Introduction

Clinical Team (Jankikund Chikitsalaya)

Name	Designation
Dr.Poonam Adwani	Senior Consultant /CMO
Dr. A.B.S. Rajput	Senior Pathologist /Administrator
Dr. B.K. Agrawal	Senior Medical Officer
Dr. Abhay Singh	Medical Officer
Dr. Kamal Mandloi	Consultant
Dr. Arvind Sahu	Medical Officer
Dr. Sailja Sahu	Medical Officer
Dr. Rajesh Pandey	Medical Officer
Dr. Roshani Kesharwani	Medical Officer
Dr. Vaishali Chaurasiya	consultant
Dr. Ramandeep Kaur	consultant
Dr. R.S. Mishra	Medical Officer
Dr. Deepak Sharma	Anaesthesiologist
Dr. Chandni Shrivastav	Dental Surgeon
Dr. Vijay Prakash Mishra	Medical Officer
Dr. Vivek Dwivedi	Medical Officer
Dr. Neeraj Gautam	Medical Officer
Dr. Namrata Bansal	Dental Surgeon
Dr. Amrita Arya	Medical Officer
Mr. Dharmendra Sharma	Yoga and Naturopathy Expert
Mr. Saurabh Sharma	Physiotherapist

Services Offered:

1. General Medicine
2. Health Checkup
3. General Surgery
4. Gynaecology & Obstetric
5. Diagnostic Centre (Laboratory Services)
6. Radiology
7. Dental Medicine and Surgery
8. AYUSH
9. ENT (Otolaryngology)
10. Multi-Specialty Services
11. Emergency & ICU

1. General Medicine

OPD: OPD is a very important wing of hospital serving as mirror, the first point of contact between patient and hospital staffs, this department caters to approximately 700-800 patients daily.

OPD Clinic schedule:

• Hospital OPD ( from 8 AM -1PM & 3 PM-6 PM)
• Emergency Services ( 24 Hours )

Registration:

• All patients need to be registered prior to consultation.This registration paper is valid for 15 days. The Patient will be issued a registration paper which is valid for all services of the hospital.
• If patients have been registered previously, they are required to quote their registration number at the time of follow-up.

Facilities Available:

• Treatment room for minor dressings / suturing etc.
• Pathological sample collection room
• Radiological Investigations
• Wheelchair for disabled patients

Total Outpatients screened	2012 ‐2013	2013 ‐2014
Male	32700	30812
Female	42737	41128
Child	12296	11539
Total new patients	87733	83479
Community Outreach OPD	2138	1475
Hospital Based Camp OPD	1912	829
Total Review Patients	113453	115358
Total Patients Screened	205236	201141

2. In-Patient Services

Jankikund Hospital believes patients are our guest and we are here to serve the underprivileged patients in affordable cost & provide higher level of satisfaction. At Jankikund Hospital utmost care is taken for admitted patients and best efforts are put in by the staff to enable the patient to recover at the earliest under the expert care of the best of clinicians and the warmth of the professional nursing staff available round the clock.

Admission:

• Kindly contact the admission counter and provide them with the details e.g. Date of Admission, Treating doctor, and Preference class of accommodation.
• All efforts are made to provide need based accommodation to each and every patient.
• 10 AM is the discharge time for each day.
• Transfers to higher class of Accommodation will be based on the availability only & subject to the approval of the management.
• Private/Deluxe class rooms are also available. The room can be urgently required in case of any admission required to be done.

Discharge:

• Discharges are processed round the clock in the hospital.
• Discharge time is 8 am and some discharge will make as per patient condition.
• Discharge of patient will be the discretion of treating doctors.

General Information:

• Pathology reports can be collected from report delivery counter as per time given by collection centre.
• The hospital security has the right to check your baggage and ask for passes at any time.
• Smoking, consumption of alcohol and non-vegetarian food are not permitted in the hospital premises
• Mobile phones are not permitted in restricted areas of the hospital viz, ICU, Operation Theatres,Maternity Ward.
• Photography is prohibited in hospital premises
• Outside food is not allowed inside hospital for patients. The hospital serves well-balanced vegetarian meals.
• Patients are advised not to carry cash or wear or keep any jewellery during their hospitalization. The hospital is not responsible for any kind of loss.

