Dialysis is essential for patients suffering from "End Stage Renal Disease (ESRD)" and it is observed from preliminary studies that the prevalence of Chronic Kidney Disease (CKD) the precursor to ESRD is 0.8% in India. The major contributing causes to CKD are diabetes and high blood pressure among others; these diseases are increasing at an alarming rate across the country. Hypertension is observed in 20-40 percent adults in urban areas and 12-17 percent adults in rural areas, the number suffering hypertension is expected to be 213.5 million in 2025. India is the world capital for diabetes cases with projected number to be 57.2 million in 2025.
The cost of supporting the treatment of patients undergoing dialysis and suffering from ESRD is very high in the order of Rs.10,000 to Rs.20,000 per month. The World Bank reviewed and proposed revisions in May 2014, to its poverty calculation methodology and purchasing power parity basis for measuring poverty worldwide, including India. According to this revised methodology, the world had 872.3 million people below the new poverty line, of which 179.6 million people lived in India. In other words, India with 17.5% of total world's population, had 20.6% share of world's poorest in 2011, it is impossible to support such high treatment costs. Cost of per session of dialysis is anywhere between Rs.1000 to Rs.2000 in the private set up, low cost dialysis centers in the country provide dialysis between Rs.150 to Rs.600, but these centers are run by NGOs and supported by philanthropists. The dialysis set up by NGO and government is very limited. This results in non-availability of service for suffering patients.
The objective of this project is to establish dialysis centers to provide nephrology support and dialysis for patients who require the same. The centers will be located in Kandivali West, Mumbai, India, the emergency medical, laboratory and ambulatory support will be provided by Atlantis Hospital, Kandivli West. The center will be operated by qualified dialysis technicians and supported by trained nurses and shall operate two shifts every day, six days a week. The government will reimburse the partner at an agreed rate with the partner (Government runs a special Orange Ration Card program wherein the total cost of such people is reimbursed by the government). Further, the center would provide the dialysis for other section of the society at a very subsidized rate of Rs.800/- per cycle.
The proposed project will be based on a Tri-Party agreement between Sai Vilayatrai Sai Jiwatsingh Sai Vishindas Charitable Trust( 1st Party), Rotary Club of Mumbai Kandivali West -RCMKW (2nd party) and Atlantis Hospital (3rd party), wherein the 1st Party will provide with space for installing 5 (Five) new machines along with their existing 4 (Four) machines, 2nd Party will provide funds for purchase of 5 (Five) new machines plus basic infrastructure required for the center and 3rd Party would be responsible for the day to day running of the center (including doctors, nurses and other manpower) and adhering to the laws and regulations that govern the process.
This project shall be verified for its success and ability to meet the specified objectives at the end of every year. Upon successful achievement of the objectives, the project may be replicated at other place in the locality following the same model or modifying it as per the requirement.
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