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1. Rajiv Gandhi Arogya Yojana (RAY)

Background:

This program was initiated on 25th November, 2005 in order to develop a model of rural primary health care system in Amethi. The Project currently includes 4 Primary Healthcare Clinics spread across four blocks of Amethi constituency and covers the basic healthcare needs of 202 villages, catering to a population of 57987 people residing in the region. The program focuses on the aspects of primary healthcare service delivery like free consultation, free medicines and dressing of wounds. Each clinic operates for 4 hours a day and 6 days in a week.

Program objective:

The objective of the program is to provide free of cost primary healthcare services including free of cost medicines to people from poor socio-economic background in Amethi.

Services provided under project:

  • Free primary healthcare service delivery like free consultation, free medicines and dressing of wounds.

Compliance with the law:

Through the RAY program, NH as a healthcare service provider reaches out to multiple beneficiaries in rural areas to provide healthcare free of cost. As mentioned in the ‘General Circular No. 21/2014’, enabling access to, or improving the delivery of, public health systems falls under the clauses ‘promoting healthcare’ or ‘measures for reducing inequalities faced by socially & economically backward groups’ of the Companies Act 2013.

Hence, this program aligns with item (i) in Schedule VII of the Companies Act 2013, Section 135.

Target beneficiaries:

The project aims to provide healthcare facilities to BPL and low-income families in 4 blocks in Amethi district.

2. Railway Clinics

Background:

This program was initiated on 1st July 2011 in state of Karnataka in collaboration with the Southern Railways. Railway Clinics is a much-needed step to curb the increasing number of deaths due to railway accidents and provide timely care to the patients in railway stations. These centres provide basic medical assistance and attend to emergency needs before the patient reaches the hospital for the treatment.

Program objective:

The program objective is to provide free basic and emergency healthcare services to the railway passengers.

Services provided under project:

  • General and Emergency medical consultations
  • Trauma and dressing
  • Checking vital parameters
  • Trans-telephonic ECG networking platform for diagnosing and referring patients for timely medical care
  • Bed rest and observation
  • Ambulances on standby to fulfill emergency needs are provided by Government of Karnataka through 108 service.
  • Patients who require next level of care are referred to the nearest specialty center (NH and non - NH) post diagnosis.

Compliance with the law:

Through the ‘Railway Clinics’ program, NH provides emergency medical treatment to travelling patients and reaches out to a large number of beneficiaries on the move.

As mentioned in the ‘General Circular No. 21/2014’, enabling access to, or improving the delivery of, public health systems falls under the clause ‘promoting healthcare’ of the Companies Act 2013. Hence, this program aligns with item (i) in Schedule VII of the Companies Act 2013, Section 135, specifically to the clause of ‘promoting healthcare including preventive healthcare’.

Target beneficiaries:

The project is focused on setting up clinics and treating general public at Majestic railway station in Karnataka.

3. Mobile Mammography Screening

Background:

Breast cancer is the commonest cancer in urban Indian women and second most common in rural women, with 140,000 new breast cancer patients being diagnosed annually (Indian Council of Medical Research, 2001; Ferlay, et al., 2013). Ubiquitous realities such as lack of organized screening programs, paucity of diagnostic aids, patriarchal mindset, illiteracy and lack of awareness have resulted in majority of women being diagnosed at a locally advanced stage (Agarwal, Pradeep, Aggarwal, Yip, & Cheung, 2007). In resource constrained settings, physical examination by trained personnel has been considered a viable option (Mittra, et al., 2010). In Bengaluru, as per reports from Population Based Cancer Registry (2009-2011), the age adjusted incidence rate for breast cancer in women (34-65 years) rose from 15.9 per 100,000 population (1982-83) to 36.6 per 100,000 population in 2008-2009 and was the leading site of cancer. Keeping in mind the rapidly rising incidence of breast cancer, the mobile mammography screening unit was inaugurated on February 4th, 2014.

Program objective:

  • Creating awareness among the people about breast cancer
  • Early diagnosis, as the outcome is much better if treated earlier
  • Provide a complete comprehensive check-up services
  • Decrease breast cancer morbidity and mortality, and increase survival rates for those diagnosed with breast cancer.

Services provided under project:

  • Information dissemination on Breast Cancer to the patients.
  • Screening, consultation and physical examination of all the participants
  • After screening, positive cases are being referred to visit nearby cancer speciality hospital for further investigations i.e. Ultra Scan and FNAC etc.
  • Joining hands with various NGOs, gram panchayat, government sectors and other local institutions.

Compliance with the law:

Through the ‘Mobile Mammography Unit’ program, NH is creating awareness among the people about breast cancer diagnosis and treatment. As mentioned in the ‘General Circular No. 21/2014’, enabling access to, or improving the delivery of, public health systems falls under the clause ‘promoting healthcare’ of the Companies Act 2013.

Hence, this program aligns with item (i) in Schedule VII of the Companies Act 2013, Section 135, specifically to the clause of ‘promoting healthcare including preventive healthcare’.

Target beneficiaries:

The project caters to the population in and around Bangalore, Karnataka and a few nearby locations in the state of Tamil Nadu.

