for all medical illness
General Medicine Consultant: Dr Loretta Das, M.D.& Medical Officers
Blood PressureDiabetesCardiac DiseseStroke / Paralysis
HIV / AID’s TestingCounselling , Treatment
DOT’s program for TB
Respiratory DiseasesSepticaemia
There are 15 Medical beds, apart from the Private wards, and these are used in an integrated approach for both leprosy and general patients, being admitted side-by-side. Most of the non-leprosy patients admitted here are for Diabetes control, usually with a wound in their limbs. Often they are referred from the local medical college hospital for wound care. Many of them have come away from other hospitals or homes with septicaemia or anaemia and need intensive medical care to nurse them back to health. Infusion pumps, bed side monitors, oxygen concentrators, nebulizers etc. are available for patients who need this. Because 97% of the in-patients are leprosy, a lot of the work is General Medical care for these leprosy affected. Having a Physician available, makes the care of these patients of a far higher quality as well as trains the young medical officers. There are also other general medical problems like open tuberculosis for which we have an isolation ward and get DOTS medicines from RNTCP; anaemia for which we get students and well wishers including staff to donate blood at the IMA Blood Bank; poor patients who are supported for their treatment by friends who donate to the Good Samaritan Fund. At any time there are 10-15 patients on Thalidomide for Leprosy ENL reaction and these men have to stay for 3-4 months each; since they recover quickly while on the medicine they stay in the cottages and come to the wards if sick and daily for supervised medications. They are involved in being productive during the day, depending on their vocation at home – students, supervisors, office employed or farming, to help in the OPD, wards, physio, pharmacy and garden maintenance. About 10% of the OPD is general medical problems and the number is far higher when the Hypertension and Diabetes in skin patients would be considered
17
OPD Consultations
Year
2012
2010
2008
2006
2011
2009
2007
2005
1936
1632
1157
1066
1702
1696
826
847
6292
6409
4016
2971
6236
4894
1990
2526
RevisitsNew Total
4356
4777
2859
1905
4534
1164
1679
3198
Services
Refractive Error correction with thehelp of Computerized Vision Testing
Diagnosis and management of eyediseases
Glaucoma services
Computerised visual field testing
Small incision cataract surgery withIntraocular lens implant
Eye lid trauma surgeries
The Department of Ophthalmology since its inception in 2000, has grown, with its priority set on serving the community in the Spirit of Christ.
Since 2012, we have not had a surgicallycompetent ophthalmologist except forvisiting ones. We are trying to develop this service in 2013 - 2014
Ophthalmolgy Consultants: Dr Alka Kerketta, M.DDr Veronica Francis, D.ODr Shyamala Anand, M.S
Visiting}
18
1337
847
1467
1324
424
765
2014
3349
1481
1648
3501
1356
1464
4073
4686
2328
3115
4825
1780
2229
6087
RevisitsYear New Regn. Total
OPD Consultations Surgeries
Admin Cataract Other Sx Total
241
394
361
697
123
83
417
144
347
359
664
107
325
399
8
21
16
91
4
12
53
152
368
375
755
111
337
452
2012
2010
2008
2006
2009
2007
2011
Leprosy affected, particularly those with deformity cannot ever get onto a slit lamp or OT table of ophthalmologists in the Govt. or Private sector. This means a Leprosy patient with a cataract would not get an IOL except in a Leprosy friendly hospital, like TLM Naini. He would have to stay blind.
Women need medical attention at all stagesof life. Expert advice is available for most ofthese problems through the resident consultant - Obstetrician & Gynaecologist
All the women are counselled regardingcontraception immediately after delivery andin the post-natal clinic as per guidelines of
Dept. of Health and Family welfare. Pills, IUDs/Copper T/ Tubectomies are available
All types of surgeries are done here by theO&G specialist.
ServicesAnte-natal and post-natal care
High-risk pregnancy Clinic
Well equipped double labour roomsstaffed by skilled nursing/medical staff
Menopause Clinic
Modern, Hygienic birthing room
Emergency obstetric OperationTheatre facility
24 hours obstetric care for all lowrisk and high risk pregnant women
24 hours coverage by doctors andconsultants in the labor room
Obstetrics & Gynaecology
Normal deliveries, Caesarean section,Hysterctomy, D&C, Tubectomies, Biopsy etc.
Consultant: Dr Puspa K. Pal, M.S
Dr Ruby Marshalla, D.AAnaesthetist:
RevisitsYear New Regn.
2012
2010
2008
2007
2006
2011
2009
328
371
295
257
217
344
401
858
863
650
284
337
1142
870
Total
1186
1234
945
541
554
1486
1271
OPD Consultations Surgeries
Admin
36
38
69
72
82
58
51
4
7
19
20
25
19
32
16
15
23
14
17
20
18
13
10
31
17
35
28
10
DeliveryNormal
sectionCaesarean
surgeriesOther
19
The facility is a haven for Leprosy affected whowould not be able to get a delivery or surgery ata private or Government hospital due to the stigma from their deformity.
Common surgical problems seen and operated here are:
General Surgery Consultant: Dr Premal Das, M.S.Dr Ruby Marshalla, D.A.Anaesthetist:
Hernia, Hydrocoele
Varicose veins
Gall Bladder
Laparotomy
Open Prostate surgery
Skin Grafts for large Ulcers or
Excision and Graft for Tumours
Tendon Transfer Surgery
Haemorrhoids, Fistula, sinuses
Lumps / swellings
Amputations and early Prosthetic fitting
Diabetic and Vascular wounds etc
20
RevisitsYear New Regn.