Total Inpatients	2012 ‐2013	2013 ‐2014
Male	3168	3073
Female	6107	5757
Child	868	794
Total new patients	10143	9624

3. Health Checkup

Health problems can be managed more effectively if, detected early. The Health Check-up programs of Jankikund Hospital aim to promote good health and to facilitate early detection of disease and identification of unhealthy lifestyle practices. Positive health is achieved through lifestyle modifications that include a good diet, regular exercise and periodic visits to your family physician.

Our goal is to encourage people to take simple steps for a longer, healthier and happier life. Scheduling a Health Check-up is the first step of taking time for yourself and putting your own health care needs first.

Our Health Check-ups are designed in such way that the whole experience of the Health Check-up is not only informative but also very composed and peaceful.

In JKC the whole body Check-up is also done by charging a minimal amount of 1000 rupee for the 10 patients on each Thursday. The health Check-upincludes – CBC testing, Liver Function testing, Kidney Function testing, Ultrasound, ECG,XRAY, Lipid profile, Testing, HIV testing, Hepatitis testing, Regular blood Check-up, Eye Check-up, Dental Check-up, Yoga andDietician’s counselling class.

Health Check Up Instructions

Appointment & Reporting Time:

• Health checks are done through prior appointment. Please report at the appointed time given at the medical dispensary
• The appointment timings are provided to the patients for facilitating the smooth flow of Health Check-up. Patients who are reporting more than an hour late than his/her scheduled appointment time will not be taken.
• Kindly inform us in case of cancellations or postponements at least 24hrs in advance.

Fasting & Medication:

You are advised to observe minimum 12hrs to maximum 13hrs of fasting and abstinence from alcohol. Hence it is recommended that you do not eat or drink anything after 8pm the previous night. You can only take few sips of water in the morning of the Health Check with your antihypertensive or any other essential drugs except anti-diabetic medication, which should be taken before/with breakfast as per your regular schedule.

What to bring?

In case you are under certain medication and/or are suffering from previous disease, you are advised to bring the previous Medical Records.

Particulars	2012-13	2013-14
Health Check-up done	267	490

3. General Surgery

The Department of General Surgery at JKC aims at providing treatment for a whole range of complication. The Department has proficient doctors and surgeons who are dedicated to exclusive comprehensive patient care. The Department specialized in performing Open and Laparoscopic surgeries using the latest techniques along with other general surgical procedures. The surgeons at JKC are also equipped to performing removal of kidney stones, gall bladder stones, laparotomies, hernia, hydrocele and prostrate surgeries which are performed routinely in the Department. Advanced non-invasive techniques are practiced to remove kidney stones.

Laparoscopy:

Laparoscopy is a type of surgical procedure that allows a surgeon to access the inside of the abdomen and pelvis without having to make large incisions in the skin. Laparoscopy is most commonly used in gynaecology(the study and treatment of conditions that affect the female reproductive system), gastroenterology (the study and treatment of conditions that affect the digestive system) and urology (the study and treatment of conditions that affect the urinary system)

General Surgeries Performed	2012-13	2013-14
Tubal ligation Surgeries	244	248
Obstetric and Gynaecologic surgeries	1139	1189
Major Surgeries	4509	4686
Minor Surgeries	1057	1351
Total Surgeries Performed	6949	7474

4. Gynaecology & Obstetric

Being a mother is perhaps the most significant event in a woman’s life and a milestone for any family .The department was inaugurated as Matritva Sadan (Home for Mothers). The prime objective of the department is to provide safe motherhood and child birth especially to rural women. It also encourages couples and families to adopt family welfare measures. It is supported by two labourrooms; a well equipped Operation Theatre, a special Neonatal ward, private wards and a General Ward. There are specialist doctors available 24 hours for any emergency.

