For Construction of 150 Bedded Al-Nissa Hospital
(An Exclusive Women Health Care Institute)
ON
Dr. Ali Jan Road, Opposite Historic Aali Masjid
AT
Eidgah, Srinagar, Kashmir, 190002
PROJECT COST: 1622.00 Lacs
Under The Aegis Of:
Kashmir Ath’rout (The Helping Hand) -Trust/NGO
Nawa Kadal, Srinagar, Kashmir (J&K) 190002
FORE WORD
With immense pleasure we want to inform the general public that our forth coming project is maternity hospital and child care hospital to provide care for women during
pregnancy and for new born. Entirely meant to serve the women folk, this 150
bedded private hospital will run on “no profit no loss “basis seeking support
from philanthropic donors who wish to make contribution for public cause. The
best way to gain in this world is by giving, so we are starting this healthcare
unit on affordable prices so as to cater to the needs of poor who need intensive
care during pregnancy and child birth. In our traditional society , large number
of pregnant females do not like to be operated or handled by any male staff .In
order to overcome these inhibitions of ladies in this part of world the present
proposal hospital project will take care of this socio-cultural /
religious aspect of society by recruiting all female staff .The worth mentioning
feature that will create a difference is that all the doctors started from
gynecologists , anesthesiologists , paramedical staff from ANM’s to nurses will
be all females.
Initially the hospital will run sections gynecology and neonatal intensive
care unit and after wards will subsequently startup other departments including
surgery, kidney care, medicine, dialysis and palliative care facilities. The
NICU will have special medical equipments like incubators, feeding tubes,
phototherapy lights, respiratory monitors and cardiac monitors along with the
well trained staff to care for very small and sick babies.
The quality of hospital will be commendable with high level of hygiene of
the equipments, staff rooms and bathrooms to provide better services. To meet up
the requirements of adverse situations , the hospital will have 24/7 ambulance
services available to get to the destinations on time and consequently avoid on
the way delivery complications .The hospital will have 100% power back up
facility to avoid uninterrupted power supply for utmost management.
Let us
unite to provide definitive solutions to ongoing health care delivery system
during pregnancy and childbirth.
Prof. (Dr) Muneer Masoodi
Professor, Community Medicine Govt. Medical College Srinagar
Ex-Medical superintendent GB pant Hospital, SMHS Hospital
And Bone & Joint Surgery Hospital Srinagar.
Project Title: - Planning, Design, Construction and
Commissioning of 150 bedded Al-Nissa Hospital
(An Exclusive Women health care institute) on Dr. Ali Jan Road, at
Eidgah, Srinagar,
Kashmir, 190002 in J&K.
Authority/ Under the Aegis of: - Kashmir Ath’rout (The
Helping Hand) – Trust/NGO
Brief History & Necessity:-
Srinagar is a summer capital of the state of Jammu and Kashmir (J&K) with
a record population of 13.00 lac, sex ratio of 861 (female/1000 males) as per
Census 2011. Srinagar is centre of economic activities of Kashmir division and
people from every other district and from all walks of life throng this district
for meeting their different needs of life. In the health care sector, Srinagar
district has only two public maternity hospitals viz; Lala Ded hospital and
SKIMS maternity hospital; which often remain overcrowded with the influx of
patients. The patients who visit these hospitals for delivery of their baby and
further treatments have to face lot of hardships due to limited hospital
capacity and infrastructure. It has been found and quite noticed that
two-to-three delivering mothers have to share a single common bed in the
hospital. The atmosphere at hospitals turn chaotic when there are referrals
being made from other district or sub-district hospitals to the maternity
hospitals of district Srinagar, which compounds the problem. The tremendous
patient load upon hospitals and their professional staff consequently put a
strenuous impact on the quality of treatment and patient care, besides totally
compromising the privacy and dignity of patients.
Moreover in these hospitals there is no segregation of sex and the women
or delivering mothers are handled and operated upon by both males and females;
thereby no purdah remains in place as strictly ordained in Qur’an and Sunnah,
which implies into total disregard and non-compliance of Shari’ah, for which we
all would be held accountable by the most exalted Almighty Allah (SWT) on the
day of judgment. On having an account of this serious problem, where the
privacy, dignity and chaste of our life partners and sisters are under
compromise, the said situation as prevalent in this land striked the conscience
of the people at Ath’rout Kashmir, which compelled the organization to come up
with the proposal of establishing a women centric hospital, where the women
especially delivering mothers are taken special care of, with all emphasis upon
their privacy and dignity, under the purview of Islamic Shari’ah.