2012
2010
2008
2006
2011
2009
2007
682
865
424
385
591
588
250
858
884
641
382
906
915
273
Total
1540
1749
1065
767
1497
1503
523
OPD Consultations Surgeries
Admin
67
39
34
45
50
43
39
85
55
68
61
69
89
94
176
96
77
81
211
96
104
21
21
11
17
13
19
8
SurgeriesMajor
surgeriesMinor
Amputation
Many Leprosy affected take advantage of the services as they would not be able to access them in the local private or government hospitals due to finance or deformities
The Hospital has 4 Operation Theatres for all types of General, Obs.& Gyn., Orthopaedic, Ophthalmic, Plastic and Minor or infected surgeries. The air-conditioned Ots are well equipped with modern equipment such as Boyle’s Apparatus, Monitors, Oxygen and anaesthetic gases, suction apparatus, formalin vaporizers, Electro-Cautery, autoclaves, all general instrument sets etc.
Fully Computerized Hospital
TLM Naini changed to the computerized Hospital Management System (HMS) with a fully integrated EMR (Electronic Medical Records) in September 2007. This was then extended to the in-patients, the following year. The HMS brought down the patient Registration time, stopped the filing up of thousands of paper charts each year, ensured correct billing and stopped manual stock entries for Pharmacy. It has become easy to find old HMS records of patients who come without a card, dispensing is easier, ward medicines are easily indented and monitoring can be done any time, anywhere. The computerization (HMS) made it easier for the 86,000 OPD visits last year (30% for Leprosy).This extends to all aspects of OPD/ IP - Laboratory, X-ray, Physiotherapy, Occupational Therapy, Footwear, Orthosis & prosthesis, Rehabilitation and the specialities of Dermatology, Medicine, O&G, Surgery etc.Appointment/ Tatkal services have also been incorporated into the HMS system.
Body charting on HMS Electronic Medical Records
Hand Assessment byOccupational Therapist
Medicine dispensed through HMS
21
The Allied Health Services Division is an important arm in the functioning of The Leprosy Mission Hospital. This division consist of seven departments, i.e., the Medical R e c o r d s ( M R D ) , P h a r m a c y, L a b o r a t o r y, Physiotherapy, Footwear Body Charting & X-ray Departments.
This division is unique in that each department plays a vital role in direct patient-care. The first point of contact of any person who walks into the hospital is the MRD where enquiries are entertained, registration is done and the filing / documentation process begins.
The diagnostic process occurs in the Laboratory where dedicated personnel with modern equipment perform advanced blood tests thereby helping doctors make the diagnosis and plan treatments.
The Physiotherapy Dept. is equipped with all the modern modalities of treatment to help patients be rehabilitated as quickly as possible. The exit point of the patient from the hospital is the pharmacy where they can obtain good quality medicines and go home for a speedy recovery.
Medical Records
Body Charting
Allied Health Services
Laboratory
X-ray Department
Pharmacy
Counselling
22
The MRD has expanded over the years in keeping with the rise in patient numbers. It has 6 staff & five registration counters. The efficient system here ensures that patients are registered quickly. The filing process is unique, in that out-patient files and in-patient files are preserved here for a number of years. Coupled with an efficient retrieval process, the file serves to maintain continuity of treatment, provide information for research and serve as a database for future referrals. The graph shows an ever-increasing patient load.
OPD Workload
Medical Records DepartmentMr Satheesh Kumar Ms Seema MinzMrs Anjana Kashyap Mrs Anita Solomon
Body Charting
Every new Registration is assessed here for Leprosy or Non-Leprosy status. On patient feed-back a female staff does this for female patients. General patients are sent for Registrations & consultations. Leprosy patients are charted for patches & deformities, sent for skin smear and Physiotherapy assessments after their Registration process.Every year approximately 10,000 chartings are done for leprosy patients and data is recorded in the Hospital Management system for future reference.
Mr Ratnesh TripathiMr Anwar KhanMr Vimal Hembron
(Room No - 10)
Ms Prema Kerketta
0
10000
20000
30000
40000
50000
60000
70000
80000
90000
100000
2006 2007 2008 2009 2010 2011 2012
86115
7437577598
67688
5986158264
53743
23
The Laboratory at TLM Naini is well equipped to perform different Serological, Haematological & Biochemistry tests. Every day there are 25-30 Skin smears for our leprosy patients. The fully automatic Biochemistry Analyzer EM200 installed in the Laboratory gives quality of performance and helps to do 50 - 60 tests per day. The Lab is also equipped with a three part Cell Counter & 4 optical microscopes.Beside regular Lab tests the Hospital is involved in RNTCP (Revised National Tuberculosis Program) in which we do regular OPD Sputum AFB and also get samples from Naini Central Jail. We train students from different colleges as well as trained government Lab technicians and those coming for experience during the MSc / PhD Courses.
Laboratory
General Tests
Sputum AFB
Biochemistry
Hemotology
3618 1870 1614 1604 1785 421
13831 10589 12217 14861 14885 16808
8204 4289 4404 5621 6315 6221
10579
41056
Others 15235 9638 10323 10513 9502
Total Tests Done 47184 32403 35091 39500 38995
No. of Skin Smears
Positive cases of among above
HIV Tests done
+ve among them
5268
1054
1028
1028
9
5210
1293
807
807
11
5764
1512
769
769
10
5943
1504
958
958
9
5464
1387
1044
1044
10
6029
1607
998
998
12
Particulars 2007 2008 2009 2010 2011 2012
Total Smear on New untreated cases
24
Mrs Vandana Reddy Mr Durgesh Lal
Mr Prashant Gaikwad Mr Dinesh Lal
2 Small 100ma X-ray machines have been in use for several years. Radiation Badges (TLD) are used by the staff to monitor levels of radiation.
X-ray Mr K.S. Reddy
PharmacyMr Robert KumarMr Ganga Sagar Yadav
Mr Devender N. Pal
The Pharmacy is a 24-hour service for In-patients. For OPD it works for 8 - 10 hours. There are three staff and two counters for dispensing. There are approximately 300 - 350 prescriptions on an average. The entire dispensing and stock management is done through the computerized HMS, making it faster and much more efficient. There are no manual entries.