Services in Gynaecology

• Family Welfare: JKC provides the services under the scheme of government Janani Suraksha Yojana under this scheme hospital provides institutional delivery facility, cash benefits given by government.
• Immunization facility: JKC provides immunization facility for all the new born children at hospital.
• Matritva Sadan: Practices Adopted for Safe Motherhood and Child Birth
  • Ante Natal Registration
  • Screening of High Risk Pregnancy and Follow-up
  • Anaemia Correction
  • TT Immunization
  • Intra-natal Care, Emergency Obstetric Services, Post Natal Care
  • New born Care, Child Immunization
  • Gender issues & sensitization
• NICU: Newborn babies who need intensive medical attention are often admitted into a special area of the hospital called the Neonatal Intensive Care Unit (NICU). The NICU combines advanced technology and trained healthcare professionals to provide specialized care for the tiniest patients.

Gynaecology & Obstetric	2012-13	2013-14
Caesarean Delivery	257	307
Other Delivery	1869	1746
Total procedures performed	2126	2053

Total Immunization done at JKC	2012-13	2013-14
DPT.	903	833
TT	-	2755
Polio Drops	2855	2805
BCG	1909	1848
Measles	467	253
Hepatitis B	811	1730
Vitamin "A" Solution	1552	1357

5. Diagnostic Centre (Laboratory Services)

JKC’s laboratory provides round-the-clock routine parameters test services managed by competent pathologists. Laboratory Services at JKC have been established with a view to provide wide range of Laboratory investigations necessary for patient care. Here in JKC the main emphasis has been given to ensure accuracy, precision, reproducibility, speedy reporting and cost effective.

Facilities provided by the Laboratory Services are:

Pathology: Pathology is a branch of medical science primarily concerning the examination of organs, tissues, and bodily fluids in order to make a diagnosis of disease. The main branches of pathology are clinical pathology, anatomical pathology or a combination of the two, referred to as general pathology.

JKC’s Pathology lab is consisting of devices like:

• Fully automated Immuossay
• Fully automated Biochemistry analyzer
• Fully automated 5 part cell counter
• Coagulation analyzer
• Semi automated Biochemistry analyzer
• Urine analyzer
• QBC

Microbiology: Microbiology is concerned with the prevention, diagnosis and treatment of infectious diseases. The Lab carries out routine staining, culture & sensitivity test to identify microbes.

JKC’s Microbiology Lab consists of devices like:

• BOD Incubator
• Laminar air flow
• AER Sampler
• Elisa Washer and Reader

Particulars	2012-13	2013-14
Total no. of Investigations performed	345221	379376

Blood Bank: Blood Bank of JKC aims to meet the requirement of precious blood of human being in future. We have a dedicated team of qualified and trained professionals who follow stringent screening procedures, careful documentation and Good Laboratory Practices for collecting, processing and testing blood. We have a very dedicated and motivated team which is constantly working hard to disseminate the message of the goodness in donating blood by extending arm to help our brethren.

Particulars	2012-13	2013-14
Total no. of Blood units collected	1506	1735

ICTC Center: JKC has the facility of ICTC (Integrated Counselling and Testing Centre) center. HIV counselling and testing services were started in India in 1997, as two groups of centres – the Voluntary Counselling and Testing Centres (VCTC) and facilities providing Prevention of Parent to Child Transmission of HIV/AIDS (PPTCT) services. Under NACP-III, VCTCs and facilities providing Prevention of Parent to Child Transmission of HIV/AIDS (PPTCT) services are remodelled as a hub or ‘Integrated Counselling and Testing Centre’ (ICTC) to provide services to all clients under one roof. An ICTC is a place where a person is counselled and tested for HIV, at his own free will or as advised by a medical service provider.