Private Sector /Market Scenario:-
Apart from Government/Public sector, there are number of medical and
diagnostic centers, polyclinics and nursing-cum-maternity homes in the private
sector. These are mostly locally run commercial establishments and provide
varied number of services in the field ranging from diagnostics to medical
consultation and treatment. But none among them are dedicated solely for women.
Very few centers provide gynecological services to women but are not Shari’ah
compliant. The only difference between them and the Govt. owned hospital is that
there is no crowding and the entry is restricted as per the bed capacity of a
private run nursing-cum-maternity center or hospital. But these are not
affordable to majority of the people especially the economically weaker and
downtrodden sections of the society and they have no option but to rely upon the
crowded and over burdened Govt. run hospitals so as to lessen the burden on
their pockets, but at the cost of their privacy, dignity and chaste; because the
women folk in requirement relevant medical consultation, diagnosis and treatment
have to open before the staff as predominantly male and by serendipity female,
as women empowerment strictly under Shari’ah in this land has not achieved such
a level as the current situation demands.
Societal Scenario:-
With
out any concept of Shari’ah compliant healthcare policy and system in our state,
the females are the prime victim. This is all due to our collective negligence
and ignorance in this behalf. At the societal level, we have till date failed to
work for the collective good and have always put an onus on the Govt. without
realizing our own responsibilities. Our lack of will of establishing modest and
Shari’ah compliant institutions has costed us badly, which is the root cause of
our distraction and detioration. The institutions shape the people and in turn
the society and can bring real change in our behavior, understanding and living,
above all would ease the way of establishing a modest society. Today we as a
society present a dismal picture and have not been sufficiently able to
establish good and forbid wrong have politely opted a policy of easy give-up. We
easily present ourselves to get exploited without thinking of a modest,
respectful and dignified living. That is why, there are instances which
are very unfortunate and heart rendering, where pre-natal sex determination has
been the most lucrative and undercover business in the private sector, due to
which innumerable number of unwanted abortions were carried, thereby destroying
the fetus, on simply knowing that the gender of child in womb is female. Our
society still suffers due to stigma of having a girl or female child.
Another
under cover and clandestine business in the private sector has been of removing
the uterus by conducting hysterectomy on married females en-mass, without
keeping any sense, ignoring the far reaching implications of such act on the
society in general and these females in particular.
Thus on
one hand the people are being fleeced for undergoing treatment at
private/commercial centers and on the other hand illegal and forbidden medical
acts are carried out on the pretext of business thereby promoting illegal and
unhealthy practices, which severely impairs our social fabric. In an individual
capacity and society as a whole has to ponder and understand the gravity of this
situation where, in our life we are getting far away from the just principles
and teachings of our deen-e-Islam, by not following, practicing and implementing
them and at the same time become the victim of immodest and pluralistic setup in
this worldly life and due to which may become victim of hellfire in the
hereafter.
Concept/Vision:-
With Qur’an and Sunnah as the guidance and driving force, the Kashmir
Ath’rout aims to establish a complete Shari’ah compliant hospital to provide an
alternative for the people and to introduce the change in the narrative and
dimensions of current medical system, prevalent in the state; in order to
provide an ease for the people in general and economically weaker, downtrodden
and underprivileged sections of the society in particular to undergo fair,
affordable and Shari’ah compliant diagnosis and treatment. This establishment
would be an exclusive and state-of-the art non-profit institute, dedicated for
the women, where while undergoing treatment, their privacy, dignity and chaste
remains intact and un-compromised.
Pertinent to mention that, we find ourselves status conscious, health
conscious etc., but we have failed to be modesty (haya) conscious. This very
initiative is aimed to introduce modesty and morality based medical
consultation, diagnosis and treatment to provide medical service to females on
ethical lines, in order to safeguard them from unethical and unwanted exposures
and to carry a message deep into society about the concept of modesty which
would in turn sensitize people towards hijab.