The quality of medicines is ensured through a systematic purchase system and stocks ordered through the HMS, to ensure quality & connectivity
Counselling Mr Neelmani Bense
Counseling is an integral and very important part of leprosy care and health services delivered in the hospital. The leprosy affected individual and his family are counselled in “holistic care” because of the high level of social stigma, negative perception of disease, poor awareness and knowledge with poor self & social acceptance. The counselling helps improve psychological coping, particularly when a person is just informed that he has Leprosy. He is motivated to take regular treatment to prevent deformities and then lead a normal life.The counsellor also helps with OPD skin diseases particularly vitiligo, pemphigus, diabetes etc. The in-patients are counselled before surgery as well as those with reaction, needing long term care.
Leprosy educational / motivational counseling
Need for educational counseling to the leprosyaffected.
Misconception regarding the inadequateknowledge and beliefs about the disease
Year
2012 128532011 85032010 671220092008
60225617
CounselingDone
Fear of stigma & discrimination, fear of reaction,fear of future, fear of disfigurement.
25
aYe r YXRA
120 2
120 0
02 08
02 06
1120
2009
02 07
260 44 9
Lep
314 501
222 402
741 566
336 535
259 360
424 636
140
104
86
213
172
77
134
ECG
LPN Lep NLP
925
71 2
51 8
155
227
93
245
All routine x-rays, Barium meal/ enema etc. are done here. The Leprosy patients usually get the x-ray done for a subsidized cost. Most x-rays are for extremities and chest with some for spine etc.
The X-Rays are done by a trained nurse who is involved in training technicians from other centres. X-Rays are analog film and sent to the doctor immediately for helping in diagnosis and management
The centrally located chapel in the hospital reflects the ministry with Christ at the centre of TLM. Pastoral care and support is provided to patients and their families. Worship service is open to all, irrespective of religious affiliation and are held in the chapel.
Christian Witness
Chapel activitiesDaily morning devotions
Sunday school for Children
Youth Fellowship
Staff Spiritual Retreat
Sunday Church service
Weekly Bible study
Monthly Bible Quiz
Easter celebration
Christmas celebration
26
2nd Sunday Communionservice
Vocational Bible School
Annual Convention
Leprosy Sunday
TAFTEE Course
Little contribution toward nature
Solar water heaters for hot water supply to most of the wards, offer partial utility to the150 In-patients. The Training Unit also has a large solar water heater.
Household waste segregation (Bio-degradable and recyclable)
GREEN INITIATIVES
27
Mr Abhayraj Yadav Mr Moti PatelMr Emmanuel Lal Mr Amrit LalMr Manzoor Khan Mr Ramkishun
Rain water harvesting is done to re-charge the underground water as well as is used for autoclaves etc.
Solar street lights – have got only 4 in number, due to the high initial cost. Could do witha better linked system for the 30 acres campus having many conventional tube-lights.
So r lig ts a the Nu sing stati ns - hic has don away wi the nee for mer encla h t 4 r o w h e th d e g ylights. The solar lights co e o au ma cally whe it g ts d rk a d st y on the hole night.m n to ti n e a n a w
Outreach
UNICEF Programme
This is a program run by the Government for Immunizationin outreach areas. One of our staff (ANM) is engaged inthe program with support from the Social worker.
Clinics are conducted on Wednesdays in the villages
Immunization (0 - 15 yrs) - Polio / DPT / DT / TT
Health Education (under 5 yrs) - to parents to takecare of Diet, Cleanliness & hygiene and diseases inchildren’s particularly Diarrhoea, fever, URI, Tb etc.
Health Education (Mother’s clinic)
Family Planning (Female & Male)
RNTCP
This is a Government run program for Tuberculosiscontrol. Naini is registered with this program as a “Sputum Centre” from March 2004 - i.e. Laboratory Testing for sputum for the germ “Mycobacterium TB”as well as drug distribution/ Treatment centre.
Sputum Microscopy Done
2012
2010
2008
2011
2009
154
798
605
812
670
Year No. of Test
Ophthalmology Screening
Screening is done for patients in Community for eye related problems, i.e. Refraction/ Cataract, Glaucoma, Low vision etc. & patientsfound in camps are operated in the Hospital orprescribed suitable glasses.
No. of people examined
2012 2008
2010 2006
2011 2007
2009 2005
639
1710
1401
409
1552
6414
1467
6392
Year YearNo. of No. of screening screening
Sputum Microscopy center openedin Naini Central Jail from 2012.Reason for reduction in Tests
28
Mr Pavan MukherjeeMr James George
Weekly Clinics
This is done as a Community development initiative creating awareness of Medico-social rights & access. Education talks are done with the social worker and medical graduates of the MGIMS, Wardha Medical College as part of their rural placement scheme. This is conducted in the villages, Local slums,Old age homes, Schools, other NGO’s, Wards etc. Clinical examination is done for the elderly in Homes and forchildren at the orphanage.
RSBY & Advocacy
This is more of an advocacy drive where the institutionand social worker facilitate procurement/ registrationof the BPL (Below Poverty Line) for the RSBY Scheme(a government sponsored health insurance scheme). TLM Naini is a respected and recognized RSBY approvedcentre.
Adult Literacy for Leprosy in-patient
This is in partnership with the DDWS (DioceseDevelopment Welfare Society) Catholic organizationfor social issues. They sponsor a teacher to come and teach basic education for the elderly illiterate Leprosy in-patients. These are usually in the ulcer ward are about 60 years of age. Since they are in-patients for 30-40 days each and for the most part are only here for dressings after ulcer surgery.They use this time to become literate - able to readnewspapers, letters and sign their names.
29
Government Referrals
TLM Naini is recognized as a tertiary care Leprosycentre and receives hundreds of referrals for Reconstructive Surgery, ulcer care and confirmation of diagnosis from the Govt.