Particulars	2012-13	2013-14
Total no. of Counselled and Tested Patients	9347	11892

6. Radiology

JKC's Radiology and Imaging Department serves physicians and patients each day by providing various medical imaging services. The Imaging centres strive to offer the highest quality service to referring physicians, and compassionate care and convenience to patients. The Department of Radiology has been characterized by the strength of its clinical leadership; its continuing effort toward technological advancements, and its ongoing organizational evolution and resource development to ensure that it is optimally structured and equipped to meet present and future medical and scientific challenges.

Services in Radiology:

C.T. Scan: A computerised tomography (CT) scan uses X-rays and a computer to create detailed images of the inside of the body. CT scans can be used to diagnose and monitor a variety of different health conditions, including brain tumours, certain bone conditions, and injuries to internal organs such as the kidneys, liver or spleen. They're also now being used to look at the heart. They're also often used to look inside the body before another procedure takes place, such as radiotherapy treatment or a biopsy (where a small sample of tissue is taken so that it can be examined under a microscope).

Particulars	2012-13	2013-14
Total no. of CT Scan performed	815	819

Ultra-Sonography: Ultrasonography is an ultrasound based diagnostic imaging technique used to visualize muscles and internal organs, their size, structure and any pathological lesions, making them useful for scanning the organs.

Particulars	2012-13	2013-14
Total no. of USG performed	23416	27899

Digital X-ray: An X-ray is a safe and painless procedure that's often used to produce images of the inside of the body. It's a very effective way of looking at fractured bones, such as a broken arm or wrist. X-rays can also be used to examine organs and identify problems. For example, an X-ray can highlight a lung infection, such as pneumonia. X-rays are also often used by surgeons during therapeutic procedures, such as a coronary angioplasty, to help guide equipment to the area being treated.

Particulars	2012-13	2013-14
Total no. of X-Ray  performed	14365	13505

E.C.G: An electrocardiogram (EKG or ECG) is a test that checks the problems with the electrical activity of heart. Find the cause of unexplained chest pain, which could be caused by a heart attack, inflammation of the sac surrounding the heart (pericarditis), or angina.

Particulars	2012-13	2013-14
Total no. of ECG  performed	4331	5112

7. Dental Medicine and Surgery

We believe in providing excellent quality dental services with the help of our dental experts, our finest technology & equipment, our nurses and non-medical support staff. The department provides quality dental treatment at a affordable cost. Dental camps are also organised on regular basis for the rural population.

Services in Dental medicine:

• Dental plague Removal
• Extractions
• Ultrasonic scaling
• Light care resin
• Root canal treatment(RCT)
• Complete denture(CD)
• Fixed partial denture (FPD)
• Removable Partial denture(RPD)
• Oral Sub Mucous Fibrosis (OSMF)
• Leukoplakia

Particulars	2012-13	2013-14
Total no. of Dental Procedures  performed	10418	7986

8. AYUSH

SSSST has integrated all health services under one roof in affordable cost so people can get the facilities as per their need. AYUSH (Department of Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy) can play an important role in prevention and mitigation of diseases.

Homeopathy

Down the years homoeopathy has emerged as one of the most promising science which not only annihilates the symptoms but also builds up the immunity of body & is fast becoming the first line of treatment due to its high order of efficacy and no side effects.

In the field of clinical Homoeopathy, JKC's Homoeopathy department, a renowned and extensively well known certified flagship clinic treats allergic manifestations in - Skin, Respiratory, Gastro-intestinal and Musculo-skeletal systems. JKC has modern clinics suited best to the needs of the community at large. The medicines are dispensed in hygienic blister packs for easy consumption as well as effective storage. The homeopathy department was initiated as a department of alternative medicine in 1978 and provides a range of services to patients with chronic and debilitating diseases. The department draws a lot of patients from Madhya Pradesh and Uttar Pradesh.

Particulars	2012-13	2013-14
Total no. of Patients treated	5865	7732

Ayurvedic Medicine, Naturopathy & Physiotherapy

With the growing need and benefits of alternative medicine, JKC started the Departments of Ayurveda and Naturopathy. The Department offers a complete range of Ayurveda and Naturopathy treatments. They are widely known for the treatment of abdominal problems, arthritis and hypertension. Naturopathy, a sub-speciality of Ayurveda was inaugurated in 2002. The Department has cured a large number of patients since then owing to its prominence of using natural herbs and oils.