4. E - Health Centre Program

Background:

Narayana Health is the healthcare partner in this program to implement, operate, run & manage the eHealth Centre’s (eHC). eHC’s are designed to fit and deploy within a standard shipping container, or are retrofitted to work with a pre-existing clinic, depending on a community’s existing infrastructure. They are fully equipped with workstations, open electronic medical records (EMR) systems, biometric patient identification and integrated diagnostic devices. The HP cloud enabled technology allows for data, both clinical and administrative, to be monitored across sites via an admin dashboard. The first eHealth Centre programme was launched in Pyradanga in April, 2014. Eight centres have been established across India with centres in Karnataka, West Bengal, Rajasthan and Gujarat.

Program objective:

The objective of the programme is to deliver quality and affordable primary health care to people living in resource-deprived locations of India using appropriate technologies. The eHealth Centre’s serve communities that often lack qualified doctors, functional clinics, internet access, or even electricity.

Services provided under project:

  • Reaching semi-urban and rural population with technology enabled healthcare
  • Provision of primary healthcare with minimal charges
  • Use of information systems including EMR with integrated medical diagnostic services including basic vital (Blood pressure, Temperature, pulse oximeter), dry chemistry based tests as well as tele-ECG.
  • Cloud solutions for collection and analysis of health care data.
  • Continuity of health care through telemedicine

Compliance with the law:

As mentioned in the ‘General Circular No. 21/2014’, enabling access to, or improving the delivery of, public health systems falls under the clause ‘promoting healthcare’ of the Companies Act 2013.

Hence, this program aligns with item (i) in Schedule VII of the Companies Act 2013, Section 135, specifically to the clause of ‘promoting healthcare including preventive healthcare’.

Target beneficiaries:

The eHC India program caters to lower socio-economic population in semi-urban and rural areas of Karnataka, Rajasthan, Gujarat and West Bengal

5. NCD Program

Background:

Non-Communicable Diseases’ Program was initiated in June 2017 in Bangalore to address to the issue of growing burden of non-communicable diseases and high morbidity and mortality rates due to the two commonest forms of cancer in India-Oral and Breast. The program had been later initiated in Howrah, Mysore, Jamshedpur, Jaipur and Delhi.

Program objective:

To create awareness and conduct screening for general health check-up, breast and oral cancer, enable early diagnosis leading to decreased morbidity and mortality due to cancer.

Services provided under project:

  • Information dissemination on Oral & Breast Cancer to the community.
  • Screening, consultation and counselling of all the participants.
  • Free first consultation and free investigations like ultrasound, mammogram, Biopsy etc. at NH for positively detected cases.
  • Collaboration with various community based organizations, government schools, NGOs etc. for increased participation.
  • Follow-up of positive cases and guidance for treatment.

Compliance with the law:

Through the ‘NCD Program’, NH is creating awareness and providing screening for non-communicable diseases. As mentioned in the ‘General Circular No. 21/2014’, enabling access to, or improving the delivery of, public health systems falls under the clause ‘promoting healthcare’ of the Companies Act 2013.

Hence, this program aligns with item (i) in Schedule VII of the Companies Act 2013, Section 135, specifically to the clause of ‘promoting healthcare including preventive healthcare’.

Target beneficiaries:

The program caters to lower socio-economic population in semi-urban and rural areas of Bangalore, Howrah, Mysore, Jamshedpur, Jaipur and Delhi.

6. Shorapur Maternal Obstetric Monitoring program

Background:

This program was initiated in Shorapur Taluka of Yadagiri District in March 2016. Yadgir district has been identified by the Ministry of Health and Family Welfare as a High Priority District for the implementation of focused health care interventions under National Health Mission (NHM). Shorapura Taluk is located 50 km from Yadagiri district headquarter and has the population of 4, 42,775. As per statistical records maintained by the District Statistical Officer, the MMR had risen in Shorapur from 56 in 2013-14 to 123 in 2014 -15. A baseline survey conducted by the CSR team found that 43% of pregnant women surveyed didn’t know warning symptom/ signs during pregnancy, delivery as well as after delivery. 100 % of the women surveyed had got their USG examination done in private facilities, thereby incurring significant out of pocket expenses since the entire district did not have a government nominated radiologist. 30% of the pregnant women surveyed had iron supplementation on irregular basis. As per district records, 80% of pregnant women were anaemic. The program therefore had a multi-pronged strategy to improve awareness towards high risk pregnancies, use of technology to aid early detection as well as early confinement or referral of high risk pregnancies.

Program objective:

  • To ensure maximum coverage of ANC clinical evaluation in Shorapur Taluk by ultrasound examination of all ANC cases as well as obstetric evaluation of all high-risk antenatal cases.
  • To leverage on existing NHM infrastructure towards early referral of high-risk ANC cases to the Taluk hospital
  • To strengthen community processes with focus on adolescent health and anaemia in women of reproductive age group

Compliance with the law:

As mentioned in the ‘General Circular No. 21/2014’, enabling access to, or improving the delivery of, public health systems falls under the clause ‘promoting healthcare’ of the Companies Act 2013.

Hence, this program aligns with item (i) in Schedule VII of the Companies Act 2013, Section 135, specifically to the clause of ‘promoting healthcare including preventive healthcare’.

Target beneficiaries:

All antenatal (pregnant) women in Shorapur Taluk (Yadgiri District) undertaking regular consultation or treatment at the Government Health centres are the beneficiaries under the program.

Key Focus Areas

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