Ans. To Ques. - IV 1. Presently 1000 families (50 PSS x 20 families in each PSS) in the island have been included in the project but the other families in the island are frequently following the old ways .... To go for Raidighi/Diamond Harbour/Kolkata for basic health care as we have not included them, though we have a future plan to cover whole the island G.P. areas after developing infrastructural areas relating to Primary Health Care. 2. The usual diseases like cough & cold, anemia, jaundice, skin deases, Typhoed, Asthma etc. are being treated currently. 3. Presently no fees are being charged... only the patients' diagnosis & advises are being given free and they are paying the actual cost against the purchase of medicines from our Revolving medicine bank (RMB) Jeeban Daan. But, from January, 03,2003- all the FHCs will be distributed and effected alongwith a yearly contribution of Rs.285/-/FHC. Therefrom the outside patients'- party will be charged a sum of Rs.10/- per visit as doctor's diagnosis & advice fee, though both categories of patients'- party will have to pay actual cost price for medicines & transportation cost etc. -- Yes, we are maintaining a Patients' Resister, Money Receipt & cash Book-Ledger Book & stock register for RMB etc. & cash book, ledger & stock register for this clinic project. 4. I am sending you herewith as attachment budget spending status for your information & necessary action. 5. Duties & Responsibilities of the village Health Workers (VHWs) are :- (i) Door to Door Approach (DDA) for collecting family to family information & share preventive advices. (ii) Conduct Monthly Study Circle (MSC) for each PSS of every VHW to discuss & share health related different issues. (iii) Organise village level Medical Awareness Camp (MAC). (iv) To form & promote Core Team Activities towards commity health care. (v) Maintain daily activities diary & PSS study circle minutes for VHW records. (vi) To form other PSS & provide extension services. 6. Island Health-Status Survey (HSS) document is being sent to you as Attachment File (MS Word). 7. As per Block PHC records, the morlality rate for children is-------------(To be collected & sent soon) 8. I am sending you are Annual Report by post very soon. B. Sources of Sustaining the Project ; * PSS contribution (which will cover almost all the recurring costs of the clinic) * Patients' visiting fees of Rs.10/- per visit. * Revolving Medicine Bank will supply emergency medicines at actual cost price. C. Budget Deficit for continuing the project successfully :- * Recurring : (i) Doctor's Honorariums (a) @Rs.8,000/month x 1 (No.) x 12 (months) = 96,000.00 (b) @Rs.8,000/month x 1 (No.) x 6 (months) = 48,000.00 (ii) Hono. To village Health worker @ Rs.1,000 x 6(No.) x 6(months) = 36,000.00 (iii) Hono. To Proj. co-ordinator @Rs.3,000 x 1 (No.) x 6 (months) = 18,000.00 (iv) Trained Nurse @Rs.5,000 x 12 (months) = 60,000.00 (v) Hepatitis-B immunization Program @Rs.300/dozen x 100 (nos.) initially = 30,000.00 (vi) Other Administrative Costs : * Travelling @Rs.1,000 x 6 months = 6,000.00 * Printing & Stationery @Rs.1,000 x 6 months = 6,000.00 * Postage & Telegram(internet) = 3,000.00 * Reporting & Communications = 2,000.00 * Audit & Accounting = 3,000.00 = 20,000.00 Rs.3,08,000.00 * Non Recurring : (i) Medicines for Revolving Medicine Bank Rs.50,000.00 (ii) Power Generator & solar Panel (General use) Rs.60,000.00 (iii) Medical Equipments & Beds for patients including oxygen cylinder Rs.20,000.00 (iv) Solar Refrigeration for preserving vaccine/venum etc. Rs.80,000.00 (v) Potable X-Ray machine (Proper diagnosis) Rs.1,00,000.00 (vi) Patholab equips. & chemicals etc. Rs.1,00,000.00 Rs.4,10,000.00 N.B. Besides this urgently needed budget, we are in need of atleast Rs.5 Lakhs (4.5 lakhs for Mini Health Centre & 5 Lakhs for MHC Furnitures & necessities). We are worried of this, though we are trying in many ways....to raise the amount.....!!