The main objective of JKC’s Ayurvedic medicine, Naturopathy & Physiotherapy department are:

• To add a new lease of life for Ayurveda and also make it to emerge as a powerful form of medicine
• To make it the ultimate solution for most of the health problems.

Particulars	Department	2012-13	2013-14
Total no. of Patients treated	Naturopathy	4703	4084
	Physiotherapy	4184	4353

9. ENT (Otolaryngology)

We provide the best treatment for ear, nose & throat diseases & disorders at JKC for the rural peoples. The department is dedicated to expanding the frontiers of diagnosis, treatment and research of disorders of the ear, nose and sinuses, throat and the anterior skull base. It is known for its personal care and quality treatment at the hands of eminent surgeons and a skilled team in addition to exceptional service and friendly atmosphere.

Particulars	2012-13	2013-14
Total no. of Patients treated	12322	14536

10. Multi-Specialty Services

Need Statement

Chitrakoot is located on the borders of Uttar Pradesh and Madhya Pradesh falls under Bundelkhand region. The population of this region is approx. 1crores. Bundelkhand region is one of the most backward regions in the country. There is no tertiary health care facility with in the radius of 125 kms. Patients from the region frequently demand the facility of super specialty services but the trust doesn’t have such facility at present but has conceptualized to begin soon.

Jankikund Chikitsalaya (General Hospital) provides general hospital health facility for large population of this area. Super& Multi specialty services are very expensive and paying capacity of people are not enough, so far they are not able to afford the super specialty services in metro cities.

Objectives of Sadguru Super-Specialty Clinic:

• Address Urgent need for super-specialty medical facility in the region
• To provide super specialty services to the underserved population
• To make super-Specialty services available &  accessible to the needy patients of the region
• Provide quality super-specialty services at affordable cost
• Early diagnosis of critical diseases and timely referral for higher centres
• Strengthen the capacity building of clinical & paramedical staff
• The idea to provide super- speciality services to underserved population of the region in the months to come

Advantages of the Intervention

• Accessible & quality super-specialty services at affordable cost to the underserved population
• Early diagnosis of major diseases and timely referral of patients to higher centres.
• Skill upgradation of clinical and paramedical staff

With the blessings of Gurudev, the Trust has inaugurated Super-specialty clinic at Jankikund Chikitsalaya, on 13th April. Chief Guest of the program was Prof. R. G. Singh, Director, Institute of Medical Science, BHU, Varanasi and special guests of the program were Prof. A. K. Khanna, Ex-Head, Surgery Department, Institute of Medical Science, BHU, Varanasi and Prof. V. N. Mishra, Head, Neurology Department, Institute of Medical Science, BHU, Varanasi.

Neurology

JKC provides neurology services to the patient through OPD, Dr. V. N. Mishra, Neurophysician, Head Department of Neurology, IMS, Banaras Hindu University visiting on 1st Saturday of every month and providing free consultation to the underprivileged people suffering from neurological problems.

Orthopedic

JKC provides orthopaedic services to the patient through OPD, Dr. Mukesh Tripathi, renowned Orthopaedic Surgeon, Satna visiting twice in a month 1st & 3rd  Thursday of every month and providing free consultation to the underprivileged people suffering from orthopaedic  problems.

Department	Particulars	2012-13	2013-14
Orthopaedic	Total patients treated	253	62
	Total Surgeries performed	25	2
Neurology	Total patients treated	-	589

11. Emergency & ICU

In our Emergency & ICU we have 5 beds where critically ill or injured patients with life-threatening medical conditions are immediately taken under the care of a team of specialized emergency doctors and the patient is evaluated, resuscitated and stabilized as per protocols.

