Establishment of School of Health Sciences
Our programmes have stressed provision of wherewithal for the poor and marginalized to earn a livelihood, escape from the clutches of abject poverty and eventually achieve social and economic mobility.  As mentioned in our last annual report, only by better delivery targeting of welfare programmes, our resources can be optimally used for producing impressive results.  Poverty alleviation programmes need to stress first of all improving health of the population because only healthy individuals would be able to work their way out of poverty.  Health of the poor can be improved only by empowering them socially and economically in view of the gaping chasm in the health status of the poor and middle and rich classes in the country.  Considering health as crucial dependent variable, our efforts should be to understand what combination of education, employment and agricultural development would be able to achieve our objective of improving the health of the poor and marginalized.  Therefore, we have decided to undertake detailed research on the inter connections between the determinants of health and the expertise and experience of some of the members of the society could be tapped to create such a research and training infrastructure. Therefore, I do hope that the members would approve our objective and also would approve our proposal to apply for getting necessary exemption from the Government of India for classifying our Society as an organization capable of undertaking research dealing with the technical as well as socio-economic and ecological problems involved in poverty alleviation programmes.  Our aim is to set up an inter-disciplinary integrated development research institute that would address the preventive, curative, rehabilitative and promotional aspects of health including its social, economic, ecologic and technological determinants.  

Budget estimate

PROJECT PROPOSAL
FOR SETTING UP

ACOSA SCHOOL OF MEDICINE AND PUBLIC HEALTH AND HOSPITAL

 Submitted by:
The Agency for Community Organisation and Social Action
412 MIG, 4th Main Road,  6th Cross Street
Mugappair Eri Scheme, Mugappair West
Chennai 600037, Tamil Nadu
India

 3rd September 2009

ntroduction
One can see from the overview of the objectives and activities presented above that we are interested in establishing an institution capable of taking up training, research and service aspects of delivery of health and family welfare care services in the rural areas of India.  On the basis of the rich and extensive experience in dealing with rural health and family welfare programmes of some of the members of the society, we have taken up a few research and action projects related to a few significant dimensions of delivery health care in India .  It is in the fitness of things and it is the most opportune time at the growth path of the society,  that a consolidation of the experiences of the members of the society in training, research and services needs to be facilitated by developing an institution of excellence of international standards related to public health and medicine where training of both medical and paramedical personnel can be undertaken in a rural setting so as to impart a comprehensive, rural service oriented training of medical and paramedical personnel and vital research related to health policy and program formulation and evaluation can be undertaken.. With that view, we have prepared a proposal for setting up an Integrated School of Medicine and Public Health that would address the preventive, promotional, curative and rehabilitative aspects of health in rural areas of India. 
Proposal for the School of Medicine and Public Health has been prepared taking into consideration the norms and standards spelled out by the Medical Council of India. Once the broad outline of the proposal is approved in principle, we would be able to develop a full-fledged detailed proposal. It is proposed to have the following departments in the School of Medicine and Public Health: 
College of Medicine

    1. (1) HUMAN ANATOMY
    2. (2) HUMAN PHYSIOLOGY INCLUDING BIOPHYSICS
    3. (3) BIOCHEMISTRY
    4. (4) PATHOLOGY (INCLUDING BLOOD BANK)
    5. (5) MICROBIOLOGY
    6. (6) PHARMACOLOGY
    7. (7) FORENSIC MEDICINE INCLUDING TOXICOLOGY
    8. (8) COMMUNITY MEDICINE
    9. (9) MEDICINE
    10. (10) PAEDIATRICS
    11. (11) PSYCHIATRY
    12. (12) DERMATOLOGY, VENEREALOGY AND LEPROSY
    13. (13) TUBERCULOSIS AND RESPIRATORY DISEASES
    14. (14) SURGERY INCLUDING PAEDIATRIC SURGERY
    15. (15) ORTHOPAEDICS
    16. (16) RADIO-DIAGNOSIS
    17. (17) RADIOTHERAPY
    18. (18) OTO-RHINOLARYNGOLOGY
    19. (19) OPHTHALMOLOGY
    20. (20) OBSTETRICS AND GYNAECOLOGY
    21. (21) DENTISTRY
    College of Public Health:
  1. EPIDEMIOLOGY
  2. BIOSTATISTICS
  3. HEALTH BEHAVIOR AND HEALTH EDUCATION
  4. ENVIRONMENTAL SCIENCES AND ENGINEERING
  5. REPRODUCTIVE AND CHILD HEALTH
  6. NUTRITION
  7. HEALTH POLICY AND MANAGEMENT
  8. HEALTH ECONOMICS