OutreachMr Subhash Chandra Mr D.D. MasihMr Kailash Yusuf Mr Ram Naresh
Events
FETE ‘2012’
TLM Hospital, Naini, organized a fund-raising event at its premises on January 2012. The fete marked the ‘World Leprosy Day’. Also a Grand Raffle was organized which offered prizes like LCD TV, Refrigerator, Nokia mobile handset and many consolation prized. Raffle tickets were sold at the hospital OPD and different Churches in the city. The raffle’s printing cost and prizes were sponsored by generous donors i.e. Ra-Medicos Sales, Dawar Surgical, Tele-link, Vikas India Pharmaceuticals, Hindustan Electrical and others. The Hospital staff has put up various eatable and games stalls. Students from different Nursing colleges/ Pharmacy colleges including present and former staff with their family and members from different churches participated in the fete. This helped in fund raising and to generate awareness of Leprosy & the need for Leprosy affected.
Choir Competition Christmas Celebration
TLM Naini wins the Choir competition held at Jamuna Church, Allahabad and received the Ralla Ram Trophy.
During the festive season the ward, OPD and Chapel are decorated for the month, with very “Christmassy” streamers, tinsel and cribs. Christmas service in church / sports / patient- staff dinner are arranged.
30
Mr Surjit Pal (Dy. Sup-Admin) Mr Titus Anil Kr. RoyMr Louis DavidMrs Meena Kunder
Mr Dalip Burman Mr Murari Lal
HOTEL KANHA SHYAM in Allahabad to
spread awareness onprotecting the environment and to avoid use of plasticbags. H
to the Kumbh Mela pilgrims
otel Kanha Shyam sponsored the printing of 1000 copies of Year Planner 2013, without any hesitation. We are grateful to them for this charitable support.
PARTNERSHIP with
From the Archives
The Changing Hospital (1876 - 2012)
T r a i n i n g U n i t - T L M N A I N I
Way to Training Unit
The Training Unit at Naini has been actively involved in capacity building of medical and paramedical professionals in leprosy since 1980 - scheduled courses and In-service training, throughout the year. The strength of the training is the high leprosy case load providing the clinical spectrum of leprosy and i ts complicat ions, and the experienced and committed faculty. Training is practical, need based and job oriented
Group picture of BPT Trainees
Training Incharge
[email protected]@tlmindia.org
Dr Loretta Das, M.D.
www.tlmnaini.org
For more details log on to:
33
Training Unit Dr Loretta Das - Training InchargeMr G. BabuMrs Kiran Rodney + Maint. staff
934 people were trained in Leprosy aspects in 2012
Available CoursesCertificate course in Leprosy for Doctors
Certificate course in Leprosy for Physiotherapy
In-service Training in Surgical Care for PT / OT
In-service Training for Shoe Technician
Adhoc Courses on Request
Available Facilities40 Seated AC Class Room with projector
25 Seated AC Class Room with projector
OHP / Slide projector available on request
Well Stocked Library / Internet facility
Recreational facilities
Charges per person per day
Type of Accommodation
Guest House A.C. {Double Occupancy}
Guest House A.C. {Single Occupancy}
Guest House Non A.CHostel (Dormitory)
Room
` 600
` 900
` 400` 100
Food
` 400
` 400
` 400` 200
Establishment Charges of ` 100 per person per day for Training Unit UsageInternational Guest would be charged additional for food` 100 ,
Accommodation
Double Room Accommodation for 14 people
5 Air Conditioned Double Rooms
32 Male & 8 Female dormitory type hostel
Spacious, ventilated Dinning Hall
Sports - Table Tennis, Badminton, Volley BallBasket Ball, Chess, Carrom, Cricket
Faculty
Dr Loretta Das, M.D. (Medicine) - Physician, TLM Naini
Mr G. Babu, M.P.T. (Ortho) - Physiotherapist, TLM Naini
Mr Karthikeyan, B.O.T. - Occupational Therapist - TLM Naini
Mr Samson V., B.P.T. - Physiotherapist - TLM Naini
Dr Pramila Barkataki, D.G.O - HOD - Pub. Health - TLMT India
Mr Neelmani Bense - Counselor - TLM Naini
Dr Premal Das, M.S. (Surgery) - Surgeon, TLM Naini
Dr G Rajan babu, Msc (Epi) - Epidemiologist, TLMT India
Dr P.C. Kanowjia, ILEP State Co-ordinator, TLMT India
Dr Shyamala Anand, M.S. (Ophthalmologist), TLMT India
Dr Jerry Joshua, M.C.H (Plastic Surgeon), TLMT India
Dr P.S.S. Sundar Rao, M.Ph & Dr. Ph (Biostatistics), TLMT India
Mr Satish Paul, B.P.T, M.Tech (Bio Engg), POD Co-ordinator, TLMT India
Clinical Leprosy (Diagnosis, Treatment, Reaction etc.)
Nerve Function Assessment, POD, Ulcer Management, Pre / Post Operative care
Adaptive Devices, Splints, ADL Assessment, Self care
Mr G. Manivannan, M.O.T. (Ortho) - Occupational Therapist - TLM Naini
Adaptive Devices, Splints, ADL Assessment, Self care
Nerve Function Assessment, POD, Ulcer Management, Pre / Post Operative care
Clinical Leprosy
Clinical counseling for Leprosy, Surgery etc.
Reconstructive Surgery, Surgical care in planter ulcers
NLEP, WHO Strategy, Monitoring & Evaluation
Clinical Leprosy, NLEP & Reporting, Monitoring & Evaluation
Eye in Leprosy, General Ophthalmology
Ulcer Care, Flaps, Reconstructive & Plastic surgery
Research Methodology & Statistics
Podiatry (Foot / joints Assessment, Orthosis & Prosthesis)
Guest Lecturer
Dr Rashmi Shukla, MPH - NLEP Co-ordinatorClinical Leprosy, NLEP & Reporting, Monitoring & Supervision
34
Volunteers / Electives
ELECTIVESElectives from foreign universities avail the clinical resources regularly.
VOLUNTEERSProfessionals :
Students : from School/ College for supporting
Volunteers/ Electives are usually routed through the respective national office of “The Leprosy Mission”
University of Edinburgh & Sheffield, United KingdomUniversity of Glasgow, ScotlandDurham University
University of Western SydneyTrinity Western University, Canada
Oxford University, United Kingdom
Manchester University, London
State Hospital, Carstairs, Scotland
Occupational Therapist & Doctors Trained Nurses, Physiotherapist
We get electives from different countries.