• Expert Doctors providing general surgery and anaesthesiology
• Emergency operation theatre, Ventilators, cardiac monitors, and all the emergency equipments and drugs required to handle every emergency
• X-Ray unit, an ultra-sonogram and CT facility
• Zero-infection environment
• Blood Bank facility

As part of our commitment to provide health care services to underserved population through reach out endeavours, we are providing our services directly to the community at their door step. We are regularly trying to upgrade our service delivery system at the door step of the community.

RHC Services

The general medicine department of JKC organizes a Rural Health Clinic camp on every Thursday of a week in the nearby village named chauraha which is almost 35 km far from the main Hospital campus. We are regularly conducting the awareness program among rural and tribal community to promote the health seeking behaviour with focus on safe motherhood and adolescent health in the areas and prevent severity of iron deficiency Anaemia& Malnutrition   in children & women of Bundelkhand region. Area where we are providing the health services the lifestyle of community is very peculiar.

Some specific features of communities are the following:

• Non availability of health care workers/poor outreach services in remote hamlets.
• Weak contact between health worker and community.
• Poor image of the PHC in the community and disgusting under utilization of PHC services
• Weak referral system
• Low community demand for PHC services
• Weak laboratory services
• Weak information, counselling and communication process
• Lack of community need based health care system in the region

Infant mortality rate & maternal mortality rate can be a measure of a nation's health and social condition. It is a composite of a number of component rates which have their separate relationship with various social factors and can often be seen as an indicator to measure the level of socioeconomic disparity within a country. In a state plagued by poverty & food insecurity, the battle to save lives of low-birth-weight babies is often lost. Madhya Pradesh has the highest infant mortality rate in the country.

Rural Health Care Programme	2012 -2013	2013 -2014
Outpatients screened	2138	1475
Refer to JKC for further interventions	273	97
MCH Services	29	57
Immunization	25	20
Treatment Given	2128	1475

Hospital Based Program

JKC is regularly conducting the Hospital Based Programs & Camps to provide the benefits to the underprivileged community and also sharing the experience amongst medical community. These programs are very useful to learn recent techniques in clinical procedures. Eminent National & International faculties are invited to perform live surgeries and procedures.

• Complicated Orthopaedic surgery Camp
• Plastic Surgery Camp
• Piles/Fistula Camp
• TT Camp (Family Planning)
• Hernia & Hydrocele Camp
• ENT Camp

Surgical Camp Name	2012-13	2013-14
E.N.T. Camp (surgeries performed)	40	82
Orthopaedic Correction Camp (surgeries performed)	92	70
Plastic Surgery Camp(surgeries performed)	-	21
Piles Camp (surgeries performed)	-	48
(Ksharshutra) Fistula camp (surgeries performed)	23	24
T.T. Camp (surgeries performed)	80	106
Hernia Camp (surgeries performed)	-	38
Hydrocele Camp (surgeries performed)	-	84
Total surgeries performed	235	473

Some clinical services are highly expensive in metro, and rural populations are unable to afford these services. Jankikund hospital & underprivileged population get benefited by several volunteers and visiting faculty (from India & Abroad) providing valuable clinical services free of cost to the people.

Doctors Name	Specialization	Place
Dr.Vibhakar Baxi	Plastic Surgeon	USA
Prof. M.C. Mishra	Laparoscopic Surgeon	New Delhi
Prof. S.D. Maurya	Laparoscopic Surgeon	New Delhi
Dr. Yogesh Mishra	Laparoscopic Surgeon	New Delhi
Dr. H.K. Vakhariya	Orthopaedic Surgery	Jamnagar, Gujrat
Dr. D. Dasgupta	Anaesthesiology	Mumbai
Dr.V.N. Mishra	Neurology	Varanasi
Dr.Bahrat Dev Muari	Piles & Ksharshutra	Gujrat
Dr.Mukesh Tripathi	Orthopaedic Surgery	Satna, M.P
Dr. Ashutosh Nema	ENT	Satna, M.P
Dr. Sameer Bhatt	ENT	USA