Global Grant Proposal Form for Project G-2522

Last updated by Kamal Kankani <kankanitea@yahoo.co.in> on 31-Jul-20

Step 1: Basic information

Project Title

Cancer Care

Type of Project

[X] Humanitarian        [  ] VTT        [  ] Scholarship    

Primary Host Partner Information

The host partner is a: Club

Last Name:

Kankani

First Name:

Kamal

Email:

kankanitea@yahoo.co.in

Phone:

8793238417

District:

3201

Club:

Coimbatore Cotton City

Primary International Partner Information

The international partner is a: Club

Last Name:

First Name:

Email:

antcardoso61@hotmail.com

Phone:

District:

4630

Club:

Campo Mourão

Step 2: Committee Members

Grant Host Committee

Host Partner #1: -
Host Partner #2: -
Host Partner #3: -

Grant International Committee

International Partner #1: -
International Partner #2: -
International Partner #3: -

Do any of these committee members have potential conflict of interest? If so, please briefly explain.

NO

Step 3: Project overview

Tell us a little about your project. What are the main objectives of the project, and who will benefit from it?

Our city, Coimbatore has a population of 10 million and the number of cancer patients is increasing significantly. To support the economically weak people to fight this dangerous disease and costly treatment we have a tie up with Sri Ramakrishna Hospital, Coimbatore, which is a dedicated organization in treatment of Cancer Patients.

Step 4: Area of Focus

Which area of focus will this project support?

[  ]

Peacebuilding and conflict prevention

[X]

Disease prevention and treatment

[  ]

Water, sanitation and hygiene

[  ]

Maternal and child health

[  ]

Basic education and literacy

[  ]

Community economic development

Step 5: Measuring success

Which goals of this area of focus will your project support?

-

How will you measure your project impact?

Measure

Collection Method

Frequency

Beneficiaries

Do you know who will collect information for monitoring and evaluation?

-

Step 6: Location and dates

Humanitarian Project
Where and when will your project take place?

Sri Ram Krishna Hospital

Step 7: Participants

Cooperating Organization (Optional)
Provide the name, website and location of each cooperating organization.

Name

Website

Location

Why did you choose to partner with this organization and what will its role be?

-

Partners (Optional)

List any other partner that will participate in this project.

-

Volunteer Travelers (Optional)

Provide name, email of traveler(s).

-

Describe this person's role in the project.

-

Rotarian Participants

Describe the role that host Rotarians will have in this project.

Rtn.PHF.Suresh Chand Sutaliya as Committee Chairman Can Cure and Rtn.MD.Kamal Kankani Committee Chairman TRF will be involvedin the project.

Rtn.PHF.Gopaal Sharma,Facilitator

Describe the role that international Rotarians will have in this project.

International partner will be supporting in terms of Finances

Step 8: Budget

What is the budget for this grant?

Local Currency: INR
Exchange Rate Used US$1 = 75

Category

Description

Supplier

Local
Amount

USD
Amount

Total Budget

-

$0

Step 9: Funding

Tell us about the funding you have secured for your project.

DDF Amount in US$

$5,000

Rotarian Cash Amount in US$

$1

Additional Outside Funding in US$

$0

Requested TRF Match in US$

$5,000

Total Financing in US$

$72,225

Step 10: Sustainability

Humanitarian Projects - Project Planning

Describe the community needs that your project will address.

Cancer Cure is the motto of our Project and hence If we are able to prevent the spread of the Cancer from Stage1 to Stage 2 and irreversible Stage 3, we could prevent lot of hardships to the affected patient and that in turn saves the patient’s life and stress to the family.

How did your project team identify these needs.

The Team of Doctors, from the Partner Hospital informed us about the large number of people requiring treatment who are not able to afford the cost of treatment at Stage 1, itself.

How were members of the benefiting community involved in finding solutions.

The Benefiting Community were not able to afford the treatment due to financial constraints at Stage 1.

How were community members involved in planning the project.

The Project Team comprising of our Club Members met leaders from Communities on a regular basis and during such interactions, we came to know of such patients and that is when we took the lead towards sponsoring treatment of such patients.

Humanitarian Projects - Project Implementation

Summarize each step of your project's implementation.

#

Activity

Duration

1.

Step 1 - Doctor’s Diagnosis report

 2 days

2.

Step 2- Evaluating the genuineness and the financial background of the patient

 4 days

3.

Step 3 – Counseling with the Patient and family members

1 day

4.

 Step 4 – Release of Funds to the Hospital to start the treatment .

 1 day

5.

Step 5 – Post Treatment Analysis

3 months

Will you work in coordination with any related initiative in the community? If yes, briefly describe the other initiatives and how they relate to this project. If no, please explain. Are local initiatives not addressing these needs? Or, if they are, why did you decide not to work with them?

-

Please describe the training, community outreach, or educational programs this project will include.

-

How were these needs identified?

-

What incentives (for example, monetary compensation, awards, certification, or publicity), will you use, if any, to encourage community members to participate in the project?

-

List any community members or community groups that will oversee the continuation of the project after grant-funded activities conclude.

-

Budget

Will you purchase budget items from local vendors? Explain the process you used to select vendors.

-

Did you use competitive bidding to select vendors? If no, please explain.

-

Please provide an operating and maintenance plan for the equipment or materials you purchased for this project. This plan should include who will operate and maintain the equipment and how they will be trained.

-

Describe how community members will maintain the equipment after grant-funded activities conclude. Will replacement parts be available?

-

If the grant will be used to purchase any equipment, will the equipment be culturally appropriate and conform to the community's technology standards? If yes, please explain. If no, describe how the project team will help community members adopt the technology.

-

After the project is completed, who will own the items purchased by grant funds? No items may be owned by a Rotary district, club, or member.

-

Funding

Have you found a local funding source to sustain project outcomes for the long term? If yes, please describe this funding source.

-

Will any part of the project generate income for ongoing project funding? If yes, please explain.

-

Is your economic and community development activity a microcredit project? If yes, upload your microcredit supplement file.

-