FINANCIAL ESTIMATES

 PROJECT      ACOSA School of Medicine and Public Health and Hospital,

NO. OF BEDS:                     500 BEDS

NO. OF INTAKE

PER YEAR/100 INTAKE PER YEAR for College of Medicine and 100 intake per year for College of Public Health

Cost estimates have been prepared taking into account the norms and standards for land area, building plinth area, equipments and facilities, faculty members and nursing and other paramedical, administrative, and maintenance staff as prescribed by the Medical Council of India

PREOPERATIVE EXPENSES

(Rs Crores)

 1.         Project Consultancy Charges                               15.00
2.         Traveling expenses                                                 10.00
3.         Postage,stationary etc                                            2.00
4.         Misc.expenses                                                           2.00

            TOTAL                                                                      29.00

 RECURRING-OPERATIVE EXPENSES:

MEDICINES & OTHER MATERIALS PER ANNUM:

                                                                                                            ( RS CRORES)

1.         Drugs/Medicines,Injections etc                                       15.00
2.         Disposable syringes, Dressing materials,
            Gloves etc.                                                                            10.00
3.         Food items for canteen & Patients                                  20.00
4.         Lab.,X-Ray films,
ECG/EEG papers, TMT papers, Jelly etc.                       10.00

             TOTAL                                                                                  65.00

 RECURRING-UTILITIES/ OVERHEADS/ PER ANNUM

                                                                                                             (RS CRORES)

1.         Power consumption                                                                       10.00
2.         Water.fuel etc                                                                                  12.00
3.         Postage,stationary,telephone exp.                                              4.00
4.         Travelling/Conveyance                                                                 15.00
5.         Advertisement & Publicity                                                          16.00
6.         Repair & maintenance                                                                   5.00
7.         Insurance & taxes/ VAT                                                                 5.00
8.         Misc. expenditures                                                                         5.00

             TOTAL                                                                                              72.00

 RECURRING - SALARIES , WAGES, and SCHOLARSHIPS /PER ANNUM

                                                                                                            (RS CRORES)
1.         Super Specialist Doctors/ Professors                               10.00
2.         Specialist Doctors/ Associate Proff.                                  15.00
3.         Resident Doctors                                                                  5.00
4.         Visiting Doctors/ Specialists                                              5.00
5.         Sr. Nurses                                                                               5.00
6.         Nurses                                                                                   10.00
7.         Compounders/Pharmacists                                                2.00
8.         Lab. Technicians                                                                   2.00
9.         X-Ray technicians                                                                 2.00
10.       Radiologists/ Imaging specialist                                       5.00
11.       Attendants (Helper to nurses)                                           2.00
12.       Attendants ( ward & offices)                                              1.00
13.       Cooks & Assistances                                                            2.00
14.       Office staffs                                                                            5.00
15.       Drivers                                                                                    2.00
16.       Hostel/ office Supdt.                                                            1.00
17.       Clerks / Computer professionals                                                  2.00
18.       Peon/ Guards                                                                         3.00
19.       Sweeper/Cleaner                                                                  3.00
20.       Misc. Staffs                                                                           20.00
21.       Scholarships                                                                           2.00
            TOTAL                                                                                  104.00

 TOTAL OF ALL RECURRING EXPENSES:                              241.00

CONSTRUCTION OF BUILDINGS AND CIVIL WORKS:

Constrution of 127550 square metres (i.e. 1372936 square feet( of plinth area at the rate of Rs 2000 per square feet :                                      274.00

MACHINERY AND EQUIPMENT PURCHASE AND

INSTALLATION (AS PER MCI NORMS):                               265.00

 PROPOSED PLAN OF EXPENDITURE IN THE NEXT FIVE YEARS

Sl
No  

Activities

1st
year

2nd 
year

3rd 
year

4th
year

5th
year

TOTAL
(Rs Crores)

01

Land 50 acres
(aquiring & development)

 

12.00

 

------

 

-----

 

-----

 

-----

 

  12.00

02

Construction of building &
Civil works ( 127550 square metres as required by Medical Council of India

 

50.00

 

58

 

53

 

48

 

65

 

274.00

03

Machinery &
Equipment
(Purch&Inst)

 

55.00

 

50

 

45

 

55

 

60

 

265.00

04

Other Fixed Assets

 

32.00

 

36

 

35

 

40

 

25

 

168.00

05

Preoperative
Expenses

 

10.00

 

5.00

 

4.00

 

6.00

 

4.00

 

29.00

06

Recurring Expenditure

 

38.00

 

46.00

 

52.00

 

54.00

 

51.00

 

241.00

07

Contingencis

21.00

18.00

17.00

18.00

19.00

 93.00

 

TOTAL

218.00

213.00

206.00

221.00

224.0

1082.00