The hospital is aimed to take a lead in order to provide an alternative
system to the people especially females for undergoing treatment at relatively
cheaper rates. This would be achieved by putting in place world class
infrastructure and hiring the services of qualified female medical
professionals. This would be a unique kind of system where women empowerment
would be maximum and the whole system would be run by female professionals and
paramedics, so that people share the dividends of this haya based setup.
Hence this proposal.
This is not aimed to add one more to the list of already public/private
hospitals or medical centers but to introduce an institute which would act as an
instrument of change; an institute with a difference; an institute not for
amassing wealth; an institute for upholding Shari’ah in the medical field. This
is also well comprehended that the proposal which is aimed at is not so easy
keeping in view the challenges posed by the market/private players. But we
firmly believe in the help from our Lord, Almighty Allah (SWT) who will only
lead us to its accomplishment. We are also fully hopeful of our conscious
brothers, sisters and well wishers, who would leave no stone unturned in
realizing this dream project.
Project Proposals:-
Establishing a Shari’ah compliant hospital has been
conceptualized according to present demand and future provisions above all
keeping in view basic principles of establishing hospitals and the proposal is
accordingly summed up as;
1.
Land: - It is one of the basic requirements for
establishing a hospital with a requisite capacity to cater the need. Without
land nothing can be done. For this purpose land measuring about five kannals
have been identified at prime location on Dr. Ali Jan Road at Eidgah opposite
historic Aali Masjid, which is under process of acquisition. The location of
land/site is such that it has an easy access by means of all weather macadam
road and falls within the municipal limits of Srinagar, just 5Km from the city
center.
2.
Building Infrastructure: - Buildings are second basic
requirement to create floor space for housing the facilities and other services
to be offered. Erecting structures judiciously within limited land area is one
of the challenging aspects of this project to accommodate the maximum of the
facilities. Structures finally give shape to a hospital and raising efficient
structures would be a milestone to be achieved in realizing this project.
Keeping into account the seismic vulnerability of the region, it is aimed to
construct four storey seismic resistant framed RCC structures with energy
efficient and bio-climatic design and low carbon footprint technology in place;
with complete adherence to relevant building codes, municipal bylaws and
environmental guidelines.
To achieve the maximum capacity of the hospital, efficient space
management is the focal point of the design. In order to meet the
infrastructural requirements of the hospital, huge capital investment is needed
to put in place state-of-the art infrastructure in order to materialize the
concept behind the hospital.
3.
Hospital Capacity: - In order to provide
quality based services with maximum space utilization it is proposed that the
built-up area of each floor would be 8940 Sft or 830.50 Sqm. The hospital
structure as proposed would be Ground plus three storey’s, thus having a total
of four storey’s with a total built-up area of (4 x 830) Sqm = 3322 Sqm
with corresponding bed capacity of 150 beds, which is the summative bed capacity
of each department.
4.
Departments:- In order to start with, it is proposed
that following departments would be introduced with the corresponding bed
capacities shown against each;
(i)
Out Patient Department: - Out
Patient department (O.P.D) of the hospital would comprise of following sections,
which would generally provide consultative services.
i.
General Medicine
ii.
General Surgery
iii.
Gynecology and Obstetrics
iv.
Pediatrics
v.
Gastroenterology
vi.
Orthopedics
vii.
Endocrinology
viii.
Psychiatry
ix.
Women Wellness & Antenatal Care
x.
Palliative Care
The services as quoted above to be offered by OPD or Polyclinic of the
hospital would be subject to review as per the need of times. The consultative
services are indicative only but not exhaustive. The OPD of the hospital would
be also obligated to conduct people out-reach programmes / medical camps and
screening sessions for the benefit of people at large especially women.
(ii)
In-Patient Department:-
In-Patient Department (I.P.D) would occupy the maximum floor space of the
hospital and would comprise of following disciplines:
|
S.No
|
Department
|
Bed Capacity*
|
Remarks
|
|
1.
|
Gynecology
|
80
|
|
|
2.
|
Surgery
|
10
|
|
|
3.
|
Medicine
|
10
|
|
|
4.
|
Kidney Care & Dialysis
|
30
|
|
|
5.
|
Neonate care
|
10
|
Ratio = 1:8
|
|
6.
|
Palliative / Day care
|
10
|
For Cancer Patients
|
(*) Subject to Review / Change.