Medical (Doctors)Nurses
Physiotherapists
Occupational Therapist
35
the work (for longer duration)
6 - 8 medical students of the 1st clinical year from CMC Vellore take part in this Mission hospital posting. The first batch at TLM Naini was in 2012. They help in the hospital, do a village health survey and get oriented to a small mission hospital. This helps them when they eventually have to serve in rural India after completing their MBBS course.
SHP2 (Secondary Hospital Posting) of CMC Vellore
Contact Details for electivesTraining Unit - [email protected] Loretta Das - [email protected]
5 Days scheduled course conducted twice a year
Certificate Course in Leprosy for Doctors
Regular orientation in Leprosy for Doctors
International Medical Electives
Ulcer Surgery & Footcare Training
Reconstructive Surgery Training
a) Preferable 10 -15 students per batch
b) Holistic Care includes
Physiotherapy / Occupation Therapy
CBR, Counseling, Multi Media
Interactive discussions
Case Presentations
Self Learning Material
4 weeks scheduled course everymonth of the year
Preferably 10 - 15 students per batch
For Under-graduates (BPT / BOT)& Post Graduates
Exposure to field visits,Tendon Transfer surgery etc.
Course Details
In-service Training in Surgical Care for Pts & OTs
Minimum 15-30 days for Physiotherapists& Occupational Therapists
Pre / Post operative Physio Assessment & Management
Functional splints related to Hand deformity
Adaptive devices, ADL Assessment & Training
Certificate Course in Leprosy for Physiotherapy
36
In-service Training for Shoe Technician
Deformities of Foot in Leprosy
Exposure to making of MCRFootwear, prosthesis & Orthosis
4 months programme
Other specialized Footwear like:
FAB
Moulded Shoe
PTB Boot
EVA Sandal
In-service training for Surgeons - Reconstructive Surgery
Short course of Para Medical workers
“Orientation to Leprosy” for M.B.B.S. Students, Nursing Students etc.
In-service training in “Smear Techniques in Leprosy”
Capacity building of Community Health care providers
Capacity building of PHC workers / DPM / DLO / SLO’s etc.
Other Training Programmes
Workshop for Doctors / Physiotherapists / Counselors / Nurses etc.
MPH Course Project orientation
Internship for Physio, Lab, OT
Research work in Leprosy, Ulcer Care
Orientation to Paramedical staff & Training in Social services
Awareness Programmes, Project Meeting etc.
Monitoring & Evaluation course
Others
37
BK Prosthesis
Course Name
REFRESHER COURSE / IN-SERVICE TRAINING AT HOSPITAL
Category No. of Trainees
Certificate Course in Leprosy for Doctors Medical Officer 39
Certificate Course in Physiotherapy in Lep. Physiotherapist 19
Orientation for Medical Electives M.B.B.S 01
In-service Training in Lep. for Medical Officer Medical Officer 01
In-service Training of RCS in Leprosy Medical Officer 01
Re-orientation Training in Leprosy Medical Officer 01
Clinical Training for Medical students - SHP2 M.B.B.S 07
Orientation in Leprosy for Physiotherapy Physiotherapist 06
In-service Training for Physiotherapist Physiotherapist 01
In-service Training in Surgical Physiotherapy Physiotherapist 01
In-service Training for Staff Nurse Staff Nurse 01
Orientation in Leprosy for Project staff Field Staff 18
Field Exposure in TLM Students 51
District Nucleus Training
Ward Assistant Training
TOTAL
DLO/ NMS
Student
233
01
418
Physiotherapy students for Training
38
Training Unit - Report 2012
Workshop Name
WORKSHOPS AND SEMINARS IN HOSPITAL
Category No. Trained
Training of Trainers “Advocacy” Physio / Nurse 05
Decentralized Planning Management for DLO’s in U.P.
DLO / NMS 19
Child Protection Training program Pastors 30
TOTAL 54
Program Name
OTHERS
Category No. Trained
Orientation in Leprosy for Nurses GNM / ANM 335
Orientation in Leprosy for B.Pharmastudents
Orientation in Leprosy for Physiotherapystudents
Orientation in Leprosy for MPHW students
B.Pharma Students
PhysiotherapyStudents
MPHWStudents
42
19
66
462TOTAL
39
SnehalayaA House of Love & Affection.....
Leprosy has tormented humans throughout recorded history. Throughout its history, leprosy has been feared and misunderstood. For a long time leprosy was thought to be a hereditary disease, a curse, or a punishment from God. Before and even after thediscovery of its biological cause, leprosy patients were stigmatized and shunned. Even today after a huge anti leprosy campaign and programmes initiated by the governmentmany people have fear of leprosy. The result of this fear can be easily seen – Leprosy beggars in the community, Leprosy colonies, ostracized leprosy affected and many more.
TLM Naini is serving the people affected by leprosy for over 136 years
Snehalaya is a Hindi term which means a house of love. This particular cottage patient service (Snehalaya) was started for those leprosy affected who had been ostracized by the society and their family due to the disease of leprosy.There are 14 patients with leprosy who live in the campus, most with crippling deformities of hands and feet. They were admitted to the Snehalaya decades ago when they were rejected/ thrown out by their family and the community due to leprosy and disfigurement. Their average age is above 60 years. There are 10 male and 4 female inmates and the average duration that they have been here is 40 years.
1. HEALTH CARE ACTIVITIES
2. RECREATIONAL ACTIVITIES
DoctorsPhysiotherapy
Occupational Therapy
Counselling
PicnicChristmas DinnerSports
3. SPIRITUAL NURTURE
4. ACCOMMODATION, MAINTENANCE & OTHER FACILITIES
5. WORK RELATED ACTIVITIES
A good diet is very necessary for health. Here in TLM Naini the hospital provides a good diet to the members of the Snehalaya. To provided variety and maintain taste there are different menus for each day. The diet provided to the patient is carefully cooked by the kitchen staff and then the quality of the food is being checked by the hospital staff. There is regular inspection in the kitchen to have a good control over the quality of food.
ABOUT SNEHALAYA
41
Geriatric Nurse: Mrs Shipra Kumar
Occupational & PhysiptherapistCounsellor
To maximize theit independence and make life easier for them, changes were made to make their living arrangements disabled friendly. These included:
6. SPECIAL NUTRITIONAL (DIETARY)SUPPLEMENTS
7. CALCIUM & VITAMINS SUPPLEMENTS
8. NURSE SPECIFIC FOR GERIATRIC CARE
Shahjahan is 75 years and has spent most of her life (s ince 1957) in the snehalaya. Her husband brought her to TLM Naini for treatment. After her h u s b a n d ' s d e a t h everyone turned their back on her and she had to stay back in snehalaya w i t h t he hope t ha t someday she will be with her family. A prolonged illness, weakness and age have prevented her from cont inuing the dai ly activities
Ram Kali is an active lady of 65 years. She was diagnosed with leprosy after marriage. Once her in-laws came to know about her disease she faced a lot of trouble from them. The extremity of inhumanity happened where he r husband dropped her at TLM Naini and ran away. She is very active and has a green thumb, maintains the best vegetable garden and keeps the place very neat & clean
Uma Devi is 50 years. She used to stay alone in Varanasi near the famous Ghats. Her survival was under the donation of foreign visitors. She reported weakness in her h a n d s & l a t e r w a s diagnosed with leprosy. Her husband left her & married another woman. Her deformities worsened and she lost even the small menial jobs and s o o n s h e b e c a m e dependent upon help from o t h e r s . A f t e r l o n g discussion with her, she decided to stay here.
Prem Masih is 76 years old and was born in Naini, Allahabad in 1936. His father was also leprosy affected and was a patient of TLM Naini. Prem was just 10 years old when he was diagnosed with leprosy. He studied till 7th standard and then did a 4 years apprentice training as an electrician. He is staying in TLM Naini's Snehalaya. He is very much involved in the church activities like ringing the bell, arranging bibles, song books & chairs in chapel. He helps with electrical work when required.
Raja Ram is 65 years old. He is from Chapra, Bihar. Raja Ram was diagnosed with leprosy at a young age. He could not stop himself from getting deformity as there was inadequate self-care knowledge and no support groups for him. When his son came to know about the disease, he requested him to leave the house otherwise no one would marry him or his sister. Here in the Snehalaya he is helping the other leprosy affected persons who are not able to walk or do their work.
Snehalaya inmates at TLM NAINI
42
Kailash a 75 years old man from Ballia district (U.P). He is staying in TLM Naini's snehalaya since 1962. He had developed a non healing ucer and had no idea about his disease. He visited TLM Naini for ulcer treatment and was diagnosed with leprosy. Once it was disclosed to his wife, she started keeping a distance and due to lack of awareness of leprosy she finally left him at TLM Naini Snehalaya. Kailash stays in a room adjacent to the hospital kitchen and keeps an eye out on the preparation of food, storage etc.
Ganga Din is 70 years. He came to TLM Naini at the age of 25 years with severe Type II reaction of leprosy. He was very young when he felt the pain of reaction. Even after treatment when he went back to his society he was not as accepted, as he was before the diagnosis. Those days there was a lack of advancement of leprosy management and he decided to stay in TLM Naini. Since then he is living in TLM Naini's snehalaya and receptive to the love, affection and care he receives here.
Hori Lal is 80 years old. He used to hire out a boat in Assam when he was young. He got married there and suddenly one day while taking treatment for fever his doctor noticed a patch and asked him to visit TLM hospital for leprosy treatment. After coming to TLM Hospital for treatment he felt alone and sent many letters to his wife and in-laws but found no reply. Finally he came to know the truth that it was his disease which separated him from his loved ones.
Ram swaroop, 75 years old man, who lived more than half of his life in an old age home. Was in snehalaya at TLM Faizabad and was brought to TLM Naini in 1976 with several deformities like Food-drop, Claw and ulcers. Even after treatment he had fear of the society and its reaction towards the Leprosy affected as he had already seen in his community that children and grand children face problems in getting married if they have a person affected by leprosy in their home. Hence he decided not to stay with family. He was a recipient of the Allahabad Rotary Elite Award for "self-less service" a few years ago.
43
Phool Chand the newest inmate at Snehalaya and came here in the year 2008. He was under treatment of leprosy at TLM Naini from a long time. He was a farmer of a small piece of land. His wife left him when he was completely unable to do any work due to his deformity. On evaluation by the team (Social worker, Counsellor, Nurse, Occupational Therapist and Doctor), it was discovered that he does not go home and actually lives under the Ganges river bridge in Allahabad, till he has another ulcer and can get re-admitted. He is now happy, ulcer free and a peaceful admission to the Snehalaya. Now he can look after himself and takes part in all the daily social activities.
Sri Charan 72 years old, was diagnosed with leprosy at a very young age. He got married and had a child as well but as the time passed he found that his family members along with the community started keeping a distance with him. It was a panic situation for him when he found himself alone in the world. He left home and came to Varanasi. He was staying there but when the medical complications (recurrent ulcers) started creating problems, he turned to TLM Naini for treatment and since then is living in Snehalaya.
Tilak a 62 year old man from Chitrakoot district visited TLM Naini at the age of 32 with multiple deformities - ulcer, foot-drop, lagophthalmas (inability to close eye lids) etc. After his treatment he was ready to go home but was not confident of being accepted with his deformity. He went home for a few months but came back to stay in Snehalaya. He thinks its better to stay with other leprosy affected person for the rest of his life than to stay with a community and family that does not want him and will not interact with him.
Yashoda is a 65 years old lady from Mau district, married & had a daughter & living happily until diagnosed with leprosy. While doing house-hold work, she got injured on her hand, was bleeding, but could not feel any pain. This was noticed by her in-laws. She performed all sorts of witch-craft and rituals to get rid of the disease but nothing worked. Finally after lots of burn injuries, clawed fingers and anaeasthetic hands and feet she realized that she had leprosy. She stayed in a mercy home for many years but could not go back from Naini each time.