(iii)
Supportive Services:-
(a)
Diagnostic Center: - It is equally important and needed to have
full fledged and automated diagnostic laboratory in the hospital itself, which
would provide vide spectrum of diagnostic facilities in the field of Hematology,
Clinical Biochemistry, Pathology, Microbiology and other relevant fields.
Understanding the importance of diagnostics and dependence of medical treatment
on it and due to lack of in house testing facilities in Kashmir, where most of
the test samples are sent or outsourced to labs outside J&K mostly situated in
Delhi, Mumbai, Chennai etc., for testing and there always remain chances of
decay of samples in transit and due to temperature susceptibility besides
uncertain political situation prevalent in this region due to which patients and
doctors often remain in a dilemma, it is proposed to establish state-of-the art,
Calibrated and standardized diagnostic testing laboratory with certifications
from CAP,NABL, ISO and other international Standardization organizations so that
it could serve as a reference laboratory for the region. In order to realize
this vide number of bio-medical equipments would be needed to provide the
diagnostic services at an affordable or cheaper rates on no-profit, no-loss
basis for the people.
(b)
Medical Imaging Center: - Evidence based treatment is the
ongoing trend in the field of medicine. The imaging center comprise of all those
imaging equipments which are routinely needed for disease diagnosis. To provide
succor to the females for undergoing imaging of their any body part in a
controlled and modest environment with all emphasis on privacy and secrecy, it
is proposed to have an imaging center itself in the hospital, which can provide
imaging services to the females at reasonably fair charges. Keeping in view the
high costs of imaging in the market, it is also well noticed to provide imaging
services at special discount and/or free basis for downtrodden, economically
weaker and very poor section of the society.
(c)
Blood Bank:- In order to keep reserve of blood for the
patients of hospitals and to meet any emergent situation so as to save the
precious lives of patients/people (with the will of Allah) it is proposed
to have a facility of storing and preserving blood in scientific manner, so that
there is lest dependability on other hospitals/Sources.
(iv)
Auxiliary Services:- Following
services are needed to supplement the hospital facilities so as to
operationalize the hospital;
(a)
Pharmacy/Drug Store
(b) Laundry
(c) Kitchen
& Canteen
(d) Power Backup
(e) Water
Filtration Unit
(f) Bed Lift
(g) HVAC
(h) EPBAX
(i)
CCTV
(j)
HT/LT Sub-Station
(k) STP
(l)
Fire Alarm System
(m) Sprinkler Fire Fighting
System etc.,
6. Da’wah and Worship:-
In order to maintain relationship with our Lord, Almighty Allah (SWT) and our
beloved and noble Prophet Muhammad (PBUH) it is of utmost importance to have an
in-house prayer section, where the visitors, patients, attendants and staff
would timely pray/worship the one and only Lord of universes. The hospital as a
work space for the staff should not be an excuse for not offering timely prayer
that is why an inbuilt Shari’ah Compliant mechanism is proposed to practice and
propagate the just and sublime teachings of Islam, which is a complete code of
life.
7. Employability:-
The establishment of this hospital would offer reasonable employment
opportunities for
Medical professionals, paramedics and technologists. The sincere,
dedicated and knowledgeable professionals with a mission of serving the people
can avail the opportunity and taking it not only as a job but ibadah.
Experienced medical professionals are also welcome to join this mission.
Thus the broad contours of proposed project have been illustrated above so as to
give only an idea of the project. The detailed proposal can be formulated after
feedback from different quarters, professionals, philanthropists, well wishers
and after thorough deliberations. It is now in public domain for discussion and
valuable suggestions.
|
GENERAL ABSTRACT of cost for Construction
of 150 Bedded Al-nissa hospital on Dr. Ali Jan Road, Eidgah, Srinagar, Kashmir
|
|
S. NO.
|
PARTICULAR OF ITEMS
|
AMOUNT RS. IN LACS
|
|
1.
|
Main Building, Civil & Mechanical Works, Sanitary, Plumbing & Electric
Services / Miscellaneous items.
|
Rs 1215.76
(A)
|
|
2.
|
Land Acquisition Cost - 5 Kannals
@ Rs 80.0 Lacs/Kannal
|
400.00
|
|
3
|
Add Consultancy Charges @ 0.5% of (A)
|
6.00
|
|
|
TOTAL COST OF PROJECT
|
Rs 1621.76 Lacs
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SAY RS. 1622.00 Lacs
P.A.R. ESTIMATE FOR Construction of
150 Bedded Al-nissa hospital on
dr. ali jan road, eidgah, srinagar, kashmir
|
S.