44
Snehalaya picnic
A special picnic is organized twice a year for the inmates of snehalaya. Theinmates really enjoy these trips and actively participate. They like to visit placeslike Tones River, Ashram, Pratapgarh, Seetha Madi where they can go boating,play games and have special food cooked at the picnic site. This picnic is an opportunity to get away from the normal hospital routine for a day. It is their special day. They are happy that something special is being done for them. It takes their mind off being ignored by their families and loved ones just because of their disease- Leprosy. Most importantly it is a way to help them realize that they deserve to live normal lives and have a good time like anyone else.
Group photo of Snehalaya Inmates with staff at Picnic site
45
SUPPORT SNEHALAYA
46
Food for Snehalaya patient
Pocket Money
Clothes
Bedding
Soap & Washing
Medicine / Medical supplies
Picnic for patients
Repairs & Maintenance
TOTAL OPERATIONAL COST
14
14
14
14
14
14
14
14
4,44,600
16,800
10,500
11,200
15,000
1,80,000
14,000
57,000
7,59,100
(includes Breakfast / Lunch/ Dinner/ Tea87*14*365
(Snehalaya patients use this money to purchase‘extras’ for themselves 100*14*12Clothes provided to Snehalaya patients twice ayear (during summer & winter) (i.e. July & Dec)
Kurta / Payjama @ Rs 350 * 14 = 3,500Pant / Shirt @ Rs 250 * 14 = 3,500Woolen Shawls @ Rs 250 * 14 = 3,500
Bedding provided once in a year to Snehalayapatients (includes - Blanket @ Rs 500; Bedsheet@ Rs 200, Pillow @ Rs 100
Require Bathing Soap / Washing soap / Detergentpowder for their daily needs
All Snehalaya patients are <60 years, some of them are <80 require geriatric & medical care.One nursing staff is always with snehalya patientsto provide better care to them.
Special food provided to patients on New Year Day/Republic Day / Holi / Independence Day / Diwali /Dusherra / Christmas(approximate cost of Special food @ Rs 2,000)
Repairs & Maintenance required for Snehalayaquarters, water pipe line, Electricity
Staff Costs 1 3,28,800 Several staff are involved part-time from thehospital - Counsellor, Doctor, Nurses, Admin,Maintenance, Physiotherapist. Howeversalary of 1 full-time nurse (geriatric care) isincluded.
TOTAL COST 10,87,900
No. of Patients Total Cost
Snehalaya patients during Christmas sports
Support Leprosy affected
Name of Bank State Bank of India
Account Number 32863474369
MICR Code 211002020
Bank Code 000139Beneficiary Name The Leprosy Mission Hospital, Naini
Beneficiary Address Naini, Allahabad, U.P - 211008
Address of Bank Mirzapur Road, Naini
IFS Code SBIN0000139
Allahabad, U.P. - 211008
Bank Details for online donations
Would you like to support....
One artificial limb for a patient
Food for two weeks for a poor patient
Maintaining one free bed for a year
Protect an Anaesthetic foot with MCR Sandal
Correction of Deformity through surgery
Healing of Infected Ulcer of one patient
INR
2,000
1,218
2,51,485
350
22,000
17,560
USD
37
23
4,641
7
406
506
GBP
24
15
3,003
5
263
329
How to donate?
Cheques/ Dds may be drawn in favour of
The Leprosy Mission Hospital, Naini,
Payable at “Naini / Allahabad”
Mr Surjit Pal (Dy. Sup-Admin)Mr Pavan Mukherjee (Social worker)
Mr Dalip Burman
Patient admitted in ward
Medicine / Medical supplies
Surgery
Ulcer prevention / Healing aids
Food
Laboratory / Investigations
Bed Cost / Nursing & Medical care
(includes Antibiotics / IV Fluids / Betadine / Gauze Bandages / Haematinics, supplements)
(wound debridement inside operation theatre)
(MCR Chappals / Special footwear / Prosthesis / POP / Walking cast with iron / Splints)
(Material / Preparation / Maintenance)
(includes Syringes / Needles / Reagents / X-ray)
(Water supply / Sanitation / Administrative expenses / Ulcer rounds)Clothing / Bedding / Cleanliness / Nursing care / Maintenance / Electricity /
81
32
18
82
33
256
Support an Ulcer patient
Rs
Rs
Rs
Rs
Rs
Rs
(includes Medicine, Surgery, Nursing care, Medical support, Investigations, Food, etc.)
Cost to support an Ulcer patient Rs 502 per dayAverage stay for 35 Days (35 x Rs 502 = 17,570/-)
Cost Per Day
47
Financial Highlights
Where does the money go?
Where does the Money come from?
Mr Surjit PalMrs Meena KunderMr Titus Anil Kr. Roy
Mr Murari Lal
TLM Grant
(48%)
OP NLP
(39%)
IP NLP (3%)
OP Lep (6%)
IP Lep (2%)
Footwear (1%)
Fund Raising (1%)
Other Income (0.3%)
Staff Cost
(47%)
Medicines
(19%)
Medical Supplies
(4%)
Footwear
(1%)
Patient Welfare
(6%)
Repairs & Maint.
(14%)
Admin. Exp. (2%)
Other Exp. (0.3%)
Debit Balance
(6%)Closing Balance
(1%)
EXPENDITURE 2012
INCOME 2012
Staff cost 2,16,50,056
Medicines 89,81,523
Medical Supplies 17,54,199
Footwear 436,263
Patient Welfare 26,79,297
Repair & Maint. 62,89,615
Administrative exp. 10,78,620
Other expenses 1,18,639
Debit Balance closing 28,26,422
Balance 3,43,728
Total Expenditure 4,61,58,362
TLM Grant
OP Non Leprosy
IP Non Leprosy
OP Leprosy
Footwear
Fund Raising
Other Income
2,20,59,213
1,81,77,614
13,57,684
9,17,573
3,82,682
538,278
4,61,58,362
1,56,268
25,69,050
Total Income
IP Leprosy
48
Financial Highlights
49
ULCER CARE - Rs 1,00,19,917
MEDICAL - Rs 68,57,083(269 admissions @ 31 days average stay)
OTHERS - Rs 22,94,216(151 admissions @ 6 days average stay)
RE-CONSTRUCTIVE SURGERY - Rs 99,05,144(551 admissions @ 25 days average stay)
Bed cost includes Medical & Nursing support, Lab & Surgical Interventions, Repairs & Maintenance etc.