No.
|
Description of Items
|
Qty
|
Unit
|
Rate (Rs.)
|
Amount
(Rs. in Lacs)
|
|
(A).
|
Soil Investigation:
|
|
|
|
|
|
1.
|
Provision for Soil investigation by conducting SPT and/or Bearing capacity
tests as recommended in the relevant Indian Standard Codes.
|
-
|
-
|
-
|
Rs. 2.00
|
|
|
|
|
|
Total (A)
|
Rs 2.00
|
|
(B).
|
Civil & Mechanical Work:
|
|
|
|
|
|
2.
|
Pile Foundation up to a depth of 15 Meters, subject to foundation design
based on soil investigation.
|
830.00
|
Sqm
|
11750.00
|
Rs. 97.58
|
|
3.
|
RCC Raft Foundation, subject to sub-structure design based on soil
investigation.
|
830.00
|
Sqm
|
6450.00
|
Rs. 53.56
|
|
4.
|
RCC Framed Structure (up to Six Storey) for floor height of 3.35 Meters,
subject to structural design.
|
3322.00
|
Sqm
|
19000.00
|
Rs. 631.18
|
|
5.
|
Extra for Resisting Earthquake Forces in Zone -V
|
3322.00
|
Sqm
|
1140.00
|
Rs. 37.87
|
|
6.
|
Extra Provision for Operation Theaters (O.T)
|
207.50
|
Sqm
|
2150.00
|
Rs. 4.46
|
|
7.
|
Fire Alarm by way of Automatic Fire Alarm System
|
830.50
|
Sqm
|
500.00
|
Rs. 4.15
|
|
8.
|
Fire Fighting with sprinkler system
|
830.50
|
Sqm
|
750.00
|
Rs. 6.22
|
|
9.
|
CGI Pitched Roofing over Steel truss as per the structural design.
|
920.00
|
Sqm
|
4000.00
|
Rs. 36.80
|
|
|
|
|
|
Total (B)
|
Rs 871.00
|
|
(C).
|
Services:
|
|
|
|
|
|
10.
|
Internal/External Water Supply and Sanitary Installations @10%
|
|
|
|
Rs 89.38
|
|
11.
|
Internal Electric Installations @ 12.5%
|
|
|
|
Rs 111.72
|
|
12.
|
Extra for Three Phase Power Wiring and Plugs @ 4%
|
|
|
|
Rs 35.75
|
|
13.
|
Extra for Lightening Conductors for Five to Eight Storey Structures @
0.33%
|
|
|
|
Rs 2.95
|
|
14.
|
Extra for Telephone/computer/ Intranet Conduits @ 0.5%
|
|
|
|
Rs 4.46
|
|
15.
|
Bed Lift with ACV/VVF Control, and Power Operated for G+4 Storey
|
|
|
|
Rs 15.00
|
|
16.
|
Provision for Over Head Tank (Sintex or Equivalent) without independent
Staging
|
50000.00
|
Litres
|
12.00/Lt
|
Rs 6.00
|
|
17.
|
Provision for Underground Sump
|
50000.00
|
Litres
|
15.00/Lt
|
Rs 7.50
|
|
|
|
|
|
Total (C)
|
Rs 272.76
|
|
(D).
|
Miscellaneous Items
|
|
|
|
|
|
18.
|
Earth Filling at site and compaction of the filling material to develop
leveled surface/platform for execution of deep/pile foundation as per the
sub-structure design.
|
|
|
|
Rs 18.00
|
|
19.
|
Boundary Walling
|
|
|
|
Rs 9.00
|
|
20.
|
Development of site
|
|
|
|
Rs 8.00
|
|
21.
|
Sub-Station/D.G set
|
|
|
|
Rs 10.00
|
|
22.
|
HVAC
|
|
|
|
Rs 25.00
|
|
|
|
|
|
Total (D)
|
Rs 70.00
|
|
|
|
|
|
Grand Total
|
Rs 1215.76 Lacs
|