Bed cost includes Surgery, Theatre, Physiotherapy, Medical &Nursing support, Laboratory, Repairs & Maintenance.
Bed cost includes Medical & Nursing support, Laboratory, Repairs & Maintenance.
Bed cost includes Ophthalmologist & Technician, Surgery,Operation Theatre, Medical & Nursing support, Laboratory,Repair & Maintenance
(574 admissions @ 35 days average stay)
Average cost per day is Rs 675Average cost per admission Rs 18,900
LEPROSY
Rs 17,456 per patient Rs 17,977 per admission (x 2 per patient = Rs 35,954)
Rs 25,491 per patient Rs 15,193 per patient
Bed Cost(64%)
Medicine / Medical supplies
(16%)
Food Cost(16%)
POID(4%)
Bed Cost(71%)
Medicine/ Medicalsupplies(9%)
Food Cost(12%)
POID(8%)
Bed Cost(70%)
Medicine / Medical supplies
(22%)
Food Cost(6%)
POID(2%)
Bed Cost(62%)
Medicine / Medical supplies
(20%)
Food Cost(15%)
POID(3%)
LET US KEEP
SMILING
Your ` will help get
Kavita (6 Yrs) was brought to hospital in March 2012 when she developed multiple anesthetic patches all over the body. It took over two years for this child to access proper treatment due to p o v e r t y a n d l a c k o f awareness.
Now she is on regular treatment MDT- Multi Drug Therapy & completed 8 months so far..
Help us to eradicate Leprosy from the community
One free Breakfast to a patient or
One MB Pulse for a child or
One month of Vitamins for a patient or
6 months of Iron Tablets to treat Anaemia
15 Days Leprosy treatment for PB or
HER
New Delhi - Allahabad, (Bamhrauli Airport)
How to reach Allahabad
By Air -
New Delhi - Lucknow(4 hrs journey from Lucknow to Allahabad by Taxi)
To reach Naini (from Allahabad - 8 kms)
15 min from Allahabad Railway StationJust after New suspension (Yamuna)bridge
By Train
Prayag Raj Express (12418) from- New Delhi (21:30 hrs) - Allahabad (06:50 hrs)
Duronto Express (12276) (wed / fri / sun) from New Delhi (23:00 hrs) - Allahabad (06:20 hrs)
Several Trains from all over the country
Transportation
Winter (Oct - Feb) 4 - 10 deg CentigradeSummer (Mar - Jun) 40 - 49 deg CentigradeMonsoon (Jul - Sept) 35 - 40 deg Centigrade
Climate:
Uttar Pradesh Allahabad
Location:
Contact Information
Mr Surjit Pal (Dy. Supdt - Admin)
Dr Loretta Das (Training In-charge)
0091-9335150609
Hospital [email protected] 0091-532-2697267
Training Unit [email protected] 0091-532-2697267 (Ext - 271)
Superintendent [email protected] 0091-9336773083
0091-9415216499
51
52
14
THE LEPROSY MISSION HOSPITAL
Tel : +091-532-2697267, Fax: +091-532-2697494Email: [email protected], website: www.tlmnaini.org
NAINI, ALLAHABAD - 211008 (U.P)
53
At TLM Naini - every year
2662 New Leprosy Registrations of whom
1643 are newly diagnosed with Leprosy, Never Treated before
Prevalence Rate /10,000as on March 2012
< 0.2
0.2 - < 0.4
0.4 - < 0.6
0.6 - < 0.8
0.8 - < 1.0
1.0 - < 1.2
> 1.2
HimachalPradesh
Jammu &Kashmir
Punjab
Delhi
Haryana
Uttar Pradesh
Gujarat
Madhya Pradesh
Maharashtra
Karnatka
AndhraPradesh
Tamil NaduKe
ala
r
OrissaC
tisga
hat
rh
Jharkhand
Bihar
Rajasthan
WestBengal
Sikkim
ArunachalPradesh
Assam Nagaland
Manipur
MizoramTripura
Meghalaya
0.16
0.28
0.68
0.89
0.15
0.81 0.63 1.69
0.99
1.08
0.21
0.37
0.06
0.26
1.07
0.21
0.590.13
0.230.38
0.24
0.58
0.42
0.46
.5
02
Source : NLEP
0.24
0.25
TLM NAINI
Mission Statement - To minister in the name of Jesus Christ to the physical, mental, social and spiritual needs of individuals and communities disadvantaged by leprosy; working with them to uphold human dignity and eradicate leprosy.
Printing of Annual Report 2012 was done through the Staff, Families & Supporters of
TLM Naini Chapel
TLM Naini Chapel
Naini, AllahabadU.P - 211008
Account Number:32863474369
IFS Code:SBIN0000139
MICR Code:211002020
Beneficiary Name:The Leprosy Mission
Hospital, Naini
State Bank of India
Support the Leprosy affected - Donations to
"Our Father who art in heaven, Hallowed be thy name,thy kingdom come, thy will be done in earth, as it is in heaven.Give us this day our daily bread. And forgive us our trespassesas we forgive those, who trespass against us.
And lead us not into temptation, but deliver us from evil:For thine is the kingdom, and the power, and the gloryfor ever and ever - Amen.
The Lord’s Prayer (Matthew 6:9)
Easter week - Special services
Christmas week - Special services
Morning Devotion at 8am
Sunday service at 8:30am
Sunday school for childrenat 7:30am
Communion service 2nd Sunday
